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Systemic Metabolic Rewiring in a Mouse Model of Left Ventricular Hypertrophy
Alexandra V Schmidt1, Tharika Thambidurai1, Olivia D'Annibale2,3,4
1Department of Physiology and Biophysics, School of Medicine, Case Western Reserve University, Cleveland, OH 44106, USA.
International Journal of Molecular Sciences
|October 29, 2025
Summary
Genetic defects causing left ventricular hypertrophy (LVH) rewire systemic metabolism, impacting cardiac and skeletal muscle function. Supplementing long-chain fatty acids (LCFAs) improved mitochondrial function but did not fully reverse LVH or systemic changes.
Area of Science:
- Cardiovascular Biology
- Metabolic Regulation
- Molecular Cardiology
Background:
- Left ventricular hypertrophy (LVH) is linked to poor cardiac outcomes, with metabolism playing a key role.
- LVH hearts shift from fatty acid oxidation (FAO) to glucose metabolism.
- Systemic metabolic changes in LVH are not fully understood.
Purpose of the Study:
- Investigate the impact of LVH on whole-body and cardiac metabolism.
- Determine the role of systemic energy balance and lipid profiles in LVH.
- Assess the therapeutic potential of long-chain fatty acid (LCFA) supplementation.
Main Methods:
- Utilized a mouse model with LVH due to Mybpc3 gene loss.
- Measured whole-body and cellular respiration.
- Analyzed lipid and glycogen stores, and mitochondrial function.
Main Results:
- Mybpc3 deficiency caused adipose tissue depletion, impaired skeletal muscle mitochondrial function, and increased cardiac/hepatic lipid accumulation.
- LVH led to a loss of whole-body metabolic flux.
- LCFA supplementation improved cardiac mitochondrial function and reduced cardiac lipid buildup, but did not fully reverse LVH or systemic metabolic issues.
Conclusions:
- LVH induces significant systemic metabolic rewiring.
- Exogenous LCFA supplementation enhances mitochondrial function in cardiac and skeletal muscle in LVH.
- Targeting systemic metabolism may be crucial for managing LVH complications.

