Metabolic and Cardiac Adaptation to Chronic Pharmacologic Blockade of Facilitative Glucose Transport in Murine Dilated Cardiomyopathy and Myocardial Ischemia

Sci Rep. 2018 Apr 24;8(1):6475. doi: 10.1038/s41598-018-24867-1.

Abstract

GLUT transgenic and knockout mice have provided valuable insight into the role of facilitative glucose transporters (GLUTs) in cardiovascular and metabolic disease, but compensatory physiological changes can hinder interpretation of these models. To determine whether adaptations occur in response to GLUT inhibition in the failing adult heart, we chronically treated TG9 mice, a transgenic model of dilated cardiomyopathy and heart failure, with the GLUT inhibitor ritonavir. Glucose tolerance was significantly improved with chronic treatment and correlated with decreased adipose tissue retinol binding protein 4 (RBP4) and resistin. A modest improvement in lifespan was associated with decreased cardiomyocyte brain natriuretic peptide (BNP) expression, a marker of heart failure severity. GLUT1 and -12 protein expression was significantly increased in left ventricular (LV) myocardium in ritonavir-treated animals. Supporting a switch from fatty acid to glucose utilization in these tissues, fatty acid transporter CD36 and fatty acid transcriptional regulator peroxisome proliferator-activated receptor α (PPARα) mRNA were also decreased in LV and soleus muscle. Chronic ritonavir also increased cardiac output and dV/dt-d in C57Bl/6 mice following ischemia-reperfusion injury. Taken together, these data demonstrate compensatory metabolic adaptation in response to chronic GLUT blockade as a means to evade deleterious changes in the failing heart.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Blood Glucose / metabolism
  • Cardiomyopathy, Dilated / metabolism*
  • Coronary Artery Disease / metabolism
  • Disease Models, Animal
  • Fatty Acid Transport Proteins / metabolism
  • Fatty Acids / metabolism
  • Glucose / metabolism*
  • Glucose Transport Proteins, Facilitative / metabolism*
  • Glucose Transport Proteins, Facilitative / physiology
  • Heart Failure / metabolism
  • Heart Ventricles / physiopathology
  • Mice
  • Mice, Inbred C57BL
  • Mice, Knockout
  • Mice, Transgenic
  • Myocardial Ischemia / metabolism
  • Myocardial Ischemia / physiopathology
  • Myocardium / metabolism
  • Myocytes, Cardiac / metabolism
  • PPAR alpha / metabolism
  • Ritonavir / pharmacology

Substances

  • Blood Glucose
  • Fatty Acid Transport Proteins
  • Fatty Acids
  • Glucose Transport Proteins, Facilitative
  • PPAR alpha
  • Glucose
  • Ritonavir