title: The cardiac phenotype induced by PPARalpha overexpression mimics that caused by diabetes mellitus.
abstract: Recent evidence has defined an important role for PPARalpha in the transcriptional control of cardiac energy metabolism. To investigate the role of PPARalpha in the genesis of the metabolic and functional derangements of diabetic cardiomyopathy, mice with cardiac-restricted overexpression of PPARalpha (MHC-PPAR) were produced and characterized. The expression of PPARalpha target genes involved in cardiac fatty acid uptake and oxidation pathways was increased in MHC-PPAR mice. Surprisingly, the expression of genes involved in glucose transport and utilization was reciprocally repressed in MHC-PPAR hearts. Consistent with the gene expression profile, myocardial fatty acid oxidation rates were increased and glucose uptake and oxidation decreased in MHC-PPAR mice, a metabolic phenotype strikingly similar to that of the diabetic heart. MHC-PPAR hearts exhibited signatures of diabetic cardiomyopathy including ventricular hypertrophy, activation of gene markers of pathologic hypertrophic growth, and transgene expression-dependent alteration in systolic ventricular dysfunction. These results demonstrate that (a) PPARalpha is a critical regulator of myocardial fatty acid uptake and utilization, (b) activation of cardiac PPARalpha regulatory pathways results in a reciprocal repression of glucose uptake and utilization pathways, and (c) derangements in myocardial energy metabolism typical of the diabetic heart can become maladaptive, leading to cardiomyopathy.
authors.affiliation: Center for Cardiovascular Research, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri 63110, USA.
authors.forename: Brian N
authors.initials: BN
authors.lastname: Finck
authors.forename: John J
authors.initials: JJ
authors.lastname: Lehman
authors.forename: Teresa C
authors.initials: TC
authors.lastname: Leone
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Welch
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Bennett
authors.forename: Attila
authors.initials: A
authors.lastname: Kovacs
authors.forename: Xianlin
authors.initials: X
authors.lastname: Han
authors.forename: Richard W
authors.initials: RW
authors.lastname: Gross
authors.forename: Ray
authors.initials: R
authors.lastname: Kozak
authors.forename: Gary D
authors.initials: GD
authors.lastname: Lopaschuk
authors.forename: Daniel P
authors.initials: DP
authors.lastname: Kelly
mesh_terms: D000818:Animals; D006332:Cardiomegaly / Q000209:etiology; D009202:Cardiomyopathies / Q000209:etiology; D002352:Carrier Proteins / Q000235:genetics / Q000378:metabolism; D003921:Diabetes Mellitus, Experimental / Q000378:metabolism*; D004734:Energy Metabolism; D005227:Fatty Acids / Q000378:metabolism; D005260:Female; D015870:Gene Expression; D005947:Glucose / Q000378:metabolism; D008297:Male; D051379:Mice; D008810:Mice, Inbred C57BL; D008817:Mice, Mutant Strains; D008822:Mice, Transgenic; D009206:Myocardium / Q000378:metabolism*; D010641:Phenotype; D011956:Receptors, Cell Surface; D018160:Receptors, Cytoplasmic and Nuclear / Q000235:genetics* / Q000378:metabolism*; D054411:Receptors, Leptin; D014157:Transcription Factors / Q000235:genetics* / Q000378:metabolism*
chemical_list: D002352:Carrier Proteins; D005227:Fatty Acids; D011956:Receptors, Cell Surface; D018160:Receptors, Cytoplasmic and Nuclear; D054411:Receptors, Leptin; D014157:Transcription Factors; D005947:Glucose