Age and gender effects on echocardiographic and histopathological cardiac phenotypes in healthy adult mice

Shuang Wen , Xijia Shao , Xiulin Zhang , Ningning Zhang , Xiao Chen , Guangxin Yue , Jiangping Song

Animal Models and Experimental Medicine ›› 2026, Vol. 9 ›› Issue (4) : 735 -751.

PDF (8431KB)
Animal Models and Experimental Medicine ›› 2026, Vol. 9 ›› Issue (4) :735 -751. DOI: 10.1002/ame2.70183
ORIGINAL ARTICLE
Age and gender effects on echocardiographic and histopathological cardiac phenotypes in healthy adult mice
Author information +
History +
PDF (8431KB)

Abstract

Background: Cardiac structure and function undergo progressive age-related changes influenced by sex, yet systematic characterization of these physiological variations in preclinical models remains incomplete.

Methods: Using echocardiography and histopathology, we examined age- and sex-dependent cardiac phenotypes in healthy adult C57BL/6J mice (n = 40), stratified into eight groups by age (8, 12, 20, and 30 weeks) and sex (male/female, n = 5 per group). Longitudinal echocardiographic assessments quantified cardiac dimensions and function, whereas histopathological analyses (hematoxylin and eosin, wheat germ agglutinin, α-actinin and cTnI immunofluorescence, p16INK4a and ATP2B1 immunohistochemistry, and Masson's trichrome staining) evaluated myocardial architecture, fibrosis, and molecular expression characteristics.

Results: Female mice exhibited significant age-dependent left ventricular dilation, increased cardiac mass, and cardiomyocyte hypertrophy, whereas males exhibited greater structural stability. Conversely, males developed pronounced interventricular septal thickening and exacerbated myocardial fibrosis at later ages (20–30 weeks). Structural protein and molecular expression remodeling may represent the underlying mechanism.

Conclusion: These findings underscore the critical role of age and sex in cardiac remodeling and establish a normative reference dataset for cardiac parameters in healthy adult mice. By defining robust baseline metrics, this study enhances experimental design in cardiovascular research, improving reproducibility and translational relevance of preclinical studies.

Keywords

age / C57BL/6J mice / cardiac phenotype / echocardiography / gender

Cite this article

Download citation ▾
Shuang Wen, Xijia Shao, Xiulin Zhang, Ningning Zhang, Xiao Chen, Guangxin Yue, Jiangping Song. Age and gender effects on echocardiographic and histopathological cardiac phenotypes in healthy adult mice. Animal Models and Experimental Medicine, 2026, 9 (4) : 735-751 DOI:10.1002/ame2.70183

登录浏览全文

4963

注册一个新账户 忘记密码

References

[1]

Lakatta EG, Levy D. Arterial and cardiac aging: major shareholders in cardiovascular disease enterprises: part II: the aging heart in health: links to heart disease. Circulation. 2003; 107(2): 346-354. 10/d7ct86.

[2]

Nakou ES, Parthenakis FI, Kallergis EM, Marketou ME, Nakos KS, Vardas PE. Healthy aging and myocardium: a complicated process with various effects in cardiac structure and physiology. Int J Cardiol. 2016; 209: 167-175. 10/bqp8.

[3]

Chiao YA, Rabinovitch PS. The aging heart. Cold Spring Harb Perspect Med. 2015; 5(9):a025148. 10/gn3k76.

[4]

Vijayakumar A, Wang M, Kailasam S. The senescent heart-“age doth wither its infinite variety”. Int J Mol Sci. 2024; 25(7):3581. 10/g9mrkk.

[5]

Strait JB, Lakatta EG. Aging-associated cardiovascular changes and their relationship to heart failure. Heart Fail Clin. 2012; 8(1): 143-164. 10/cxgz67.

[6]

Fajemiroye JO, da Cunha LC, Saavedra-Rodríguez R, et al. Aging-induced biological changes and cardiovascular diseases. Biomed Res Int. 2018; 2018:7156435. 10/gdt6h3.

[7]

Wiese CB, Avetisyan R, Reue K. The impact of chromosomal sex on cardiometabolic health and disease. Trends Endocrinol Metab. 2023; 34(10): 652-665. 10/g9ms5z.

[8]

McClements L, Kautzky-Willer A, Kararigas G, Ahmed SB, Stallone JN. The role of sex differences in cardiovascular, metabolic, and immune functions in health and disease: a review for “sex differences in health awareness day”. Biol Sex Differ. 2025; 16(1):33. 10/g9ms3q.

[9]

Luczak ED, Leinwand LA. Sex-based cardiac physiology. Annu Rev Physiol. 2009; 71: 1-18. 10/btjzs2.

[10]

Davis MR, Lee CS, Corcoran A, Gupta N, Uchmanowicz I, Denfeld QE. Gender differences in the prevalence of frailty in heart failure: a systematic review and meta-analysis. Int J Cardiol. 2021; 333: 133-140. 10/g9ms4c.

[11]

Qiu W, Wang W, Wu S, Zhu Y, Zheng H, Feng Y. Sex differences in long-term heart failure prognosis: a comprehensive meta-analysis. Eur J Prev Cardiol. 2024; 31(17): 2013-2023. 10/gt7ch8.

[12]

Moreau KL, Clayton ZS, DuBose LE, Rosenberry R, Seals DR. Effects of regular exercise on vascular function with aging: does sex matter? Am J Physiol Heart Circ Physiol. 2024; 326(1): H123-H137. 10/g9ms3x.

[13]

Dela Justina V, Miguez JSG, Priviero F, Sullivan JC, Giachini FR, Webb RC. Sex differences in molecular mechanisms of cardiovascular aging. Front Aging. 2021; 2:725884. 10/g9ms39.

[14]

Seeland U, Nemcsik J, Lønnebakken MT, et al. Sex and gender aspects in vascular ageing - focus on epidemiology, pathophysiology, and outcomes. Heart Lung Circ. 2021; 30(11): 1637-1646. 10/gm3q34.

[15]

Fankhauser RG, Johnson DB, Moslehi JJ, Balko JM. Preclinical mouse models of immune checkpoint inhibitor-associated myocarditis. Nat Cardiovasc Res. 2025; 4(5): 526-538. 10/g9ms4n.

[16]

Huang X, Wang Q, Han D, et al. A murine model of aortic regurgitation generated by trans-apical wire destruction of the aortic valve. Anim Models Exp Med. 2025; 8(3): 493-500. 10/g9qv6r.

[17]

Noval Rivas M, Arditi M. Kawasaki disease: pathophysiology and insights from mouse models. Nat Rev Rheumatol. 2020; 16(7): 391-405. 10/gjxxpb.

[18]

Sorop O, van de Wouw J, Chandler S, et al. Experimental animal models of coronary microvascular dysfunction. Cardiovasc Res. 2020; 116(4): 756-770. 10/g9ms56.

[19]

Vencato S, Romanato C, Rampazzo A, Calore M. Animal models and molecular pathogenesis of arrhythmogenic cardiomyopathy associated with pathogenic variants in intercalated disc genes. Int J Mol Sci. 2024; 25(11):6208. 10/g9ms4p.

[20]

Sessions AO, Engler AJ. Mechanical regulation of cardiac aging in model systems. Circ Res. 2016; 118(10): 1553-1562. 10/f8n6w9.

[21]

Zhang TY, Zhao BJ, Wang T, Wang J. Effect of aging and sex on cardiovascular structure and function in wildtype mice assessed with echocardiography. Sci Rep. 2021; 11(1):22800. 10/g9hnq5.

[22]

Blenck CL, Harvey PA, Reckelhoff JF, Leinwand LA. The importance of biological sex and estrogen in rodent models of cardiovascular health and disease. Circ Res. 2016; 118(8): 1294-1312. 10/f8kk8k.

[23]

Haines CD, Harvey PA, Luczak ED, et al. Estrogenic compounds are not always cardioprotective and can be lethal in males with genetic heart disease. Endocrinology. 2012; 153(9): 4470-4479.

[24]

Konhilas JP, Leinwand LA. The effects of biological sex and diet on the development of heart failure. Circulation. 2007; 116(23): 2747-2759. 10/dvjk9p.

[25]

Bernardo BC, Ooi JYY, Matsumoto A, et al. Sex differences in response to miRNA-34a therapy in mouse models of cardiac disease: identification of sex-, disease- and treatment-regulated miRNAs. J Physiol. 2016; 594(20): 5959-5974. 10/f87mm3.

[26]

Lygate CA. The pitfalls of in vivo cardiac physiology in genetically modified mice—lessons learnt the hard way in the creatine kinase system. Front Physiol. 2021; 12:685064. 10/g9ms83.

[27]

Ostadal B, Netuka I, Maly J, Besik J, Ostadalova I. Gender differences in cardiac ischemic injury and protection—experimental aspects. Exp Biol Med (Maywood). 2009; 234(9): 1011-1019. 10/fptn2z.

[28]

Otto CM. Principles of echocardiographic image acquisition and Doppler analysis. In: CM Otto, ed. Textbook of clinical echocardiography. 5th edPhiladelphia: Elsevier Saunders; 2013: 1-30.

[29]

Popescu BA, Beladan CC, Mateescu AD. Assessment of left ventricular systolic and diastolic function by echocardiography. In: M Dorobanţu, F Ruschitzka, M Metra, eds. Current Approach to Heart Failure. Springer International Publishing; 2016: 35-61.

[30]

Dutta S, Sengupta P. Men and mice: relating their ages. Life Sci. 2016; 152: 244-248. 10/gf3v67.

[31]

Meah VL, Cockcroft JR, Backx K, Shave R, Stöhr EJ. Cardiac output and related haemodynamics during pregnancy: a series of meta-analyses. Heart Br Card Soc. 2016; 102(7): 518-526. 10/f8vxmw.

[32]

Duvekot JJ, Peeters LL. Maternal cardiovascular hemodynamic adaptation to pregnancy. Obstet Gynecol Surv. 1994; 49(12 Suppl): S1-S14. 10/btnbbh.

[33]

Ramlakhan KP, Johnson MR, Roos-Hesselink JW. Pregnancy and cardiovascular disease. Nat Rev Cardiol. 2020; 17(11): 718-731. 10/gpk6d8.

[34]

Eghbali M, Deva R, Alioua A, et al. Molecular and functional signature of heart hypertrophy during pregnancy. Circ Res. 2005; 96(11): 1208-1216. 10/fftmjc.

[35]

Eghbali M, Wang Y, Toro L, Stefani E. Heart hypertrophy during pregnancy: a better functioning heart? Trends Cardiovasc Med. 2006; 16(8): 285-291. 10/fd25df.

[36]

Folgueras AR, Freitas-Rodríguez S, Velasco G, López-Otín C. Mouse models to disentangle the hallmarks of human aging. Circ Res. 2018; 123(7): 905-924. 10/gfbskj.

[37]

Häseli S, Deubel S, Jung T, Grune T, Ott C. Cardiomyocyte contractility and autophagy in a premature senescence model of cardiac aging. Oxidative Med Cell Longev. 2020; 2020(1):8141307. 10/g9qww6.

[38]

Meschiari CA, Ero OK, Pan H, Finkel T, Lindsey ML. The impact of aging on cardiac extracellular matrix. GeroScience. 2017; 39(1): 7-18. 10/g9qww3.

[39]

Prabhavathi K, Selvi TK, Poornima KN, Sarvanan A. Role of biological sex in normal cardiac function and in its disease outcome—a review. J Clin Diagn Res. 2014; 8(8): BE01-BE04. 10/ghs8fg.

[40]

Wu JC, Nasseri BA, Bloch KD, Picard MH, Scherrer-Crosbie M. Influence of sex on ventricular remodeling after myocardial infarction in mice. J Am Soc Echocardiogr. 2003; 16(11): 1158-1162. 10/dscj8j.

[41]

Palus S, Akashi Y, von Haehling S, Anker SD, Springer J. The influence of age and sex on disease development in a novel animal model of cardiac cachexia. Int J Cardiol. 2009; 133(3): 388-393. 10/d24xhm.

[42]

Leinwand LA. Sex is a potent modifier of the cardiovascular system. J Clin Invest. 2003; 112(3): 302-307. 10/cpcsb5.

[43]

Martin TG, Leinwand LA. Hearts apart: sex differences in cardiac remodeling in health and disease. J Clin Invest. 2024; 134(13):e180074. 10/g9qxbs.

[44]

Du X-J, Fang L, Kiriazis H. Sex dimorphism in cardiac pathophysiology: experimental findings, hormonal mechanisms, and molecular mechanisms. Pharmacol Ther. 2006; 111(2): 434-475. 10/c3x4h2.

[45]

Kitzman DW, Edwards WD. Age-related changes in the anatomy of the normal human heart. J Gerontol. 1990; 45(2): M33-M39. 10/g9qw8t.

[46]

Bisset ES, Howlett SE. Sex-specific effects of frailty on cardiac structure and function: insights from preclinical models. Can J Physiol Pharmacol. 2024; 102(8): 476-486. 10/g9ms3w.

[47]

Kessler EL, Rivaud MR, Vos MA, van Veen TAB. Sex-specific influence on cardiac structural remodeling and therapy in cardiovascular disease. Biol Sex Differ. 2019; 10(1):7. 10/g9qww9.

[48]

Dworatzek E, Mahmoodzadeh S, Schubert C, et al. Sex differences in exercise-induced physiological myocardial hypertrophy are modulated by oestrogen receptor beta. Cardiovasc Res. 2014; 102(3): 418-428. 10/g9qxff.

[49]

Chang D, Wang J, Zhu S, et al. Cellular senescence and cell therapy in cardiovascular diseases. Stem Cell Res Ther. 2025; 16(1):613. 10/hbn7p2.

[50]

Bhupathy P, Haines CD, Leinwand LA. Influence of sex hormones and phytoestrogens on heart disease in men and women. Women's Health (Lond Engl). 2010; 6(1): 77-95. 10/ct552x.

[51]

Brouillette J, Rivard K, Lizotte E, Fiset C. Sex and strain differences in adult mouse cardiac repolarization: importance of androgens. Cardiovasc Res. 2005; 65(1): 148-157. 10/cpwr6d.

[52]

Siokatas G, Papatheodorou I, Daiou A, Lazou A, Hatzistergos KE, Kararigas G. Sex-related effects on cardiac development and disease. J Cardiovasc Dev Dis. 2022; 9(3):3. 10/g9qwxb.

[53]

van Laake LW, Passier R, Monshouwer-Kloots J, et al. Monitoring of cell therapy and assessment of cardiac function using magnetic resonance imaging in a mouse model of myocardial infarction. Nat Protoc. 2007; 2(10): 2551-2567. 10/cmkzp4.

[54]

Hambleton M, Hahn H, Pleger ST, et al. Pharmacological- and gene therapy-based inhibition of protein kinase cα/β enhances cardiac contractility and attenuates heart failure. Circulation. 2006; 114(6): 574-582. 10/d42vtv.

[55]

Du XJ, Samuel CS, Gao XM, Zhao L, Parry LJ, Tregear GW. Increased myocardial collagen and ventricular diastolic dysfunction in relaxin deficient mice: a gender-specific phenotype. Cardiovasc Res. 2003; 57(2): 395-404. 10/cfzjc5.

[56]

Cavasin MA, Tao Z, Menon S, Yang X-P. Gender differences in cardiac function during early remodeling after acute myocardial infarction in mice. Life Sci. 2004; 75(18): 2181-2192. 10/ffxfdq.

RIGHTS & PERMISSIONS

2026 The Author(s). Animal Models and Experimental Medicine published by John Wiley & Sons Australia, Ltd on behalf of The Chinese Association for Laboratory Animal Sciences.

PDF (8431KB)

1

Accesses

0

Citation

Detail

Sections
Recommended

/