The cardiac molecular setting of metabolic syndrome in pigs reveals disease susceptibility and suggests mechanisms that exacerbate COVID-19 outcomes in patients

Abstract Although metabolic syndrome (MetS) is linked to an elevated risk of cardiovascular disease (CVD), the cardiac-specific risk mechanism is unknown. Obesity, hypertension, and diabetes (all MetS components) are the most common form of CVD and represent risk factors for worse COVID-19 outcomes...

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Autores principales: Olivia Ziegler, Nivedita Sriram, Vladimir Gelev, Denitsa Radeva, Kostadin Todorov, Jun Feng, Frank W. Selke, Simon C. Robson, Makoto Hiromura, Boian S. Alexandrov, Anny Usheva
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:a44ca10268c34958baec7121327a45032021-12-02T17:13:17ZThe cardiac molecular setting of metabolic syndrome in pigs reveals disease susceptibility and suggests mechanisms that exacerbate COVID-19 outcomes in patients10.1038/s41598-021-99143-w2045-2322https://doaj.org/article/a44ca10268c34958baec7121327a45032021-10-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-99143-whttps://doaj.org/toc/2045-2322Abstract Although metabolic syndrome (MetS) is linked to an elevated risk of cardiovascular disease (CVD), the cardiac-specific risk mechanism is unknown. Obesity, hypertension, and diabetes (all MetS components) are the most common form of CVD and represent risk factors for worse COVID-19 outcomes compared to their non MetS peers. Here, we use obese Yorkshire pigs as a highly relevant animal model of human MetS, where pigs develop the hallmarks of human MetS and reproducibly mimics the myocardial pathophysiology in patients. Myocardium-specific mass spectroscopy-derived metabolomics, proteomics, and transcriptomics enabled the identity and quality of proteins and metabolites to be investigated in the myocardium to greater depth. Myocardium-specific deregulation of pro-inflammatory markers, propensity for arterial thrombosis, and platelet aggregation was revealed by computational analysis of differentially enriched pathways between MetS and control animals. While key components of the complement pathway and the immune response to viruses are under expressed, key N6-methyladenosin RNA methylation enzymes are largely overexpressed in MetS. Blood tests do not capture the entirety of metabolic changes that the myocardium undergoes, making this analysis of greater value than blood component analysis alone. Our findings create data associations to further characterize the MetS myocardium and disease vulnerability, emphasize the need for a multimodal therapeutic approach, and suggests a mechanism for observed worse outcomes in MetS patients with COVID-19 comorbidity.Olivia ZieglerNivedita SriramVladimir GelevDenitsa RadevaKostadin TodorovJun FengFrank W. SelkeSimon C. RobsonMakoto HiromuraBoian S. AlexandrovAnny UshevaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-14 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Olivia Ziegler
Nivedita Sriram
Vladimir Gelev
Denitsa Radeva
Kostadin Todorov
Jun Feng
Frank W. Selke
Simon C. Robson
Makoto Hiromura
Boian S. Alexandrov
Anny Usheva
The cardiac molecular setting of metabolic syndrome in pigs reveals disease susceptibility and suggests mechanisms that exacerbate COVID-19 outcomes in patients
description Abstract Although metabolic syndrome (MetS) is linked to an elevated risk of cardiovascular disease (CVD), the cardiac-specific risk mechanism is unknown. Obesity, hypertension, and diabetes (all MetS components) are the most common form of CVD and represent risk factors for worse COVID-19 outcomes compared to their non MetS peers. Here, we use obese Yorkshire pigs as a highly relevant animal model of human MetS, where pigs develop the hallmarks of human MetS and reproducibly mimics the myocardial pathophysiology in patients. Myocardium-specific mass spectroscopy-derived metabolomics, proteomics, and transcriptomics enabled the identity and quality of proteins and metabolites to be investigated in the myocardium to greater depth. Myocardium-specific deregulation of pro-inflammatory markers, propensity for arterial thrombosis, and platelet aggregation was revealed by computational analysis of differentially enriched pathways between MetS and control animals. While key components of the complement pathway and the immune response to viruses are under expressed, key N6-methyladenosin RNA methylation enzymes are largely overexpressed in MetS. Blood tests do not capture the entirety of metabolic changes that the myocardium undergoes, making this analysis of greater value than blood component analysis alone. Our findings create data associations to further characterize the MetS myocardium and disease vulnerability, emphasize the need for a multimodal therapeutic approach, and suggests a mechanism for observed worse outcomes in MetS patients with COVID-19 comorbidity.
format article
author Olivia Ziegler
Nivedita Sriram
Vladimir Gelev
Denitsa Radeva
Kostadin Todorov
Jun Feng
Frank W. Selke
Simon C. Robson
Makoto Hiromura
Boian S. Alexandrov
Anny Usheva
author_facet Olivia Ziegler
Nivedita Sriram
Vladimir Gelev
Denitsa Radeva
Kostadin Todorov
Jun Feng
Frank W. Selke
Simon C. Robson
Makoto Hiromura
Boian S. Alexandrov
Anny Usheva
author_sort Olivia Ziegler
title The cardiac molecular setting of metabolic syndrome in pigs reveals disease susceptibility and suggests mechanisms that exacerbate COVID-19 outcomes in patients
title_short The cardiac molecular setting of metabolic syndrome in pigs reveals disease susceptibility and suggests mechanisms that exacerbate COVID-19 outcomes in patients
title_full The cardiac molecular setting of metabolic syndrome in pigs reveals disease susceptibility and suggests mechanisms that exacerbate COVID-19 outcomes in patients
title_fullStr The cardiac molecular setting of metabolic syndrome in pigs reveals disease susceptibility and suggests mechanisms that exacerbate COVID-19 outcomes in patients
title_full_unstemmed The cardiac molecular setting of metabolic syndrome in pigs reveals disease susceptibility and suggests mechanisms that exacerbate COVID-19 outcomes in patients
title_sort cardiac molecular setting of metabolic syndrome in pigs reveals disease susceptibility and suggests mechanisms that exacerbate covid-19 outcomes in patients
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/a44ca10268c34958baec7121327a4503
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