Ketone Body Metabolism in the Ischemic Heart

Ketone bodies have been identified as an important, alternative fuel source in heart failure. In addition, the use of ketone bodies as a fuel source has been suggested to be a potential ergogenic aid for endurance exercise performance. These findings have certainly renewed interest in the use of ket...

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Main Author: Stephen C. Kolwicz
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-12-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2021.789458/full
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author Stephen C. Kolwicz
author_facet Stephen C. Kolwicz
author_sort Stephen C. Kolwicz
collection DOAJ
description Ketone bodies have been identified as an important, alternative fuel source in heart failure. In addition, the use of ketone bodies as a fuel source has been suggested to be a potential ergogenic aid for endurance exercise performance. These findings have certainly renewed interest in the use of ketogenic diets and exogenous supplementation in an effort to improve overall health and disease. However, given the prevalence of ischemic heart disease and myocardial infarctions, these strategies may not be ideal for individuals with coronary artery disease. Although research studies have clearly defined changes in fatty acid and glucose metabolism during ischemia and reperfusion, the role of ketone body metabolism in the ischemic and reperfused myocardium is less clear. This review will provide an overview of ketone body metabolism, including the induction of ketosis via physiological or nutritional strategies. In addition, the contribution of ketone body metabolism in healthy and diseased states, with a particular emphasis on ischemia-reperfusion (I-R) injury will be discussed.
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spelling doaj.art-f24f920e3d6343f49ac57c333c0419d52022-12-21T19:10:22ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2021-12-01810.3389/fcvm.2021.789458789458Ketone Body Metabolism in the Ischemic HeartStephen C. KolwiczKetone bodies have been identified as an important, alternative fuel source in heart failure. In addition, the use of ketone bodies as a fuel source has been suggested to be a potential ergogenic aid for endurance exercise performance. These findings have certainly renewed interest in the use of ketogenic diets and exogenous supplementation in an effort to improve overall health and disease. However, given the prevalence of ischemic heart disease and myocardial infarctions, these strategies may not be ideal for individuals with coronary artery disease. Although research studies have clearly defined changes in fatty acid and glucose metabolism during ischemia and reperfusion, the role of ketone body metabolism in the ischemic and reperfused myocardium is less clear. This review will provide an overview of ketone body metabolism, including the induction of ketosis via physiological or nutritional strategies. In addition, the contribution of ketone body metabolism in healthy and diseased states, with a particular emphasis on ischemia-reperfusion (I-R) injury will be discussed.https://www.frontiersin.org/articles/10.3389/fcvm.2021.789458/fullischemiareperfusionhypoxiabeta-hydroxybutyrateketosis
spellingShingle Stephen C. Kolwicz
Ketone Body Metabolism in the Ischemic Heart
Frontiers in Cardiovascular Medicine
ischemia
reperfusion
hypoxia
beta-hydroxybutyrate
ketosis
title Ketone Body Metabolism in the Ischemic Heart
title_full Ketone Body Metabolism in the Ischemic Heart
title_fullStr Ketone Body Metabolism in the Ischemic Heart
title_full_unstemmed Ketone Body Metabolism in the Ischemic Heart
title_short Ketone Body Metabolism in the Ischemic Heart
title_sort ketone body metabolism in the ischemic heart
topic ischemia
reperfusion
hypoxia
beta-hydroxybutyrate
ketosis
url https://www.frontiersin.org/articles/10.3389/fcvm.2021.789458/full
work_keys_str_mv AT stephenckolwicz ketonebodymetabolismintheischemicheart