4.2 Article

Transcriptional Changes Associated with Long-Term Left Ventricle Volume Overload in Rats: Impact on Enzymes Related to Myocardial Energy Metabolism

Journal

BIOMED RESEARCH INTERNATIONAL
Volume 2015, Issue -, Pages -

Publisher

HINDAWI LTD
DOI: 10.1155/2015/949624

Keywords

-

Funding

  1. Canadian Institutes of Health Research [MOP-61818, MOP-106479]
  2. Heart and Stroke Foundation of Canada
  3. Quebec Heart Institute Corporation

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Patients with left ventricle (LV) volume overload (VO) remain in a compensated state for many years although severe dilation is present. The myocardial capacity to fulfill its energetic demand may delay decompensation. We performed a gene expression profile, a model of chronic VO in rat LV with severe aortic valve regurgitation (AR) for 9 months, and focused on the study of genes associated with myocardial energetics. Methods. LV gene expression profile was performed in rats after 9 months of AR and compared to sham-operated controls. LV glucose and fatty acid (FA) uptake was also evaluated in vivo by positron emission tomography in 8-week AR rats treated or not with fenofibrate, an activator of FA oxidation (FAO). Results. Many LV genes associated with mitochondrial function and metabolism were downregulated in AR rats. FA beta-oxidation capacity was significantly impaired as early as two weeks after AR. Treatment with fenofibrate, a PPAR alpha agonist, normalized both FA and glucose uptake while reducing LV dilation caused by AR. Conclusion. Myocardial energy substrate preference is affected early in the evolution of LV-VO cardiomyopathy. Maintaining a relatively normal FA utilization in the myocardium could translate into less glucose uptake and possibly lesser LV remodeling.

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