Background:
A hallmark of heart failure pathologies is excessive and cumulative DNA damage, leading to an increased and accelerated cardiac cellular senescence. We aimed to investigate the role of DNA breaks in inducing inflammation leading to adverse remodeling, premature senescence, and cardiac dysfunction leading to onset of Heart Failure with preserved Ejection Fraction (HFpEF), a specific type of disease prevalent in the aging population.
Results:
We use heart-focused ionizing radiation, a novel in vivo technique to induce aging related DNA damage and onset of diastolic dysfunction and HFpEF (n= 4-5 per group & per species; animals used: Rattus norvegicus and Mus musculus). We performed functional analysis, histological tissue assessment and molecular investigations to evaluate and validate this novel animal model technique. DNA damage response is upregulated in aging-related Heart Failure, and here demonstrated in our novel heart-focused radiation technique. Using in vitro ionizing radiation exposure alters cardiomyocyte morphology and activates inflammation, leading to upregulation of fibrosis and senescence markers. Finally using experimental inhibitor compounds targeting the cGAS-STING axis of innate immunity, we show effective attenuation of this relevant pathway, leading to decreased systemic inflammation, cardiomyocyte remodeling, and senescence associated with DNA damage injury.
Conclusions:
We present a novel technique to induce genotoxic outcomes and inflammation of the heart, leading to HFpEF pathology. We elucidate novel connections from the onset and accumulation of unresolved DNA damage, to activation of specialized innate immune cellular responses, and ultimately upregulation of cardiac tissue specific inflammation, fibrosis and senescence. Finally we demonstrate that antagonizing the cGAS-STING pathway could allow a precision medicine approach to treating genotoxic and inflammatory HFpEF.