Hypercaloric diet models do not develop heart failure, but the excess sucrose promotes contractility dysfunction

PLoS One. 2020 Feb 7;15(2):e0228860. doi: 10.1371/journal.pone.0228860. eCollection 2020.

Abstract

Several diseases are associated with excess of adipose tissue, and obesity is considered an independent risk factor for the development of cardiac remodeling and heart failure. Dietary aspects have been studied to elucidate the mechanisms involved in these processes. Thus, the purpose was the development and characterization of an obesity experimental model from hypercaloric diets, which resulted in cardiac remodeling and predisposition to heart failure. Thirty- day-old male Wistar rats (n = 52) were randomized into four groups: control (C), high sucrose (HS), high-fat (HF) and high-fat and sucrose (HFHS) for 20 weeks. General characteristics, comorbidities, weights of the heart, left (LV) and right ventricles, atrium, and relationships with the tibia length were evaluated. The LV myocyte cross sectional area and fraction of interstitial collagen were assayed. Cardiac function was determined by hemodynamic analysis and the contractility by cardiomyocyte contractile function. Heart failure was analyzed by pulmonary congestion, right ventricular hypertrophy, and hemodynamic parameters. HF and HFHS models led to obesity by increase in adiposity index (C = 8.3 ± 0.2% vs. HF = 10.9 ± 0.5%, HFHS = 10.2 ± 0.3%). There was no change in the morphological parameters and heart failure signals. HF and HFHS caused a reduction in times to 50% relaxation without cardiomyocyte contractile damage. The HS model presented cardiomyocyte contractile dysfunction visualized by lower shortening (C: 8.34 ± 0.32% vs. HS: 6.91 ± 0.28), as well as the Ca2+ transient amplitude was also increased when compared to HFHS. In conclusion, the experimental diets based on high amounts of sugar, lard or a combination of both did not promote cardiac remodeling with predisposition to heart failure under conditions of obesity or excess sucrose. Nevertheless, excess sucrose causes cardiomyocyte contractility dysfunction associated with alterations in the myocyte sensitivity to intracellular Ca2+.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Calcium Signaling
  • Collagen / metabolism
  • Diet, Carbohydrate Loading / adverse effects*
  • Diet, High-Fat / adverse effects
  • Dietary Fats / administration & dosage
  • Dietary Fats / adverse effects
  • Dietary Sucrose / administration & dosage*
  • Dietary Sucrose / adverse effects*
  • Disease Models, Animal
  • Energy Intake
  • Heart Failure / etiology*
  • Heart Failure / pathology
  • Heart Failure / physiopathology
  • Male
  • Models, Cardiovascular
  • Myocardial Contraction
  • Myocardium / metabolism
  • Myocardium / pathology
  • Myocytes, Cardiac / physiology
  • Obesity / complications
  • Obesity / pathology
  • Obesity / physiopathology
  • Rats
  • Rats, Wistar
  • Ventricular Remodeling / physiology

Substances

  • Dietary Fats
  • Dietary Sucrose
  • Collagen
  • lard

Grants and funding

This study was supported by the Brazilian National Council for Scientific and Technological Development – CNPq (grant number: 402090/2016-0) to ASL and FAPES (grant number: 590/2019). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.