Effect of a high-protein diet on development of heart failure in response to pressure overload.
Study Goal
The researchers aimed to determine whether a high-protein diet (30% energy intake) improves cardiac function and survival in rats with pressure overload-induced heart failure compared to a standard protein diet (18% energy intake).
Results Summary
The study found no significant differences in cardiac hypertrophy, contractile dysfunction, ventricular dilation, or mitochondrial oxidative capacity between the high-protein and standard-protein diets. However, the high-protein diet significantly decreased survival in rats with advanced heart failure.
Population
Rats with pressure overload-induced heart failure (transverse aortic constriction model).
Effective Dosage
30% of energy intake from protein (high-protein diet) vs. 18% (standard diet).
Duration
14 weeks (initial assessment) and 22 weeks (advanced heart failure assessment).
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
high-protein diet | no change | cardiac mass | rats with pressure overload induced heart failure | - | did not affect | #1 |
high-protein diet | no change | left ventricular volumes | rats with pressure overload induced heart failure | - | did not affect | #2 |
high-protein diet | no change | ejection fraction | rats with pressure overload induced heart failure | - | did not affect | #3 |
high-protein diet | no change | myocardial mitochondrial oxidative capacity | rats with pressure overload induced heart failure | - | did not affect | #4 |
high-protein diet | decrease | survival | rats with pressure overload induced heart failure | - | significantly decreased | #5 |
30% protein diet | no change | cardiac hypertrophy | rats with aortic constriction | - | found similar | #6 |
30% protein diet | no change | contractile dysfunction | rats with aortic constriction | - | found similar | #7 |
30% protein diet | no change | ventricular dilation | rats with aortic constriction | - | found similar | #8 |
30% protein diet | no change | decreased cardiac mitochondrial oxidative capacity | rats with aortic constriction | - | found similar | #9 |
30% protein diet | no change | cardiac mass | rats with more advanced heart failure | - | saw no difference | #10 |
30% protein diet | no change | left ventricular volume | rats with more advanced heart failure | - | saw no difference | #11 |
30% protein diet | no change | mitochondrial oxidative capacity | rats with more advanced heart failure | - | saw no difference | #12 |
30% protein diet | no change | resistance to permeability transition | rats with more advanced heart failure | - | saw no difference | #13 |
30% protein diet | decrease | survival with heart failure | rats with aortic constriction | - | modest but significant decrease | #14 |
Heart failure treatment guidelines provide no recommendations regarding the intake of protein, though it has been proposed that increasing protein intake may result in clinical improvement. High-protein intake might improve protein synthesis and cell function, and prevent deterioration in mitochondrial and left ventricular function. We assessed the effects of a high-protein diet on the development of heart failure characterized by cardiac hypertrophy, impaired mitochondrial oxidative metabolism and contractile dysfunction induced by transverse aortic constriction in rats. A standard diet with 18% of energy intake from protein was compared with a high-protein diet (30% of energy intake). First, we evaluated the effects of protein intake on the development of heart failure during 14 weeks of aortic constriction, and found similar cardiac hypertrophy, contractile dysfunction, ventricular dilation, and decreased cardiac mitochondrial oxidative capacity with both 18% and 30% protein. We then assessed more advanced heart failure, with 22 weeks of aortic constriction. We again saw no difference in cardiac mass, left ventricular volume, mitochondrial oxidative capacity or resistance to permeability transition between the 18% and 30% protein diets. There was a modest but significant decrease in survival with heart failure with the 30% protein diet compared with 18% protein (p < 0.003). In conclusion, consumption of a high-protein diet did not affect cardiac mass, left ventricular volumes or ejection fraction, or myocardial mitochondrial oxidative capacity in rats with pressure overload induced heart failure, but significantly decreased survival.