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Nox4 reprograms cardiac substrate metabolism via protein O-GlcNAcylation to enhance stress adaptation.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Nabeebaccus, Adam A 
Zoccarato, Anna 
Hafstad, Anne D 
Santos, Celio Xc 
Aasum, Ellen 

Abstract

Cardiac hypertrophic remodeling during chronic hemodynamic stress is associated with a switch in preferred energy substrate from fatty acids to glucose, usually considered to be energetically favorable. The mechanistic interrelationship between altered energy metabolism, remodeling, and function remains unclear. The ROS-generating NADPH oxidase-4 (Nox4) is upregulated in the overloaded heart, where it ameliorates adverse remodeling. Here, we show that Nox4 redirects glucose metabolism away from oxidation but increases fatty acid oxidation, thereby maintaining cardiac energetics during acute or chronic stresses. The changes in glucose and fatty acid metabolism are interlinked via a Nox4-ATF4-dependent increase in the hexosamine biosynthetic pathway, which mediates the attachment of O-linked N-acetylglucosamine (O-GlcNAcylation) to the fatty acid transporter CD36 and enhances fatty acid utilization. These data uncover a potentially novel redox pathway that regulates protein O-GlcNAcylation and reprograms cardiac substrate metabolism to favorably modify adaptation to chronic stress. Our results also suggest that increased fatty acid oxidation in the chronically stressed heart may be beneficial.

Description

Keywords

Cardiology, Cardiovascular disease, Intermediary metabolism, Metabolism, Signal transduction, Acetylglucosamine, Adaptation, Physiological, Animals, Cardiomegaly, Energy Metabolism, Fatty Acids, Glucose, Glycolysis, Hexosamines, Mice, Knockout, Mice, Transgenic, Myocardium, Myocytes, Cardiac, NADPH Oxidase 4, Oxidation-Reduction, Proteome, Stress, Physiological

Journal Title

JCI Insight

Conference Name

Journal ISSN

2379-3708
2379-3708

Volume Title

2

Publisher

American Society for Clinical Investigation
Sponsorship
BBSRC (unknown)
Royal Society (516002K5628/KK)
Biotechnology and Biological Sciences Research Council (BB/D01638X/1)
Royal Society (518001K513/ROG)
Medical Research Council (MR/P011705/1)