BCKDK Protects against Obesity-Induced Cardiac Remodelling and Dysfunction by Modulating Mitochondrial ROS-Driven JNK/p38 MAPK Signaling
Ontology highlight
ABSTRACT: Obesity cardiomyopathy (OCM), characterized by diastolic dysfunction, often progresses to obese heart failure with preserved ejection fraction and remains a major clinical challenge. Accumulating evidence indicates that impaired branched-chain amino acid (BCAA) catabolism is present in OCM, and systemic enhancement of BCAA catabolism through global inhibition of branched-chain ketoacid dehydrogenase kinase (BCKDK), a key negative regulator of BCAA oxidation, alleviates cardiac dysfunction. However, whether cardiac-restricted manipulation of BCAA catabolism is sufficient to confer therapeutic benefits remains unknown. Here, we generated an inducible cardiomyocyte-specific BCKDK knockout mouse model to enhance cardiac BCAA catabolism. Unexpectedly, this model fails to improve and instead exacerbates cardiac dysfunction and ventricular remodelling in OCM. Notably, cardiac BCKDK expression is reduced in both OCM mice and obese patients. Cardiomyocyte-specific BCKDK overexpression robustly improves cardiac function and pathological remodelling in OCM, accompanied by further lowering myocardial BCAA levels. Bulk-RNA sequencing and untargeted metabolomics reveal that the cardiomyocyte-specific BCKDK overexpression restore mitochondrial respiratory function and suppress MAPK-driven inflammatory response. Overall, these findings uncover an unanticipated BCAA-independent role of BCKDK in maintaining cardiomyocyte mitochondrial function and restraining inflammatory signalling, positioning BCKDK as a promising therapeutic target for OCM.
ORGANISM(S): Mus musculus
PROVIDER: GSE317489 | GEO | 2026/07/08
REPOSITORIES: GEO
ACCESS DATA