ArticleCirculation research2026
Exercise Metabolic Memory Halts Pathological Cardiac Hypertrophy via PDK4.
Article in Circulation research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPathological cardiac hypertrophy remains a major contributor to heart failure, with impaired glucose metabolism playing a central role. Although exercise is known to enhance myocardial glucose utilization, the long-term metabolic reprogramming effects of exercise and their role in preventing pathological hypertrophy are poorly understood. This study elucidates the mechanisms underlying the sustained metabolic memory induced by exercise-induced hypertrophic preconditioning (EHP) and its cardioprotective effects, with a focus on RNA methylation and arachidonic acid metabolism.
methodsWe used positron emission tomography/computed tomography to assess cardiac glucose uptake and bulk RNA sequencing to profile myocardial gene expression in sedentary and EHP mice. Genetic manipulation of
resultsEHP conferred sustained myocardial glucose preference even after regression of physiological hypertrophy, mediated through METTL3 (methyltransferase-like 3)-dependent m6A RNA methylation that suppressed
conclusionsThis study establishes a unified mechanism by which EHP induces metabolic memory through RNA methylation-dependent suppression of
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