Resumen
Backgrounds: Branched chain amino acid (BCAA) oxidation is impaired in cardiac insulin resistance, leading to the accumulation of BCAAs and the first products of BCAA oxidation, the branched chain ketoacids. However, it is not clear whether it is the BCAAs, BCKAs or both that are mediating cardiac insulin resistance. To determine this, we produced mice with a cardiac-specific deletion of BCAA aminotransferase (BCATm−/−), the first enzyme in the BCAA oxidation pathway that is responsible for converting BCAAs to BCKAs. Methods: Eight-week-old BCATm cardiac specific knockout (BCATm−/−) male mice and their α-MHC (myosin heavy chain) - Cre expressing wild type littermates (WT-Cre+/+) received tamoxifen (50 mg/kg i.p. 6 times over 8 days). At 16-weeks of age, cardiac energy metabolism was assessed in isolated working hearts. Results: BCATm−/− mice have decreased cardiac BCAA oxidation rates, increased cardiac BCAAs and a reduction in cardiac BCKAs. Hearts from BCATm−/− mice showed an increase in insulin stimulation of glucose oxidation and an increase in p-AKT. To determine the impact of reversing these events, we perfused isolated working mice hearts with high levels of BCKAs, which completely abolished insulin-stimulated glucose oxidation rates, an effect associated with decreased p-AKT and inactivation of pyruvate dehydrogenase (PDH), the rate-limiting enzyme in glucose oxidation. Conclusion: This implicates the BCKAs, and not BCAAs, as the actual mediators of cardiac insulin resistance and suggests that lowering cardiac BCKAs can be used as a therapeutic strategy to improve insulin sensitivity in the heart.
Idioma original | English |
---|---|
Número de artículo | 154871 |
Publicación | Metabolism: Clinical and Experimental |
Volumen | 124 |
DOI | |
Estado | Published - nov. 2021 |
Nota bibliográfica
Funding Information:We thank Dr. Susan M. Hutson (Virginia Polytechnic Institute and State University) for kindly providing us with the BCATmflox mice line. All animal protocols were approved by the University of Alberta Institutional Animal Care and Use Committee, which conform with the Guide for the Care and Use of Laboratory Animals published by the United States National Institutes of Health (eighth edition; revised 2011) and the guidelines of the Canadian Council on Animal Care. This study was supported by a grant from the Heart and Stroke Foundation of Canada to GDL. All data are available in the Lopaschuk Laboratory. Further information and requests for resources and reagents should be directed to and will be fulfilled by the Lead Contact, Gary D. Lopaschuk (glopasch@ualberta.ca).
Funding Information:
This study was supported by a grant from the Heart and Stroke Foundation of Canada to GDL.
Publisher Copyright:
© 2021
ASJC Scopus Subject Areas
- Endocrinology, Diabetes and Metabolism
- Endocrinology
PubMed: MeSH publication types
- Journal Article
- Research Support, Non-U.S. Gov't