title: Fuel availability and fate in cardiac metabolism: A tale of two substrates.
abstract: The heart's extraordinary metabolic flexibility allows it to adapt to normal changes in physiology in order to preserve its function. Alterations in the metabolic profile of the heart have also been attributed to pathological conditions such as ischemia and hypertrophy; however, research during the past decade has established that cardiac metabolic adaptations can precede the onset of pathologies. It is therefore critical to understand how changes in cardiac substrate availability and use trigger events that ultimately result in heart dysfunction. This review examines the mechanisms by which the heart obtains fuels from the circulation or from mobilization of intracellular stores. We next describe experimental models that exhibit either an increase in glucose use or a decrease in FA oxidation, and how these aberrant conditions affect cardiac metabolism and function. Finally, we highlight the importance of alternative, relatively under-investigated strategies for the treatment of heart failure. This article is part of a Special Issue entitled: Heart Lipid Metabolism edited by G.D. Lopaschuk.
authors.affiliation: Department of Nutrition, University of North Carolina at Chapel Hill, 27599, USA. Electronic address: fpascual@live.unc.edu.
authors.forename: Florencia
authors.initials: F
authors.lastname: Pascual
authors.affiliation: Department of Nutrition, University of North Carolina at Chapel Hill, 27599, USA. Electronic address: rcoleman@unc.edu.
authors.forename: Rosalind A
authors.initials: RA
authors.lastname: Coleman
mesh_terms: D000818:Animals; D004734:Energy Metabolism; D005227:Fatty Acids / Q000378:metabolism*; D005947:Glucose / Q000378:metabolism*; D006801:Humans; D009206:Myocardium / Q000378:metabolism*; D010084:Oxidation-Reduction; D013379:Substrate Specificity
chemical_list: D005227:Fatty Acids; D005947:Glucose
keywords: Cardiac metabolism; Fatty acid oxidation; Glucose oxidation; Hypertrophy; Substrate switching; Substrate uptake; Ventricular function