Sex similarities and differences in the reverse and anti-remodeling effect of pressure unloading therapy in a rat model of aortic banding and debanding

Background: Investigating the effect of sex on pressure unloading therapy in a clinical scenario is limited by several non-standardized factors. Hence, we sought to study sex-related similarities and differences under laboratory conditions. Methods: Pressure overload was induced in male and female...

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Main Authors: Tímea Bálint, Mihály Ruppert, Bálint András Barta, Korkmaz-Icöz Sevil, Loganathan Sivakkanan, Attila Oláh, Sayour Alex Ali, Kálmán Benke, Dávid Nagy, Karck Matthias, Oliver Schilling, Béla Merkely, Gábor Szabó
Format: Article
Language:English
Published: Promenade Kft 2024-12-01
Series:Cardiologia Hungarica
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Online Access:https://cardiologia.hungarica.eu/archive/2024-issues/2024-6-contents/sex-similarities-and-differences-in-the-reverse-and-anti-remodeling-effect-of-pressure-unloading-therapy-in-a-rat-model-of-aortic-banding-and-debanding?article=open
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author Tímea Bálint
Mihály Ruppert
Bálint András Barta
Korkmaz-Icöz Sevil
Loganathan Sivakkanan
Attila Oláh
Sayour Alex Ali
Kálmán Benke
Dávid Nagy
Karck Matthias
Oliver Schilling
Béla Merkely
Gábor Szabó
author_facet Tímea Bálint
Mihály Ruppert
Bálint András Barta
Korkmaz-Icöz Sevil
Loganathan Sivakkanan
Attila Oláh
Sayour Alex Ali
Kálmán Benke
Dávid Nagy
Karck Matthias
Oliver Schilling
Béla Merkely
Gábor Szabó
author_sort Tímea Bálint
collection DOAJ
description Background: Investigating the effect of sex on pressure unloading therapy in a clinical scenario is limited by several non-standardized factors. Hence, we sought to study sex-related similarities and differences under laboratory conditions. Methods: Pressure overload was induced in male and female rats by aortic banding (AB) for 6 and 12 weeks. Age-matched sham operated animals served as controls. Pressure unloading was performed by aortic debanding at week 6. Different aspects of myocardial remodeling were characterized by echocardiography, pressure-volume analysis, histology, qRT-PCR and explorative proteomics. Results: Hypertrophy, increased fetal gene expression, interstitial fibrosis, and prolonged active relaxation were noted in the AB groups at week 6 in both sexes. However, decompensation of systolic function and further deterioration of diastolic function only occurred in male AB rats at week 12. AB induced similar proteomic alterations in both sexes at week 6, while characteristic differences were found at week 12. After debanding, regression of hypertrophy and recovery of diastolic function took place to a similar extent in both sexes. Nevertheless, fibrosis, transcription of β-to-α myosin-heavy chain ratio, and myocardial proteomic alterations were reduced to a greater degree in females compared to males. Pressure unloading exposes a more pronounced anti-remodeling effect on the functional level in males, which is attributed to the more progressive functional deterioration in AB animals. Conclusions: Pressure unloading exposes reverse and anti-remodeling properties in both sexes. Female sex is associated with greater reversibility of fibrosis, fetal gene expression, and proteomic alterations. Nevertheless, pressure unloading exposes a more pronounced anti-remodeling effect on the functional level in males.
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spelling doaj-art-f701a5ccfc9948fbb9a2d365aea8ed472025-01-06T15:50:12ZengPromenade KftCardiologia Hungarica0133-55961588-02302024-12-0154646147810.26430/CHUNGARICA.2024.54.6.461Sex similarities and differences in the reverse and anti-remodeling effect of pressure unloading therapy in a rat model of aortic banding and debandingTímea Bálint0Mihály Ruppert1Bálint András Barta2Korkmaz-Icöz Sevil3Loganathan Sivakkanan4Attila Oláh5Sayour Alex Ali6Kálmán Benke7Dávid Nagy8Karck Matthias9Oliver Schilling10Béla Merkely11Gábor Szabó12Semmelweis Egyetem, Városmajori Szív- és Érgyógyászati Klinika, Kísérletes Kardiológiai és Sebészeti Műtéttani Tanszék, BudapestSemmelweis Egyetem, Városmajori Szív- és Érgyógyászati Klinika, Kísérletes Kardiológiai és Sebészeti Műtéttani Tanszék, BudapestSemmelweis Egyetem, Városmajori Szív- és Érgyógyászati Klinika, Kísérletes Kardiológiai és Sebészeti Műtéttani Tanszék, Budapest, Semmelweis Egyetem, Városmajori Szív- és Érgyógyászati Klinika, Budapest, Albert Ludwig Egyetem, Sebészeti Patológiai Intézet, Freiburg, Németország, Albert Ludwig Egyetem, Biológiai Kar, Freiburg, NémetországRuprecht–Karl Egyetem, Szívsebészeti Klinika, Heidelberg, NémetországRuprecht–Karl Egyetem, Szívsebészeti Klinika, Heidelberg, NémetországSemmelweis Egyetem, Városmajori Szív- és Érgyógyászati Klinika, Kísérletes Kardiológiai és Sebészeti Műtéttani Tanszék, BudapestSemmelweis Egyetem, Városmajori Szív- és Érgyógyászati Klinika, Kísérletes Kardiológiai és Sebészeti Műtéttani Tanszék, BudapestSemmelweis Egyetem, Városmajori Szív- és Érgyógyászati Klinika, Budapest, Department of Cardiac Surgery, University Hospital Halle (Saale), Szívsebészeti Klinika Halle, NémetországSemmelweis Egyetem, Városmajori Szív- és Érgyógyászati Klinika, Kísérletes Kardiológiai és Sebészeti Műtéttani Tanszék, BudapestRuprecht–Karl Egyetem, Szívsebészeti Klinika, Heidelberg, NémetországAlbert Ludwig Egyetem, Sebészeti Patológiai Intézet, Freiburg, NémetországSemmelweis Egyetem, Városmajori Szív- és Érgyógyászati Klinika, BudapestRuprecht–Karl Egyetem, Szívsebészeti Klinika, Heidelberg, Németország, Department of Cardiac Surgery, University Hospital Halle (Saale), Szívsebészeti Klinika Halle, Németország Background: Investigating the effect of sex on pressure unloading therapy in a clinical scenario is limited by several non-standardized factors. Hence, we sought to study sex-related similarities and differences under laboratory conditions. Methods: Pressure overload was induced in male and female rats by aortic banding (AB) for 6 and 12 weeks. Age-matched sham operated animals served as controls. Pressure unloading was performed by aortic debanding at week 6. Different aspects of myocardial remodeling were characterized by echocardiography, pressure-volume analysis, histology, qRT-PCR and explorative proteomics. Results: Hypertrophy, increased fetal gene expression, interstitial fibrosis, and prolonged active relaxation were noted in the AB groups at week 6 in both sexes. However, decompensation of systolic function and further deterioration of diastolic function only occurred in male AB rats at week 12. AB induced similar proteomic alterations in both sexes at week 6, while characteristic differences were found at week 12. After debanding, regression of hypertrophy and recovery of diastolic function took place to a similar extent in both sexes. Nevertheless, fibrosis, transcription of β-to-α myosin-heavy chain ratio, and myocardial proteomic alterations were reduced to a greater degree in females compared to males. Pressure unloading exposes a more pronounced anti-remodeling effect on the functional level in males, which is attributed to the more progressive functional deterioration in AB animals. Conclusions: Pressure unloading exposes reverse and anti-remodeling properties in both sexes. Female sex is associated with greater reversibility of fibrosis, fetal gene expression, and proteomic alterations. Nevertheless, pressure unloading exposes a more pronounced anti-remodeling effect on the functional level in males.https://cardiologia.hungarica.eu/archive/2024-issues/2024-6-contents/sex-similarities-and-differences-in-the-reverse-and-anti-remodeling-effect-of-pressure-unloading-therapy-in-a-rat-model-of-aortic-banding-and-debanding?article=openmyocardial hypertrophysex differencesproteomics
spellingShingle Tímea Bálint
Mihály Ruppert
Bálint András Barta
Korkmaz-Icöz Sevil
Loganathan Sivakkanan
Attila Oláh
Sayour Alex Ali
Kálmán Benke
Dávid Nagy
Karck Matthias
Oliver Schilling
Béla Merkely
Gábor Szabó
Sex similarities and differences in the reverse and anti-remodeling effect of pressure unloading therapy in a rat model of aortic banding and debanding
Cardiologia Hungarica
myocardial hypertrophy
sex differences
proteomics
title Sex similarities and differences in the reverse and anti-remodeling effect of pressure unloading therapy in a rat model of aortic banding and debanding
title_full Sex similarities and differences in the reverse and anti-remodeling effect of pressure unloading therapy in a rat model of aortic banding and debanding
title_fullStr Sex similarities and differences in the reverse and anti-remodeling effect of pressure unloading therapy in a rat model of aortic banding and debanding
title_full_unstemmed Sex similarities and differences in the reverse and anti-remodeling effect of pressure unloading therapy in a rat model of aortic banding and debanding
title_short Sex similarities and differences in the reverse and anti-remodeling effect of pressure unloading therapy in a rat model of aortic banding and debanding
title_sort sex similarities and differences in the reverse and anti remodeling effect of pressure unloading therapy in a rat model of aortic banding and debanding
topic myocardial hypertrophy
sex differences
proteomics
url https://cardiologia.hungarica.eu/archive/2024-issues/2024-6-contents/sex-similarities-and-differences-in-the-reverse-and-anti-remodeling-effect-of-pressure-unloading-therapy-in-a-rat-model-of-aortic-banding-and-debanding?article=open
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