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Circulation. 2005;112:e352-e353
doi: 10.1161/CIRCULATIONAHA.105.536029
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(Circulation. 2005;112:e352-e353.)
© 2005 American Heart Association, Inc.


Images in Cardiovascular Medicine

Cardiac Failure in the Chick Embryo Resembles Heart Failure in Humans

Oktay Tutarel, MD; Kambiz Norozi, MD; Oliver Hornung, ME; Gülay Orhan, MD; Petra Wübbolt-Lehmann, MTA; Armin Wessel, MD, PhD; T. Mesud Yelbuz, MD, PhD

From the Department of Pediatric Cardiology and Intensive Care Medicine, Hannover Medical School, (O.T., K.N., G.O., P.W.-L., A.W., T.M.Y.), and Mechatronik-Zentrum, Universität Hannover (O.H.), Hannover, Germany.

Correspondence to T. Mesud Yelbuz, MD, PhD, Department of Pediatric Cardiology and Intensive Care Medicine, Hannover Medical School, Carl-Neuberg-Str 1, 30625 Hannover, Germany. E-mail Yelbuz.Mesud{at}mh-hannover.de

The chick embryo is used as a model organism, among others, for studies in pathophysiology and developmental biology of the heart. In shell-less culture (SC), it allows direct visualization of the embryonic and cardiovascular development and the physiological effects of cardiac function. Although it is a well-established model, a continuous visual registration of chick embryos over a longer period of development with great detail has not yet been carried out. We present here, for the first time, time-lapse movies of this development with a special emphasis on vasculogenesis over a recorded period of 9 days, beginning at 2 days of incubation. During these first 11 days, the structural formation of the cardiovascular system is accomplished (which takes &9 to 10 days). The movies depict the complex process of extraembryonic vasculogenesis that occurs parallel to the development of the intraembryonic cardiovascular system and is highly dependent on normal cardiac development and function. Although the initial goal of this study was to document the normal embryonic and cardiovascular development in chicks in SC (Figure 1A, Figure 2 [left], and Movie I), we found that some embryos developed cardiac failure and died within a few hours (Figure 1B, Figure 2 [right], and Movies II through IV). It is of great interest that these embryos display a pattern of cardiac failure similar to that found in humans in end-stage heart failure: central pooling, peripheral vasoconstriction, and later stasis and edema. Considering normal and abnormal vasculogenesis/angiogenesis as one of the fundamental phenomena in pathophysiology and pharmacology of cardiovascular and developmental sciences, we think that the SC model of the chick embryo is of interest to researchers in the field of cardiovascular medicine, because ample opportunities exist with this model to further study cardiac function and vascular diseases. The SCs were created after 48 hours of incubation by transferring the embryos at an early heart looping stage to sterilized hexagonal polystyrene weighing boats in a Petri dish with water. In these SCs, the embryos were reincubated and then moved every 60 minutes from the incubator to a special stage for visual registration with a digital camera (for a detailed description of the experimental design, see the legend of Movie I).



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Figure 1. Images of day 7 chick embryos in SC. A, Normal embryo; B, embryo with cardiac failure. Note the significant difference in extraembryonic vasculature in B (reduction in vessel size and number, peripheral vascular stasis) compared with A. Time-lapse image series of these 2 embryos are demonstrated in Figure 2 (see also Movies I and II). Bar=5 mm.



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Figure 2. Time-lapse study of a chick embryo in SC with normal (left) and abnormal (right) vasculogenesis. Image series shown starts with a day 2 chick embryo in SC and ends at day 9 after 7 days of recording (the actual movie of this embryo [Movie I] covers 9 days of recording and ends at day 11 after incubation). Note the dramatic change in extraembryonic vasculogenesis during development over the 7 days shown: compromising an area <2 cm at the beginning and then growing further by sprouting in hexagonal direction, adopting to the whole weighing boat (a more detailed description of this process can be found in the legend of Movie I). Both embryos show a normal development of the extraembryonic vasculature until day 7 after incubation. However, on the 7th day, the embryo shown on the right developed signs of cardiac failure (congested organs and peripheral vascular stasis resulting from central pooling) within a few hours and died in end-stage heart failure with decompensated cardiac function (see also Movie II). Bar=2 cm.


*    Acknowledgments
 
This work was supported by a research grant from the Braukmann-Wittenberg Foundation at Hannover Medical School and a research award endowed by HERZKIND eV (Maximilian-Forschungs-Förderpreis 2004) to Dr Yelbuz. We thank Dr M.L. Kirby, Duke University, and Dr J. Männer, University of Göttingen, for critical reading and corrections.

Disclosures

None.


*    Footnotes
 
The online-only Data Supplement, which contains 4 movies, can be found at http://circ.ahajournals.org/cgi/content/full/112/24/e352/DC1.


Related Article:

Issue Highlights
Circulation 2005 112: 3667. [Extract] [Full Text]




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