Key result
PHD2/3 loss blocks cardiomyocyte long-chain fatty acid uptake and β-oxidation by preventing CPT1B-VDAC1 interaction.
Why the study?
Under physiological conditions cardiac metabolism favors long-chain fatty acids, but ischemic or failing hearts switch to glucose through mechanisms that remain poorly understood.
Identifies the PHD2/3-CPT1B-VDAC1 axis as a key oxygen-sensitive regulatory mechanism for long-chain fatty acid oxidation in cardiomyocytes.
Answers are grounded in this paper and cite their sources.
Should not yet change clinical practice in cardiac metabolism; leaves open therapeutic targeting of the PHD-CPT1B-VDAC1 axis in humans.
Cardiac metabolism is a high-oxygen-consuming process, showing a preference for long-chain fatty acid (LCFA) as the fuel source under physiological conditions. However, a metabolic switch (favoring glucose instead of LCFA) is commonly reported in ischemic or late-stage failing hearts. The mechanism regulating this metabolic switch remains poorly understood. Here, we report that loss of PHD2/3, the cellular oxygen sensors, blocks LCFA mitochondria uptake and β-oxidation in cardiomyocytes. In high-fat-fed mice, PHD2/3 deficiency improves glucose metabolism but exacerbates the cardiac defects. Mechanistically, we find that PHD2/3 bind to CPT1B, a key enzyme of mitochondrial LCFA uptake, promoting CPT1B-P295 hydroxylation. Further, we show that CPT1B-P295 hydroxylation is indispensable for its interaction with VDAC1 and LCFA β-oxidation. Finally, we demonstrate that a CPT1B-P295A mutant constitutively binds to VDAC1 and rescues LCFA metabolism in PHD2/3-deficient cardiomyocytes. Together, our data identify an oxygen-sensitive regulatory axis involved in cardiac metabolism.
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Angelini et al. (2021) studied Cardiac metabolism / Ischemic or failing hearts. PHD2/3 deficiency / CPT1B-P295A mutant vs. Wild-type / Control was evaluated on LCFA mitochondria uptake and β-oxidation. Loss of PHD2/3 blocks long-chain fatty acid mitochondrial uptake and β-oxidation in cardiomyocytes by preventing CPT1B-P295 hydroxylation and its interaction with VDAC1.
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