Preclinical Study
A High Fat/High Carbohydrate Diet Induces Aortic Valve Disease in C57BL/6J Mice

https://doi.org/10.1016/j.jacc.2005.09.049Get rights and content
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Objectives

The purpose of this study was to compare aortic valve function and morphology in adult wild-type (WT) mice and in low-density lipoprotein receptor-deficient (LDLr−/−) mice fed or not fed a high-fat/high-carbohydrate (HF/HC) diet.

Background

Observations suggest a link between degenerative aortic valve stenosis (AS) and atherosclerosis. Aortic valve stenosis has been successfully induced in animal models of extreme hypercholesterolemia, but these models are less relevant to humans. It is not known if a proatherogenic HF/HC diet without added cholesterol could have the same negative impacts.

Methods

Forty C57BL/6J mice were divided into four groups: WT + normal diet, WT + HF/HC diet, LDLr−/− with a normal diet, and LDLr−/− with a HF/HC diet. Aortic valve function and histology were evaluated by echocardiography after four months.

Results

Wild-type mice on a HF/HC diet became mildly hypercholesterolemic, obese, and hyperglycemic. As expected, LDLr−/− mice became severely hypercholesterolemic. Both WT and LDLr−/− mice on a HF/HC diet displayed smaller valve areas and higher transvalvular velocities (p < 0.01) after four months. Aortic valve leaflets were thicker and infiltrated with lipids and macrophages in both HF/HC groups.

Conclusions

A HF/HC diet in mice results in significant aortic valve abnormalities. Putting WT mice on a HF/HC diet reproduced a combination of atherogenic factors (obesity, mild dyslipidemia, and hyperglycemia) more commonly encountered in humans than isolated severe hypercholesterolemia. Severe hypercholesterolemia was not a prerequisite in our model. This experimental model suggests that AS development is multifactorial and that hypercholesterolemia should not be the only target in this disease.

Abbreviations and Acronyms

AS
aortic valve stenosis
AVA
aortic valve area
HF/HC
high fat/high carbohydrate
LDLr−/−
low-density lipoprotein receptor-deficient
WT
wild type

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This work was supported by grants from the Heart and Stroke Foundation of Canada and from the Quebec Heart Institute. Jacques Couet and Marie Arsenault are scholars from the Fonds de la recherche en santé du Québec.