Acute regional changes in myocardial strain may predict ventricular remodelling after myocardial infarction in a large animal model.

Acute regional changes in myocardial strain may predict ventricular remodelling after myocardial infarction in a large animal model.
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DOI:
10.1038/s41598-021-97834-y
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发表时间:
2021-09-15
期刊:
影响因子:
4.6
通讯作者:
Cookson AN
Cookson AN
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Mansell DS;Bruno VD;Sammut E;Chiribiri A;Johnson T;Khaliulin I;Lopez DB;Gill HS;Fraser KH;Murphy M;Krieg T;Suleiman MS;George S;Ascione R;Cookson AN

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To identify predictors of left ventricular remodelling (LVR) post-myocardial infarction (MI) and related molecular signatures, a porcine model of closed-chest balloon MI was used along with serial cardiac magnetic resonance imaging (CMRI) up to 5–6 weeks post-MI. Changes in myocardial strain and strain rates were derived from CMRI data. Tissue proteomics was compared between infarcted and non-infarcted territories. Peak values of left ventricular (LV) apical circumferential strain (ACS) changed over time together with peak global circumferential strain (GCS) while peak GLS epicardial strains or strain rates did not change over time. Early LVR post-MI enhanced abundance of 39 proteins in infarcted LV territories, 21 of which correlated with LV equatorial circumferential strain rate. The strongest associations were observed for D-3-phosphoglycerate dehydrogenase (D-3PGDH), cysteine and glycine-rich protein-2, and secreted frizzled-related protein 1 (sFRP1). This study shows that early changes in regional peak ACS persist at 5–6 weeks post-MI, when early LVR is observed along with increased tissue levels of D-3PGDH and sFRP1. More studies are needed to ascertain if the observed increase in tissue levels of D-3PGDH and sFRP1 might be casually involved in the pathogenesis of adverse LV remodelling.
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