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Evidence Of Glycolysis Up-Regulation And Pyruvate Mitochondrial Oxidation Mismatch During Mechanical Unloading Of The Failing Human Heart: Implications For Cardiac Reloading And Conditioning, Nikolaos A. Diakos, Sutip Navankasattusas, E. Dale Abel, Jared Rutter, Lauren Mccreath, Peter Ferrin, Stephen H. Mckellar, Dylan V. Miller, Song-Young Park, Russell S. Richardson, Ralph Deberardinis, James E. Cox, Abdallah G. Kfoury, Craig H. Selzman, Joseph C. Fang, Dean Y. Li, Stavros Drakos

Health and Kinesiology Faculty Publications

This study sought to investigate the effects of mechanical unloading on myocardial energetics and the metabolic perturbation of heart failure (HF) in an effort to identify potential new therapeutic targets that could enhance the unloading-induced cardiac recovery. The authors prospectively examined paired human myocardial tissue procured from 31 advanced HF patients at left ventricular assist device (LVAD) implant and at heart transplant plus tissue from 11 normal donors. They identified increased post-LVAD glycolytic metabolites without a coordinate increase in early, tricarboxylic acid (TCA) cycle intermediates. The increased pyruvate was not directed toward the mitochondria and the TCA cycle for complete …