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Citations to this article

Defective lipid metabolism in the failing heart
Benjamin Wittel, James F. Spann Jr.
Benjamin Wittel, James F. Spann Jr.
Published August 1, 1968
Citation Information: J Clin Invest. 1968;47(8):1787-1794. https://doi.org/10.1172/JCI105868.
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Research Article

Defective lipid metabolism in the failing heart

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Abstract

The metabolism of long chain fatty acids was investigated in the failing heart of guinea pigs with chronic constriction of the ascending aorta. Homogenates prepared form failing hearts exhibited (a) a decreased capacity to oxidize palmitic acid (failure = 0.50 ± 0.06 μmole/g of protein per 20 min; control = 1.09 ± 0.10); (b) a reduced level of carnitine, a myocardial constituent which serves to control the oxidation rate of long chain fatty acids in the heart (failure = 0.91 ± 0.10 μmole/g wet weight; control = 1.69 ± 0.10); and (c) an increased rate of palmitate incorporation into triglycerides and lecithin. Exogenous carnitine effected a restoration of the defective palmitate metabolism of the homogenates towards normal. In contrast to long chain fatty acid oxidation, glucose oxidation by the failing heart was not impaired. As a consequence of this selective lesion in energy substrate utilization, the failing heart might be forced to rely on substrates other than long chain fatty acids for its major energy supply.

Authors

Benjamin Wittel, James F. Spann Jr.

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Total citations by year

Year: 2023 2022 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1990 1989 1988 1987 1986 1985 1984 1982 1981 1979 1977 1976 1975 1974 1973 1972 1971 1970 1969 Total
Citations: 2 1 1 1 1 1 1 2 4 1 2 2 1 3 3 6 4 2 3 6 3 3 7 1 2 4 7 3 2 1 3 1 1 1 4 3 1 2 2 3 1 1 1 1 1 3 1 1 111
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