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Ouwens DM, Diamant M, Fodor M, Habets DDJ, Pelsers MMAL, El Hasnaoui M, Dang ZC, van den Brom CE, Vlasblom R, Rietdijk A, Boer C, Coort SLM, Glatz JFC, Luiken JJFP. Cardiac contractile dysfunction in insulin-resistant rats fed a high-fat diet is associated with elevated CD36-mediated fatty acid uptake and esterification. Diabetologia 2007; 50:1938-1948. [PMID: 17639306 PMCID: PMC2039861 DOI: 10.1007/s00125-007-0735-8] [Citation(s) in RCA: 167] [Impact Index Per Article: 9.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2007] [Accepted: 05/22/2007] [Indexed: 11/29/2022]
Abstract
AIMS/HYPOTHESIS Changes in cardiac substrate utilisation leading to altered energy metabolism may underlie the development of diabetic cardiomyopathy. We studied cardiomyocyte substrate uptake and utilisation and the role of the fatty acid translocase CD36 in relation to in vivo cardiac function in rats fed a high-fat diet (HFD). METHODS Rats were exposed to an HFD or a low-fat diet (LFD). In vivo cardiac function was monitored by echocardiography. Substrate uptake and utilisation were determined in isolated cardiomyocytes. RESULTS Feeding an HFD for 8 weeks induced left ventricular dilation in the systolic phase and decreased fractional shortening and the ejection fraction. Insulin-stimulated glucose uptake and proline-rich Akt substrate 40 phosphorylation were 41% (p < 0.001) and 45% (p < 0.05) lower, respectively, in cardiomyocytes from rats on the HFD. However, long-chain fatty acid (LCFA) uptake was 1.4-fold increased (p < 0.001) and LCFA esterification into triacylglycerols and phospholipids was increased 1.4- and 1.5-fold, respectively (both p < 0.05), in cardiomyocytes from HFD compared with LFD hearts. In the presence of the CD36 inhibitor sulfo-N-succinimidyloleate, LCFA uptake and esterification were similar in LFD and HFD cardiomyocytes. In HFD hearts CD36 was relocated to the sarcolemma, and basal phosphorylation of a mediator of CD36-trafficking, i.e. protein kinase B (PKB/Akt), was increased. CONCLUSIONS/INTERPRETATION Feeding rats an HFD induced cardiac contractile dysfunction, which was accompanied by the relocation of CD36 to the sarcolemma, and elevated basal levels of phosphorylated PKB/Akt. The permanent presence of CD36 at the sarcolemma resulted in enhanced rates of LCFA uptake and myocardial triacylglycerol accumulation, and may contribute to the development of insulin resistance and diabetic cardiomyopathy.
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Affiliation(s)
- D M Ouwens
- Department of Molecular Cell Biology, Section of Signal Transduction and Ageing, Leiden University Medical Centre, Postzone S1-P, P.O. Box 9600, NL-2300, RC Leiden, The Netherlands.
| | - M Diamant
- Department of Endocrinology, Diabetes Centre, VU University Medical Centre, Amsterdam, the Netherlands
| | - M Fodor
- Department of Anatomy and Embryology/Central Animal Facility, Leiden University Medical Centre, Leiden, the Netherlands
| | - D D J Habets
- Department of Molecular Genetics, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, the Netherlands
| | - M M A L Pelsers
- Department of Molecular Genetics, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, the Netherlands
| | - M El Hasnaoui
- Department of Molecular Genetics, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, the Netherlands
| | - Z C Dang
- Department of Endocrinology, Diabetes Centre, VU University Medical Centre, Amsterdam, the Netherlands
- Laboratory for Physiology, VU University Medical Centre, Amsterdam, the Netherlands
| | - C E van den Brom
- Department of Molecular Cell Biology, Section of Signal Transduction and Ageing, Leiden University Medical Centre, Postzone S1-P, P.O. Box 9600, NL-2300, RC Leiden, The Netherlands
- Department of Endocrinology, Diabetes Centre, VU University Medical Centre, Amsterdam, the Netherlands
- Laboratory for Physiology, VU University Medical Centre, Amsterdam, the Netherlands
| | - R Vlasblom
- Department of Molecular Cell Biology, Section of Signal Transduction and Ageing, Leiden University Medical Centre, Postzone S1-P, P.O. Box 9600, NL-2300, RC Leiden, The Netherlands
- Department of Endocrinology, Diabetes Centre, VU University Medical Centre, Amsterdam, the Netherlands
- Laboratory for Physiology, VU University Medical Centre, Amsterdam, the Netherlands
| | - A Rietdijk
- Department of Molecular Cell Biology, Section of Signal Transduction and Ageing, Leiden University Medical Centre, Postzone S1-P, P.O. Box 9600, NL-2300, RC Leiden, The Netherlands
| | - C Boer
- Laboratory for Physiology, VU University Medical Centre, Amsterdam, the Netherlands
| | - S L M Coort
- Department of Molecular Genetics, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, the Netherlands
| | - J F C Glatz
- Department of Molecular Genetics, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, the Netherlands
| | - J J F P Luiken
- Department of Molecular Genetics, Cardiovascular Research Institute Maastricht, Maastricht University, Maastricht, the Netherlands
- Department of Biochemical Physiology and Institute of Biomembranes, Utrecht University, Utrecht, the Netherlands
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Van 't Veer P, van Leer EM, Rietdijk A, Kok FJ, Schouten EG, Hermus RJ, Sturmans F. Combination of dietary factors in relation to breast-cancer occurrence. Int J Cancer 1991; 47:649-53. [PMID: 1848533 DOI: 10.1002/ijc.2910470503] [Citation(s) in RCA: 68] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Combinations of dietary factors were studied in relation to breast-cancer occurrence among 133 breast cancer cases and 289 population controls in The Netherlands. Dietary factors were classified according to their possible mechanism of action, i.e., relating either to the intestinal microflora (total fat, fiber, fermented milk products) or to the anti-oxidant hypothesis (beta-carotene, selenium and polyunsaturated fatty acids). From 6 interactions evaluated, the combination of high fiber intake and high intake of fermented milk products was the only one suggesting synergistic protection (age-and-fat-adjusted OR for interaction = 0.48, 95% confidence interval (CI) = 0.21 - 1.13). In order to estimate the extent to which the above dietary factors together might be related to breast cancer, subjects with a supposedly favorable dietary pattern (low fat intake, high fiber intake, high intake of fermented milk products; high intake of beta-carotene and selenium, low intake of polyunsaturated fatty acids) were compared with subjects with an unfavorable dietary pattern. This resulted in an age-adjusted odds ratio of 0.40 (95% CI = 0.14 - 1.15), which was largely attributable to the combination of low intake of fat and high intake of fermented milk products and fiber (age-adjusted OR = 0.33, 95% CI = 0.15 - 0.73). The other factors did not appreciably affect the odds ratio. These analyses show in a quantitative way that a dietary pattern which combines low intake of fat and high intake of fiber and fermented milk products might provide substantial protection against breast cancer.
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Affiliation(s)
- P Van 't Veer
- Epidemiology Section, TNO-CIVO Toxicology and Nutrition Institute, Zeist, The Netherlands
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