PPARγ-induced cardiolipotoxicity in mice is ameliorated by PPARα deficiency despite increases in fatty acid oxidation
Open accessAbstract
Excess lipid accumulation in the heart is associated with decreased cardiac function in humans and in animal models. The reasons are unclear, but this is generally believed to result from either toxic effects of intracellular lipids or excessive fatty acid oxidation (FAO). PPARγ expression is increased in the hearts of humans with metabolic syndrome, and use of PPARγ agonists is associated with heart failure. Here, mice with dilated cardiomyopathy due to cardiomyocyte PPARγ overexpression were crossed with PPARα-deficient mice. Surprisingly, this cross led to enhanced expression of several PPAR-regulated genes that mediate fatty acid (FA) uptake/oxidation and triacylglycerol (TAG) synthesis. Although FA oxidation and TAG droplet size were increased, heart function was preserved and survival improved. There was no marked decrease in cardiac levels of triglyceride or the potentially toxic lipids diacylglycerol (DAG) and ceramide. However, long-chain FA coenzyme A (LCCoA) levels were increased, and acylcarnitine content was decreased. Activation of PKCα and PKCδ, apoptosis, ROS levels, and evidence of endoplasmic reticulum stress were also reduced. Thus, partitioning of lipid to storage and oxidation can reverse cardiolipotoxicity despite increased DAG and ceramide levels, suggesting a role for other toxic intermediates such as acylcarnitines in the toxic effects of lipid accumulation in the heart.
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The abnormal fatty acid levels create toxic byproducts that cause cell apoptosis, contributing to kidney failure.
“The abnormal fatty acid levels create toxic byproducts that cause cell apoptosis, contributing to kidney failure.”
From Associations of Fenofibrate Therapy With Incidence and Progression of CKD in Patients With Type 2 Diabetes (2019) · cites this paper as [25]
Patients with diabetic kidney disease have altered activity of lipid-metabolizing enzymes, which may lead to a reduction in fatty acid metabolism.
“Patients with diabetic kidney disease have altered activity of lipid-metabolizing enzymes, which may lead to a reduction in fatty acid metabolism.25”
From Associations of Fenofibrate Therapy With Incidence and Progression of CKD in Patients With Type 2 Diabetes (2019) · cites this paper as [25]
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Dynamics and functions of lipid droplets
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Lipid metabolism and signaling in cardiac lipotoxicity
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Lipotoxicity in obesity and diabetes-related cardiac dysfunction
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The Evolving Understanding of the Contribution of Lipid Metabolism to Diabetic Kidney Disease
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Self-citationMetabolic Modulators in Heart Disease: Past, Present, and Future
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Manifestations and mechanisms of myocardial lipotoxicity in obesity
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Dietary Fat and Heart Failure: Moving From Lipotoxicity to Lipoprotection
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High Fat Diet Upregulates Fatty Acid Oxidation and Ketogenesis via Intervention of PPAR-γ
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Mechanisms of Lipotoxicity in the Cardiovascular System
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Self-citationPCSK9 deficiency rewires heart metabolism and drives heart failure with preserved ejection fraction
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New Molecular Insights of Insulin in Diabetic Cardiomyopathy
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Self-citationAre targeted therapies for diabetic cardiomyopathy on the horizon?
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Metabolism and Chronic Inflammation: The Links Between Chronic Heart Failure and Comorbidities
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Adipose Tissue Biology and Cardiomyopathy
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The Mitochondria in Diabetic Heart Failure: From Pathogenesis to Therapeutic Promise
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CYP2J2-Derived Epoxyeicosatrienoic Acids Suppress Endoplasmic Reticulum Stress in Heart Failure
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Sphingolipids, Lipotoxic Cardiomyopathy, and Cardiac Failure
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Self-citationA Novel Function of MicroRNA 130a-3p in Hepatic Insulin Sensitivity and Liver Steatosis
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Cardiomyocyte lipids impair β-adrenergic receptor function via PKC activation
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Self-citationConcurrent diabetes and heart failure: interplay and novel therapeutic approaches
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Lipotoxicity: a driver of heart failure with preserved ejection fraction?
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Dual PPARα/γ activation inhibits SIRT1-PGC1α axis and causes cardiac dysfunction
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Self-citationContribution of Impaired Insulin Signaling to the Pathogenesis of Diabetic Cardiomyopathy
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Cardiac Hypertrophy: From Pathophysiological Mechanisms to Heart Failure Development
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Cardiac nuclear receptors: architects of mitochondrial structure and function
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Updating Experimental Models of Diabetic Cardiomyopathy
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Genetic loss of insulin receptors worsens cardiac efficiency in diabetes
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Self-citationOrigins of metabolic complications in obesity
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Increased Expression of Fatty-Acid and Calcium Metabolism Genes in Failing Human Heart
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Role of Cardiac Steatosis and Lipotoxicity in Obesity Cardiomyopathy
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Metabolic characterization of volume overload heart failure due to aorto-caval fistula in rats
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Cardiomyocyte Aldose Reductase Causes Heart Failure and Impairs Recovery from Ischemia
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Self-citationPPARs: Protectors or Opponents of Myocardial Function?
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Lipotoxicity and cardiac dysfunction in mammals andDrosophila
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Metabolic Complications in Cardiac Aging
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Cardiac-specific ablation of ARNT leads to lipotoxicity and cardiomyopathy
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2017 George Lyman Duff Memorial Lecture
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Self-citationImpaired fatty acid oxidation as a cause for lipotoxicity in cardiomyocytes
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Myocardial Energy Metabolism in Non-ischemic Cardiomyopathy
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A novel physiological role for cardiac myoglobin in lipid metabolism
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Targeting ATGL to rescue BSCL2 lipodystrophy and its associated cardiomyopathy
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Transcription Factors Involved in the Development and Prognosis of Cardiac Remodeling
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Mechanism of Obesity-Related Lipotoxicity and Clinical Perspective
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Aldose Reductase Acts as a Selective Derepressor of PPARγ and the Retinoic Acid Receptor
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- Authors
- Son, N.-H., Yu, S., Tuinei, J., Arai, K., Hamai, H., Homma, S., Shulman, G. I., Abel, E. D., & Goldberg, I. J.
- Affiliations
- Columbia University (US)
- Corresponding author
- Goldberg, Ira J.
- Venue
- Journal of Clinical Investigation
- Published
- 2010-10-01
- Volume
- 120
- Issue
- 10
- Pages
- 3443-3454
- ISSN
- 0021-9738 (ISSN-L)
- PMC
- PMC2947216
- OpenAlex
- W2150170148
- Cited by
- 159
- References
- 88
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 6 · 2023: 7 · 2022: 10 · 2021: 9 · 2020: 8 · 2019: 6 · 2018: 10 · 2017: 12 · 2016: 12 · 2015: 13 · 2014: 10 · 2013: 11 · 2012: 21
- FWCI
- 5.74
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Clinical Investigation (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL045095, R01HL073029, P50HL077113, U01HL087947, HL73029, HL45095, R37HL045095)
- National Institute of Diabetes and Digestive and Kidney Diseases (R01DK040936, U24DK059635, U2CDK059635, R24DK085638, P30DK034989, P30DK045735)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Peroxisome Proliferator-Activated Receptors
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Function and Risk Factors
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Lipids, and Metabolism
- Keywords
- PPARγ, PPARα, fatty acid oxidation, triglyceride synthesis, acylcarnitines, diacylglycerol, ceramide, protein kinase C alpha, PKCδ, endoplasmic reticulum stress, apoptosis, reactive oxygen species, dilated cardiomyopathy, heart failure, metabolic syndrome
- MeSH terms
- Animals, Fatty Acids, Fatty Acids, Nonesterified, Lipids, Mice, Inbred CBA, Mice, Inbred C57BL, Myocardium, Oxidation-Reduction, Triglycerides, Apoptosis, Reactive Oxygen Species, Myocytes, Cardiac, PPAR alpha, PPAR gamma, Lipid Metabolism, Mice
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