A Novel Preclinical Murine Model of Systemic Lupus Erythematosus-Like Cardiovascular Disease

Marice K McCrorey1, Kennedy P Hawkins1, Marharyta Semenikhina1

  • 1Medical University of South Carolina, Charleston.

ACR Open Rheumatology
|October 4, 2024
PubMed

Insights

This study developed a new preclinical model for systemic lupus erythematosus (SLE)-like cardiovascular disease (CVD) in mice. Resiquimod (R848) treatment accelerated SLE, revealing sex-dependent cardiac and organ damage, crucial for understanding SLE-related CVD.

Area of Science:

  • Immunology
  • Cardiovascular Disease
  • Preclinical Models

Background:

  • Systemic lupus erythematosus (SLE) disproportionately affects women, increasing their risk for cardiovascular disease (CVD).
  • Existing preclinical models lack comprehensive characterization of SLE-induced cardiac and vascular dysfunction.
  • Toll-like receptor (TLR) 7/8 agonists, like resiquimod (R848), are implicated in SLE pathogenesis.

Purpose of the Study:

  • To establish a novel preclinical model of SLE-like CVD using R848 in SLE-prone mice.
  • To investigate the sex-dependent effects of R848 on cardiac and systemic pathophysiology.
  • To analyze endothelial activation and end-organ damage in response to accelerated SLE.

Main Methods:

  • Female and male B6.Nba2 mice, prone to SLE, were topically treated with R848 or acetone twice weekly for four weeks.
  • Echocardiography was performed at baseline, 4, and 16 weeks to assess cardiac function.
  • Tissue analysis included histology, immunofluorescence, qPCR, and ELISA to evaluate organ damage and molecular markers.

Main Results:

  • R848 treatment induced SLE-like serological markers (anti-Smith antibodies, IgG complexes) and spleen enlargement in both sexes.
  • Female mice showed significant cardiac and renal enlargement, left ventricular wall thickening, reduced ejection fraction, and increased cardiac/renal fibrosis.
  • Both sexes exhibited elevated soluble adhesion molecules (sVCAM-1, sICAM-1), indicating systemic endothelial activation.

Conclusions:

  • R848 treatment in B6.Nba2 mice provides a robust preclinical model for studying SLE-like CVD.
  • The model effectively recapitulates sex-dependent differences in SLE-associated cardiovascular and organ damage.
  • This model facilitates research into the pathophysiological mechanisms underlying SLE-related CVD in women.
Abstract