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Principal Investigator: Michinari Nakamura
Organization: RUTGERS BIOMEDICAL AND HEALTH SCIENCES
Fiscal Year: 2024
Award: $392,500
Funding agency: National Heart Lung and Blood Institute
PROJECT SUMMARY
Pathological hypertrophy can progress to failing heart. During the transition, fatty acid utilization is decreased,
while utilization of other substrates, such as ketone body, is increased. Multiple lines of evidence indicate that
increased myocardial ketone body utilization is an adaptive response against cardiac pathology. Furthermore,
although ketoacidosis is life-threatening, short-term administration of exogenous ketone body enhances
myocardial oxygen consumption with increases in both ketone body oxidation and overall ATP production in
the heart. This intervention improves cardiac function and remodeling in humans and mice with heart failure
(HF). Although ketone body serves as not only a fuel source but a modulator of lysine acetylation, the effect of
ketone body-mediated acetylation against hypertrophy and HF remains poorly understood. Elucidating the
molecular mechanisms of ketone body action beyond fueling, which mediates anti-hypertrophic and pro-
energetic effects without provoking detrimental effects, is the most important issue in establishing ketone body
as a therapeutic option for HF. We recently found that lysine acetyltransferase 6A (KAT6A) is acetylated in the
heart by a low-carbohydrate (LC) diet-mediated increase in ketone body, which is negatively associated with
hypertrophy and HF after pressure overload. Thus, we here ask whether acetylation of KAT6A is critically
involved in ketone body action against cardiac pathology. Our study provided evidence that acetylation of
KAT6A inhibits phenylephrine-induced hypertrophy and improves energy homeostasis in cardiomyocytes in
vitro. However, it remains unknown how KAT6A acetylation regulates cardiac morphology and function. Based
on these exciting observations we propose a novel role of KAT6A acetylation in pathological hypertrophy and
its transition to HF. Together with the surprising findings from our studies using proteomics and genomics
analyses, we hypothesize that ketone body promotes acetylation of KAT6A, which stimulates the AMPK
signaling in the heart to suppress protein synthesis and maintain energy homeostasis, thereby inhibiting
pathological hypertrophy and a transition to HF. To address this hypothesis, we will conduct the following
experiments. In Aim 1, we will determine the significance of KAT6A acetylation in pressure overload-induced
hypertrophy and HF in vivo by using newly generated KAT6A acetylation-resistant knock-in mice and an AAV-
KAT6A acetylation-mimicking mutant. In Aim 2, we will demonstrate the critical involvement of AMPK in KAT6A
action by pharmacologically and genetically inhibiting AMPK. We will further elucidate the mechanism by which
AMPK is activated by KAT6A by using molecular signaling and biological assays. The long-term goal of this
project is to identify the therapeutic targets to specifically modulate the ketone body-KAT6A-AMPK pathway
relevant to the strategies for the primary and secondary prevention of cardiac hypertrophy and HF.
Terms: <Acetylation><Acetyltransferase><Address><Anabolism><Assay><Attenuated><Autoregulation><Binding><Bioassay><Biological Assay><Biological Function><Biological Process><Calories><Carbohydrates><Cardiac><Cardiac Diseases><Cardiac Disorders><Cardiac Muscle Cells><Cardiac Myocytes><Cardiocyte><Cell Communication and Signaling><Cell Nucleus><Cell Signaling><Clinical><Closure by Ligation><D-Glucose><Dextrose><Diet><Dietary Component><Epigenetic><Epigenetic Change><Epigenetic Mechanism><Epigenetic Process><Fasting><Fatty Acids><Future><Gene Delivery><Genomics><Glucose><Goals><Health><Heart><Heart Diseases><Heart Hypertrophy><Heart Muscle Cells><Heart failure><Heart myocyte><Histones><Homeostasis><Human><Hydroxybutyrates><Hypertrophy><In Vitro><Induced Cardiomyocytes><Intake><Intervention><Intervention Strategies><Intracellular Communication and Signaling><KI mice><Ketone Bodies><Knock-in Mouse><L-Lysine><Life><Ligation><Lysine><Mammalia><Mammals><Mediating><Mice><Mice Mammals><Modern Man><Molecular><Molecular Configuration><Molecular Conformation><Molecular Interaction><Molecular Stereochemistry><Morphology><Murine><Mus><Myocardial><Nucleus><Nutrient><Oral Ingestion><Oxygen Consumption><Pathologic><Pathology><Pathway interactions><Patients><Pharmacologic Actions><Phenylephrine><Phosphorylation><Physiological Homeostasis><Post-Translational Modification Protein/Amino Acid Biochemistry><Post-Translational Modifications><Post-Translational Protein Modification><Post-Translational Protein Processing><Posttranslational Modifications><Posttranslational Protein Processing><Primary Prevention><Production><Protein Biosynthesis><Protein Modification><Protein Phosphorylation><Proteomics><Regulation><Resistance><Ribosomal Peptide Biosynthesis><Ribosomal Protein Biosynthesis><Ribosomal Protein Synthesis><Role><Secondary Prevention><Signal Transduction><Signal Transduction Systems><Signaling><Source><System><Testing><Therapeutic><Up-Regulation><Upregulation><attenuate><attenuates><biological signal transduction><biosynthesis><cardiac failure><cardiac function><cardiac hypertrophy><cardiomyocyte><cardioprotectant><cardioprotection><cardioprotective><conformation><conformational><conformational state><conformationally><conformations><deprivation><diets><epigenetically><experiment><experimental research><experimental study><experiments><fasted><fasts><function of the heart><heart disorder><heart function><icardiomyocytes><improved><in vivo><induced cardiac myocytes><interventional strategy><knockin mice><mTOR inhibition><mutant><new therapeutic approach><new therapeutic intervention><new therapeutic strategies><new therapy approaches><new treatment approach><new treatment strategy><novel><novel therapeutic approach><novel therapeutic intervention><novel therapeutic strategies><novel therapy approach><oxidation><pathway><pharmacologic><pressure><protein protein interaction><protein synthesis><resistant><response><social role><therapeutic target><treatment strategy>