Intracellular sodium elevation reprograms cardiac metabolism

被引:64
作者
Aksentijevic, Dunja [1 ,6 ]
Karlstaedt, Anja [2 ]
Basalay, Marina V. [1 ]
O'Brien, Brett A. [3 ]
Sanchez-Tatay, David [1 ]
Eminaga, Seda [1 ]
Thakker, Alpesh [4 ]
Tennant, Daniel A. [4 ]
Fuller, William [5 ]
Eykyn, Thomas R. [3 ]
Taegtmeyer, Heinrich [2 ]
Shattock, Michael J. [1 ]
机构
[1] Kings Coll London, Sch Cardiovasc & Med Sci, British Heart Fdn Ctr Res Excellence, Rayne Inst,St Thomas Hosp, London, England
[2] Univ Texas Hlth Sci Ctr Houston, McGovern Med Sch, Div Cardiol, Dept Internal Med, Houston, TX 77030 USA
[3] Kings Coll London, Sch Biomed Engn & Imaging Sci, St Thomas Hosp, London SE1 7EH, England
[4] Univ Birmingham, Coll Med & Dent Sci, Inst Metab & Syst Res, Birmingham B15 2TT, W Midlands, England
[5] Univ Glasgow, Inst Cardiovasc & Med Sci, Glasgow G12 8TA, Lanark, Scotland
[6] Queen Mary Univ London, Barts & London Sch Med & Dent, William Harvey Res Inst, Charterhouse Sq, London EC1M 6BQ, England
基金
英国惠康基金; 英国工程与自然科学研究理事会; 英国医学研究理事会; 英国生物技术与生命科学研究理事会;
关键词
MITOCHONDRIAL CA2+ UPTAKE; OXIDATIVE-PHOSPHORYLATION; CONTRACTILE FUNCTION; HEART-FAILURE; ATPASE; DEHYDROGENASE; HOMEOSTASIS; GLYCOLYSIS; EXPRESSION; EXCHANGER;
D O I
10.1038/s41467-020-18160-x
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
070301 [无机化学]; 070403 [天体物理学]; 070507 [自然资源与国土空间规划学]; 090105 [作物生产系统与生态工程];
摘要
Intracellular Na elevation in the heart is a hallmark of pathologies where both acute and chronic metabolic remodelling occurs. Here, we assess whether acute (75 mu M ouabain 100 nM blebbistatin) or chronic myocardial Na, load (PLM 3 sA mouse) are causally linked to metabolic remodelling and whether the failing heart shares a common Na-mediated metabolic 'fingerprint'. Control (PLMWT), transgenic (PLM3SA), ouabain-treated and hypertrophied Langendorff-perfused mouse hearts are studied by Na-23, P-31, C-13 NMR followed by H-1-NMR metabolomic profiling. Elevated Na, leads to common adaptive metabolic alterations preceding energetic impairment: a switch from fatty acid to carbohydrate metabolism and changes in steady-state metabolite concentrations (glycolytic, anaplerotic, Krebs cycle intermediates). Inhibition of mitochondrial Na/Ca exchanger by CGP37157 ameliorates the metabolic changes. In silico modelling indicates altered metabolic fluxes (Krebs cycle, fatty acid, carbohydrate, amino acid metabolism). Prevention of Na, overload or inhibition of Na/Ca-mito may be a new approach to ameliorate metabolic dysregulation in heart failure.
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页数:14
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