To investigate whether STAT3 may be important for cardioprotection during β-AR treatment independent of pregnancy and pregnancy hormones, male CKO mice were subjected to Iso treatment (10–30 mg/kg/day) for 2 weeks, which led to a dose-dependent increase in mortality compared with WT siblings (Figure 1C). In CKO mice, Iso treatment induced LV dysfunction and increased LV dilatation with increased heart/body weight ratios (Table 2; Supplementary material online, Figure S1) and cardiomyocyte lengths (CML: +33 ± 14%, *P =0.0001 vs. CKO NaCl; *P indicates two-way ANOVA) with no significant increase in cardiomyocyte cross-sectional area (CSA: +32 ± 28%, *P =0.0861 vs. CKO NaCl). In WT and heterozygous (aMHC-Cretg/+; Stat3fl/+) mice LV function remained compensated (Table 2; Supplementary material online, Figures S1 and S2). Iso-treated WT mice displayed ventricular hypertrophy (Supplementary material online, Figure S1) and increased CSA (+50 ± 38%, *P =0.0101 vs. WT NaCl) with no change in CML (+9 ± 12%, *P =0.3317 vs. WT NaCl). Blood pressure was similar in both genotypes (Supplementary material online, Figure S1). Similar to males, nulli-pari female CKOs developed LV dysfunction in response to Iso (fractional shortening: CKO, 22 ± 6%; WT, 44 ± 5%; #P <0.0001; #P indicates two-tailed Student's t-test). The β1-selective blocker metoprolol largely attenuated Iso-induced adverse effects in CKO mice, while bromocriptine had no effect (Table 2). While Iso stimulation enhanced phosphorylation of troponin I (TnI) at the protein kinase A (PKA) and C (PKC) sites similarly in CKO and WT mice (Figure 1D and E), a more pronounced increase in cardiac fibrosis, cardiomyocyte necrosis, and inflammation and higher expression of atrial and brain natriuretic peptides (BNP) were observed in CKO compared with WT mice (Figure 1F–K; Supplementary material online, Figure S1).

Table 2

Cardiac function and dimension in wild-type and CKO mice after 7 days of Iso treatment

NaCl
Iso
WT
n = 10
CKO
n = 11
WT
n = 27
CKO
n = 58
CKO Meto
n = 12
CKO BR
n = 8
LVEDD (mm)3.9 ± 0.34.0 ± 0.4
P > 0.9999a
4.0 ± 0.5
P > 0.9999b
4.6 ± 0.4
P < 0.0001b
P < 0.0001a
4.0 ± 0.3
P < 0.0001c
4.3 ± 0.4
P = 0.0510c
LVESD (mm)2.4 ± 0.42.7 ± 0.4
P = 0.5549a
2.5 ± 0.6
P > 0.9999b
3.6 ± 0.7
P < 0.0001b
P < 0.0001a
2.5 ± 0.6
P < 0.0001c
3.3 ± 0.7
P = 0.2600c
FS (%)39 ± 734 ± 6
P = 0.4701a
38 ± 8
P > 0.9999a
21 ± 11
P = 0.0002b
P < 0.0001a
37 ± 13
P < 0.0001c
24 ± 10
P = 0.4680c
HR (b.p.m.)500 ± 127421 ± 135
P = 0.0881a
544 ± 65
P = 0.3662b
528 ± 80
P = 0.0008b
P = 0.8809a
534 ± 60
P = 0.8392c
520 ± 42
P = 0.7832c
NaCl
Iso
WT
n = 10
CKO
n = 11
WT
n = 27
CKO
n = 58
CKO Meto
n = 12
CKO BR
n = 8
LVEDD (mm)3.9 ± 0.34.0 ± 0.4
P > 0.9999a
4.0 ± 0.5
P > 0.9999b
4.6 ± 0.4
P < 0.0001b
P < 0.0001a
4.0 ± 0.3
P < 0.0001c
4.3 ± 0.4
P = 0.0510c
LVESD (mm)2.4 ± 0.42.7 ± 0.4
P = 0.5549a
2.5 ± 0.6
P > 0.9999b
3.6 ± 0.7
P < 0.0001b
P < 0.0001a
2.5 ± 0.6
P < 0.0001c
3.3 ± 0.7
P = 0.2600c
FS (%)39 ± 734 ± 6
P = 0.4701a
38 ± 8
P > 0.9999a
21 ± 11
P = 0.0002b
P < 0.0001a
37 ± 13
P < 0.0001c
24 ± 10
P = 0.4680c
HR (b.p.m.)500 ± 127421 ± 135
P = 0.0881a
544 ± 65
P = 0.3662b
528 ± 80
P = 0.0008b
P = 0.8809a
534 ± 60
P = 0.8392c
520 ± 42
P = 0.7832c

LVEDD, LV end-systolic diameter (LVESD), FS (%), and heart rate were determined by echocardiography after 7 days of indicated treatment: Iso (30 mg/kg/day), metroprolol (Meto: 400 mg/kg/day), and bromocriptine (BR: 4 mg/kg/day). Data are depicted as mean ± SD.

aP vs. corresponding WT; P-values were assessed by two-way ANOVA followed by Bonferroni post hoc test.

bP vs. corresponding genotype NaCl.

cP vs. CKO + Iso. P-values were computed by two-tailed Student's t-test.

Table 2

Cardiac function and dimension in wild-type and CKO mice after 7 days of Iso treatment

NaCl
Iso
WT
n = 10
CKO
n = 11
WT
n = 27
CKO
n = 58
CKO Meto
n = 12
CKO BR
n = 8
LVEDD (mm)3.9 ± 0.34.0 ± 0.4
P > 0.9999a
4.0 ± 0.5
P > 0.9999b
4.6 ± 0.4
P < 0.0001b
P < 0.0001a
4.0 ± 0.3
P < 0.0001c
4.3 ± 0.4
P = 0.0510c
LVESD (mm)2.4 ± 0.42.7 ± 0.4
P = 0.5549a
2.5 ± 0.6
P > 0.9999b
3.6 ± 0.7
P < 0.0001b
P < 0.0001a
2.5 ± 0.6
P < 0.0001c
3.3 ± 0.7
P = 0.2600c
FS (%)39 ± 734 ± 6
P = 0.4701a
38 ± 8
P > 0.9999a
21 ± 11
P = 0.0002b
P < 0.0001a
37 ± 13
P < 0.0001c
24 ± 10
P = 0.4680c
HR (b.p.m.)500 ± 127421 ± 135
P = 0.0881a
544 ± 65
P = 0.3662b
528 ± 80
P = 0.0008b
P = 0.8809a
534 ± 60
P = 0.8392c
520 ± 42
P = 0.7832c
NaCl
Iso
WT
n = 10
CKO
n = 11
WT
n = 27
CKO
n = 58
CKO Meto
n = 12
CKO BR
n = 8
LVEDD (mm)3.9 ± 0.34.0 ± 0.4
P > 0.9999a
4.0 ± 0.5
P > 0.9999b
4.6 ± 0.4
P < 0.0001b
P < 0.0001a
4.0 ± 0.3
P < 0.0001c
4.3 ± 0.4
P = 0.0510c
LVESD (mm)2.4 ± 0.42.7 ± 0.4
P = 0.5549a
2.5 ± 0.6
P > 0.9999b
3.6 ± 0.7
P < 0.0001b
P < 0.0001a
2.5 ± 0.6
P < 0.0001c
3.3 ± 0.7
P = 0.2600c
FS (%)39 ± 734 ± 6
P = 0.4701a
38 ± 8
P > 0.9999a
21 ± 11
P = 0.0002b
P < 0.0001a
37 ± 13
P < 0.0001c
24 ± 10
P = 0.4680c
HR (b.p.m.)500 ± 127421 ± 135
P = 0.0881a
544 ± 65
P = 0.3662b
528 ± 80
P = 0.0008b
P = 0.8809a
534 ± 60
P = 0.8392c
520 ± 42
P = 0.7832c

LVEDD, LV end-systolic diameter (LVESD), FS (%), and heart rate were determined by echocardiography after 7 days of indicated treatment: Iso (30 mg/kg/day), metroprolol (Meto: 400 mg/kg/day), and bromocriptine (BR: 4 mg/kg/day). Data are depicted as mean ± SD.

aP vs. corresponding WT; P-values were assessed by two-way ANOVA followed by Bonferroni post hoc test.

bP vs. corresponding genotype NaCl.

cP vs. CKO + Iso. P-values were computed by two-tailed Student's t-test.

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