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Jordan S F Chan Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada
Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada
Cardiovascular Research Institute, University of Alberta, Edmonton, Alberta, Canada

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Amanda A Greenwell Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada
Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada
Cardiovascular Research Institute, University of Alberta, Edmonton, Alberta, Canada

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Christina T Saed Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada
Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada
Cardiovascular Research Institute, University of Alberta, Edmonton, Alberta, Canada

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Magnus J Stenlund Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada
Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada
Cardiovascular Research Institute, University of Alberta, Edmonton, Alberta, Canada

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Indiresh A Mangra-Bala Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada
Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada
Cardiovascular Research Institute, University of Alberta, Edmonton, Alberta, Canada

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Seyed Amirhossein Tabatabaei Dakhili Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada
Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada
Cardiovascular Research Institute, University of Alberta, Edmonton, Alberta, Canada

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Kunyan Yang Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada
Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada
Cardiovascular Research Institute, University of Alberta, Edmonton, Alberta, Canada

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Sally R Ferrari Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada
Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada
Cardiovascular Research Institute, University of Alberta, Edmonton, Alberta, Canada

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Farah Eaton Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada
Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada
Cardiovascular Research Institute, University of Alberta, Edmonton, Alberta, Canada

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Keshav Gopal Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada
Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada
Cardiovascular Research Institute, University of Alberta, Edmonton, Alberta, Canada

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John R Ussher Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada
Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada
Cardiovascular Research Institute, University of Alberta, Edmonton, Alberta, Canada

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oxidation secondary to the stimulation of pyruvate dehydrogenase (PDH) activity ( Almutairi et al. 2021 ), the rate-limiting enzyme of glucose oxidation ( Patel et al. 2014 ). These actions on myocardial glucose oxidation appear to be indirectly mediated

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MC Sugden
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HS Lall
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RA Harris
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MJ Holness
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The pyruvate dehydrogenase kinases (PDK1-4) regulate glucose oxidation through inhibitory phosphorylation of the pyruvate dehydrogenase complex (PDC). Immunoblot analysis with antibodies raised against recombinant PDK isoforms demonstrated changes in PDK isoform expression in response to experimental hyperthyroidism (100 microg/100 g body weight; 3 days) that was selective for fast-twitch vs slow-twitch skeletal muscle in that PDK2 expression was increased in the fast-twitch skeletal muscle (the anterior tibialis) (by 1. 6-fold; P<0.05) but not in the slow-twitch muscle (the soleus). PDK4 protein expression was increased by experimental hyperthyroidism in both muscle types, there being a greater response in the anterior tibialis (4.2-fold increase; P<0.05) than in the soleus (3.2-fold increase; P<0.05). The hyperthyroidism-associated up-regulation of PDK4 expression was observed in conjunction with suppression of skeletal-muscle PDC activity, but not suppression of glucose uptake/phosphorylation, as measured in vivo in conscious unrestrained rats (using the 2-[(3)H]deoxyglucose technique). We propose that increased PDK isoform expression contributes to the pathology of hyperthyroidism and to PDC inactivation by facilitating the operation of the glucose --> lactate --> glucose (Cori) and glucose --> alanine --> glucose cycles. We also propose that enhanced relative expression of the pyruvate-insensitive PDK isoform (PDK4) in skeletal muscle in hyperthyroidism uncouples glycolytic flux from pyruvate oxidation, sparing pyruvate for non-oxidative entry into the tricarboxylic acid (TCA) cycle, and thereby supporting entry of acetyl-CoA (derived from fatty acid oxidation) into the TCA cycle.

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Natalia Pavón Departamento de Farmacología, Instituto Nacional de Cardiología Ignacio Chávez, México, Mexico

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Alfredo Cabrera-Orefice Departamento de Genética Molecular, Instituto de Fisiología Celular, Universidad Nacional Autónoma de México, México D.F., Mexico

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Juan Carlos Gallardo-Pérez Departamento de Bioquímica, Instituto Nacional de Cardiología Ignacio Chávez, México, Mexico

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Cristina Uribe-Alvarez Departamento de Genética Molecular, Instituto de Fisiología Celular, Universidad Nacional Autónoma de México, México D.F., Mexico

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Nadia A Rivero-Segura Unidad de Investigación en Reproducción Humana, Instituto Nacional de Perinatología-Facultad de Química UNAM, México D.F., Mexico

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Edgar Ricardo Vazquez-Martínez Unidad de Investigación en Reproducción Humana, Instituto Nacional de Perinatología-Facultad de Química UNAM, México D.F., Mexico

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Marco Cerbón Unidad de Investigación en Reproducción Humana, Instituto Nacional de Perinatología-Facultad de Química UNAM, México D.F., Mexico

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Eduardo Martínez-Abundis División Académica Multidisciplinaria de Comalcalco, Universidad Juárez Autónoma de Tabasco, México, Mexico

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Juan Carlos Torres-Narvaez Departamento de Farmacología, Instituto Nacional de Cardiología Ignacio Chávez, México, Mexico

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Raúl Martínez-Memije Departamento de Instrumentación Electromecánica, Instituto Nacional de Cardiología Ignacio Chávez, Tlalpan DF, México, Mexico

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Francisco-Javier Roldán-Gómez Departamento de Consulta externa, Instituto Nacional de Cardiología Ignacio Chávez, México, Mexico

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Salvador Uribe-Carvajal Departamento de Genética Molecular, Instituto de Fisiología Celular, Universidad Nacional Autónoma de México, México D.F., Mexico

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capacity and antioxidant defenses ( Nadal-Casellas et al . 2011 ), as well as complex IV (COX) and pyruvate dehydrogenase (PDH) activities in whole-brain mitochondria ( Irwin et al . 2011 ). However, these changes have not been fully explored in heart

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Brenna Osborne Diabetes and Metabolism Division, Garvan Institute of Medical Research, Darlinghurst, New South Wales, Australia
Department of Pharmacology, School of Biomedical Sciences, UNSW Sydney, New South Wales, Australia
Department of Cellular and Molecular Medicine, Center for Healthy Aging, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark

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Lauren E Wright Diabetes and Metabolism Division, Garvan Institute of Medical Research, Darlinghurst, New South Wales, Australia

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Amanda E Brandon Diabetes and Metabolism Division, Garvan Institute of Medical Research, Darlinghurst, New South Wales, Australia
Charles Perkins Centre, University of Sydney, New South Wales, Australia

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Ella Stuart Diabetes and Metabolism Division, Garvan Institute of Medical Research, Darlinghurst, New South Wales, Australia

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Lewin Small Diabetes and Metabolism Division, Garvan Institute of Medical Research, Darlinghurst, New South Wales, Australia

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Joris Hoeks NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, the Netherlands

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Patrick Schrauwen NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, the Netherlands

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David A Sinclair Department of Genetics, Paul F. Glenn Center for Biology of Aging Research, Harvard Medical School, Boston, Massachusetts, USA

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Magdalene K Montgomery Diabetes and Metabolism Division, Garvan Institute of Medical Research, Darlinghurst, New South Wales, Australia
Department of Anatomy & Physiology, School of Biomedical Sciences, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Victoria, Australia

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Gregory J Cooney Diabetes and Metabolism Division, Garvan Institute of Medical Research, Darlinghurst, New South Wales, Australia
Charles Perkins Centre, University of Sydney, New South Wales, Australia

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Nigel Turner Diabetes and Metabolism Division, Garvan Institute of Medical Research, Darlinghurst, New South Wales, Australia
Department of Pharmacology, School of Biomedical Sciences, UNSW Sydney, New South Wales, Australia
Cellular Bioenergetics Laboratory, Victor Chang Cardiac Research Institute, Darlinghurst, New South Wales, Australia

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presence of 0 mM, 0.2 mM, 0.5 mM, 1 mM or 2 mM pyruvate. Oxidative enzyme activity The maximal activity of citrate synthase (CS), succinate dehydrogenase (SDH), hexokinase (HK), isocitrate dehydrogenase (IDH) and active pyruvate dehydrogenase (PDH

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Ricardo J Samms School of Life Sciences, Lilly Research Laboratories, Chemistry Department, Queen's Medical Centre, University of Nottingham, Nottingham NG7 2UH, UK

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Michelle Murphy School of Life Sciences, Lilly Research Laboratories, Chemistry Department, Queen's Medical Centre, University of Nottingham, Nottingham NG7 2UH, UK

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Maxine J Fowler School of Life Sciences, Lilly Research Laboratories, Chemistry Department, Queen's Medical Centre, University of Nottingham, Nottingham NG7 2UH, UK

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Scott Cooper School of Life Sciences, Lilly Research Laboratories, Chemistry Department, Queen's Medical Centre, University of Nottingham, Nottingham NG7 2UH, UK

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Paul Emmerson School of Life Sciences, Lilly Research Laboratories, Chemistry Department, Queen's Medical Centre, University of Nottingham, Nottingham NG7 2UH, UK

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Tamer Coskun School of Life Sciences, Lilly Research Laboratories, Chemistry Department, Queen's Medical Centre, University of Nottingham, Nottingham NG7 2UH, UK

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Andrew C Adams School of Life Sciences, Lilly Research Laboratories, Chemistry Department, Queen's Medical Centre, University of Nottingham, Nottingham NG7 2UH, UK

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Alexei Kharitonenkov School of Life Sciences, Lilly Research Laboratories, Chemistry Department, Queen's Medical Centre, University of Nottingham, Nottingham NG7 2UH, UK

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Francis J P Ebling School of Life Sciences, Lilly Research Laboratories, Chemistry Department, Queen's Medical Centre, University of Nottingham, Nottingham NG7 2UH, UK

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Kostas Tsintzas School of Life Sciences, Lilly Research Laboratories, Chemistry Department, Queen's Medical Centre, University of Nottingham, Nottingham NG7 2UH, UK

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dehydrogenase complex activity (PDC, mmol/min per kg dm), (B) acetylcarnitine (mmol/kg dm) and (C) pyruvate dehydrogenase 4 (PDK4) at the end of the 14-day treatment period. Values are group means± s.e.m. * P <0.05 vs vehicle. Figure 4 The effect of vehicle ( n

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Cristina Mora Biochemistry, Faculty of Science and Technological Chemistry, and Regional Centre for Biomedical Research (CRIB), University of Castilla-La Mancha (UCLM), Ciudad Real, Spain

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Cristina Pintado Biochemistry, Faculty of Environmental Sciences and and CRIB, UCLM, Toledo, Spain

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Blanca Rubio Biochemistry, Faculty of Science and Technological Chemistry, and Regional Centre for Biomedical Research (CRIB), University of Castilla-La Mancha (UCLM), Ciudad Real, Spain

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Lorena Mazuecos Biochemistry, Faculty of Science and Technological Chemistry, and Regional Centre for Biomedical Research (CRIB), University of Castilla-La Mancha (UCLM), Ciudad Real, Spain

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Virginia López Biochemistry, Faculty of Science and Technological Chemistry, and Regional Centre for Biomedical Research (CRIB), University of Castilla-La Mancha (UCLM), Ciudad Real, Spain

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Alejandro Fernández Biochemistry, Faculty of Science and Technological Chemistry, and Regional Centre for Biomedical Research (CRIB), University of Castilla-La Mancha (UCLM), Ciudad Real, Spain

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Aurora Salamanca Biochemistry, Faculty of Science and Technological Chemistry, and Regional Centre for Biomedical Research (CRIB), University of Castilla-La Mancha (UCLM), Ciudad Real, Spain

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Brenda Bárcena Biochemistry, Faculty of Science and Technological Chemistry, and Regional Centre for Biomedical Research (CRIB), University of Castilla-La Mancha (UCLM), Ciudad Real, Spain

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Teresa Fernández-Agulló Health Sciences Faculty, University Rey Juan Carlos, Alcorcón, Madrid, Spain

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Carmen Arribas Biochemistry, Faculty of Environmental Sciences and and CRIB, UCLM, Toledo, Spain

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Nilda Gallardo Biochemistry, Faculty of Science and Technological Chemistry, and Regional Centre for Biomedical Research (CRIB), University of Castilla-La Mancha (UCLM), Ciudad Real, Spain

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Antonio Andrés Biochemistry, Faculty of Science and Technological Chemistry, and Regional Centre for Biomedical Research (CRIB), University of Castilla-La Mancha (UCLM), Ciudad Real, Spain

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of PDK4 expression might suggest a decrease in glucose oxidation through pyruvate dehydrogenase. Nevertheless, we studied an alternate route for glucose oxidation, the anaplerotic cytoplasmic malic enzyme, as a compensatory pathway that may contribute

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Firoozeh Salehzadeh Department of Molecular Medicine and Surgery, Karolinska Institutet, 171 77 Stockholm, Sweden

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Anna Rune Department of Molecular Medicine and Surgery, Karolinska Institutet, 171 77 Stockholm, Sweden

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Megan Osler Department of Molecular Medicine and Surgery, Karolinska Institutet, 171 77 Stockholm, Sweden

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Lubna Al-Khalili Department of Molecular Medicine and Surgery, Karolinska Institutet, 171 77 Stockholm, Sweden

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transporter 4; GLUT4 ( SLC2A4 ) and pyruvate dehydrogenase kinase isozyme 4 ( PDK4 ), carnitine palmitoyltransferase 1 ( CPT1 ), IRS2 , stearoyl-CoA desaturase ( SCD ), peroxisome proliferator-activated receptor delta ( PPARD ) and gamma ( PPARG ), fatty acid

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Olivier Dumortier Université Côte d’Azur, Inserm, CNRS, IRCAN, Nice, France

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Gaia Fabris Université Côte d’Azur, Inserm, CNRS, IRCAN, Nice, France
Université Côte d’Azur, CNRS, LP2M, Nice, France

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Didier F Pisani Université Côte d’Azur, CNRS, LP2M, Nice, France

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Virginie Casamento Université Côte d’Azur, Inserm, CNRS, IRCAN, Nice, France

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Nadine Gautier Université Côte d’Azur, Inserm, CNRS, IRCAN, Nice, France

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Charlotte Hinault Université Côte d’Azur, CHU, Inserm, CNRS, IRCAN, Nice, France

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Patricia Lebrun Université Côte d’Azur, Inserm, CNRS, IRCAN, Nice, France

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Christophe Duranton Université Côte d’Azur, CNRS, LP2M, Nice, France

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Michel Tauc Université Côte d’Azur, CNRS, LP2M, Nice, France

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Stéphane Dalle INSERM U1191, Institute of Functional Genomics (IGF), CNRS UMR5203, Montpellier University, Montpellier, France

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Julie Kerr-Conte Translational Research for Diabetes, University of Lille, INSERM, CHRU Lille, Lille, France

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François Pattou Translational Research for Diabetes, University of Lille, INSERM, CHRU Lille, Lille, France

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Marc Prentki CRCHUM and Montreal Diabetes Research Center, Departments of Nutrition and Biochemistry and Molecular Medicine, University of Montreal, Montreal, Canada

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Emmanuel Van Obberghen Université Côte d’Azur, CNRS, LP2M, Nice, France
Université Côte d’Azur, CHU, Inserm, CNRS, IRCAN, Nice, France
Université Côte d’Azur, CHU, CNRS, LP2M, Nice, France

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pyruvate ( Fig. 4E ). In differentiated beta cells, pyruvate is slightly reduced to lactate and hence most of the glucose-derived pyruvate is metabolized in the mitochondria via pyruvate dehydrogenase and anaplerotic reactions ( Ainscow et al . 2000

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Richard R Almon
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Debra C DuBois
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Jin Y Jin
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William J Jusko
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section of the tree containing these three probe sets (Fig. 3 , middle) shows that two of the probe sets are for uncoupling protein 3 (UCP3) and one is for pyruvate dehydrogenase kinase isoenzyme 4 (PDK4). Figure 3 (right) shows an enlargement of the

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Jordan S F Chan Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada
Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada
Cardiovascular Research Institute, University of Alberta, Edmonton, Alberta, Canada

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Tanin Shafaati Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada
Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada
Cardiovascular Research Institute, University of Alberta, Edmonton, Alberta, Canada

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John R Ussher Faculty of Pharmacy and Pharmaceutical Sciences, University of Alberta, Edmonton, Alberta, Canada
Alberta Diabetes Institute, University of Alberta, Edmonton, Alberta, Canada
Cardiovascular Research Institute, University of Alberta, Edmonton, Alberta, Canada

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glucose uptake is a key contributor to the T2D-mediated decline in myocardial glucose oxidation, there are also several important molecular factors at play. The most important is the marked impairment in the activity of pyruvate dehydrogenase (PDH), the

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