RGD Reference Report - The effects of chronic trimetazidine treatment on mechanical function and fatty acid oxidation in diabetic rat hearts. - Rat Genome Database

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The effects of chronic trimetazidine treatment on mechanical function and fatty acid oxidation in diabetic rat hearts.

Authors: Onay-Besikci, A  Guner, S  Arioglu, E  Ozakca, I  Ozcelikay, AT  Altan, VM 
Citation: Onay-Besikci A, etal., Can J Physiol Pharmacol. 2007 May;85(5):527-35.
RGD ID: 2313044
Pubmed: PMID:17632588   (View Abstract at PubMed)
DOI: DOI:10.1139/y07-036   (Journal Full-text)

Clinical and experimental evidence suggest that increased rates of fatty acid oxidation in the myocardium result in impaired contractile function in both normal and diabetic hearts. Glucose utilization is decreased in type 1 diabetes, and fatty acid oxidation dominates for energy production at the expense of an increase in oxygen requirement. The objective of this study was to examine the effect of chronic treatment with trimetazidine (TMZ) on cardiac mechanical function and fatty acid oxidation in streptozocin (STZ)-diabetic rats. Spontaneously beating hearts from male Sprague-Dawley rats were subjected to a 60-minute aerobic perfusion period with a recirculating Krebs-Henseleit solution containing 11 mmol/L glucose, 100 muU/mL insulin, and 0.8 mmol/L palmitate prebound to 3% bovine serum albumin (BSA). Mechanical function of the hearts, as cardiac output x heart rate (in (mL/min).(beats/min).10-2), was deteriorated in diabetic (73 +/- 4) and TMZ-treated diabetic (61 +/- 7) groups compared with control (119 +/- 3) and TMZ-treated controls (131 +/- 6). TMZ treatment increased coronary flow in TMZ-treated control (23 +/- 1 mL/min) hearts compared with untreated controls (18 +/- 1 mL/min). The mRNA expression of 3-ketoacyl-CoA thiolase (3-KAT) was increased in diabetic hearts. The inhibitory effect of TMZ on fatty acid oxidation was not detected at 0.8 mmol/L palmitate in the perfusate. Addition of 1 mumol/L TMZ 30 min into the perfusion did not affect fatty acid oxidation rates, cardiac work, or coronary flow. Our results suggest that higher expression of 3-KAT in diabetic rats might require increased concentrations of TMZ for the inhibitory effect on fatty acid oxidation. A detailed kinetic analysis of 3-KAT using different concentrations of fatty acid will determine the fatty acid inhibitory concentration of TMZ in diabetic state where plasma fatty acid levels are increased.

RGD Manual Disease Annotations    Click to see Annotation Detail View
TermQualifierEvidenceWithReferenceNotesSourceOriginal Reference(s)
Experimental Diabetes Mellitus  ISOAcaa1a (Rattus norvegicus)2313044; 2313044mRNA:increased expression: heartRGD 
Experimental Diabetes Mellitus  IEP 2313044mRNA:increased expression:heartRGD 

Objects Annotated

Genes (Rattus norvegicus)
Acaa1a  (acetyl-CoA acyltransferase 1A)

Genes (Mus musculus)
Acaa1a  (acetyl-Coenzyme A acyltransferase 1A)

Genes (Homo sapiens)
ACAA1  (acetyl-CoA acyltransferase 1)


Additional Information