Uncoupling protein 3 deficiency impairs myocardial fatty acid oxidation and contractile recovery following ischemia/reperfusion

Patients with insulin resistance and type 2 diabetes have poor cardiac outcomes following myocardial infarction (MI). The mitochondrial uncoupling protein 3 (UCP3) is down-regulated in the heart with insulin resistance. We hypothesized that decreased UCP3 levels contribute to poor cardiac recovery f...

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Veröffentlicht in:Basic research in cardiology 2018-11, Vol.113 (6), p.47-16, Article 47
Hauptverfasser: Edwards, Kristin S., Ashraf, Sadia, Lomax, Tyler M., Wiseman, Jessica M., Hall, Michael E., Gava, Fabio N., Hall, John E., Hosler, Jonathan P., Harmancey, Romain
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container_end_page 16
container_issue 6
container_start_page 47
container_title Basic research in cardiology
container_volume 113
creator Edwards, Kristin S.
Ashraf, Sadia
Lomax, Tyler M.
Wiseman, Jessica M.
Hall, Michael E.
Gava, Fabio N.
Hall, John E.
Hosler, Jonathan P.
Harmancey, Romain
description Patients with insulin resistance and type 2 diabetes have poor cardiac outcomes following myocardial infarction (MI). The mitochondrial uncoupling protein 3 (UCP3) is down-regulated in the heart with insulin resistance. We hypothesized that decreased UCP3 levels contribute to poor cardiac recovery following ischemia/reperfusion (I/R). After confirming that myocardial UCP3 levels were systematically decreased by 20–49% in animal models of insulin resistance and type 2 diabetes, we genetically engineered Sprague–Dawley rats with partial loss of UCP3 (ucp3 +/− ). Wild-type littermates (ucp3 +/+ ) were used as controls. Isolated working hearts from ucp3 +/− rats were characterized by impaired recovery of cardiac power and decreased long-chain fatty acid (LCFA) oxidation following I/R. Mitochondria isolated from ucp3 +/− hearts subjected to I/R in vivo displayed increased reactive oxygen species (ROS) generation and decreased respiratory complex I activity. Supplying ucp3 +/− cardiac mitochondria with the medium-chain fatty acid (MCFA) octanoate slowed electron transport through the respiratory chain and reduced ROS generation. This was accompanied by improvement of cardiac LCFA oxidation and recovery of contractile function post ischemia. In conclusion, we demonstrated that normal cardiac UCP3 levels are essential to recovery of LCFA oxidation, mitochondrial respiratory capacity, and contractile function following I/R. These results reveal a potential mechanism for the poor prognosis of type 2 diabetic patients following MI and expose MCFA supplementation as a feasible metabolic intervention to improve recovery of these patients at reperfusion.
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Supplying ucp3 +/− cardiac mitochondria with the medium-chain fatty acid (MCFA) octanoate slowed electron transport through the respiratory chain and reduced ROS generation. This was accompanied by improvement of cardiac LCFA oxidation and recovery of contractile function post ischemia. In conclusion, we demonstrated that normal cardiac UCP3 levels are essential to recovery of LCFA oxidation, mitochondrial respiratory capacity, and contractile function following I/R. 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The mitochondrial uncoupling protein 3 (UCP3) is down-regulated in the heart with insulin resistance. We hypothesized that decreased UCP3 levels contribute to poor cardiac recovery following ischemia/reperfusion (I/R). After confirming that myocardial UCP3 levels were systematically decreased by 20–49% in animal models of insulin resistance and type 2 diabetes, we genetically engineered Sprague–Dawley rats with partial loss of UCP3 (ucp3 +/− ). Wild-type littermates (ucp3 +/+ ) were used as controls. Isolated working hearts from ucp3 +/− rats were characterized by impaired recovery of cardiac power and decreased long-chain fatty acid (LCFA) oxidation following I/R. Mitochondria isolated from ucp3 +/− hearts subjected to I/R in vivo displayed increased reactive oxygen species (ROS) generation and decreased respiratory complex I activity. Supplying ucp3 +/− cardiac mitochondria with the medium-chain fatty acid (MCFA) octanoate slowed electron transport through the respiratory chain and reduced ROS generation. This was accompanied by improvement of cardiac LCFA oxidation and recovery of contractile function post ischemia. In conclusion, we demonstrated that normal cardiac UCP3 levels are essential to recovery of LCFA oxidation, mitochondrial respiratory capacity, and contractile function following I/R. These results reveal a potential mechanism for the poor prognosis of type 2 diabetic patients following MI and expose MCFA supplementation as a feasible metabolic intervention to improve recovery of these patients at reperfusion.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30374710</pmid><doi>10.1007/s00395-018-0707-9</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0002-5040-4500</orcidid><oa>free_for_read</oa></addata></record>
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subjects Animal models
Cardiology
Diabetes
Diabetes mellitus
Diabetes mellitus (non-insulin dependent)
Electron transport
Electron transport chain
Fatty acids
Genetic engineering
Heart
Insulin
Insulin resistance
Ischemia
Medicine
Medicine & Public Health
Mitochondria
Muscle contraction
Myocardial infarction
Original Contribution
Oxidation
Oxidation resistance
Patients
Protein deficiency
Proteins
Rats
Reactive oxygen species
Recovery
Reperfusion
Supplements
title Uncoupling protein 3 deficiency impairs myocardial fatty acid oxidation and contractile recovery following ischemia/reperfusion
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