Cardiac Metabolism and Its Interactions with Contraction, Growth, and Survival of the Cardiomyocte

By Stephen C. Kolwicz, Suneet N. Purohit, Rong Tian. Circulation Research, 2013

757 citations recorded by the source corpus.

The network for cardiac fuel metabolism contains intricate sets of interacting pathways that result in both ATP producing and non-ATP producing end-points for each class of energy substrates. The most salient feature of the network is the metabolic flexibility demonstrated in response to various stimuli, including developmental changes and nutritional status. The heart is also capable of remodeling the metabolic pathways in chronic pathophysiological conditions, which results in modulations of myocardial energetics and contractile function. In a quest to understand the complexity of the cardiac metabolic network, pharmacological and genetic tools have been engaged to manipulate cardiac metabolism in a variety of research models. In concert, a host of therapeutic interventions have been tested clinically to target substrate preference, insulin sensitivity, and mitochondrial function. In addition, the contribution of cellular metabolism to growth, survival, and other signaling pathways through the production of metabolic intermediates has been increasingly noted. In this review, we provide an overview of the cardiac metabolic network and highlight alterations observed in cardiac pathologies as well as strategies employed as metabolic therapies in heart failure. Lastly, the ability of metabolic derivatives to intersect growth and survival are also discussed.

Subfields: Cardiology and Cardiovascular Medicine, Molecular Biology, Surgery

View Paper: https://www.semanticscholar.org/paper/00126fa44e99e12bb65651f82a6af9a4c8cad50b

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In Cardiology and Cardiovascular Medicine

  1. Rong Tian
  2. Bo Zhou

In Molecular Biology

  1. Rong Tian

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