Normal ageing progressively and differentially affects the aorta along its length (Rogers et al., 2001;, thus effects of HGPS should be quantified as a function of age and aortic location. Our aim was to biomechanically phenotype the entire aorta in adult male and female Lmna G609G/G609G mice and to evaluate associated effects on the heart. We thus quantified cardiac function and central hemodynamics in vivo as well as SMC contractility and biaxial passive aortic properties ex vivo; we also used a novel computational model to associate changes in biomechanical behavior with observed microstructural features. The implications of these findings are interpreted, in part, via direct comparisons to similar data for mice that have aged normally, have germline mutations that compromise elastic fibre integrity, a feature common in central artery ageing, or have induced hypertension, which also arises in ageing.
RESULTS
Systolic Cardiac Function is Normal, but PWV and Diastolic Function Become Aberrant.All control (Lmna +/+ or Wt) and progeria (Lmna G609G/G609G or G609G) mice survived to the intended 140 days (d) of age, though progeria mice were significantly smaller after ~42d ( Fig. 1A): for example, body mass at 140d was 12.1±0.8 g in female and 13.8±0.9 g in male G609G mice compared with 25.0±1.1 g in female and 30.4±2.2 g in male Wt mice (p < 0.01). The heart was similarly smaller in progeria, yet myocardial microstructure appeared normal (Fig. 1B). In vivo measurements at 140d revealed that left ventricular mass and diameter, cardiac output, and stroke volume were all significantly less in progeria (Table S1), but these metrics followed allometric scaling with body mass ( , with mass and and allometric parameters), indicative of normal function for a smaller mouse (Fig. 1C-F). Though tail-cuff blood pressure was lower in progeria ( Fig. 1G), ejection fraction and fractional shortening were similar between progeria and controls ( Fig. 1H), suggesting a preserved systolic function even in the peri-morbid period (G609G mice died by ~150d). In contrast, diastolic function was compromised near the end of life. E (peak filling velocity in early diastole) and A (atrial contraction induced filling velocity in late diastole) were lower in progeria mice at 140d, with E/A higher suggestive of diastolic dysfunction (Table S1). Moreover, E' was lower but E/E' was elevated significantly (Fig. 1I), confirming late-stage diastolic dysfunction.Proximal aortic diameters were less in progeria mice, as expected of a smaller mouse, but this metric again followed allometric scaling with body mass (Fig. 1J). Aortic lengths were less in progeria (Fig. 1K,L), but the transit time for the pulse pressure wave to travel from the aortic root to the aortic bifurcation was considerably less (Fig. 1M). Consequently, PWV was dramatically higher in late-stage progeria (Fig. 1N), trending toward significance (6.16 m/s vs. 3.68 m/s; p < 0.062) and suggesting increased central artery stiffness consistent with diastolic dysfunction.