Co-administration of isoprenaline and phenylephrine induced a new HFrEF mouse model through activation of both SNS

Huimin Su1, Ming Liu2, Siteng Wang3

  • 1Department of Cardiology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.

Abstract

Insights

A new mouse model using isoprenaline and phenylephrine (ISO/PE) effectively mimics human heart failure by activating sympathetic nervous system (SNS) and renin-angiotensin-aldosterone system (RAAS) pathways.

Area of Science:

  • Cardiovascular Research
  • Animal Models of Disease
  • Molecular Biology

Background:

  • Human heart failure pathogenesis is complex, necessitating robust animal models.
  • Drug-induced models offer advantages over surgical methods in time and labor.
  • Isoprenaline (ISO)-induced models are common but may not fully recapitulate human disease.

Purpose of the Study:

  • To evaluate a novel drug-induced mouse heart failure model using a combination of isoprenaline (ISO) and phenylephrine (PE).
  • To compare the efficacy of the ISO/PE model against conventional ISO-alone models.
  • To assess the model's ability to mimic key human heart failure pathways.

Main Methods:

  • Mice were treated with ISO and PE via subcutaneous micro-osmolar pumps for two weeks.
  • Cardiac ultrasound and blood pressure were monitored dynamically throughout the study.
  • RNA sequencing was performed on myocardial tissues post-mortem.

Main Results:

  • The ISO/PE model led to upregulation of hypertrophy and fibrosis-related genes.
  • Key pathways including the Sympathetic Nervous System (SNS) and Renin-Angiotensin-Aldosterone System (RAAS) were activated.
  • RNA sequencing confirmed significant molecular changes in myocardial tissues.

Conclusions:

  • The ISO/PE mouse model activates both SNS and RAAS pathways via alpha- and beta-adrenergic receptors.
  • This model more closely resembles human heart failure pathogenesis than ISO-alone models.
  • The ISO/PE model represents a unique and representative method for heart failure research.

Related Concept Videos

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
354
Heart Failure Drugs: β-Blockers01:22

Heart Failure Drugs: β-Blockers

β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation,...
299
Pathophysiology of Heart Failure01:17

Pathophysiology of Heart Failure

Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.4K
Heart Failure Drugs: Diuretics01:22

Heart Failure Drugs: Diuretics

Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
309
Antihypertensive Drugs: Direct Renin Inhibitors01:25

Antihypertensive Drugs: Direct Renin Inhibitors

The renin-angiotensin-aldosterone system (RAAS) is an intricate physiological pathway involving numerous enzymes and hormones, including renin, angiotensin-converting enzyme (ACE), angiotensin I and II, and aldosterone. Imbalances within this system increase the production of angiotensin II and aldosterone. Increased angiotensin II levels promote vasoconstriction and blood pressure elevation. Concurrently, higher aldosterone levels stimulate sodium and water reabsorption in the kidneys,...
466
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors01:30

Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors

Angiotensin-converting enzyme (ACE), a vital component of the renin-angiotensin-aldosterone system, is abundant in lung endothelial cells. ACE converts the inactive decapeptide, angiotensin I, into the active octapeptide, angiotensin II. This potent vasoconstrictor narrows blood vessels, increasing resistance to blood flow and elevating blood pressure. Angiotensin II also stimulates aldosterone production, encouraging kidney cells to reabsorb more sodium and water from urine, thereby increasing...
430