Aims Inflammatory responses in the heart that are driven by sustained increases in cytokines have been associated with several pathological processes, including cardiac hypertrophy and heart failure. Emerging data suggest a link between cardiomyopathy and myocardial metabolism dysregulation. To further elucidate the relationship between a pro-inflammatory profile and cardiac metabolism dysregulation, a human cell line of cardiac origin, AC16, was treated with tumour necrosis factor-α (TNF-α).
Methods and results Exposure of AC16 cells to TNF-α inhibited the expression of peroxisome proliferator-activated receptor coactivator 1α (PGC-1α), an upstream regulator of lipid and glucose oxidative metabolism. Studies performed with cardiac-specific transgenic mice (Mus musculus) overexpressing TNF-α, which have been well characterized as a model of cytokine-induced cardiomyopathy, also displayed reduced PGC-1α expression in the heart compared with that of control mice. The mechanism by which TNF-α reduced PGC-1α expression in vitro appeared to be largely mediated via both p38 mitogen-activated protein kinase and nuclear factor-κB pathways. PGC-1α downregulation resulted in an increase in glucose oxidation rate, which involved a reduction in pyruvate dehydrogenase kinase 4 expression and depended on the DNA-binding activity of both peroxisome proliferator-activated receptor β/δ and estrogen-related receptor α transcription factors.
Conclusion These results point to PGC-1α downregulation as a potential contributor to cardiac dysfunction and heart failure in metabolic disorders with an inflammatory background.
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