RT Journal Article T1 γ-Linolenic acid in maternal milk drives cardiac metabolic maturation A1 Paredes, Ana A1 Villalba Orero, María A1 Ruiz-Cabello Osuna, Jesús A1 Ricote, Mercedes AB Birth presents a metabolic challenge to cardiomyocytes as they reshape fuel preference from glucose to fatty acids for postnatal energy production1,2. This adaptation is triggered in part by post-partum environmental changes3, but the molecules orchestrating cardiomyocyte maturation remain unknown. Here we show that this transition is coordinated by maternally supplied γ-linolenic acid (GLA), an 18:3 omega-6 fatty acid enriched in the maternal milk. GLA binds and activates retinoid X receptors4 (RXRs), ligand-regulated transcription factors that are expressed in cardiomyocytes from embryonic stages. Multifaceted genome-wide analysis revealed that the lack of RXR in embryonic cardiomyocytes caused an aberrant chromatin landscape that prevented the induction of an RXR-dependent gene expression signature controlling mitochondrial fatty acid homeostasis. The ensuing defective metabolic transition featured blunted mitochondrial lipid-derived energy production and enhanced glucose consumption, leading to perinatal cardiac dysfunction and death. Finally, GLA supplementation induced RXR-dependent expression of the mitochondrial fatty acid homeostasis signature in cardiomyocytes, both in vitro and in vivo. Thus, our study identifies the GLA-RXR axis as a key transcriptional regulatory mechanism underlying the maternal control of perinatal cardiac metabolism. SN 0028-0836 YR 2023 FD 2023 LK https://hdl.handle.net/20.500.14352/97794 UL https://hdl.handle.net/20.500.14352/97794 LA eng NO Paredes, A., Justo-Méndez, R., Jiménez-Blasco, D. et al. γ-Linolenic acid in maternal milk drives cardiac metabolic maturation. Nature 618, 365–373 (2023). https://doi.org/10.1038/s41586-023-06068-7 NO Junta de Castilla y León NO European Commission NO Ministerio de Ciencia e Innovación (España) NO Instituto de Salud Carlos III NO Airbus Defense and Space NO Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Brasil) NO Swedish Cancer Society NO Novo Nordisk Foundation NO Swedish Research Council DS Docta Complutense RD 6 abr 2025