A landscape view of metabolic remodeling in end-stage human failing hearts generated by multiomics analysis confirms main changes in cardiac energy metabolism and challenges several widely held mechanisms derived from animal models. Further validation in non-end-stage heart failure and metabolic flux analysis will be necessary to move the field forward.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 digital issues and online access to articles
$119.00 per year
only $9.92 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout

References
Ingwall, J. S. & Weiss, R. G. Circ. Res. 95, 135–145 (2004).
Lopaschuk, G. D. et al. Circ. Res. 128, 1487–1513 (2021).
Flam, E. et al. Nat. Cardiovasc. Res. https://doi.org/10.1038/s44161-022-00117-6 (2022).
Finck, B. N. & Kelly, D. P. Circulation 115, 2540–2548 (2007).
Finck, B. N. & Kelly, D. P. J. Mol. Cell. Cardiol. 34, 1249–1257 (2002).
Wallhaus, T. R. et al. Circulation 103, 2441–2446 (2001).
Murashige, D. et al. Science 370, 364–368 (2020).
Zhang, L. et al. Circ. Heart Fail. 6, 1039–1048 (2013).
Schroeder, M. A. et al. Eur. J. Heart Fail. 15, 130–140 (2013).
Cluntun, A. A. et al. Cell Metab. 33, 629–648 (2021).
Kadkhodayan, A., Coggan, A. R. & Peterson, L. R. Heart Fail. Rev. 18, 567–574 (2013).
Zhou, B. et al. J. Clin. Invest. 132, e155333 (2022).
Acknowledgements
This work is in part supported by grants from the National Institute of Health (grant nos. HL110349, HL129510, HL142628, HL149695 and HL144937 to R.T.), Japan Heart Foundation (The 33th Bayer Yakuhin Research Grant Abroad to A.Y.), the Uehara Memorial Foundation (grant no. 202040002 to A.Y.) and the American Heart Association (grant no. 827259 to A.Y.).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Rights and permissions
About this article
Cite this article
Yoshii, A., Tian, R. Deciphering metabolic remodeling of the failing hearts. Nat Cardiovasc Res 1, 800–801 (2022). https://doi.org/10.1038/s44161-022-00118-5
Published:
Issue date:
DOI: https://doi.org/10.1038/s44161-022-00118-5
This article is cited by
-
Doxorubicin-Induced Cardiac Remodeling: Mechanisms and Mitigation Strategies
Cardiovascular Drugs and Therapy (2025)
-
Metabolic mechanisms in physiological and pathological cardiac hypertrophy: new paradigms and challenges
Nature Reviews Cardiology (2023)