[HTML][HTML] Insulin signaling coordinately regulates cardiac size, metabolism, and contractile protein isoform expression

DD Belke, S Betuing, MJ Tuttle… - The Journal of …, 2002 - Am Soc Clin Investig
DD Belke, S Betuing, MJ Tuttle, C Graveleau, ME Young, M Pham, D Zhang, RC Cooksey…
The Journal of clinical investigation, 2002Am Soc Clin Investig
To investigate the role of insulin signaling on postnatal cardiac development, physiology,
and cardiac metabolism, we generated mice with a cardiomyocyte-selective insulin receptor
knockout (CIRKO) using cre/loxP recombination. Hearts of CIRKO mice were reduced in size
by 20–30% due to reduced cardiomyocyte size and had persistent expression of the fetal β-
myosin heavy chain isoform. In CIRKO hearts, glucose transporter 1 (GLUT1) expression
was reduced by about 50%, but there was a twofold increase in GLUT4 expression as well …
To investigate the role of insulin signaling on postnatal cardiac development, physiology, and cardiac metabolism, we generated mice with a cardiomyocyte-selective insulin receptor knockout (CIRKO) using cre/loxP recombination. Hearts of CIRKO mice were reduced in size by 20–30% due to reduced cardiomyocyte size and had persistent expression of the fetal β-myosin heavy chain isoform. In CIRKO hearts, glucose transporter 1 (GLUT1) expression was reduced by about 50%, but there was a twofold increase in GLUT4 expression as well as increased rates of cardiac glucose uptake in vivo and increased glycolysis in isolated working hearts. Fatty acid oxidation rates were diminished as a result of reduced expression of enzymes that catalyze mitochondrial β-oxidation. Although basal rates of glucose oxidation were reduced, insulin unexpectedly stimulated glucose oxidation and glycogenolysis in CIRKO hearts. Cardiac performance in vivo and in isolated hearts was mildly impaired. Thus, insulin signaling plays an important developmental role in regulating postnatal cardiac size, myosin isoform expression, and the switching of cardiac substrate utilization from glucose to fatty acids. Insulin may also modulate cardiac myocyte metabolism through paracrine mechanisms by activating insulin receptors in other cell types within the heart.
The Journal of Clinical Investigation