The conventional isoproterenol-induced heart failure model does not consistently mimic the diaphragmatic dysfunction observed in patients

PLoS One. 2020 Jul 30;15(7):e0236923. doi: 10.1371/journal.pone.0236923. eCollection 2020.

Abstract

Heart failure (HF) impairs diaphragm function. Animal models realistically mimicking HF should feature both the cardiac alterations and the diaphragmatic dysfunction characterizing this disease. The isoproterenol-induced HF model is widely used, but whether it presents diaphragmatic dysfunction is unknown. However, indirect data from research in other fields suggest that isoproterenol could increase diaphragm function. The aim of this study was to test the hypothesis that the widespread rodent model of isoproterenol-induced HF results in increased diaphragmatic contractility. Forty C57BL/6J male mice were randomized into 2 groups: HF and healthy controls. After 30 days of isoproterenol infusion to establish HF, in vivo diaphragmatic excursion and ex vivo isolated diaphragm contractibility were measured. As compared with healthy controls, mice with isoproterenol-induced HF showed the expected changes in structural and functional echocardiographic parameters and lung edema. isoproterenol-induced HF increased in vivo diaphragm excursion (by ≈30%, p<0.01) and increased by ≈50% both ex vivo peak specific force (p<0.05) and tetanic force (p<0.05) at almost all 10-100 Hz frequencies (p<0.05), with reduced fatigue resistance (p<0.01) when compared with healthy controls. Expression of myosin genes encoding the main muscle fiber types revealed that Myh4 was higher in isoproterenol-induced HF than in healthy controls (p<0.05), suggesting greater distribution of type IIb fibers. These results show that the conventional isoproterenol-induced HF model increases diaphragm contraction, a finding contrary to what is observed in patients with HF. Therefore, this specific model seems limited for translational an integrative HF research, especially when cardio-respiratory interactions are investigated.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenergic beta-Agonists / toxicity*
  • Animals
  • Diaphragm / drug effects
  • Diaphragm / physiopathology*
  • Disease Models, Animal
  • Heart Failure / chemically induced
  • Heart Failure / physiopathology*
  • Humans
  • Isoproterenol / toxicity*
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Muscle Fibers, Skeletal / drug effects
  • Muscle Fibers, Skeletal / pathology*
  • Muscle Proteins / metabolism*
  • Pulmonary Edema / chemically induced
  • Pulmonary Edema / pathology*

Substances

  • Adrenergic beta-Agonists
  • Muscle Proteins
  • Isoproterenol

Grants and funding

ICA is supported by ANID-PFCHA – Chilean Doctorate Fellowship 2017; Grant No. 72180089. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.