Cardiovascular Drugs and Therapy

, Volume 20, Issue 6, pp 441–444 | Cite as

Cardiac Metabolism and Mechanics are Altered by Genetic Loss of Lipoprotein Triglyceride Lipolysis




Most circulating fatty acids are contained in lipoprotein triglycerides. For the heart to acquire these lipids, they must be broken down into free fatty acids via the enzyme lipoprotein lipase (LpL). Although it has long been known that hearts primarily use esterified fatty acids as fuel, different sources of fatty acids were thought to be interchangeable.

Materials and methods

By creating mice with neonatal and acute LpL deletion we showed that lipoprotein-derived fatty acids could not be replaced by albumin-associated free fatty acids. Loss of cardiac LpL forces the heart to increase its uptake of glucose, reduce fatty acid oxidation, and eventually leads to cardiac dysfunction. In contrast, cardiomyocyte specific overexpression of an anchored form of LpL leads to excess lipid uptake, induction of fatty acid oxidation genes, and dilated cardiomyopathy.


Increasing lipid secretion from the heart or redirecting lipids to adipose tissue can alleviate this lipotoxic situation.

Key words

cardiac metabolism cardiomyocyte lipid secretion 


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Copyright information

© Springer Science + Business Media, LLC 2006

Authors and Affiliations

  • Hye-Lim Noh
    • 1
  • Haruyo Yamashita
    • 1
  • Ira J. Goldberg
    • 1
  1. 1.Division of Preventive Medicine and NutritionColumbia University College of Physicians & SurgeonsNew YorkUSA

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