Ketone body oxidation increases cardiac endothelial cell proliferation

Abstract Blood vessel formation is dependent on metabolic adaption in endothelial cells. Glucose and fatty acids are essential substrates for ATP and biomass production; however, the metabolism of other substrates remains poorly understood. Ketone bodies are important nutrients for cardiomyocytes du...

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Main Authors: Eva‐Maria Weis, Patrycja Puchalska, Alisa B Nelson, Jacqueline Taylor, Iris Moll, Sana S Hasan, Matthias Dewenter, Marco Hagenmüller, Thomas Fleming, Gernot Poschet, Agnes Hotz‐Wagenblatt, Johannes Backs, Peter A Crawford, Andreas Fischer
Format: Article
Language:English
Published: Springer Nature 2022-02-01
Series:EMBO Molecular Medicine
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Online Access:https://doi.org/10.15252/emmm.202114753
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author Eva‐Maria Weis
Patrycja Puchalska
Alisa B Nelson
Jacqueline Taylor
Iris Moll
Sana S Hasan
Matthias Dewenter
Marco Hagenmüller
Thomas Fleming
Gernot Poschet
Agnes Hotz‐Wagenblatt
Johannes Backs
Peter A Crawford
Andreas Fischer
author_facet Eva‐Maria Weis
Patrycja Puchalska
Alisa B Nelson
Jacqueline Taylor
Iris Moll
Sana S Hasan
Matthias Dewenter
Marco Hagenmüller
Thomas Fleming
Gernot Poschet
Agnes Hotz‐Wagenblatt
Johannes Backs
Peter A Crawford
Andreas Fischer
author_sort Eva‐Maria Weis
collection DOAJ
description Abstract Blood vessel formation is dependent on metabolic adaption in endothelial cells. Glucose and fatty acids are essential substrates for ATP and biomass production; however, the metabolism of other substrates remains poorly understood. Ketone bodies are important nutrients for cardiomyocytes during starvation or consumption of carbohydrate‐restrictive diets. This raises the question whether cardiac endothelial cells would not only transport ketone bodies but also consume some of these to achieve their metabolic needs. Here, we report that cardiac endothelial cells are able to oxidize ketone bodies and that this enhances cell proliferation, migration, and vessel sprouting. Mechanistically, this requires succinyl‐CoA:3‐oxoacid‐CoA transferase, a key enzyme of ketone body oxidation. Targeted metabolite profiling revealed that carbon from ketone bodies got incorporated into tricarboxylic acid cycle intermediates as well as other metabolites fueling biomass production. Elevation of ketone body levels by a high‐fat, low‐carbohydrate ketogenic diet transiently increased endothelial cell proliferation in mouse hearts. Notably, in a mouse model of heart hypertrophy, ketogenic diet prevented blood vessel rarefication. This suggests a potential beneficial role of dietary intervention in heart diseases.
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spelling doaj-art-ef5eaa2a664147ecb470d7766f67d5df2025-08-20T03:46:13ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842022-02-0114411810.15252/emmm.202114753Ketone body oxidation increases cardiac endothelial cell proliferationEva‐Maria Weis0Patrycja Puchalska1Alisa B Nelson2Jacqueline Taylor3Iris Moll4Sana S Hasan5Matthias Dewenter6Marco Hagenmüller7Thomas Fleming8Gernot Poschet9Agnes Hotz‐Wagenblatt10Johannes Backs11Peter A Crawford12Andreas Fischer13Division Vascular Signaling and Cancer, German Cancer Research Center (DKFZ)Division of Molecular Medicine, Department of Medicine, University of MinnesotaDivision of Molecular Medicine, Department of Medicine, University of MinnesotaDivision Vascular Signaling and Cancer, German Cancer Research Center (DKFZ)Division Vascular Signaling and Cancer, German Cancer Research Center (DKFZ)Division Vascular Signaling and Cancer, German Cancer Research Center (DKFZ)Institute of Experimental Cardiology, Heidelberg University HospitalInstitute of Experimental Cardiology, Heidelberg University HospitalDepartment of Internal Medicine I and Clinical Chemistry, University Hospital HeidelbergCentre for Organismal Studies (COS), Heidelberg UniversityCore Facility Omics IT and Data Management (ODCF), German Cancer Research Center (DKFZ)Institute of Experimental Cardiology, Heidelberg University HospitalDivision of Molecular Medicine, Department of Medicine, University of MinnesotaDivision Vascular Signaling and Cancer, German Cancer Research Center (DKFZ)Abstract Blood vessel formation is dependent on metabolic adaption in endothelial cells. Glucose and fatty acids are essential substrates for ATP and biomass production; however, the metabolism of other substrates remains poorly understood. Ketone bodies are important nutrients for cardiomyocytes during starvation or consumption of carbohydrate‐restrictive diets. This raises the question whether cardiac endothelial cells would not only transport ketone bodies but also consume some of these to achieve their metabolic needs. Here, we report that cardiac endothelial cells are able to oxidize ketone bodies and that this enhances cell proliferation, migration, and vessel sprouting. Mechanistically, this requires succinyl‐CoA:3‐oxoacid‐CoA transferase, a key enzyme of ketone body oxidation. Targeted metabolite profiling revealed that carbon from ketone bodies got incorporated into tricarboxylic acid cycle intermediates as well as other metabolites fueling biomass production. Elevation of ketone body levels by a high‐fat, low‐carbohydrate ketogenic diet transiently increased endothelial cell proliferation in mouse hearts. Notably, in a mouse model of heart hypertrophy, ketogenic diet prevented blood vessel rarefication. This suggests a potential beneficial role of dietary intervention in heart diseases.https://doi.org/10.15252/emmm.202114753angiogenesisendothelial cellheartketogenic dietketone bodies
spellingShingle Eva‐Maria Weis
Patrycja Puchalska
Alisa B Nelson
Jacqueline Taylor
Iris Moll
Sana S Hasan
Matthias Dewenter
Marco Hagenmüller
Thomas Fleming
Gernot Poschet
Agnes Hotz‐Wagenblatt
Johannes Backs
Peter A Crawford
Andreas Fischer
Ketone body oxidation increases cardiac endothelial cell proliferation
EMBO Molecular Medicine
angiogenesis
endothelial cell
heart
ketogenic diet
ketone bodies
title Ketone body oxidation increases cardiac endothelial cell proliferation
title_full Ketone body oxidation increases cardiac endothelial cell proliferation
title_fullStr Ketone body oxidation increases cardiac endothelial cell proliferation
title_full_unstemmed Ketone body oxidation increases cardiac endothelial cell proliferation
title_short Ketone body oxidation increases cardiac endothelial cell proliferation
title_sort ketone body oxidation increases cardiac endothelial cell proliferation
topic angiogenesis
endothelial cell
heart
ketogenic diet
ketone bodies
url https://doi.org/10.15252/emmm.202114753
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