Article ; Online: β-hydroxybutyrate accumulates in the rat heart during low-flow ischaemia with implications for functional recovery.
2021 Volume 10
Abstract: Extrahepatic tissues which oxidise ketone bodies also have the capacity to accumulate them under particular conditions. We hypothesised that acetyl-coenzyme A (acetyl-CoA) accumulation and altered redox status during low-flow ischaemia would support ... ...
Abstract | Extrahepatic tissues which oxidise ketone bodies also have the capacity to accumulate them under particular conditions. We hypothesised that acetyl-coenzyme A (acetyl-CoA) accumulation and altered redox status during low-flow ischaemia would support ketone body production in the heart. Combining a Langendorff heart model of low-flow ischaemia/reperfusion with liquid chromatography coupled tandem mass spectrometry (LC-MS/MS), we show that β-hydroxybutyrate (β-OHB) accumulated in the ischaemic heart to 23.9 nmol/gww and was secreted into the coronary effluent. Sodium oxamate, a lactate dehydrogenase (LDH) inhibitor, increased ischaemic β-OHB levels 5.3-fold and slowed contractile recovery. Inhibition of β-hydroxy-β-methylglutaryl (HMG)-CoA synthase (HMGCS2) with hymeglusin lowered ischaemic β-OHB accumulation by 40%, despite increased flux through succinyl-CoA-3-oxaloacid CoA transferase (SCOT), resulting in greater contractile recovery. Hymeglusin also protected cardiac mitochondrial respiratory capacity during ischaemia/reperfusion. In conclusion, net ketone generation occurs in the heart under conditions of low-flow ischaemia. The process is driven by flux through both HMGCS2 and SCOT, and impacts on cardiac functional recovery from ischaemia/reperfusion. |
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MeSH term(s) | 3-Hydroxybutyric Acid/metabolism ; Animals ; Chromatography, Liquid ; Citric Acid Cycle ; Heart/physiology ; Hydroxymethylglutaryl-CoA Synthase ; Ischemia/metabolism ; Ketone Bodies ; Male ; Mitochondria ; Myocardial Ischemia ; Myocytes, Cardiac ; Oxidation-Reduction ; Rats ; Rats, Wistar ; Tandem Mass Spectrometry |
Chemical Substances | Ketone Bodies ; Hydroxymethylglutaryl-CoA Synthase (EC 2.3.3.10) ; 3-Hydroxybutyric Acid (TZP1275679) |
Language | English |
Publishing date | 2021-09-07 |
Publishing country | England |
Document type | Journal Article ; Research Support, Non-U.S. Gov't |
ZDB-ID | 2687154-3 |
ISSN | 2050-084X ; 2050-084X |
ISSN (online) | 2050-084X |
ISSN | 2050-084X |
DOI | 10.7554/eLife.71270 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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