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Fig 1.

Systemic KLF15 is required for the heart’s functional adaptation in response to fasting.

(A) Left ventricular fractional shortening from echocardiography performed in wild-type (WT) vs. systemic Klf15-null (Klf15-/-) under fed vs. 48 hours fasting conditions, (n = 5), *P,0.05 vs. WT Fast. (B) Representative echocardiography image from WT vs. Klf15-/- following a 48 hour fast. (C) Tabular representation of echocardiography data in WT vs. Klf15-/- under fed vs. 48 hour fasting conditions.

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Fig 1 Expand

Fig 2.

Cardiac KLF15 is required for the heart’s functional adaptation in response to fasting.

(A) Left ventricular fractional shortening from echocardiography performed in control (MHC-Cre) vs KLF15-cKO under fed vs. 48 hours fasting conditions, (n = 5), *P<0.05 vs. MHC-Cre Fast. (B) Representative echocardiography image from MHC-Cre vs. KLF15-cKO following a 48 hour fast. (C) Tabular representation of echocardiography data in MHC-Cre vs. KLF15-cKO under fed vs. 48 hour fasting conditions.

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Fig 3.

Cardiac specific deletion of KLF15 alters tissue and plasma levels of free fatty acids and triglycerides.

Cardiac FFA (A) and TG (B) levels in control (MHC-Cre) vs. KF15-cKO following 48 hours fasting, (n = 5), *P<0.05 vs. Cre Fed, **P<0.05 vs. CKO Fed, # P<0.05 vs. Cre Fast. Plasma FFA (C) and TG (D) levels in control (MHC-Cre) vs. KLF15-cKO following 48 hours fasting, (n = 5), *P<0.05 vs. Cre Fed, **P<0.05 vs. CKO Fed, # P<0.05 vs. Cre Fast.

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Fig 4.

Cardiac specific deletion of KLF15 alters lipid profile.

Metabolomic analysis of long chain acylcarnitines in cardiac tissue from control (MHC-Cre) vs. KLF15-cKO with and without 48 hour fast, (n = 5), *P<0.05 by one-way analysis of variance (ANOVA) with the Tukey post hoc test.

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Fig 4 Expand

Fig 5.

Short-chain diet rescues the KLF15-dependent attenuation of cardiac function in response to fasting.

(A) qPCR analysis of expression of transporter genes in MHC-Cre vs. KLF15-cKO under fed vs. 48 hour fasting conditions. *P<0.05 vs. Cre Fed, **P<0.05 vs. CKO Fed, # P<0.05 vs. Cre Fast. Values normalized to Ppib. (B) Slc25a20 expression (qPCR) in MHC-Cre vs. KLF15-cKO under fed vs. 48 hour fasting conditions. *P<0.05 vs. Cre Fed, **P<0.05 vs. CKO Fed, # P<0.05 vs. Cre Fast. Values normalized to Ppib. (C) Western blot analysis of CACT levels in MHC-Cre vs KLF15-cKO under fed and 48 hour fasting conditions. α-tubulin used as loading control. (D) Quantification of data in C (n = 3 per group). Two-tailed Student's t-test for unpaired data was used. *P<0.05. (E) Left ventricular fractional shortening from echocardiography performed in control (MHC-Cre) vs. KLF15-cKO under fed vs. 48 hours fasting conditions following 10 weeks of short-chain fatty acid diet, (n = 10). (F) Representative echocardiography image from MHC-Cre vs. KLF15-cKO following 48 hours fasting and 10 weeks of short-chain fatty acid diet. (G) Tabular representation of echocardiography data in MHC-Cre vs. KLF15-cKO under fed vs. 48 hour fasting conditions following 10 weeks of short-chain fatty acid diet.

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Fig 6.

Short-chain diet rescues the KLF15-dependent accumulation of long chain acylcarnitines in response to fasting.

Metabolomic analysis of long chain acyl-carnitines in cardiac tissue from control (MHC-Cre) vs. KLF15-cKO with and without 48 hour fast, (n = 6) following 10 weeks of short-chain fatty acid diet, *P<0.05 by one-way analysis of variance (ANOVA) with the Tukey post hoc test.

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Fig 7.

Schematic representing KLF15 as a regulator of the cardiac adaptive response to fasting.

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Table 1.

Change in long chain acylcarnitine profiles after loss of cardiac KLF15 expression.

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Table 1 Expand