Caloric Restriction Rejuvenates Skeletal Muscle Growth in Heart Failure With Preserved Ejection Fraction

Ever Espino-Gonzalez, Peter G. Tickle, Raffaele Altara, Harrison Gallagher, Chew W. Cheng, Viktor Engman, Nathanael Wood, Gustavo Jose Justo da Silva, Mattia Scalabrin, Xinyue Yu, Ziyi Zhong, Michael A. Colman, Nadira Y. Yuldasheva, George W. Booz, Volker Adams, Marcelo G. Pereira, Alessandro Cataliotti, Lee D. Roberts, Stuart Egginton, T. Scott Bowen*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Heart failure with preserved ejection fraction (HFpEF) is a major clinical problem, with limited treatments. HFpEF is characterized by a distinct, but poorly understood, skeletal muscle pathology, which could offer an alternative therapeutic target. In a rat model, we identified impaired myonuclear accretion as a mechanism for low myofiber growth in HFpEF following resistance exercise. Acute caloric restriction rescued skeletal muscle pathology in HFpEF, whereas cardiac therapies had no effect. Mechanisms regulating myonuclear accretion were dysregulated in patients with HFpEF. Overall, these findings may have widespread implications in HFpEF, indicating combined dietary with exercise interventions as a beneficial approach to overcome skeletal muscle pathology.
Original languageEnglish
Pages (from-to)223-240
Number of pages18
JournalJACC: Basic to Translational Science
Volume9
Issue number2
Early online date1 Jan 2024
DOIs
Publication statusPublished - Feb 2024

Keywords

  • HFpEF
  • diet
  • exercise training
  • mitochondria
  • skeletal muscle

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