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Publication : Kruppel-like factor 15 is required for the cardiac adaptive response to fasting.

First Author  Sugi K Year  2018
Journal  PLoS One Volume  13
Issue  2 Pages  e0192376
PubMed ID  29408889 Mgi Jnum  J:257458
Mgi Id  MGI:6119919 Doi  10.1371/journal.pone.0192376
Citation  Sugi K, et al. (2018) Kruppel-like factor 15 is required for the cardiac adaptive response to fasting. PLoS One 13(2):e0192376
abstractText  Cardiac metabolism is highly adaptive in response to changes in substrate availability, as occur during fasting. This metabolic flexibility is essential to the maintenance of contractile function and is under the control of a group of select transcriptional regulators, notably the nuclear receptor family of factors member PPARalpha. However, the diversity of physiologic and pathologic states through which the heart must sustain function suggests the possible existence of additional transcriptional regulators that play a role in matching cardiac metabolism to energetic demand. Here we show that cardiac KLF15 is required for the normal cardiac response to fasting. Specifically, we find that cardiac function is impaired upon fasting in systemic and cardiac specific Klf15-null mice. Further, cardiac specific Klf15-null mice display a fasting-dependent accumulation of long chain acylcarnitine species along with a decrease in expression of the carnitine translocase Slc25a20. Treatment with a diet high in short chain fatty acids relieves the KLF15-dependent long chain acylcarnitine accumulation and impaired cardiac function in response to fasting. Our observations establish KLF15 as a critical mediator of the cardiac adaptive response to fasting through its regulation of myocardial lipid utilization.
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