AbstractBackgroundAutoimmunity associated with autoantibodies directed against the β1-adrenergic receptor (β1-AAB) is increasingly accepted as driving human dilated cardiomyopathy (DCM). Unfortunately, animal models of DCM are lacking, preventing our knowledge about β1-AAB autoimmunity in DCM from being extended and hindering the development of related treatment strategies.ObjectivesTo introduce an animal model, we studied Doberman pinschers, which develop cardiomyopathy (DoCM), with similarities to human DCM, with regard to their β1-AAB autoimmunity.MethodsEighty-seven DP with DoCM and 31 (at enrolment) healthy controls were analyzed for β1-AAB; the receptor binding site and sensitivity to inhibition were determined. In controls who developed cardiomyopathy during the follow-up, β1-AAB were analyzed during the DoCM progress.ResultsFifty-nine (67.8%) DoCM dogs and 19 (61.3%) controls were β1-AAB positive. Excluding the 9 controls who developed DoCM in the follow-up, β1-AAB positivity tended to be more pronounced in DoCM.From the controls who developed DoCM, 8 were β1-AAB positive (p=0.044 vs. dogs remaining healthy); their β1-AAB level increased with the cardiomyopathy progress. Overall mortality and mortality exclusively due to cardiac reasons during the study period, were higher (p=0.002; p=0037) in β1-AAB positive dogs. The dogs’ β1-AAB targeted a specific epitope centralized on the second extracellular receptor and were sensitive to inhibition by drugs already successful tested for the corresponding human autoantibody.ConclusionsDoberman pinschers presented β1-AAB associated autoimmunity similar to that driving the pathogenesis of human DCM. Consequently, DP could remove the lack of animal models available for studying β1-AAB autoimmunity in DCM.