Crown SB, Kelleher JK, Rouf R, Muoio DM, Antoniewicz MR. Comprehensive metabolic modeling of multiple 13 C-isotopomer data sets to study metabolism in perfused working hearts. Am J Physiol Heart Circ Physiol 311: H881-H891, 2016. First published August 5, 2016; doi:10.1152/ajpheart.00428.2016.-In many forms of cardiomyopathy, alterations in energy substrate metabolism play a key role in disease pathogenesis. Stable isotope tracing in rodent heart perfusion systems can be used to determine cardiac metabolic fluxes, namely those relative fluxes that contribute to pyruvate, the acetylCoA pool, and pyruvate anaplerosis, which are critical to cardiac homeostasis. Methods have previously been developed to interrogate these relative fluxes using isotopomer enrichments of measured metabolites and algebraic equations to determine a predefined metabolic flux model. However, this approach is exquisitely sensitive to measurement error, thus precluding accurate relative flux parameter determination. In this study, we applied a novel mathematical approach to determine relative cardiac metabolic fluxes using 13 C-metabolic flux analysis ( 13 C-MFA) aided by multiple tracer experiments and integrated data analysis. Using 13 C-MFA, we validated a metabolic network model to explain myocardial energy substrate metabolism. Four different 13 C-labeled substrates were queried (i.e., glucose, lactate, pyruvate, and oleate) based on a previously published study. We integrated the analysis of the complete set of isotopomer data gathered from these mouse heart perfusion experiments into a single comprehensive network model that delineates substrate contributions to both pyruvate and acetyl-CoA pools at a greater resolution than that offered by traditional methods using algebraic equations. To our knowledge, this is the first rigorous application of 13 C-MFA to interrogate data from multiple tracer experiments in the perfused heart. We anticipate that this approach can be used widely to study energy substrate metabolism in this and other similar biological systems. metabolic flux; 13 C-MFA; parallel labeling experiments; heart metabolism; perfusion
NEW & NOTEWORTHYThe present study is the first to provide comprehensive metabolic modeling for the perfused working heart using 13 Cmetabolic flux analysis. Our approach integrates 12 data sets (with 4 unique 13 C-tracers) into a single metabolic model, identifies inconsistencies in measurement data, and improves relative flux precision compared with previous algebraic models.THE MAMMALIAN HEART MUST SUSTAIN continuous mechanical work and respond to rapid changes in energy demand, despite its limited capacity to store chemical energy. As such, maintaining a high rate of ATP production and possessing metabolic flexibility toward substrate utilization is important to the heart's normal physiology and function. During the fasting condition in the healthy heart, fatty acids contribute ϳ70 -90% to ATP generation, whereas a small fraction of ATP is produced from glucose, lactate, and other sources (...