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

Rabea Hinkel, Sandor Batkai, Andrea Bähr, Tarik Bozoglu, Sarah Straub, Tobias Borchert, Janika Viereck, Andrea Howe, Nadja Hornaschewitz, Lisa Oberberger, Victoria Jurisch, Rainer Kozlik-Feldmann, Franz Freudenthal, Tilman Ziegler, Christian Weber, Markus Sperandio, Stefan Engelhardt, Karl Ludwig Laugwitz, Alessandra Moretti, Nik KlymiukThomas Thum, Christian Kupatt

Research output: Contribution to journalArticlepeer-review

46 Scopus citations

Abstract

Background: 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. Objectives: 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. Methods: 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. Results: At d56, antimiR-132 treatment diminished cardiomyocyte cross-sectional area (188.9 ± 2.8 vs. 258.4 ± 9.0 μm2 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/mm2) compared with in the control group (485 ± 23 cells/mm2). Conclusions: 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.

Original languageEnglish
Pages (from-to)2923-2935
Number of pages13
JournalJournal of the American College of Cardiology
Volume77
Issue number23
DOIs
StatePublished - 15 Jun 2021

Keywords

  • adverse cardiac remodeling
  • antimiR-132
  • cardiac hypertrophy
  • heart failure
  • microRNA-132

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