title: Recovery from decompensated heart failure is associated with a distinct, phase-dependent gene expression profile.
abstract: BACKGROUND
  Clinical and experimental studies have traditionally focused on understanding the mechanisms for why a heart fails. We hypothesize that the pathways involved with myocardial recovery are not simply the reverse of those that cause heart failure. However, determining when and how a decompensated heart can recover remains unknown.
  
  
  METHODS
  Male C57BL/6 mice underwent minimally invasive aortic banding for 3, 4, or 6 wk with or without subsequent band removal for 1 wk (debanding). Physiologic and genomic characterization was performed with intracardiac pressure-volume recordings, rt-PCR, and microarray analysis.
  
  
  RESULTS
  Heart weight/body weight ratios and PV loops demonstrated a transition from compensated left ventricular hypertrophy to decompensated heart failure between 3 and 4 wk. Pressure-relief afforded by debanding allowed functional recovery and normalization of LVH after both 3 and 4, but not 6 wk of banding. Whole genome microarrays demonstrated 397 genes differentially expressed in recovered hearts, 250 genes differentially expressed in the nonrecoverable (6 wk) hearts, and only 10 genes shared by both processes. In particular, altered expression patterns of apoptotic and metalloproteinase genes correlated with the heart's ability to functionally recover.
  
  
  CONCLUSIONS
  This clinically-relevant model (1) allows us to temporally and mechanistically characterize the failing heart, (2) demonstrates a unique genomic signature that may predict when a failing heart can recover following pressure relief, and (3) will prove useful as a template for testing therapeutic strategies aimed at recovery of the failing heart.
authors.affiliation: Department of Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.
authors.forename: Nancy M
authors.initials: NM
authors.lastname: Andersen
authors.forename: William E
authors.initials: WE
authors.lastname: Stansfield
authors.forename: Ru-hang
authors.initials: RH
authors.lastname: Tang
authors.forename: Mauricio
authors.initials: M
authors.lastname: Rojas
authors.forename: Cam
authors.initials: C
authors.lastname: Patterson
authors.forename: Craig H
authors.initials: CH
authors.lastname: Selzman
mesh_terms: D000818:Animals; D006332:Cardiomegaly / Q000235:genetics* / Q000503:physiopathology*; D004195:Disease Models, Animal; D018450:Disease Progression; D023281:Genomics; D006333:Heart Failure / Q000235:genetics* / Q000503:physiopathology*; D008297:Male; D051379:Mice; D008810:Mice, Inbred C57BL; D020411:Oligonucleotide Array Sequence Analysis; D060888:Real-Time Polymerase Chain Reaction; D020127:Recovery of Function / Q000502:physiology; D059467:Transcriptome / Q000502:physiology*; D017725:Ventricular Pressure / Q000502:physiology