CLINICAL RESEARCH
Functional and Morphologic Imaging of Coronary Atherosclerosis in Living Mice Using High-Resolution Color Doppler Echocardiography and Ultrasound Biomicroscopy
Johannes Wikström, MSc*,
Julia Grönros, MSc*,
Göran Bergström, MD, PhD and
Li-ming Gan, MD, PhD*, ,*
* Department of Physiology, Institute of Physiology and Pharmacology
Department of Clinical Physiology, Cardiovascular Institute, The Sahlgrenska Academy, Göteborg University, Göteborg, Sweden
Manuscript received December 20, 2004;
revised manuscript received April 14, 2005,
accepted April 25, 2005.
* Reprint requests and correspondence: Dr. Li-ming Gan, Göteborg University, Institute of Physiology and Pharmacology, Department of Physiology, Box 432, 405 30 Göteborg, Sweden
(Email: li-ming.gan{at}hjl.gu.se).
OBJECTIVES: This study aimed to establish non-invasive methods of assessing coronary artery morphology in normal and atherosclerotic mice in vivo.
BACKGROUND: Coronary flow velocity reserve (CFVR) has been shown to correlate with coronary minimal lumen diameter (MLD) in patients with coronary artery stenosis. In mice, there are no existing non-invasive imaging techniques allowing quantitative measurement of the coronary artery morphology and function.
METHODS: Systemic hemodynamic effects of adenosine were studied in seven C57BL/6 mice. In 17 C57BL/6 mice, CFVR was measured in the mid left coronary artery (LCA) using either hypoxia- or adenosine-induced coronary hyperemia. Further, in another 10 atherosclerotic low-density lipoprotein receptor (LDLR)/ mice, the hypoxia-induced CFVR was performed and proximal LCA MLD was measured using ultrasound biomicroscopy (UBM). Histologic sections of the LCA were collected.
RESULTS: The adenosine dose of 160 µg/kg/min induced maximal coronary hyperemia without any systemic hemodynamic effects. Adenosine and hypoxia-induced CFVR values averaged at 2.0 ± 0.1 and 1.9 ± 0.3, respectively, in C57BL/6 mice (p = NS). In LDLR/ mice, CFVR and MLD ranged between 1.4 to 2.9 µm and 190 to 370 µm, respectively. Histology revealed proximal lumen-narrowing plaques in the LCA. Significant correlation was found between hypoxia-induced CFVR and the MLD (p < 0.005, R2 = 0.8707).
CONCLUSIONS: The CDE and UBM technique can be used to measure atherosclerosis-related lumen narrowing of the LCA in living mice. These non-invasive techniques may provide us with novel tools for following up disease status in mouse coronary arteries in a quantitative manner.
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Abbreviations and Acronyms
| | BP = blood pressure | | CDE = color Doppler echocardiography | | CFR = coronary flow reserve | | CFVR = coronary flow velocity reserve | | HR = heart rate | | LCA = left coronary artery | | LDLR = low-density lipoprotein receptor | | MLD = minimal lumen diameter | | UBM = ultrasound biomicroscope |
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