Why the study?
Does acute high-fatty acid exposure affect ischemic tolerance differently in diet-induced obese mouse hearts compared to normal hearts?
Does acute high-fatty acid exposure affect ischemic tolerance differently in diet-induced obese mouse hearts compared to normal hearts?
Obesity and insulin resistance may paradoxically precondition the heart to better tolerate acute fatty acid exposure and subsequent ischemia.
Obesity may blunt acute fat-load cardiac injury and improve ischemic tolerance; hypothesis-generating for metabolic preconditioning, needs clinical validation.
An acute myocardial fat-load leads to oxidative stress, oxygen wasting, mechanical inefficiency, hyperacetylation, and impaired mitochondrial function, which can contribute to reduced ischemic tolerance. Following obesity/insulin resistance, hearts were less affected by a high fat-load, which subsequently also improved ischemic tolerance. This study highlights that an acute fat-load affects normal and obese hearts differently and that obesity renders hearts less vulnerable to the disadvantageous effects of an acute fat-load.
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Boardman et al. (2020) studied this question.
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