Abstract
Purpose In heart failure, dyssynchrony is associated with accelerated
cardiac remodeling and a worse prognosis. Both restored with
resynchronization. We have previously developed a mouse model of
dyssynchrony and resynchronization and here assess changes in protein
expression within that model. Experimental design Mice were subjected to
ischemia/reperfusion followed by pacemaker implantation. Three groups
were defined: (i) sinus rhythm four weeks - synchronous heart failure
(SynHF), (ii) right ventricular pacing (RVP) four weeks - dyssynchronous
heart failure (DysHF) and (iii) RVP two weeks followed by two weeks
sinus rhythm - resynchronized heart failure (ResynHF). Heart tissue was
evaluated for protein content with mass spectrometry. Results A total of
3324 proteins were detected. The abundance of 589 proteins differed
between DysHF and SynHF and 253 between DysHF and ResynHF. The changed
proteins in the comparisons to DysHF overlapped to a great extent. Among
the dysregulated proteins in DysHF were several immunoglobulin chains
and extracellular matrix proteins. Conclusion Adding dyssynchrony to
ischemic heart failure resulted in protein dysregulation, which was
partly reversed with resynchronization. The dysregulation was
characterized by an increased immune activity and skewing of the
extracellular matrix proteins, which may be part of the remodeling
process in DysHF.