Key result
Aortic banding drives progressive mitochondrial protein loss and blunts PKA and AMPK signaling in systolic failure.
Why the study?
Metabolic remodeling plays an important role in the pathophysiology of heart failure, but the metabolic remodeling and implicated signaling pathways across stages of dysfunction needed characterization.
This multi-omics preclinical study highlights that mitochondrial metabolic derangements and attenuated PKA/AMPK signaling play a central, causative role in the progression from early systolic dysfunction to overt heart failure.
Preclinical only; leaves open whether restoring mitochondrial proteins or PKA/AMPK signaling alters human systolic HF progression.
Metabolic remodeling plays an important role in the pathophysiology of heart failure (HF). We sought to characterize metabolic remodeling and implicated signaling pathways in two rat models of early systolic dysfunction (MOD), and overt systolic HF (SHF). Tandem mass tag-labeled shotgun proteomics, phospho-(p)-proteomics, and non-targeted metabolomics analyses were performed in left ventricular myocardium tissue from Sham, MOD, and SHF using liquid chromatography–mass spectrometry, n = 3 biological samples per group. Mitochondrial proteins were predominantly down-regulated in MOD (125) and SHF (328) vs. Sham. Of these, 82% (103/125) and 66% (218/328) were involved in metabolism and respiration. Oxidative phosphorylation, mitochondrial fatty acid β-oxidation, Krebs cycle, branched-chain amino acids, and amino acid (glutamine and tryptophan) degradation were highly enriched metabolic pathways that decreased in SHF > MOD. Glycogen and glucose degradation increased predominantly in MOD, whereas glycolysis and pyruvate metabolism decreased predominantly in SHF. PKA signaling at the endoplasmic reticulum–mt interface was attenuated in MOD, whereas overall PKA and AMPK cellular signaling were attenuated in SHF vs. Sham. In conclusion, metabolic remodeling plays an important role in myocardial remodeling. PKA and AMPK signaling crosstalk governs metabolic remodeling in progression to SHF.
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Chaanine et al. (2021) studied Early systolic dysfunction and overt systolic heart failure (n=9). Ascending aortic banding vs. Sham procedure was evaluated on Metabolic remodeling and signaling pathway alterations (proteomic, phospho-proteomic, and metabolomic profiles). Ascending aortic banding in rats induced progressive down-regulation of mitochondrial proteins and attenuation of PKA and AMPK signaling in the transition to overt systolic heart failure.
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