Tamburini, I. | bioRxiv Science

bioRxiv2025

Cardiac metabolite exchange measured in pigs during myocardial ischemia and reperfusion

Myocardial ischemia and reperfusion (I/R) injury are the primary contributors to death in patients with cardiovascular disease. While decades of research have elucidated the molecular players and biochemical mechanisms underlying I/R injury, how these pathologies influence the metabolic activities of the heart remains incompletely understood. Such a knowledge gap hampers the development of therapies aimed at mitigating the metabolic stresses of the heart during injury. Using comprehensive arteriovenous metabolomics in a highly relevant porcine I/R model, we report the metabolic landscape of cardiac metabolic changes after ischemia and during the reperfusion time course. Paradoxically, ischemia increases the cardiac uptake of circulating fatty acids while reperfusion for 60 minutes reverses this activity. By 120 minutes of reperfusion, the hearts resume the uptake of fatty acids, suggesting restoration of their metabolism. On the other hand, we found a strong release of amino acids by the heart only after 60-minute reperfusion, but not after 120-minute reperfusion, implicating I/R-induced transient protein degradation. In addition to these findings, we identified several previously unrecognized changes in cardiac metabolic inputs and outputs during I/R, including nucleotides, TCA cycle intermediates and creatine/creatinine. These data highlight the dynamic alterations in cardiac metabolism in response to I/R, providing insights into how to mitigate myocardial I/R injury.

biochemistry↗

bioRxiv2024

Sex-dependent metabolic remodeling of kidneys revealed by arteriovenous metabolomics

Sex is a fundamental biological variable important in biomedical research, drug development, clinical trials, and prevention approaches. Among many organs, kidneys are known to exhibit remarkable structural, histological, and pathological differences between sexes. However, whether and how kidneys display distinct metabolic activities between sexes is poorly understood. By developing kidney-specific arteriovenous (AV) metabolomics combined with transcriptomics, we report striking sex differences in both basal metabolic activities and adaptive metabolic remodeling of kidneys after a fat-enriched ketogenic diet (KD), a regimen known to mitigate kidney diseases and improve immunotherapy for renal cancer. At the basal state, female kidneys show highly accumulated aldosterone and various acylcarnitines. In response to the KD, aldosterone levels remain high selectively in females but the sex difference in acylcarnitines disappears. AV data revealed that, under KD, female kidneys avidly take up circulating fatty acids and release 3-hydroxybutyrate (3-HB) whereas male kidneys barely absorb fatty acids but consistently take up 3-HB. Although both male and female kidneys take up gluconeogenic substrates such as glycerol, glutamine and lactate, only female kidneys exhibit net glucose release. Kidney transcriptomics data incompletely predict these sex differences, suggesting post-transcriptional/translational regulation mechanisms. This study provides foundational insights into the sex-dependent and diet-elicited metabolic flexibility of the kidneys in vivo, serving as a unique resource for understanding variable disease prevalence and drug responses between male and female kidneys.

biochemistry↗