PMID- 24370004 OWN - NLM STAT- MEDLINE DCOM- 20141029 LR - 20211203 IS - 1879-3061 (Electronic) IS - 1043-2760 (Print) IS - 1043-2760 (Linking) VI - 25 IP - 3 DP - 2014 Mar TI - Cardiomyocyte health: adapting to metabolic changes through autophagy. PG - 156-64 LID - S1043-2760(13)00205-1 [pii] LID - 10.1016/j.tem.2013.11.004 [doi] AB - Autophagy is important in the heart for maintaining homeostasis when changes in nutrient levels occur. Autophagy is involved in the turnover of cellular components, and is rapidly upregulated during stress. Studies have found that autophagy is reduced in metabolic disorders including obesity and diabetes. This leads to accumulation of protein aggregates and dysfunctional organelles, which contributes to the pathogenesis of cardiovascular disease. Autophagy is primarily regulated by two components: the mechanistic target of rapamycin (mTOR) and AMP-activated protein kinase (AMPK). Although mTOR integrates information about growth factors and nutrients and is a negative regulator of autophagy, AMPK is an energy sensor and activates autophagy when energy levels are low. These pathways therefore present targets for the development of autophagy-modulating therapies. CI - Copyright (c) 2013 Elsevier Ltd. All rights reserved. FAU - Kubli, Dieter A AU - Kubli DA AD - Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, CA 92093, USA. FAU - Gustafsson, Asa B AU - Gustafsson AB AD - Skaggs School of Pharmacy and Pharmaceutical Sciences, University of California San Diego, La Jolla, CA 92093, USA. Electronic address: asag@ucsd.edu. LA - eng GR - R01 HL087023/HL/NHLBI NIH HHS/United States GR - P01HL085577/HL/NHLBI NIH HHS/United States GR - R01HL101217/HL/NHLBI NIH HHS/United States GR - R01HL092136/HL/NHLBI NIH HHS/United States GR - R01 HL101217/HL/NHLBI NIH HHS/United States GR - R01 HL092136/HL/NHLBI NIH HHS/United States GR - P01 HL085577/HL/NHLBI NIH HHS/United States GR - R01HL087023/HL/NHLBI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review DEP - 20131224 PL - United States TA - Trends Endocrinol Metab JT - Trends in endocrinology and metabolism: TEM JID - 9001516 RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) SB - IM MH - AMP-Activated Protein Kinases/metabolism MH - Animals MH - Autophagy/*physiology MH - Humans MH - Myocytes, Cardiac/*metabolism MH - TOR Serine-Threonine Kinases/metabolism PMC - PMC3951169 MID - NIHMS552342 OTO - NOTNLM OT - AMPK OT - autophagy OT - diabetes OT - heart OT - mTOR OT - obesity EDAT- 2013/12/29 06:00 MHDA- 2014/10/30 06:00 PMCR- 2015/03/01 CRDT- 2013/12/28 06:00 PHST- 2013/09/18 00:00 [received] PHST- 2013/11/12 00:00 [revised] PHST- 2013/11/22 00:00 [accepted] PHST- 2013/12/28 06:00 [entrez] PHST- 2013/12/29 06:00 [pubmed] PHST- 2014/10/30 06:00 [medline] PHST- 2015/03/01 00:00 [pmc-release] AID - S1043-2760(13)00205-1 [pii] AID - 10.1016/j.tem.2013.11.004 [doi] PST - ppublish SO - Trends Endocrinol Metab. 2014 Mar;25(3):156-64. doi: 10.1016/j.tem.2013.11.004. Epub 2013 Dec 24.