Fuel availability and fate in cardiac metabolism: a tale of two substrates
Open accessAbstract
The heart's extraordinary metabolic flexibility allows it to adapt to normal changes in physiology in order to preserve its function. Alterations in the metabolic profile of the heart have also been attributed to pathological conditions such as ischemia and hypertrophy; however, research during the past decade has established that cardiac metabolic adaptations can precede the onset of pathologies. It is therefore critical to understand how changes in cardiac substrate availability and use trigger events that ultimately result in heart dysfunction. This review examines the mechanisms by which the heart obtains fuels from the circulation or from mobilization of intracellular stores. We next describe experimental models that exhibit either an increase in glucose use or a decrease in FA oxidation, and how these aberrant conditions affect cardiac metabolism and function. Finally, we highlight the importance of alternative, relatively under-investigated strategies for the treatment of heart failure. This article is part of a Special Issue entitled: Heart Lipid Metabolism edited by G.D. Lopaschuk.
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Obesity can cause metabolic inflexibility of the heart and alter substrate selection.
“Obesity can cause metabolic inflexibility of the heart and alter substrate selection (179).”
From Metabolic Flexibility as an Adaptation to Energy Resources and Requirements in Health and Disease (2018) · cites this paper as [179]
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- Authors
- Pascual, F., & Coleman, R. A.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Coleman, Rosalind A.
- Venue
- Biochimica et Biophysica Acta (BBA) - Molecular and Cell Biology of Lipids
- Publisher
- Elsevier BV
- Published
- 2016-10
- Volume
- 1861
- Issue
- 10
- Pages
- 1425-1433
- ISSN
- 1388-1981 (ISSN-L)
- PMC
- PMC4983230
- OpenAlex
- W2301336672
- Cited by
- 125
- References
- 159
- Citations by year
- 2026: 15 · 2025: 14 · 2024: 11 · 2023: 12 · 2022: 11 · 2021: 24 · 2020: 15 · 2019: 5 · 2018: 8 · 2017: 6 · 2016: 3
- FWCI
- 1.28
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Biochimica et Biophysica Acta (BBA) - Molecular and Cell Biology of Lipids (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- UNC Libraries
- Funders
- National Institutes of Health (DK56599, DK59935)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Health Sciences › Medicine › Pathology and Forensic Medicine › Cardiac Ischemia and Reperfusion
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Mitochondrial Function and Pathology
- Keywords
- myocardial metabolism, metabolic flexibility, glucose utilization, fatty acid oxidation, substrate availability, myocardial ischemia, cardiac hypertrophy, heart failure, heart failure treatment
- MeSH terms
- Animals, Energy Metabolism, Fatty Acids, Glucose, Humans, Myocardium, Oxidation-Reduction, Substrate Specificity
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