Abstract

Obesity is associated with an increased risk of cardiomyopathy, and mechanisms linking the underlying risk and dietary factors are not well understood. We tested the hypothesis that dietary intake of saturated fat increases the levels of sphingolipids, namely ceramide and sphingomyelin in cardiac cell membranes that disrupt caveolae, specialized membrane micro-domains and important for cellular signaling. C57BL/6 mice were fed two high-fat diets: palmitate diet (21% total fat, 47% is palmitate), and MCT diet (21% medium-chain triglycerides, no palmitate). We established that high-palmitate feeding for 12 weeks leads to 40% and 50% increases in ceramide and sphingomyelin, respectively, in cellular membranes. Concomitant with sphingolipid accumulation, we observed a 40% reduction in systolic contractile performance. To explore the relationship of increased sphingolipids with caveolins, we analyzed caveolin protein levels and intracellular localization in isolated cardiomyocytes. In normal cardiomyocytes, caveolin-1 and caveolin-3 co-localize at the plasma membrane and the T-tubule system. However, mice maintained on palmitate lost 80% of caveolin-3, mainly from the T-tubule system. Mice maintained on MCT diet had a 90% reduction in caveolin-1. These data show that caveolin isoforms are sensitive to the lipid environment. These data are further supported by similar findings in human cardiac tissue samples from non-obese, obese, non-obese cardiomyopathic, and obese cardiomyopathic patients. To further elucidate the contractile dysfunction associated with the loss of caveolin-3, we determined the localization of the ryanodine receptor and found lower expression and loss of the striated appearance of this protein. We suggest that palmitate-induced loss of caveolin-3 results in cardiac contractile dysfunction via a defect in calcium-induced calcium release.

Highlights

  • Lipotoxicity, the accumulation of lipids in non-adipose tissues due to increased plasma free fatty acids and triglycerides, has been well documented in type I and type II diabetes and in obesity [1,2,3,4,5]

  • We present a new mechanism for lipid-induced cardiac contractile dysfunction that resembles the cardiomyopathy observed in caveolin-3 loss-of-function mice [25]

  • We present evidence that high intake of dietary palmitate disturbs sphingolipid homeostasis, which leads to contractile dysfunction by inducing the loss of caveolin-3 from the T-tubule membrane system

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Summary

Introduction

Lipotoxicity, the accumulation of lipids in non-adipose tissues due to increased plasma free fatty acids and triglycerides, has been well documented in type I and type II diabetes and in obesity [1,2,3,4,5]. To define the role of fatty acids in this process, previous studies have focused on the difference between the effects of saturated and unsaturated fatty acids on cardiac substrate utilization and the contractile performance of isolated cardiomyocytes [11,12]. These studies show that exposing isolated cardiomyocytes to high concentrations of the saturated fatty acid palmitate induces contractile dysfunction and apoptosis [11,13,14,15]. In contrast to these studies, we have focused on the effect of palmitate on the caveolae membrane system

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