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2017 ; 2
(3
): 297-310
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Metabolic Origins of Heart Failure
#MMPMID28944310
Wende AR
; Brahma MK
; McGinnis GR
; Young ME
JACC Basic Transl Sci
2017[Jun]; 2
(3
): 297-310
PMID28944310
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For more than half a century, metabolic perturbations have been explored in the
failing myocardium, highlighting a reversion to a more fetal-like metabolic
profile (characterized by depressed fatty acid oxidation and concomitant
increased reliance on glucose utilization). More recently, alterations in ketone
body and amino acid/protein metabolism have been described during heart failure,
as well as mitochondrial dysfunction and perturbed metabolic signaling (e.g.,
acetylation, O-GlcNAcylation). Although numerous mechanisms are likely involved,
the current review provides recent advances regarding the metabolic origins of
heart failure, and their potential contribution toward contractile dysfunction of
the heart.