Genetic Modification of the Heart
Transgenesis and cardiac energetics: new insights into cardiac metabolism

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Abstract

Transgenesis in the mouse heart has provided new and important insights into many aspects of ATP synthesis, supply and utilization. Cardiac energetics has also been useful in assessing the consequences of manipulating proteins in the mouse heart. Here, four topics are reviewed. Part 1 presents a description of the role of “energy circuits” in addressing these questions: how is ATP made in the mitochondria supplied to spatially separated ATPases rapidly enough to support variable and abrupt increases in work? Given the barriers to rapid diffusion of ADP, how is a high chemical driving force maintained at the various sites of ATP hydrolysis; i.e. how is [ADP] maintained low throughout the cell? What are the metabolic sensors matching ATP synthesis and utilization? How are they monitored, delivered to the appropriate sensors and translated to accomplish a constant ATP supply? In Part 2, the consequences of manipulating glucose supply to the heart and regulation of the synthesis of enzymes in glycolysis and fatty acid oxidation are discussed. The questions are: what are the signals that lead to long-term molecular reprogramming of metabolic pathways for ATP synthesis and utilization? How is this accomplished? In Part 3, the focus is on sarcomeric proteins addressing the question: what changes in sarcomeric proteins determine the cost of contraction? Finally, in Part 4, examples are given of how energetics has been used to define the consequences of transgenic manipulations.

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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