Non-human primate (NHP) models of cardiovascular disease or metabolic disorder offer a unique framework to evaluate novel therapeutics. Herein, we perform cardiac strain MRI on a 3T MRI scanner to characterize systolic and diastolic function in naïve and spontaneously diabetic NHPs with diastolic dysfunction (T2DM-DD) and preserved ejection fraction (which may represent an early phenotype of HFpEF). In addition, the naïve animals were imaged twice to perform test-retest analysis of the strain-based biomarkers. Peak strains and peak diastolic strain-rates (both circumferential and longitudinal) are significantly impaired in the T2DM-DD monkeys compared to the naïve monkeys indicating impaired systolic and passive diastolic function. In addition, peak untwist rate is also decreased depicting impairment in active diastolic function as well. The test-retest results in the naïve animals show that all biomarkers, with the exception of peak longitudinal strain, are reproducible.
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