Summary Peroxisome proliferator-activated receptor δ (PPARδ) is a critical regulator of energy metabolism in the heart. Here, we propose a mechanism that integrates two deleterious characteristics of heart failure, hypoxia and a metabolic shift toward glycolysis, involving the microRNA cluster miR-199a∼214 and PPARδ. We demonstrate that under hemodynamic stress, cardiac hypoxia activates DNM3os, a noncoding transcript that harbors the microRNA cluster miR-199a∼214, which shares PPARδ as common target. To address the significance of miR-199a∼214 induction and concomitant PPARδ repression, we performed antagomir-based silencing of both microRNAs and subjected mice to biomechanical stress to induce heart failure. Remarkably, antagomir-treated animals displayed improved cardiac function and restored mitochondrial fatty acid oxidation. Taken together, our data suggest a mechanism whereby miR-199a∼214 actively represses cardiac PPARδ expression, facilitating a metabolic shift from predominant reliance on fatty acid utilization in the healthy myocardium toward increased reliance on glucose metabolism at the onset of heart failure.

doi.org/10.1016/j.cmet.2013.08.009, hdl.handle.net/1765/41412
Cell Metabolism
Erasmus MC: University Medical Center Rotterdam

El Azzouzi, H., Leptidis, S., Dirkx, E., van den Hoek, J., van Bree, B., Brand, K., McClellan, E., Poels, E., Sluimer, J., van den Hoogenhof, M., Armand, A.-S., Yin, X., Langley, S., Bourajjaj, M., Olieslagers, S., Krishnan, J., Vooijs, M., Kurihara, H., Stubbs, A., … de Windt, L. (2013). The Hypoxia-Inducible MicroRNA Cluster miR-199a∼214 targets myocardial PPARδ and impairs mitochondrial fatty acid oxidation. Cell Metabolism, 18(3), 1–14.https://doi.org/10.1016/j.cmet.2013.08.009