Targeting lipid metabolism as a new therapeutic strategy for inherited cardiomyopathies

Inherited cardiomyopathies caused by pathological genetic variants include multiple subtypes of heart disease. Advances in next-generation sequencing (NGS) techniques have allowed for the identification of numerous genetic variants as pathological variants. However, the disease penetrance varies amo...

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Main Authors: Karen R. Gaar-Humphreys, Alyssa van den Brink, Mark Wekking, Folkert W. Asselbergs, Frank G. van Steenbeek, Magdalena Harakalova, Jiayi Pei
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2023.1114459/full
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author Karen R. Gaar-Humphreys
Karen R. Gaar-Humphreys
Alyssa van den Brink
Alyssa van den Brink
Mark Wekking
Mark Wekking
Folkert W. Asselbergs
Folkert W. Asselbergs
Frank G. van Steenbeek
Frank G. van Steenbeek
Frank G. van Steenbeek
Magdalena Harakalova
Magdalena Harakalova
Magdalena Harakalova
Jiayi Pei
Jiayi Pei
Jiayi Pei
author_facet Karen R. Gaar-Humphreys
Karen R. Gaar-Humphreys
Alyssa van den Brink
Alyssa van den Brink
Mark Wekking
Mark Wekking
Folkert W. Asselbergs
Folkert W. Asselbergs
Frank G. van Steenbeek
Frank G. van Steenbeek
Frank G. van Steenbeek
Magdalena Harakalova
Magdalena Harakalova
Magdalena Harakalova
Jiayi Pei
Jiayi Pei
Jiayi Pei
author_sort Karen R. Gaar-Humphreys
collection DOAJ
description Inherited cardiomyopathies caused by pathological genetic variants include multiple subtypes of heart disease. Advances in next-generation sequencing (NGS) techniques have allowed for the identification of numerous genetic variants as pathological variants. However, the disease penetrance varies among mutated genes. Some can be associated with more than one disease subtype, leading to a complex genotype-phenotype relationship in inherited cardiomyopathies. Previous studies have demonstrated disrupted metabolism in inherited cardiomyopathies and the importance of metabolic adaptations in disease onset and progression. In addition, genotype- and phenotype-specific metabolic alterations, especially in lipid metabolism, have been revealed. In this mini-review, we describe the metabolic changes that are associated with dilated cardiomyopathy (DCM) and hypertrophic cardiomyopathy (HCM), which account for the largest proportion of inherited cardiomyopathies. We also summarize the affected expression of genes involved in fatty acid oxidation (FAO) in DCM and HCM, highlighting the potential of PPARA-targeting drugs as FAO modulators in treating patients with inherited cardiomyopathies.
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spelling doaj.art-46f07cef590b4d50b2ef9234bac683802023-01-25T16:29:13ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-01-011010.3389/fcvm.2023.11144591114459Targeting lipid metabolism as a new therapeutic strategy for inherited cardiomyopathiesKaren R. Gaar-Humphreys0Karen R. Gaar-Humphreys1Alyssa van den Brink2Alyssa van den Brink3Mark Wekking4Mark Wekking5Folkert W. Asselbergs6Folkert W. Asselbergs7Frank G. van Steenbeek8Frank G. van Steenbeek9Frank G. van Steenbeek10Magdalena Harakalova11Magdalena Harakalova12Magdalena Harakalova13Jiayi Pei14Jiayi Pei15Jiayi Pei16Division Heart and Lungs, Department of Cardiology, Circulatory Health Research Center, University Medical Center Utrecht, Utrecht University, Utrecht, NetherlandsRegenerative Medicine Center Utrecht, University Medical Center Utrecht, Utrecht, NetherlandsDivision Heart and Lungs, Department of Cardiology, Circulatory Health Research Center, University Medical Center Utrecht, Utrecht University, Utrecht, NetherlandsRegenerative Medicine Center Utrecht, University Medical Center Utrecht, Utrecht, NetherlandsDivision Heart and Lungs, Department of Cardiology, Circulatory Health Research Center, University Medical Center Utrecht, Utrecht University, Utrecht, NetherlandsRegenerative Medicine Center Utrecht, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Cardiology, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, NetherlandsHealth Data Research United Kingdom and Institute of Health Informatics, University College London, London, United KingdomDivision Heart and Lungs, Department of Cardiology, Circulatory Health Research Center, University Medical Center Utrecht, Utrecht University, Utrecht, NetherlandsRegenerative Medicine Center Utrecht, University Medical Center Utrecht, Utrecht, NetherlandsDepartment of Clinical Sciences, Faculty of Veterinary Medicine, Utrecht University, Utrecht, NetherlandsDivision Heart and Lungs, Department of Cardiology, Circulatory Health Research Center, University Medical Center Utrecht, Utrecht University, Utrecht, NetherlandsRegenerative Medicine Center Utrecht, University Medical Center Utrecht, Utrecht, NetherlandsNetherlands Heart Institute, Utrecht, NetherlandsDivision Heart and Lungs, Department of Cardiology, Circulatory Health Research Center, University Medical Center Utrecht, Utrecht University, Utrecht, NetherlandsRegenerative Medicine Center Utrecht, University Medical Center Utrecht, Utrecht, NetherlandsNetherlands Heart Institute, Utrecht, NetherlandsInherited cardiomyopathies caused by pathological genetic variants include multiple subtypes of heart disease. Advances in next-generation sequencing (NGS) techniques have allowed for the identification of numerous genetic variants as pathological variants. However, the disease penetrance varies among mutated genes. Some can be associated with more than one disease subtype, leading to a complex genotype-phenotype relationship in inherited cardiomyopathies. Previous studies have demonstrated disrupted metabolism in inherited cardiomyopathies and the importance of metabolic adaptations in disease onset and progression. In addition, genotype- and phenotype-specific metabolic alterations, especially in lipid metabolism, have been revealed. In this mini-review, we describe the metabolic changes that are associated with dilated cardiomyopathy (DCM) and hypertrophic cardiomyopathy (HCM), which account for the largest proportion of inherited cardiomyopathies. We also summarize the affected expression of genes involved in fatty acid oxidation (FAO) in DCM and HCM, highlighting the potential of PPARA-targeting drugs as FAO modulators in treating patients with inherited cardiomyopathies.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1114459/fullhypertrophic cardiomyopathydilated cardiomyopathygenetic variantslipid metabolismfatty acid oxidationtranscription factor PPARA
spellingShingle Karen R. Gaar-Humphreys
Karen R. Gaar-Humphreys
Alyssa van den Brink
Alyssa van den Brink
Mark Wekking
Mark Wekking
Folkert W. Asselbergs
Folkert W. Asselbergs
Frank G. van Steenbeek
Frank G. van Steenbeek
Frank G. van Steenbeek
Magdalena Harakalova
Magdalena Harakalova
Magdalena Harakalova
Jiayi Pei
Jiayi Pei
Jiayi Pei
Targeting lipid metabolism as a new therapeutic strategy for inherited cardiomyopathies
Frontiers in Cardiovascular Medicine
hypertrophic cardiomyopathy
dilated cardiomyopathy
genetic variants
lipid metabolism
fatty acid oxidation
transcription factor PPARA
title Targeting lipid metabolism as a new therapeutic strategy for inherited cardiomyopathies
title_full Targeting lipid metabolism as a new therapeutic strategy for inherited cardiomyopathies
title_fullStr Targeting lipid metabolism as a new therapeutic strategy for inherited cardiomyopathies
title_full_unstemmed Targeting lipid metabolism as a new therapeutic strategy for inherited cardiomyopathies
title_short Targeting lipid metabolism as a new therapeutic strategy for inherited cardiomyopathies
title_sort targeting lipid metabolism as a new therapeutic strategy for inherited cardiomyopathies
topic hypertrophic cardiomyopathy
dilated cardiomyopathy
genetic variants
lipid metabolism
fatty acid oxidation
transcription factor PPARA
url https://www.frontiersin.org/articles/10.3389/fcvm.2023.1114459/full
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