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Pressure overload leads to coronary plaque formation, progression, and myocardial events in ApoE–/– mice
Alice Marino, Yi Zhang, Luisa Rubinelli, Maria Antonietta Riemma, James E. Ip, Annarita Di Lorenzo
Alice Marino, Yi Zhang, Luisa Rubinelli, Maria Antonietta Riemma, James E. Ip, Annarita Di Lorenzo
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Research Article Cardiology Vascular biology

Pressure overload leads to coronary plaque formation, progression, and myocardial events in ApoE–/– mice

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Abstract

Hypercholesterolemia and hypertension are two major risk factors for coronary artery diseases, which remain the major cause of mortality in the industrialized world. Current animal models of atherosclerosis do not recapitulate coronary plaque disruption, thrombosis, and myocardial infarction occurring in humans. Recently, we demonstrated that exposure of the heart to high pressure, by transverse aortic constriction (TAC), induced coronary lesions in ApoE–/– mice on chow diet. The aim of this study was to characterize the magnitude and location of coronary lesions in ApoE–/– mice after TAC and to assess the susceptibility of coronary plaque to disruption, leading to myocardial events. Here, we describe a reliable pathological condition in mice characterized by the development of coronary lesions and its progression, leading to myocardial infarction; this model better recapitulates human disease. Following TAC surgery, about 90% of ApoE–/– mice developed coronary lesions, especially in the left anterior descending artery, with 59% of the mice manifesting a different magnitude of LAD stenosis. Myocardial events, identified in 74% of the mice, were mainly due to coronary plaque thrombosis and occlusion. That TAC-induced development and progression of coronary lesions in ApoE–/– mice, leading to myocardial events, represents a potentially novel and important tool to investigate the development of coronary lesions and its sequelae in a setting that better resemble human conditions.

Authors

Alice Marino, Yi Zhang, Luisa Rubinelli, Maria Antonietta Riemma, James E. Ip, Annarita Di Lorenzo

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Figure 5

Coronary occlusions without thrombus in epicardial coronary arteries of ApoE–/– mice after TAC affected by MI.

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Coronary occlusions without thrombus in epicardial coronary arteries of ...
(A) Scheme of the localization of heart sections stained with H&E, Masson’s trichrome, and Oil Red O in the apex (left), and image of the occluded coronary arteries (right). (B) H&E, (C) Masson’s trichrome, and (D) Oil Red O staining of distal coronary arteries, showing remarkable atherosclerotic occlusion, and likely vasospasm, of the LAD and diagonal arteries, but not of the marginal artery, at 5.73 mm from AV. Scale bars: 50 μm. (E) ECG tracing measured at 11 weeks after TAC in ApoE–/– mouse at rest (top left). ST elevation occurred after 46 seconds of running (top right), and it became wider after 2 minutes of running (bottom left). The mouse died after a transition from sinus tachycardia with ST elevation to an idioventricular rhythm (bottom right). (F) Masson’s trichrome staining of the medium and apex of the heart at the indicated distance from the AV. Scale bar: 1 mm.

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