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The cardiac phenotype induced by PPARα overexpression mimics that caused by diabetes mellitus

Open access
Brian N. Finck, John J. Lehman, Teresa C. Leone, Michael John Welch, Michael J. Bennett, Attila D Kovács, Xianlin Han, Richard W. Gross, Ray Kozak, Gary D. Lopaschuk, Daniel P. Kelly·2002·Journal of Clinical Investigation

Abstract

Recent evidence has defined an important role for PPARalpha in the transcriptional control of cardiac energy metabolism. To investigate the role of PPARalpha in the genesis of the metabolic and functional derangements of diabetic cardiomyopathy, mice with cardiac-restricted overexpression of PPARalpha (MHC-PPAR) were produced and characterized. The expression of PPARalpha target genes involved in cardiac fatty acid uptake and oxidation pathways was increased in MHC-PPAR mice. Surprisingly, the expression of genes involved in glucose transport and utilization was reciprocally repressed in MHC-PPAR hearts. Consistent with the gene expression profile, myocardial fatty acid oxidation rates were increased and glucose uptake and oxidation decreased in MHC-PPAR mice, a metabolic phenotype strikingly similar to that of the diabetic heart. MHC-PPAR hearts exhibited signatures of diabetic cardiomyopathy including ventricular hypertrophy, activation of gene markers of pathologic hypertrophic growth, and transgene expression-dependent alteration in systolic ventricular dysfunction. These results demonstrate that (a) PPARalpha is a critical regulator of myocardial fatty acid uptake and utilization, (b) activation of cardiac PPARalpha regulatory pathways results in a reciprocal repression of glucose uptake and utilization pathways, and (c) derangements in myocardial energy metabolism typical of the diabetic heart can become maladaptive, leading to cardiomyopathy.

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Metadata

Authors
Finck, B. N., Lehman, J. J., Leone, T. C., Welch, M. J., Bennett, M. J., Kovács, A. D., Han, X., Gross, R. W., Kozak, R., Lopaschuk, G. D., & Kelly, D. P.
Venue
Journal of Clinical Investigation
Published
2002-01-01
Volume
109
Issue
1
Pages
121-130
ISSN
0021-9738 (ISSN-L)
OpenAlex
W2162919259
Cited by
879
References
7
FWCI
12.53
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: The cardiac phenotype induced by PPARα overexpression mimics that caused by diabetes mellitus. https://app.cochat.ai/papers/10.1172/jci14080
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Finck, B. N., Lehman, J. J., Leone, T. C., Welch, M. J., Bennett, M. J., Kovács, A. D., Han, X., Gross, R. W., Kozak, R., Lopaschuk, G. D., & Kelly, D. P. (2002). The cardiac phenotype induced by PPARα overexpression mimics that caused by diabetes mellitus. Journal of Clinical Investigation. https://doi.org/10.1172/jci14080

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