PMID- 33310031 OWN - NLM STAT- MEDLINE DCOM- 20210201 LR - 20210201 IS - 1879-0631 (Electronic) IS - 0024-3205 (Linking) VI - 266 DP - 2021 Feb 1 TI - WY14643 improves left ventricular myocardial mitochondrial and systolic functions in obese rats under chronic persistent hypoxia via the PPARalpha pathway. PG - 118888 LID - S0024-3205(20)31641-6 [pii] LID - 10.1016/j.lfs.2020.118888 [doi] AB - AIMS: Peroxisome proliferator-activated receptor (PPAR) alpha, a key regulator of lipid metabolism, plays a role in maintaining the homeostasis of myocardial energy metabolism. Both hypoxia and obesity inhibit the expression of PPARalpha in the myocardium. In this study, we verified the inhibitory effects of hypoxia and obesity on PPARalpha and examined whether WY14643 (4-chloro-6-(2,3-xylidino)-2-pyrimidinylthioacetic acid), an agonist of PPARalpha, ameliorates myocardial mitochondrial dysfunction and protects cardiac function in obese rats under chronic persistent hypoxia. MAIN METHODS: Sprague-Dawley rats were randomly divided into six groups: a control group (normal chow diet, normal oxygen), a high-fat diet (HFD) group (normal oxygen), a chronic persistent hypoxia normal chow diet group, a chronic persistent hypoxia HFD group, a chronic persistent hypoxia HFD group with WY14643 treatment, and a chronic persistent hypoxia HFD group with vehicle treatment. KEY FINDINGS: Hypoxia and obesity increased myocardial lipid accumulation, mitochondrial dysfunction, and left ventricular systolic dysfunction. Myocardial lipid metabolism-related genes, including those encoding PPARalpha, PPARgamma coactivator 1alpha (PGC1alpha), and carnitine palmitoyl transferase 1alpha (CPT1alpha), were downregulated, while acetyl-CoA carboxylase 2 (ACC2) was upregulated under a combination of hypoxia and obesity. WY14643 upregulated PPARalpha, PGC1alpha, and CPT1alpha, and downregulated ACC2. WY14643 alleviated hypoxia- and obesity-induced myocardial lipid accumulation and improved mitochondrial and left ventricular systolic functions. SIGNIFICANCE: WY14643 improved myocardial mitochondrial and left ventricular systolic functions in obese rats under chronic persistent hypoxia. Thus, WY14643 possibly exerts its effects by regulating the PPARalpha pathway and shows potential as a therapeutic target for cardiovascular diseases associated with obesity and hypoxia. CI - Copyright (c) 2020 Elsevier Inc. All rights reserved. FAU - Yan, Jun AU - Yan J AD - Research Center for High Altitude Medicine, Qinghai University Medical College, Xining 810001, PR China; Key Laboratory of Persistent medicine (Qinghai University), Ministry of Education, Xining 810001, PR China; Key Laboratory for Application of Persistent Medicine in Qinghai Province, Xining 810001, PR China; Cardiovascular Medicine Department, Xuzhou Medical University affiliated hospital, Xuzhou 221006, PR China. FAU - Song, Kang AU - Song K AD - Endocrinology Department, Qinghai Provincial People's Hospital, Xining 810000, PR China. FAU - Bai, Zhenzhong AU - Bai Z AD - Research Center for High Altitude Medicine, Qinghai University Medical College, Xining 810001, PR China; Key Laboratory of Persistent medicine (Qinghai University), Ministry of Education, Xining 810001, PR China; Key Laboratory for Application of Persistent Medicine in Qinghai Province, Xining 810001, PR China. FAU - Ge, Ri-Li AU - Ge RL AD - Research Center for High Altitude Medicine, Qinghai University Medical College, Xining 810001, PR China; Key Laboratory of Persistent medicine (Qinghai University), Ministry of Education, Xining 810001, PR China; Key Laboratory for Application of Persistent Medicine in Qinghai Province, Xining 810001, PR China. Electronic address: geriligao@hotmail.com. LA - eng PT - Journal Article DEP - 20201210 PL - Netherlands TA - Life Sci JT - Life sciences JID - 0375521 RN - 0 (PPAR alpha) RN - 0 (Pyrimidines) SB - IM MH - Animals MH - Hypoxia/*physiopathology MH - Male MH - Mitochondria, Heart/*drug effects/metabolism/pathology MH - Obesity/*physiopathology MH - PPAR alpha/*agonists MH - Pyrimidines/chemistry/*pharmacology MH - Rats MH - Rats, Sprague-Dawley MH - Stroke Volume MH - Systole/*drug effects MH - Ventricular Dysfunction, Left/*drug therapy/etiology/pathology OTO - NOTNLM OT - Chronic hypoxia OT - Left ventricular systolic function OT - Mitochondria OT - Obesity OT - PPARalpha OT - WY14643 EDAT- 2020/12/15 06:00 MHDA- 2021/02/02 06:00 CRDT- 2020/12/14 10:19 PHST- 2020/09/09 00:00 [received] PHST- 2020/12/04 00:00 [revised] PHST- 2020/12/04 00:00 [accepted] PHST- 2020/12/15 06:00 [pubmed] PHST- 2021/02/02 06:00 [medline] PHST- 2020/12/14 10:19 [entrez] AID - S0024-3205(20)31641-6 [pii] AID - 10.1016/j.lfs.2020.118888 [doi] PST - ppublish SO - Life Sci. 2021 Feb 1;266:118888. doi: 10.1016/j.lfs.2020.118888. Epub 2020 Dec 10.