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Its overactivity in obesity is thought to accelerate cardiac remodelling and HF development. Given that MR antagonists (MRA) are beneficial in chronic HF patients, we hypothesized that early MRA treatment may target obesity\u2010related disorders and consequently delay the development of HF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Experimental Approach<\/jats:title><jats:p>Twenty spontaneously hypertensive HF dyslipidaemic obese SHHF<jats:sup>cp\/cp<\/jats:sup> rats and 18 non\u2010dyslipidaemic lean SHHF<jats:sup>+\/+<\/jats:sup> controls underwent regular monitoring for their metabolic and cardiovascular phenotypes with or without MRA treatment [eplerenone (eple), 100\u00a0mg\u2219kg<jats:sup>\u22121<\/jats:sup>\u2219day<jats:sup>\u22121<\/jats:sup>] from 1.5 to 12.5\u00a0months of age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key Results<\/jats:title><jats:p>Eleven months of eple treatment in obese rats (SHHF<jats:sup>cp\/cp<\/jats:sup>eple) reduced the obesity\u2010related metabolic disorders observed in untreated SHHF<jats:sup>cp\/cp<\/jats:sup> rats by reducing weight gain, triglycerides and total cholesterol levels and by preserving adiponectinaemia. The MRA treatment predominantly preserved diastolic and systolic functions in obese rats by alleviating the eccentric cardiac hypertrophy observed in untreated SHHF<jats:sup>cp\/cp<\/jats:sup> animals and preserving ejection fraction (70\u00a0\u00b1\u00a01 vs. 59\u00a0\u00b1\u00a01%). The MRA also improved survival independently of these pressure effects.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion and Implications<\/jats:title><jats:p>Early chronic eple treatment resulted in a delay in cardiac remodelling and HF onset in both SHHF<jats:sup>+\/+<\/jats:sup> and SHHF<jats:sup>cp\/cp<\/jats:sup> rats, whereas SHHF<jats:sup>cp\/cp<\/jats:sup> rats further benefited from the MRA treatment through a reduction in their obesity and dyslipidaemia. These findings suggest that preventive MRA therapy may provide greater benefits in obese patients with additional risk factors of developing cardiovascular complications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/bph.13479","type":"journal-article","created":{"date-parts":[[2016,3,19]],"date-time":"2016-03-19T02:12:51Z","timestamp":1458353571000},"page":"1805-1819","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Preventive and chronic mineralocorticoid receptor antagonism is highly beneficial in obese SHHF rats"],"prefix":"10.1111","volume":"173","author":[{"given":"G","family":"Youcef","sequence":"first","affiliation":[{"name":"UMRS U1116 Inserm  Nancy France"},{"name":"F\u00e9d\u00e9ration de Recherche 3209  Nancy France"},{"name":"Universit\u00e9 de Lorraine  Nancy France"},{"name":"Genomics Research Unit Luxembourg Institute of Health  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