In Experimental Dilated Cardiomyopathy Heart Failure and Survival Are Adversely Affected by a Lack of Sexual Interactions

• Published in: International journal of molecular sciences Vol. 21; no. 15; p. 5450
• Main Authors: Tripathi, Ranjana, Sullivan, Ryan D, Fan, Tai-Hwang M, Mehta, Radhika M, Gladysheva, Inna P, Reed, Guy L
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 30.07.2020; MDPI
• Subjects: Age; Animals; Cardiomyopathy; Cardiomyopathy, Dilated - physiopathology; Cardiomyopathy, Dilated - prevention & control; Coitus - physiology; Congestive heart failure; contractile function; Dilated cardiomyopathy; Disease Models, Animal; Edema; Ejection fraction; Fatalities; Female; Females; Gene expression; Heart failure; Heart Failure - physiopathology; Heart Failure - prevention & control; Humans; Magnetic resonance imaging; Male; Mice; Muscle contraction; Myocardial Contraction; Peptides; Physiology; Pleural effusion; Sexual Behavior - physiology; Survival; Survival - physiology; Testosterone; Transcription; Videography; contractile function; heart failure; edema; testosterone; lifespan; pleural effusion; dilated cardiomyopathy
• ISSN: 1422-0067; 1661-6596; 1422-0067
• DOI: 10.3390/ijms21155450

Nearly one in three people in the U.S. will develop heart failure (HF), characterized by fluid retention (edema) in the lungs and elsewhere. This leads to difficult breathing, deterioration of physical capacity, restriction of normal activities and death. There is little data about the safety and effects of sexual interactions in patients with HF. We tested whether a lack of sexual interactions affected pathophysiological outcomes in a pre-clinical mouse model of dilated cardiomyopathy that recapitulates the progressive stages of human HF. Male mice were randomly given access to, or deprived from, sexual interactions with female mice, which were confirmed by videography and generation of offspring. Cohousing with access to sexual interactions markedly prolonged survival, while cohousing without access to sexual activity did not. Sexual interactions improved systolic function, reduced HF-associated edema, altered transcription of heart contractile protein genes and decreased plasma testosterone levels. To determine whether testosterone levels contributed to survival, testosterone levels were experimentally reduced. Reduction of testosterone levels significantly prolonged survival. Taken together, in mice with dilated cardiomyopathy, sexual activity altered cardiac contractile gene transcription, improved systolic function, reduced edema and prolonged survival which may be in part due to lower testosterone levels.