Diastolic Dysfunction with Normal Ejection Fraction and Reduced Heart Rate in Mice Expressing Human Growth Hormone

Yan Jin1, Bo Xiang2, Vernon W Dolinsky2

  • 1Department of Physiology and Pathophysiology, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB R3E 0J9, Canada.

Insights

Human growth hormone (hGH) in mice led to reduced heart size and function, similar to growth hormone (GH) deficiency. These cardiac changes occurred despite normal growth rates and were not worsened by a high-fat diet.

Area of Science:

  • Cardiovascular Physiology
  • Endocrinology
  • Transgenic Animal Models

Background:

  • Growth hormone (GH) signaling is critical for cardiac development and function.
  • Aberrant GH levels (deficiency or excess) are linked to increased cardiovascular risk.
  • Human GH (hGH) and mouse GH (mGH) exhibit distinct receptor binding profiles, potentially leading to differential physiological effects.

Purpose of the Study:

  • To investigate the cardiac effects of human growth hormone (hGH) expression in transgenic mice (hGH-TG) compared to wild-type (mGH-WT) mice.
  • To assess cardiac structure and function using echocardiography in hGH-TG mice.
  • To evaluate the impact of a high-fat diet (HFD) on cardiac parameters in hGH-TG mice.

Main Methods:

  • Generation of transgenic mice expressing pituitary hGH under hypothalamic control.
  • Echocardiographic analysis of cardiac structure (left ventricular mass) and function (stroke volume, cardiac output, ejection fraction, fractional shortening) in male hGH-TG and mGH-WT mice.
  • Assessment of cardiac RNA markers and heart rate, including under high-fat diet conditions.

Main Results:

  • Male hGH-TG mice exhibited significantly reduced left ventricular mass (48%), stroke volume (36%), and cardiac output (48%) compared to mGH-WT mice.
  • hGH-TG mice showed signs of diastolic dysfunction and restrictive ventricular filling, with a lower heart rate.
  • No significant differences in ejection fraction or fractional shortening were observed between groups, even after HFD; HFD did not alter cardiac damage RNA markers.

Conclusions:

  • Pituitary expression of hGH in mice results in cardiac structural and functional deficits resembling GH deficiency.
  • Diastolic dysfunction in hGH-TG mice may be compensated by a reduced heart rate.
  • Structural cardiac alterations appear to precede functional impairments, and HFD does not exacerbate these effects in this model.

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