Cardiac Myocyte Apoptosis Is Associated With Increased DNA Damage and Decreased Survival in Murine Models of Obesity
Abstract
Disruption of leptin signaling is associated with obesity, heart failure, and cardiac hypertrophy, but the role of leptin in cardiac myocyte apoptosis is unknown. We tested the hypothesis that apoptosis increases in leptin-deficient ob/ob and leptin-resistant db/db mice and is associated with aging and left ventricular hypertrophy, increased DNA damage, and decreased survival. We studied young (2- to 3-month-old) and old (12- to 14-month-old) ob/ob and db/db mice and wild-type (WT) controls (n=2 to 4 per group). As expected, ventricular wall thickness and heart weights were similar among young ob/ob , db/db , and WT mice, but higher in old ob/ob and db/db versus old WT. Young ob/ob and db/db showed markedly elevated apoptosis by TUNEL staining and caspase 3 levels compared with WT. Differences in apoptosis were further accentuated with age. Leptin treatment significantly reduced apoptosis in ob/ob mice both in intact hearts and isolated myocytes. Tissue triglycerides were increased in ob/ob hearts, returning to WT levels after leptin repletion. Furthermore, the DNA damage marker, 8oxoG (8-oxo-7,8-dihydroguanidine), was increased, whereas the DNA repair marker, MYH glycosylase, was decreased in old ob/ob and db/db compared with old WT mice. Both ob/ob and db/db mice had decreased survival compared with WT mice. We conclude that leptin-deficient and leptin-resistant mice demonstrate increased apoptosis, DNA damage, and mortality compared with WT mice, suggesting that normal leptin signaling is necessary to prevent excess age-associated DNA damage and premature mortality. These data offer novel insights into potential mechanisms of myocardial dysfunction and early mortality in obesity.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Cardiac hypertrophy has been reported in old but not in young db/db mice.
“Similarly, cardiac hypertrophy has been reported in old but not in young db/db mice (23, 24).”
From Cardiac remodeling in obesity (2008) · cites this paper as [24]
Some groups have reported cardiac hypertrophy in hearts of young ob/ob mice, while others have only observed this phenotype in older animals.
“For example, while some groups have reported cardiac hypertrophy in hearts of young ob/ob mice (30, 34, 227), others have only observed this phenotype in older animals (23, 24).”
From Cardiac remodeling in obesity (2008) · cites this paper as [24]
Leptin-deficient ob/ob mice exhibit a higher degree of cardiomyocyte apoptosis that can be restored to normal levels by leptin administration.
“For example, leptin-deficient ob/ob mice exhibit a higher degree of cardiomyocyte apoptosis that can be restored to normal levels by leptin administration (24).”
From Cardiac remodeling in obesity (2008) · cites this paper as [24]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Positional cloning of the mouse obese gene and its human homologue
Zhang, Y., Proenca, R., Maffei, M., Barone, M., Leopold, L., & Friedman, J. M. (1994) · Nature · doi:10.1038/372425a0 · Cited by 13,419 · see citing works
Serum Immunoreactive-Leptin Concentrations in Normal-Weight and Obese Humans
Considine, R. V., Sinha, M. K., Heiman, M. L., Kriauciunas, A., Stephens, T. W., Nyce, M. R., Ohannesian, J. P., Marco, C. C., McKee, L. J., Bauer, T. L., et al. (1996) · New England Journal of Medicine · doi:10.1056/nejm199602013340503 · Cited by 6,326 · see citing works
The Disease Burden Associated With Overweight and Obesity
Must, A. (1999) · JAMA · doi:10.1001/jama.282.16.1523 · Cited by 4,804 · see citing works
Identification and expression cloning of a leptin receptor, OB-R.
Tartaglia, L. A., Dembski, M., Weng, X., Deng, N., Culpepper, J., Devos, R., Richards, G. J., Campfield, L. A., Clark, F. T., Deeds, J., et al. (1995) · Cell · doi:10.1016/0092-8674(95)90151-5 · Cited by 3,496 · see citing works
Obesity and the risk of heart failure
Kenchaiah, S., Evans, J. C., Levy, D., Wilson, P. W. F., Benjamin, E. J., Larson, M. G., Kannel, W. B., & Vasan, R. S. (2002) · New England Journal of Medicine · doi:10.1056/nejmoa020245 · Cited by 3,093 · see citing works
Lipotoxic heart disease in obese rats: Implications for human obesity
Zhou, Y.-T., Grayburn, P., Karim, A., Shimabukuro, M., Higa, M., Baetens, D., Orci, L., & Unger, R. H. (2000) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.97.4.1784 · Cited by 1,265 · see citing works
Hypothalamic and genetic obesity in experimental animals: an autonomic and endocrine hypothesis
Bray, G. A., & York, D. A. (1979) · Physiological Reviews · doi:10.1152/physrev.1979.59.3.719 · Cited by 1,132 · see citing works
Unger, R. H. (2002) · Annual Review of Medicine · doi:10.1146/annurev.med.53.082901.104057 · Cited by 875 · see citing works
Obesity cardiomyopathy: pathophysiology and evolution of the clinical syndrome
Alpert, M. A. (2001) · The American Journal of the Medical Sciences · doi:10.1097/00000441-200104000-00003 · Cited by 795 · see citing works
A mechanistic role for cardiac myocyte apoptosis in heart failure
Wencker, D., Chandra, M., Nguyen, K., Miao, W., Garantziotis, S., Factor, S. M., Shirani, J., Armstrong, R. C., & Kitsis, R. N. (2003) · Journal of Clinical Investigation · doi:10.1172/jci17664 · Cited by 765 · see citing works
A novel mouse model of lipotoxic cardiomyopathy
Chiu, H.-C., Kovács, A., Ford, D. A., Hsu, F., Garcia, R. A., Herrero, P., Saffitz, J. E., & Schaffer, J. E. (2001) · Journal of Clinical Investigation · doi:10.1172/jci10947 · Cited by 762 · see citing works
Unger, R. H. (2003) · Endocrinology · doi:10.1210/en.2003-0870 · Cited by 672 · see citing works
Role of Oxidative Stress in Myocardial Hypertrophy and Failure
Sawyer, D. B., Siwik, D. A., Xiao, L., Pimentel, D. R., Singh, K., & Colucci, W. S. (2002) · Journal of Molecular and Cellular Cardiology · doi:10.1006/jmcc.2002.1526 · Cited by 567 · see citing works
Elevated Levels of 8-iso-Prostaglandin F2αin Pericardial Fluid of Patients With Heart Failure
Mallat, Z., Philip, I., Lebret, M., Chatel, D., Maclouf, J., & Tedgui, A. (1998) · Circulation · doi:10.1161/01.cir.97.16.1536 · Cited by 453 · see citing works
Regulation of fatty acid homeostasis in cells: Novel role of leptin
Unger, R. H., Zhou, Y.-T., & Orci, L. (1999) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.96.5.2327 · Cited by 435 · see citing works
Role of oxidative stress in transition of hypertrophy to heart failure
Dhalla, A. K., Hill, M. F., & Singal, P. K. (1996) · Journal of the American College of Cardiology · doi:10.1016/0735-1097(96)00140-4 · Cited by 422 · see citing works
Leptin, Leptin Receptors, and the Control of Body Weight
Friedman, J. M. (2009) · Nutrition Reviews · doi:10.1111/j.1753-4887.1998.tb01685.x · Cited by 372 · see citing works
Barouch, L. A., Berkowitz, D. E., Harrison, R. W., O’Donnell, C. P., & Hare, J. M. (2003) · Circulation · doi:10.1161/01.cir.0000083716.82622.fd · Cited by 341 · see citing works
Self-citationObesity and Disturbed Lipoprotein Profile in Estrogen Receptor-α-Deficient Male Mice
Ohlsson, C., Hellberg, N., Parini, P., Vidal, O., Bohlooly, M., Rudling, M., Lindberg, M. K., Warner, M., Angelin, B., & Gustafsson, J.-Å. (2000) · Biochemical and Biophysical Research Communications · doi:10.1006/bbrc.2000.3827 · Cited by 332 · see citing works
Death begets failure in the heart
Foo, R., Mani, K. M., & Kitsis, R. N. (2005) · Journal of Clinical Investigation · doi:10.1172/jci24569 · Cited by 307 · see citing works
Reproductive Hormonal Function in the Genetically Obese (ob/ob) Mouse
Swerdloff, R. S., Batt, R. A., & Bray, G. A. (1976) · Endocrinology · doi:10.1210/endo-98-6-1359 · Cited by 220 · see citing works
Skavdahl, M., Steenbergen, C., Clark, J. A., Myers, P., Demianenko, T. K., Mao, L., Rockman, H. A., Korach, K. S., & Murphy, E. (2004) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00723.2004 · Cited by 216 · see citing works
Protection against lipoapoptosis of β cells through leptin-dependent maintenance of Bcl-2 expression
Shimabukuro, M., Wang, M.-Y., Zhou, Y.-T., Newgard, C. B., & Unger, R. H. (1998) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.95.16.9558 · Cited by 212 · see citing works
8-Oxoguanine DNA damage: at the crossroad of alternative repair pathways
Fortini, P., Pascucci, B., Parlanti, E., D’Errico, M., Simonelli, V., & Eugenia Dogliotti, Y. (2003) · Mutation research. Fundamental and molecular mechanisms of mutagenesis · doi:10.1016/j.mrfmmm.2003.07.004 · Cited by 180 · see citing works
Cardiomyopathy of obesity: A clinicopathologic evaluation of 43 obese patients with heart failure
Kasper, E. K., Hruban, R. H., & Baughman, K. L. (1992) · The American Journal of Cardiology · doi:10.1016/0002-9149(92)90739-l · Cited by 175 · see citing works
Leptin and Clinical Medicine: A New Piece in the Puzzle of Obesity
Bray, G. A., & York, D. A. (1997) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.82.9.4224 · Cited by 153 · see citing works
Hyperleptinemia prevents lipotoxic cardiomyopathy in acyl CoA synthase transgenic mice
Lee, Y., Naseem, R. H., Duplomb, L., Park, B., Garry, D. J., Richardson, J. A., Schaffer, J. E., & Unger, R. H. (2004) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.0405499101 · Cited by 150 · see citing works
The role of leptin resistance in the lipid abnormalities of aging
WANG, Z.-W., Pan, W., Lee, Y., Kakuma, T., ZHOU, Y.-T., & Unger, R. H. (2001) · The FASEB Journal · doi:10.1096/fj.00-0310com · Cited by 146 · see citing works
Effect of leptin deficiency on metabolic rate inob/obmice
Breslow, M. J., Min-Lee, K., Brown, D. R., Chacko, V. P., Palmer, D. J., & Berkowitz, D. E. (1999) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.1999.276.3.e443 · Cited by 109 · see citing works
Self-citationMachinal-Quélin, F., Dieudonné, M., Pecquery, R., Leneveu, M.-C., & Giudicelli, Y. (2002) · Endocrine · doi:10.1385/endo:18:2:179 · Cited by 103 · see citing works
Wold, L. E., Relling, D. P., Duan, J., Norby, F. L., & Ren, J. T. (2002) · Hypertension · doi:10.1161/hy0102.100777 · Cited by 98 · see citing works
Hyperleptinemia: Protecting the Heart From Lipid Overload
Unger, R. H. (2005) · Hypertension · doi:10.1161/01.hyp.0000165683.09053.02 · Cited by 85 · see citing works
Apoptosis in Heart Failure and the Senescent Heart
Bernecker, O. Y., Huq, F., Heist, E. K., Podesser, B. K., & Hajjar, R. J. (2003) · Cardiovascular Toxicology · doi:10.1385/ct:3:3:183 · Cited by 63 · see citing works
Minhas, K. M., Khan, S. A., Raju, S. V. Y., Phan, A. C., Gonzalez, D. R., Skaf, M. W., Lee, K., Tejani, A. D., Saliaris, A. P., Barouch, L. A., et al. (2005) · The Journal of Physiology · doi:10.1113/jphysiol.2005.084566 · Cited by 59 · see citing works
Self-citationObesity, heart failure and sudden death.
Contaldo, F., Pasanisi, F., Finelli, C., & SIMONE, G. D. (2002) · PubMed · Cited by 48 · see citing works
Effects of leukemia inhibitory factor on 3T3-L1 adipocytes
Hogan, J. C., & Stephens, J. M. (2005) · Journal of Endocrinology · doi:10.1677/joe.1.05980 · Cited by 43 · see citing works
Nitric Oxide and Oxidative Stress in Cardiovascular Aging
Raju, S. V. Y., Barouch, L. A., & Hare, J. M. (2005) · Science of Aging Knowledge Environment · doi:10.1126/sageke.2005.21.re4 · Cited by 27 · see citing works
Self-citation
Flagged first, then by citations
Research works printed but not linked: 1
- Breslow MJ, Min-Lee K, Brown DR, Chacko VP, Palmer D, Berkowitz DE. Effect of leptin deficiency on metabolic rate in ob/ob mice. Am J Physiol. 1999;276:E443-E449.
Cited by
Sorted by citations
Abel, E. D., Litwin, S. E., & Sweeney, G. (2008) · Physiological Reviews · doi:10.1152/physrev.00017.2007 · Cited by 736 · see citing works
Obesity and subtypes of incident cardiovascular disease
Ndumele, C. E., Matsushita, K., Lazo, M., Bello, N., Blumenthal, R. S., Gerstenblith, G., Nambi, V., Ballantyne, C. M., Solomon, S. D., Selvin, E., et al. (2016) · Journal of the American Heart Association · doi:10.1161/jaha.116.003921 · Cited by 259 · see citing works
Magnetic resonance imaging of progressive cardiomyopathic changes in the <i>db/db</i> mouse
Yue, P., Arai, T., Terashima, M., Sheikh, A. Y., Cao, F., Charo, D., Hoyt, G., Robbins, R. C., Ashley, E. A., Wu, J., et al. (2007) · American Journal of Physiology-Heart and Circulatory Physiology · doi:10.1152/ajpheart.00856.2006 · Cited by 81 · see citing works
Obesity accelerates cardiovascular ageing
Ruperez, C., Madeo, F., de Cabo, R., Kroemer, G., & Abdellatif, M. (2025) · European Heart Journal · doi:10.1093/eurheartj/ehaf216 · Cited by 73 · see citing works
- Authors
- Barouch, L. A., Gao, D., Chen, L., Miller, K. L., Xu, W., Phan, A. C., Kittleson, M. M., Minhas, K. M., Berkowitz, D. E., Wei, C., & Hare, J. M.
- Affiliations
- Johns Hopkins University (US)
- ORCID
- Venue
- Circulation Research
- Published
- 2006-01-06
- Volume
- 98
- Issue
- 1
- Pages
- 119-124
- ISSN
- 0009-7330 (ISSN-L)
- 1524-4571
- OpenAlex
- W2165747324
- Cited by
- 180
- References
- 37
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 4 · 2023: 3 · 2022: 13 · 2021: 7 · 2020: 6 · 2019: 6 · 2018: 12 · 2017: 14 · 2016: 8 · 2015: 8 · 2014: 12 · 2013: 12 · 2012: 13
- FWCI
- 4.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Circulation Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Donald W. Reynolds Foundation
- Amgen
- National Institutes of Health
- National Institute on Aging (R01AG025017)
- National Heart, Lung, and Blood Institute (R01 HL65455, K08HL076220, R01HL065455, R01HL061299, R01 HL-61299)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Fibrosis and Remodeling
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cell death mechanisms and regulation
- Keywords
- cardiomyocyte apoptosis, leptin signaling, leptin resistance, obesity, DNA damage, 8-oxoguanine, DNA repair, left ventricular hypertrophy, aging, caspase-3, cardiac dysfunction, mortality, ob/ob mice, db/db mice, triglycerides
- MeSH terms
- Animals, DNA Damage, DNA Repair, Cardiomegaly, Mice, Inbred C57BL, Mice, Obese, Obesity, Triglycerides, Signal Transduction, Apoptosis, Oxidative Stress, In Situ Nick-End Labeling, Leptin, Myocytes, Cardiac, Mice
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review