2006
DOI: 10.1007/s11010-005-9030-5
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Cardiac substrate uptake and metabolism in obesity and type-2 diabetes: Role of sarcolemmal substrate transporters

Abstract: Cardiovascular disease is the primary cause of death in obesity and type-2 diabetes mellitus (T2DM). Alterations in substrate metabolism are believed to be involved in the development of both cardiac dysfunction and insulin resistance in these conditions. Under physiological circumstances the heart utilizes predominantly long-chain fatty acids (LCFAs) (60-70%), with the remainder covered by carbohydrates, i.e., glucose (20%) and lactate (10%). The cellular uptake of both LCFA and glucose is regulated by the sa… Show more

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Cited by 81 publications
(61 citation statements)
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“…In this study we observed that subjecting rats to a 42% fat (HF) diet for 10 weeks increased cardiac FFA concentration, which can be reduced by in vivo treatment with E 2 . It has previously been shown that obesity, accompained with IR shifts myocardial metabolism towards usage of FFAs affecting contractile function (Coort et al 2007). On a molecular level, increased concentration of FFA also diminishes cardiac glucose metabolism (Coort et al 2004, Rider et al 2013).…”
Section: Discussionmentioning
confidence: 99%
“…In this study we observed that subjecting rats to a 42% fat (HF) diet for 10 weeks increased cardiac FFA concentration, which can be reduced by in vivo treatment with E 2 . It has previously been shown that obesity, accompained with IR shifts myocardial metabolism towards usage of FFAs affecting contractile function (Coort et al 2007). On a molecular level, increased concentration of FFA also diminishes cardiac glucose metabolism (Coort et al 2004, Rider et al 2013).…”
Section: Discussionmentioning
confidence: 99%
“…The decrease of the insulin-stimulated glucose uptake in insulinresistant heart is linked, in part, to the impairment of the translocation of the glucose transporter GLUT4 to the plasma membrane (see Ref. 10 for a review). The defect in GLUT4 translocation is, moreover, associated with an alteration of the insulin-induced activation of the protein kinase B (PKB)/Akt signaling pathway (17,26).…”
mentioning
confidence: 99%
“…Because of experimental limitations, we were not able to measure GLUT4 translocation (surface GLUT4). However, several reports have shown that insulin-stimulated glucose transport in the heart appears to be primarily mediated by the Akt/PKB signaling pathway, and that defects in GLUT4 translocation are associated with alterations in this pathway (7,9,20). Furthermore, the Rab GTPase-activating protein AS160 is a substrate for Akt/PKB and serves as a link between insulin activation of Akt/PKB and the subsequent translocation of GLUT4 to the cell surface (41).…”
Section: Discussionmentioning
confidence: 99%