Chylomicron and palmitate metabolism by perfused hearts from diabetic mice. Am J Physiol Endocrinol Metab 284: E357-E365, 2003. First published October 22, 2002 10.1152/ajpendo.00380.2002 in circulating chylomicrons by endotheliumbound lipoprotein lipase (LPL) provides a source of fatty acids (FA) for cardiac metabolism. The effect of diabetes on the metabolism of chylomicrons by perfused mouse hearts was investigated with db/db (type 2) and streptozotocin (STZ)-treated (type 1) diabetic mice. Endothelium-bound heparin-releasable LPL activity was unchanged in both type 1 and type 2 diabetic hearts. The metabolism of LPL-derived FA was examined by perfusing hearts with chylomicrons containing radiolabeled TG and by measuring 3 H2O accumulation in the perfusate (oxidation) and incorporation of radioactivity into tissue TG (esterification). Rates of LPL-derived FA oxidation and esterification were increased 2.3-fold and 1.7-fold in db/db hearts. Similarly, LPL-derived FA oxidation and esterification were increased 3.4-fold and 2.5-fold, respectively, in perfused hearts from STZ-treated mice. The oxidation and esterification of [ 3 H]palmitate complexed to albumin were also increased in type 1 and type 2 diabetic hearts. Therefore, diabetes may not influence the supply of LPL-derived FA, but total FA utilization (oxidation and esterification) was enhanced. diabetic cardiomyopathy; lipoprotein lipase; fatty acid metabolism FATTY ACIDS (FA) are generally considered to be the preferred oxidative substrate for the heart (41). The two sources of FA for cardiac metabolism are 1) circulating FA bound to plasma albumin that can be taken up directly by the heart, and 2) hydrolysis of triacylglycerols (TG) in circulating lipoproteins (chylomicrons and very-low-density lipoproteins) by an endotheliumbound enzyme, lipoprotein lipase (LPL), to also yield FA for cardiac uptake and metabolism (6).Chylomicrons are the preferred lipoprotein substrate for LPL (14). Recently, chylomicron metabolism has been measured with isolated perfused working hearts from rats (15, 42) and mice (29), so that the metabolic fate of LPL-derived FA could be compared with the utilization of albumin-bound FA.Metabolism of exogenous substrates is altered markedly in diabetic hearts (26, 38). As a consequence of decreased glucose utilization and increased oxidation of albumin-bound FA by hearts from insulin-deficient (type 1) diabetic rats (35), FA oxidation becomes almost the exclusive energy source for the diabetic hearts. Similar results showing elevated FA oxidation have been reported recently for perfused working hearts from diabetic db/db mice (2), an animal model of type 2 diabetes with obesity and insulin resistance (9, 22). However, observations that FA oxidation was increased in type 1 and type 2 diabetic hearts have been obtained from perfusions with albumin-bound FA (palmitate) only (2,35,38). In the case of chylomicron metabolism, the supply of FA for the diabetic heart could be altered if endothelium-bound LPL activity is changed, in additio...