Mellor KM, Wendt IR, Ritchie RH, Delbridge LM. Fructose diet treatment in mice induces fundamental disturbance of cardiomyocyte Ca 2ϩ handling and myofilament responsiveness. Am J Physiol Heart Circ Physiol 302: H964 -H972, 2012. First published December 23, 2011; doi:10.1152/ajpheart.00797.2011.-High fructose intake has been linked to insulin resistance and cardiac pathology. Dietary fructose-induced myocardial signaling and morphological alterations have been described, but whether cardiomyocyte function is influenced by chronic high fructose intake is yet to be elucidated. The goal of this study was to evaluate the cardiomyocyte excitationcontraction coupling effects of high dietary fructose and determine the capacity for murine cardiomyocyte fructose transport. Male C57Bl/6J mice were fed a high fructose diet for 12 wk. Fructose-and controlfed mouse cardiomyocytes were isolated and loaded with the fura 2 ) was reduced, and protein phosphatase 2A expression increased, in fructosefed mouse hearts. Hypertension and cardiac hypertrophy were not evident. These findings demonstrate that fructose diet-associated myocardial insulin resistance induces profound disturbance of cardiomyocyte Ca 2ϩ handling and responsiveness in the absence of altered systemic loading conditions. excitation-contraction coupling; cardiac; myocardial; cellular IN WESTERN SOCIETIES, the use of added sweeteners has increased by 25% during the last 30 years, and it has been estimated that the average adolescent (North American) consumes over 30% of energy intake in the form of added sugars (17,29). Fructose intake has been identified as a significant risk factor for insulin resistance and cardiovascular disease, independent of body mass index (45). Experimental models have demonstrated that a high fructose diet disturbs metabolic homeostasis, increases plasma fructose, and induces systemic insulin resistance in rodents (2,24,32,35). The existence of an insulin-resistant cardiomyopathy, associated with perturbed cardiac metabolism and functional impairment, is generally recognized (33,46,48). In a previous study, we have demonstrated that excess fructose intake is associated with elevated blood glucose, glucose intolerance, and normal plasma insulin in the absence of hypertension and obesity (35). We have also shown that fructose feeding induces diffuse myocardial fibrotic infiltration linked with suppressed cardiomyocyte viability signaling (35). The impact of elevated dietary fructose intake on cardiomyocyte functional performance is yet to be demonstrated.Cellular fructose uptake is mediated by insulin-independent transporters. Fructose is rapidly phosphorylated by fructokinase and bypasses the glycolytic rate-limiting enzyme, phosphofructokinase, proceeding through glycolysis to produce pyruvate and lactate in a less-controlled manner than glucose (30). The close association of glycolytic enzymes with Ca 2ϩ -related transporters provides indication that specific excitationcontraction coupling processes are particularly reliant on glycolyt...