Fasting-induced HMGCS2 expression in the kidney does not contribute to circulating ketones

Author:

Venable Andrea H.1,Lee Lauren E.1,Feola Kyle1,Santoyo John1,Broomfield Tatyana1,Huen Sarah C.1ORCID

Affiliation:

1. Department of Internal Medicine (Nephrology) and Pharmacology, University of Texas Southwestern Medical Center, Dallas, Texas

Abstract

The mitochondrial enzyme hydroxymethylglutaryl-CoA synthase 2 (HMGCS2) catalyzes the rate-limiting step of ketogenesis. Although the liver constitutively expresses HMGCS2 and is considered the main ketogenic organ, HMGCS2 is induced in the kidney during fasting, leading to the proposal that the kidney contributes to fasting ketosis. We showed kidney HMGCS2 does not contribute to circulating ketones during fasting and cannot compensate for hepatic ketogenic insufficiency.

Funder

HHS | NIH | National Institute of Diabetes and Digestive and Kidney Diseases

HHS | NIH | National Institute of General Medical Sciences

American Society of Nephrology

Publisher

American Physiological Society

Subject

Physiology

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