AntimiR-132 Attenuates Myocardial Hypertrophy in an Animal Model of Percutaneous Aortic Constriction

Pathological cardiac hypertrophy is a result of afterload-increasing pathologies including untreated hypertension and aortic stenosis. It features progressive adverse cardiac remodeling, myocardial dysfunction, capillary rarefaction, and interstitial fibrosis often leading to heart failure. This stu...

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Veröffentlicht in:Journal of the American College of Cardiology 2021-06, Vol.77 (23), p.2923-2935
Hauptverfasser: Hinkel, Rabea, Batkai, Sandor, Bähr, Andrea, Bozoglu, Tarik, Straub, Sarah, Borchert, Tobias, Viereck, Janika, Howe, Andrea, Hornaschewitz, Nadja, Oberberger, Lisa, Jurisch, Victoria, Kozlik-Feldmann, Rainer, Freudenthal, Franz, Ziegler, Tilman, Weber, Christian, Sperandio, Markus, Engelhardt, Stefan, Laugwitz, Karl Ludwig, Moretti, Alessandra, Klymiuk, Nik, Thum, Thomas, Kupatt, Christian
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container_end_page 2935
container_issue 23
container_start_page 2923
container_title Journal of the American College of Cardiology
container_volume 77
creator Hinkel, Rabea
Batkai, Sandor
Bähr, Andrea
Bozoglu, Tarik
Straub, Sarah
Borchert, Tobias
Viereck, Janika
Howe, Andrea
Hornaschewitz, Nadja
Oberberger, Lisa
Jurisch, Victoria
Kozlik-Feldmann, Rainer
Freudenthal, Franz
Ziegler, Tilman
Weber, Christian
Sperandio, Markus
Engelhardt, Stefan
Laugwitz, Karl Ludwig
Moretti, Alessandra
Klymiuk, Nik
Thum, Thomas
Kupatt, Christian
description Pathological cardiac hypertrophy is a result of afterload-increasing pathologies including untreated hypertension and aortic stenosis. It features progressive adverse cardiac remodeling, myocardial dysfunction, capillary rarefaction, and interstitial fibrosis often leading to heart failure. This study aimed to establish a novel porcine model of pressure-overload-induced heart failure and to determine the effect of inhibition of microribonucleic acid 132 (miR-132) on heart failure development in this model. This study developed a novel porcine model of percutaneous aortic constriction by implantation of a percutaneous reduction stent in the thoracic aorta, inducing progressive remodeling at day 56 (d56) after pressure-overload induction. In this study, an antisense oligonucleotide specifically inhibiting miR-132 (antimiR-132), was regionally applied via intracoronary injection at d0 (percutaneous transverse aortic constriction induction) and d28. At d56, antimiR-132 treatment diminished cardiomyocyte cross-sectional area (188.9 ± 2.8 vs. 258.4 ± 9.0 μm in untreated hypertrophic hearts) and improved global cardiac function (ejection fraction 48.9 ± 1.0% vs. 36.1 ± 1.7% in control hearts). Moreover, at d56 antimiR-132-treated hearts displayed less increase of interstitial fibrosis compared with sham-operated hearts (Δsham 1.8 ± 0.5%) than control hearts (Δsham 10.8 ± 0.6%). Of note, cardiac platelet and endothelial cell adhesion molecule 1 capillary density was higher in the antimiR-132-treated hearts (647 ± 20 cells/mm ) compared with in the control group (485 ± 23 cells/mm ). The inhibition of miR-132 is a valid strategy in prevention of heart failure progression in hypertrophic heart disease and may be developed as a treatment for heart failure of nonischemic origin.
doi_str_mv 10.1016/j.jacc.2021.04.028
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It features progressive adverse cardiac remodeling, myocardial dysfunction, capillary rarefaction, and interstitial fibrosis often leading to heart failure. This study aimed to establish a novel porcine model of pressure-overload-induced heart failure and to determine the effect of inhibition of microribonucleic acid 132 (miR-132) on heart failure development in this model. This study developed a novel porcine model of percutaneous aortic constriction by implantation of a percutaneous reduction stent in the thoracic aorta, inducing progressive remodeling at day 56 (d56) after pressure-overload induction. In this study, an antisense oligonucleotide specifically inhibiting miR-132 (antimiR-132), was regionally applied via intracoronary injection at d0 (percutaneous transverse aortic constriction induction) and d28. At d56, antimiR-132 treatment diminished cardiomyocyte cross-sectional area (188.9 ± 2.8 vs. 258.4 ± 9.0 μm in untreated hypertrophic hearts) and improved global cardiac function (ejection fraction 48.9 ± 1.0% vs. 36.1 ± 1.7% in control hearts). Moreover, at d56 antimiR-132-treated hearts displayed less increase of interstitial fibrosis compared with sham-operated hearts (Δsham 1.8 ± 0.5%) than control hearts (Δsham 10.8 ± 0.6%). Of note, cardiac platelet and endothelial cell adhesion molecule 1 capillary density was higher in the antimiR-132-treated hearts (647 ± 20 cells/mm ) compared with in the control group (485 ± 23 cells/mm ). 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At d56, antimiR-132 treatment diminished cardiomyocyte cross-sectional area (188.9 ± 2.8 vs. 258.4 ± 9.0 μm in untreated hypertrophic hearts) and improved global cardiac function (ejection fraction 48.9 ± 1.0% vs. 36.1 ± 1.7% in control hearts). Moreover, at d56 antimiR-132-treated hearts displayed less increase of interstitial fibrosis compared with sham-operated hearts (Δsham 1.8 ± 0.5%) than control hearts (Δsham 10.8 ± 0.6%). Of note, cardiac platelet and endothelial cell adhesion molecule 1 capillary density was higher in the antimiR-132-treated hearts (647 ± 20 cells/mm ) compared with in the control group (485 ± 23 cells/mm ). 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At d56, antimiR-132 treatment diminished cardiomyocyte cross-sectional area (188.9 ± 2.8 vs. 258.4 ± 9.0 μm in untreated hypertrophic hearts) and improved global cardiac function (ejection fraction 48.9 ± 1.0% vs. 36.1 ± 1.7% in control hearts). Moreover, at d56 antimiR-132-treated hearts displayed less increase of interstitial fibrosis compared with sham-operated hearts (Δsham 1.8 ± 0.5%) than control hearts (Δsham 10.8 ± 0.6%). Of note, cardiac platelet and endothelial cell adhesion molecule 1 capillary density was higher in the antimiR-132-treated hearts (647 ± 20 cells/mm ) compared with in the control group (485 ± 23 cells/mm ). The inhibition of miR-132 is a valid strategy in prevention of heart failure progression in hypertrophic heart disease and may be developed as a treatment for heart failure of nonischemic origin.</abstract><cop>United States</cop><pmid>34112319</pmid><doi>10.1016/j.jacc.2021.04.028</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record>
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subjects Animals
Antagomirs - administration & dosage
Aorta, Thoracic - surgery
Aortic Diseases - complications
Cardiomegaly - complications
Cardiomegaly - diagnosis
Cardiomegaly - drug therapy
Constriction
Constriction, Pathologic - complications
Coronary Vessels
Disease Models, Animal
Heart Failure - etiology
Heart Failure - physiopathology
Heart Failure - prevention & control
Injections, Intra-Arterial
MicroRNAs - antagonists & inhibitors
MicroRNAs - genetics
MicroRNAs - metabolism
Stents - adverse effects
Swine
Treatment Outcome
Ventricular Remodeling - drug effects
title AntimiR-132 Attenuates Myocardial Hypertrophy in an Animal Model of Percutaneous Aortic Constriction
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