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005     20250608020920.0
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082 _ _ |a 610
100 1 _ |a Pepin, Mark E
|0 0000-0003-0114-560X
|b 0
245 _ _ |a Mitochondrial NNT Promotes Diastolic Dysfunction in Cardiometabolic HFpEF.
260 _ _ |a New York, NY
|c 2025
|b Assoc.
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336 7 _ |a ARTICLE
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336 7 _ |a JOURNAL_ARTICLE
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336 7 _ |a Journal Article
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500 _ _ |a 2025 Jun 6;136(12):1564-1578
520 _ _ |a Clinical management of heart failure with preserved ejection fraction (HFpEF) is hindered by a lack of disease-modifying therapies capable of altering its distinct pathophysiology. Despite the widespread implementation of a 2-hit model of cardiometabolic HFpEF to inform precision therapy, which utilizes ad libitum high-fat diet and 0.5% N(ω)-nitro-L-arginine methyl ester, we observe that C57BL6/J mice exhibit less cardiac diastolic dysfunction in response to high-fat diet and 0.5% N(ω)-nitro-L-arginine methyl ester.Genetic strain-specific single-nucleus transcriptomic analysis identified disease-relevant genes that enrich oxidative metabolic pathways within cardiomyocytes. Because C57BL/6J mice are known to harbor a loss-of-function mutation affecting the inner mitochondrial membrane protein Nnt (nicotinamide nucleotide transhydrogenase), we used an isogenic model of Nnt loss-of-function to determine whether intact NNT is necessary for the pathological cardiac manifestations of high-fat diet and 0.5% N(ω)-nitro-L-arginine methyl ester. Twelve-week-old mice cross-bred to isolate wild-type (Nnt+/+) or loss-of-function (Nnt-/-) Nnt in the C57BL/6N background were challenged with high-fat diet and 0.5% N(ω)-nitro-L-arginine methyl ester for 9 weeks (n=6-10).Nnt+/+ mice exhibited impaired ventricular diastolic relaxation and pathological remodeling, as assessed via E/e' (42.8 versus 21.5, P=1.2×10-10), E/A (2.3 versus 1.4, P=4.1×10-2), diastolic stiffness (0.09 versus 0.04 mm Hg/μL, P=5.1×10-3), and myocardial fibrosis (P=2.3×10-2). Liquid chromatography and mass spectroscopy exposed a 40.0% reduction in NAD+ (P=8.4×10-3) and a 38.8% reduction in glutathione:GSSG (P=2.6×10-2) among Nnt+/+ mice after high-fat diet and 0.5% N(ω)-nitro-L-arginine methyl ester feeding. Using single-nucleus ligand-receptor analysis, we implicate Fgf1 (fibroblast growth factor 1) as a putative NNT-dependent mediator of cardiomyocyte-to-fibroblast signaling of myocardial fibrosis.Together, these findings underscore the pivotal role of mitochondrial dysfunction in HFpEF pathogenesis, implicating both NNT and Fgf1 as novel therapeutic targets.
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650 _ 7 |a NG-nitroarginine methyl ester
|2 Other
650 _ 7 |a fibrosis
|2 Other
650 _ 7 |a genetic therapy
|2 Other
650 _ 7 |a heart failure
|2 Other
650 _ 7 |a oxidative stress
|2 Other
700 1 _ |a Konrad, Philipp J M
|0 0009-0003-1522-3848
|b 1
700 1 _ |a Nazir, Sumra
|b 2
700 1 _ |a Bazgir, Farhad
|0 0000-0002-0689-7926
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700 1 _ |a Maack, Christoph
|0 0000-0003-3694-4559
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700 1 _ |a Nickel, Alexander
|b 5
700 1 _ |a Gorman, Joshua
|0 0000-0001-5969-4690
|b 6
700 1 _ |a Hohl, Mathias
|0 0000-0001-6946-9825
|b 7
700 1 _ |a Schreiter, Friederike
|0 0009-0002-7405-8064
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700 1 _ |a Dewenter, Matthias
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700 1 _ |a de Britto Chaves Filho, Adriano
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700 1 _ |a Schulze, Almut
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700 1 _ |a Karlstaedt, Anja
|0 0000-0001-5689-3571
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700 1 _ |a Frey, Norbert
|0 0000-0001-7611-378X
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700 1 _ |a Seidman, Christine
|0 0000-0001-6380-1209
|b 14
700 1 _ |a Seidman, Jonathan
|0 0000-0002-9082-3566
|b 15
700 1 _ |a Backs, Johannes
|0 0000-0002-2322-2699
|b 16
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