Abstract Body: Background. Cardiovascular diseases (CVD) are the leading cause of death globally, accounting for approximately 17.9 million mortalities per year. Previous studies have shown that there is an early response of white and brown adipose tissue (WAT and BAT, respectively) to pathological stress on the heart prior to cardiac dysfunction. Interestingly, human subjects with detectable BAT activity (a thermogenic tissue) exhibit a reduced risk of Congestive Heart Failure, but the mechanism for this is unclear. We hypothesized that increasing the thermogenic acitivity of adipose tissue would be beneficial during the initial cardiac hypertrophic signaling prior to the development of compensatory hypertrophy.
Methods. We studied both WAT and BAT in male and female C57BL/6J mice subjected to cardiac pressure overload via transaortic constriction (TAC). 24 hours post-surgery, mice were subjected to room temperature (RT) 22° C or mild cold 16°C to stimulate BAT activation for 48 hours after which tissues were collected. The study groups included: SHAM RT, TAC RT, SHAM COLD, TAC COLD. We used uncoupling protein 1 knockout (UCP1-KO) mice, with impaired thermogenic activity as a negative control.
Results. At 72 hours post tac surgery, expression of thermogenic and metabolic genes remained unchanged in BAT and WAT of both sexes. However, mild cold exposure resulted in an increase in UCP1 expression in BAT of male, but not female mice while other metabolic and thermogenic gene markers’ expression was increased in a sex-specific manner. Adaptations to scWAT were more moderate than BAT, with an increase in Ucp1 after cold exposure in both sexes. Moreover, 48 hours of cold exposure attenuated expression of gene markers for hypertrophic signaling in the heart during TAC. Importantly, these adaptations were absent in UCP1-KO mice, signifying that intact thermogenic activity in adipose tissue was required for the attenuated expression of hypertrophic markers in the heart. Interestingly, cardiac fibrosis markers were downregulated with TAC-Cold in male mice only, suggesting a stronger response compared to female mice.
Conclusions. Our findings demonstrate that pathological stress on the heart during TAC does not impact adipose tisse thermogenesis. Additionally, activating thermogenic gene expression of adipose tissue via cold exposure mediates the early induction of hypertrophic signaling in the heart within 72 hours of TAC. Notably, adipose tissue plasticity is sex-specific.