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*Heart Failure

(Circulation. 1996;94:2837-2842.)
© 1996 American Heart Association, Inc.


Articles

Fatty Acid Oxidation Enzyme Gene Expression Is Downregulated in the Failing Heart

Michael N. Sack, MD; Toni A. Rader, BS; Sonhee Park, PhD; Jean Bastin, PhD; Sylvia A. McCune, PhD; Daniel P. Kelly, MD

the Departments of Medicine (M.N.S., T.A.R., D.P.K.) and Molecular Biology and Pharmacology (D.P.K.), Washington University School of Medicine, St Louis, Mo; the Department of Food Science and Technology, Ohio State University, Columbus (S.P., S.A.M.); and the Universite Paris, INSERM, Paris, France (J.B.).

Correspondence to Daniel P. Kelly, MD, Cardiovascular Division, Box 8086, Washington University School of Medicine, 660 S Euclid Ave, St Louis, MO 63110. E-mail kelly@visar.wustl.edu.

Background During the development of heart failure (HF), the chief myocardial energy substrate switches from fatty acids to glucose. This metabolic switch, which recapitulates fetal cardiac energy substrate preferences, is thought to maintain aerobic energetic balance. The regulatory mechanisms involved in this metabolic response are unknown.

Methods and Results To characterize the expression of genes involved in mitochondrial fatty acid ß-oxidation (FAO) in the failing heart, levels of mRNA encoding enzymes that catalyze the first and third steps of the FAO cycle were delineated in the left ventricles (LVs) of human cardiac transplant recipients. FAO enzyme and mRNA levels were coordinately downregulated (>40%) in failing human LVs compared with controls. The temporal pattern of this alteration in FAO enzyme gene expression was characterized in a rat model of progressive LV hypertrophy (LVH) and HF [SHHF/Mcc-facp (SHHF) rat]. FAO enzyme mRNA levels were coordinately downregulated (>70%) during both the LVH and HF stages in the SHHF rats compared with controls. In contrast, the activity and steady-state levels of medium-chain acyl-CoA dehydrogenase, which catalyzes a rate-limiting step in FAO, were not significantly reduced until the HF stage, indicating additional control at the translational or posttranslational levels in the hypertrophied but nonfailing ventricle.

Conclusions These findings identify a gene regulatory pathway involved in the control of cardiac energy production during the development of HF.


Key Words: heart failure • hypertrophy • fatty acids • metabolism




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J. Biol. Chem.Home page
P. J. Schaeffer, A. R. Wende, C. J. Magee, J. R. Neilson, T. C. Leone, F. Chen, and D. P. Kelly
Calcineurin and Calcium/Calmodulin-dependent Protein Kinase Activate Distinct Metabolic Gene Regulatory Programs in Cardiac Muscle
J. Biol. Chem., September 17, 2004; 279(38): 39593 - 39603.
[Abstract] [Full Text] [PDF]


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CirculationHome page
C. J. McLeod, A. P. Jeyabalan, J. O. Minners, R. Clevenger, R. F. Hoyt Jr, and M. N. Sack
Delayed Ischemic Preconditioning Activates Nuclear-Encoded Electron-Transfer-Chain Gene Expression in Parallel With Enhanced Postanoxic Mitochondrial Respiratory Recovery
Circulation, August 3, 2004; 110(5): 534 - 539.
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Am. J. Physiol. Heart Circ. Physiol.Home page
N. Fujii, T. Nozawa, A. Igawa, B.-i. Kato, N. Igarashi, M. Nonomura, H. Asanoi, S. Tazawa, M. Inoue, and H. Inoue
Saturated glucose uptake capacity and impaired fatty acid oxidation in hypertensive hearts before development of heart failure
Am J Physiol Heart Circ Physiol, August 1, 2004; 287(2): H760 - H766.
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Circ. Res.Home page
J. S. Ingwall and R. G. Weiss
Is the Failing Heart Energy Starved?: On Using Chemical Energy to Support Cardiac Function
Circ. Res., July 23, 2004; 95(2): 135 - 145.
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Am. J. Physiol. Heart Circ. Physiol.Home page
B. Bartelds, J. Takens, G. B. Smid, V. A. Zammit, C. Prip-Buus, J. R. G. Kuipers, and F. R. van der Leij
Myocardial carnitine palmitoyltransferase I expression and long-chain fatty acid oxidation in fetal and newborn lambs
Am J Physiol Heart Circ Physiol, June 1, 2004; 286(6): H2243 - H2248.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
A. Hansson, N. Hance, E. Dufour, A. Rantanen, K. Hultenby, D. A. Clayton, R. Wibom, and N.-G. Larsson
A switch in metabolism precedes increased mitochondrial biogenesis in respiratory chain-deficient mouse hearts
PNAS, March 2, 2004; 101(9): 3136 - 3141.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
S. Sharma, H. Taegtmeyer, J. Adrogue, P. Razeghi, S. Sen, K. Ngumbela, and M. F. Essop
Dynamic changes of gene expression in hypoxia-induced right ventricular hypertrophy
Am J Physiol Heart Circ Physiol, March 1, 2004; 286(3): H1185 - H1192.
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J. Physiol.Home page
R. Ventura-Clapier, A. Garnier, and V. Veksler
Energy metabolism in heart failure
J. Physiol., February 15, 2004; 555(1): 1 - 13.
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Cardiovasc ResHome page
M. van Bilsen, P. J.H Smeets, A. J Gilde, and G. J van der Vusse
Metabolic remodelling of the failing heart: the cardiac burn-out syndrome?
Cardiovasc Res, February 1, 2004; 61(2): 218 - 226.
[Abstract] [Full Text] [PDF]


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Recent Prog Horm ResHome page
M. P. Czubryt and E. N. Olson
Balancing Contractility and Energy Production: The Role of Myocyte Enhancer Factor 2 (MEF2) in Cardiac Hypertrophy
Recent Prog. Horm. Res., January 1, 2004; 59(1): 105 - 124.
[Abstract] [Full Text]


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Toxicol PatholHome page
K. T. Morgan, M. Pino, L. M. Crosby, Min Wang, T. C. Elston, Z. Jayyosi, M. Bonnefoi, and G. Boorman
Complementary Roles for Toxicologic Pathology and Mathematics in Toxicogenomics, With Special Reference to Data Interpretation and Oscillatory Dynamics
Toxicol Pathol, January 1, 2004; 32(1_suppl): 13 - 25.
[Abstract] [PDF]


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J. Physiol.Home page
A Garnier, D Fortin, C Delomenie, I Momken, V Veksler, and R Ventura-Clapier
Depressed mitochondrial transcription factors and oxidative capacity in rat failing cardiac and skeletal muscles
J. Physiol., September 1, 2003; 551(2): 491 - 501.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
G. A. Francis, J.-S. Annicotte, and J. Auwerx
PPAR-{alpha} effects on the heart and other vascular tissues
Am J Physiol Heart Circ Physiol, June 5, 2003; 285(1): H1 - H9.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
C. A Lygate, K. Hulbert, M. Monfared, M. A Cole, K. Clarke, and S. Neubauer
The PPAR{gamma}-activator rosiglitazone does not alter remodeling but increases mortality in rats post-myocardial infarction
Cardiovasc Res, June 1, 2003; 58(3): 632 - 637.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
H. Irie, I. B. Krukenkamp, J. F. F. Brinkmann, G. R. Gaudette, A. E. Saltman, W. Jou, J. F. C. Glatz, N. A. Abumrad, and A. Ibrahimi
Myocardial recovery from ischemia is impaired in CD36-null mice and restored by myocyte CD36 expression or medium-chain fatty acids
PNAS, May 27, 2003; 100(11): 6819 - 6824.
[Abstract] [Full Text] [PDF]


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Proc. Natl. Acad. Sci. USAHome page
M. P. Czubryt, J. McAnally, G. I. Fishman, and E. N. Olson
Regulation of peroxisome proliferator-activated receptor gamma coactivator 1alpha (PGC-1alpha ) and mitochondrial function by MEF2 and HDAC5
PNAS, February 18, 2003; 100(4): 1711 - 1716.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
K. Q. Stolen, J. Kemppainen, H. Ukkonen, K. K. Kalliokoski, M. Luotolahti, P. Lehikoinen, H. Hamalainen, T. Salo, K. E. Juhani Airaksinen, P. Nuutila, et al.
Exercise training improves biventricular oxidative metabolism and left ventricular efficiency in patients with dilated cardiomyopathy
J. Am. Coll. Cardiol., February 5, 2003; 41(3): 460 - 467.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
H. Degens, A. J. Gilde, M. Lindhout, P. H. M. Willemsen, G. J. van der Vusse, and M. van Bilsen
Functional and metabolic adaptation of the heart to prolonged thyroid hormone treatment
Am J Physiol Heart Circ Physiol, January 1, 2003; 284(1): H108 - H115.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
T. Kuznetsova, J. A. Staessen, A. Olszanecka, A. Ryabikov, K. Stolarz, S. Malyutina, R. Fagard, K. Kawecka-Jaszcz, and Y. Nikitin
Maternal and Paternal Influences on Left Ventricular Mass of Offspring
Hypertension, January 1, 2003; 41(1): 69 - 74.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
L. de las Fuentes, P. Herrero, L. R. Peterson, D. P. Kelly, R. J. Gropler, and V. G. Davila-Roman
Myocardial Fatty Acid Metabolism: Independent Predictor of Left Ventricular Mass in Hypertensive Heart Disease
Hypertension, January 1, 2003; 41(1): 83 - 87.
[Abstract] [Full Text] [PDF]


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CirculationHome page
H. Taegtmeyer
Switching Metabolic Genes to Build a Better Heart
Circulation, October 15, 2002; 106(16): 2043 - 2045.
[Full Text] [PDF]


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CirculationHome page
J. C. Osorio, W. C. Stanley, A. Linke, M. Castellari, Q. N. Diep, A. R. Panchal, T. H. Hintze, G. D. Lopaschuk, and F. A. Recchia
Impaired Myocardial Fatty Acid Oxidation and Reduced Protein Expression of Retinoid X Receptor-{alpha} in Pacing-Induced Heart Failure
Circulation, July 30, 2002; 106(5): 606 - 612.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
V.i. G. Davila-Roman, G. Vedala, P. Herrero, L. de las Fuentes, J. G. Rogers, D. P. Kelly, and R. J. Gropler
Altered myocardial fatty acid and glucose metabolism in idiopathic dilated cardiomyopathy
J. Am. Coll. Cardiol., July 17, 2002; 40(2): 271 - 277.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
J. Marin-Garcia and M. J. Goldenthal
Fatty acid metabolism in cardiac failure: biochemical, genetic and cellular analysis
Cardiovasc Res, June 1, 2002; 54(3): 516 - 527.
[Full Text] [PDF]


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CirculationHome page
D. P. Kelly
Peroxisome Proliferator-Activated Receptor {alpha} as a Genetic Determinant of Cardiac Hypertrophic Growth: Culprit or Innocent Bystander?
Circulation, March 5, 2002; 105(9): 1025 - 1027.
[Full Text] [PDF]


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CirculationHome page
H. Ashrafian, E. Johannsson, O. M. Sejersted, P. K. Lunde, I. Sjaastad, M. J. Thomas, L. Bergersen, T. W. Blackstad, O. P. Ottersen, C. Heddle, et al.
Cardiac Energetics in Congestive Heart Failure Response
Circulation, February 12, 2002; 105 (6): e44 - e45.
[Full Text] [PDF]


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Cold Spring Harb Symp Quant BiolHome page
B.N. FINCK, J.J. LEHMAN, P.M. BARGER, and D.P. KELLY
Regulatory Networks Controlling Mitochondrial Energy Production in the Developing, Hypertrophied, and Diabetic Heart
Cold Spring Harb Symp Quant Biol, January 1, 2002; 67(0): 371 - 382.
[Abstract] [PDF]


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CirculationHome page
P. Razeghi, M. E. Young, J. L. Alcorn, C. S. Moravec, O.H. Frazier, and H. Taegtmeyer
Metabolic Gene Expression in Fetal and Failing Human Heart
Circulation, December 11, 2001; 104(24): 2923 - 2931.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
L. A. Nikolaidis, T. Hentosz, A. Doverspike, R. Huerbin, C. Stolarski, Y.-T. Shen, and R. P. Shannon
Mechanisms whereby rapid RV pacing causes LV dysfunction: perfusion-contraction matching and NO
Am J Physiol Heart Circ Physiol, December 1, 2001; 281(6): H2270 - H2281.
[Abstract] [Full Text] [PDF]


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Cardiovasc ResHome page
N. Rosenblatt-Velin, C. Montessuit, I. Papageorgiou, J. Terrand, and R. Lerch
Postinfarction heart failure in rats is associated with upregulation of GLUT-1 and downregulation of genes of fatty acid metabolism
Cardiovasc Res, December 1, 2001; 52(3): 407 - 416.
[Abstract] [Full Text] [PDF]


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Eur Heart JHome page
F.M. Bengel, B. Permanetter, M. Ungerer, S.G. Nekolla, and M. Schwaiger
Relationship between altered sympathetic innervation, oxidative metabolism and contractile function in the cardiomyopathic human heart; a non-invasive study using positron emission tomography
Eur. Heart J., September 1, 2001; 22(17): 1594 - 1600.
[Abstract] [PDF]