Genetic Modification of the HeartTransgenesis and cardiac energetics: new insights into cardiac metabolism
Section snippets
On energy circuits or “ how is ATP supplied?”
The concept that ATP supply to sites of utilization is analogous to electric wires providing energy to a machine has been substantially expanded over the past 60 years. The idea that certain enzymes create a shuttle linking sites of ATP synthesis with sites of utilization in the heart should be credited to Samuel Bessman. Based on (then new) information that mitochondrial CK is localized in the inter-membrane space of mitochondria [4] and that MM-CK isozyme was associated with myofibrils as
A mix of substrates is used for ATP synthesis
The metabolic machinery of the heart is designed to allow many different substrate mixes to be used for ATP synthesis.4
On ATP utilization
Mouse heart transgenesis is being used to study the energy cost of contraction and the consequences of altering the myosin isoform composition (both heavy and light chains) in the mouse heart. Transgenesis is also being used to define the consequences of modifying specific ATP-utilizing proteins with the goals of increasing our knowledge about the biology of these proteins and identifying causes of cardiac disease. Instructive examples discussed below are mouse hearts bearing missense mutations
Using energetics as a marker of abnormal cell function
31P NMR spectroscopy of isolated mouse hearts is being used to define the consequences of overexpressing or ablating all sorts of proteins on ATP and PCr levels, the primary end point of energetics. In 1996, there were only two such reports, one studying a heat shock protein [93] in an ejecting mouse heart and the other using the first reported isovolumic mouse heart preparation to study the consequences of deleting phospholamban [94]. A literature search today (March 2004) shows that this
Acknowledgements
This work is supported by NIH grants HL53230 and HL63985. I thank James Balschi, Kirstin Hoyer and Rong Tian for helpful discussions.
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