Project Summary
Our long term goal is to identify cellular and molecular mechanisms responsible for fasting-induced
cardioprotection. Excessive calorie intake leads to increased risk for cardiovascular disease. On the
contrary, intermittent fasting and caloric restriction can enhance cardiovascular health. Intensive research
has focused on developing drugs that mimic the health-promoting effects of fasting without actually reducing
food intake. However, the cardioprotective mechanisms remain speculative, making it hard to design
mimetics for harnessing the full benefits of fasting. Mitochondrial autophagy or mitophagy is the process in
which mitochondria are specifically delivered to and degraded in the lysosomes. Mitophagy has been
shown to play an important role in maintaining cardiac homeostasis under various conditions. However, it
remains completely unknown whether mitophagy is beneficial to the heart during fasting. Our preliminary
studies showed that fasting accelerated mitophagy flux in the heart as determined by multiple
measurements including a novel dual fluorescent mitophagy reporter. Although cardiac function was
normal after 1-day fasting, it was impaired by 2-day starvation. Together, these results not only demonstrate
the ability of fasting to induce mitophagy in the heart but also suggest a potential role of mitophagy in
modulating cardiac function during fasting. We hypothesize that an appropriate level of mitophagy is
essential for maintaining cardiac homeostasis during fasting-induced energy crisis. This hypothesis will be
tested in two specific aims. Using genetically modified mice with reduced mitophagy in the heart, Aim 1 will
investigate whether reducing cardiac mitophagy will lead to an accumulation of dysfunctional mitochondria,
exacerbating fasting-induced cardiac injury. A novel mitophagy reporter will be used to directly visualize and
quantify mitophagy in the heart. The relative importance of two mitophagy pathways, namely, Parkin and
FUNDC1, in maintaining cardiac homeostasis during fasting will be determined. Using transgenic mice
overexpressing Parkin or FUNDC1, Aim 2 will determine if increasing mitophagy is sufficient to enhance the
degradation and recycling of dysfunctional mitochondria, rendering the heart resistant to fasting-induced
injury. Successful completion of the proposed study will provide novel insight into the signaling
mechanisms that mediate the cardioprotective effects of fasting and facilitate the targeted-design of
effective mimetics to harness the power of fasting for preventive and therapeutic intervention in heart
disease. This R15 grant will also have a very positive impact on the research environment and student
learning at our institution by supporting the conduct of significant research and by engaging students of all
levels in the research activities.