2018
DOI: 10.1016/j.plefa.2016.06.002
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Molecular mechanism of lipid-induced cardiac insulin resistance and contractile dysfunction

Abstract: Long-chain fatty acids are the main cardiac substrates from which ATP is generated continually to serve the high energy demand and sustain the normal function of the heart. Under healthy conditions, fatty acid β-oxidation produces 50-70% of the energy demands with the remainder largely accounted for by glucose. Chronically increased dietary lipid supply often leads to excess lipid accumulation in the heart, which is linked to a variety of maladaptive phenomena, such as insulin resistance, cardiac hypertrophy a… Show more

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Cited by 29 publications
(27 citation statements)
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“…Ceramides act as key components of lipotoxic signaling pathways linking lipid-induced inflammation with insulin signaling inhibition [157]. On other hand, high lipid contents can induce contractile dysfunction independently of insulin resistance [158]. Therefore, the resultant defect in myocardial energy production impairs myocyte contraction and diastolic function [93, 159] (Fig.…”
Section: Insulin Resistance and Changes In The Cardiac Metabolismmentioning
confidence: 99%
“…Ceramides act as key components of lipotoxic signaling pathways linking lipid-induced inflammation with insulin signaling inhibition [157]. On other hand, high lipid contents can induce contractile dysfunction independently of insulin resistance [158]. Therefore, the resultant defect in myocardial energy production impairs myocyte contraction and diastolic function [93, 159] (Fig.…”
Section: Insulin Resistance and Changes In The Cardiac Metabolismmentioning
confidence: 99%
“…There is also experimental evidence on the role of different ceramide species in several atherosclerotic processes such as aggregation of lipoproteins, accumulation of lipoproteins and cholesterol within macrophages and vessel wall, impairment of mitochondrial function leading to excessive production of ROS, regulation of NO synthesis, activation of platelets, and expression of various cytokines [70,134,142,155]. Moreover, ceramides also modulate signaling and metabolic pathways involved not only on insulin resistance, but also on hepatic steatosis, and hypertension and, therefore, play a key role in the metabolic dysfunction that precedes cardiovascular events [138,139,140,160,161]. Finally, some ceramides may trigger cardiomyocyte-specific actions leading to the so termed lipotoxic cardiomyopathy [155,160,162].…”
Section: Ceramide and Diseasementioning
confidence: 99%
“…Elevated ROS levels consume and surpass the antioxidant capacity of the injured myocardium, significantly contributing to oxidative stress generation and affecting protein function, resulting in myocardial damage with morphological and functional abnormalities [ 13 ]. In cardiac I/R injury, significant sources of ROS are inflammation-induced phagocyte-type NAD (P) H oxidase and mitochondrial metabolism-associated fatty acid oxidation [ 14 , 15 ]. Excessive ROS generation opens the mitochondrial permeability transition pore (MPTP) further contributing to myocardial injury and contractile dysfunction.…”
Section: Introductionmentioning
confidence: 99%