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July 11, 2022Frontiers in Cardiovascular MedicineOpen Access

Short-chain fatty acids may serve as an effective alternative fuel and anti-inflammatory treatment for the failing heart, bypassing the downregulated long-chain fatty acid transporters.

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Why the study?

Metabolic heart failure treatments aiming to stimulate glucose oxidation or inhibit fatty acid oxidation have failed to provide meaningful clinical benefits, prompting a rethink of the concept that fat is harmful to the failing heart.

Design

Review

Key result

Short-chain fatty acids may serve as an effective alternative fuel and anti-inflammatory treatment for the failing heart, bypassing the downregulated long-chain fatty acid transporters.

Authors

CPConstantin L. PalmKNKirsten T. NijholtBBBarbara M. Bakker

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Overview

Metabolic modulation in HF should not yet change practice; leaves open whether substrate shifts improve outcomes.

Structured PICO

P
Population
Patients with heart failure and preclinical models of the failing heart
I
Intervention
Short-chain fatty acids (SCFAs)

This review highlights the potential of short-chain fatty acids as a novel metabolic and anti-inflammatory therapy for heart failure, challenging the traditional view that all fats are detrimental to the failing heart.

Limitations

  • Further metabolomic insights are necessary to identify the population most suitable for a human SCFAs trial.
  • It is unclear if certain types of heart failure show different alterations in fatty acid metabolism.

Cite This Study

Palm et al. (2022) conducted a review in Heart failure. Short-chain fatty acids (SCFAs) was evaluated. Short-chain fatty acids may serve as an effective alternative fuel and anti-inflammatory treatment for the failing heart, bypassing the downregulated long-chain fatty acid transporters.

synapsesocial.com/papers/6a7a542be357fbdac5897696https://doi.org/10.3389/fcvm.2022.915102
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