Abstract |
Mitochondrial creatine kinase (Mt-CK) is a major determinant of cardiac energetic status and is down-regulated in chronic heart failure, which may contribute to disease progression. We hypothesised that cardiomyocyte-specific overexpression of Mt-CK would mitigate against these changes and thereby preserve cardiac function. Male Mt-CK overexpressing mice (OE) and WT littermates were subjected to transverse aortic constriction (TAC) or sham surgery and assessed by echocardiography at 0, 3 and 6 weeks alongside a final LV haemodynamic assessment. Regardless of genotype, TAC mice developed progressive LV hypertrophy, dilatation and contractile dysfunction commensurate with pressure overload-induced chronic heart failure. There was a trend for improved survival in OE-TAC mice (90% vs 73%, P = 0.08), however, OE-TAC mice exhibited greater LV dilatation compared to WT and no functional parameters were significantly different under baseline conditions or during dobutamine stress test. CK activity was 37% higher in OE- sham versus WT- sham hearts and reduced in both TAC groups, but was maintained above normal values in the OE-TAC hearts. A separate cohort of mice received in vivo cardiac 31P-MRS to measure high-energy phosphates. There was no difference in the ratio of phosphocreatine-to- ATP in the sham mice, however, PCr/ ATP was reduced in WT-TAC but preserved in OE-TAC (1.04 ± 0.10 vs 2.04 ± 0.22; P = 0.007). In conclusion, overexpression of Mt-CK activity prevented the changes in cardiac energetics that are considered hallmarks of a failing heart. This had a positive effect on early survival but was not associated with improved LV remodelling or function during the development of chronic heart failure.
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Authors | Fang Cao, Mahon L Maguire, Debra J McAndrew, Hannah A Lake, Stefan Neubauer, Sevasti Zervou, Jürgen E Schneider, Craig A Lygate |
Journal | Basic research in cardiology
(Basic Res Cardiol)
Vol. 115
Issue 2
Pg. 12
(01 10 2020)
ISSN: 1435-1803 [Electronic] Germany |
PMID | 31925563
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Creatine Kinase, Mitochondrial Form
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Topics |
- Animals
- Chronic Disease
- Creatine Kinase, Mitochondrial Form
(genetics, metabolism)
- Disease Models, Animal
- Energy Metabolism
- Heart Failure
(enzymology, genetics, pathology, physiopathology)
- Hypertrophy, Left Ventricular
(enzymology, genetics, pathology, physiopathology)
- Male
- Mice, Inbred C57BL
- Mice, Transgenic
- Mitochondria, Heart
(enzymology, genetics, pathology)
- Myocytes, Cardiac
(enzymology, pathology)
- Signal Transduction
- Ventricular Dysfunction, Left
(enzymology, genetics, pathology, physiopathology)
- Ventricular Function, Left
- Ventricular Remodeling
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