Circadian variation of blood pressure and the vascular response to asynchronous stress

Anne M Curtis1, Yan Cheng, Shiv Kapoor

  • 1Institute for Translational Medicine and Therapeutics, School of Medicine, University of Pennsylvania, 153 Johnson Pavilion, Philadelphia, PA 19104, USA.

Insights

The molecular clock influences cardiovascular rhythms and stress responses. Disruption of core clock genes affects blood pressure and heart rate, impacting cardiovascular event timing.

Area of Science:

  • Chronobiology
  • Cardiovascular Physiology
  • Molecular Biology

Background:

  • Diurnal variations in myocardial infarction and stroke suggest a role for the molecular clock and environmental stress timing.
  • Circadian rhythms in blood pressure and heart rate are known to be disrupted in mice with mutations in core clock genes (Bmal1, Clock, Npas2).

Purpose of the Study:

  • To investigate the influence of the molecular clock on cardiovascular rhythms and stress responses.
  • To understand how clock gene disruption affects sympathoadrenal function and catecholamine metabolism.
  • To elucidate the clock's role in the time-dependent incidence of cardiovascular events.

Main Methods:

  • Analysis of cardiovascular rhythms in mice with deleted or mutated core clock genes (Bmal1(-/-), Clock(mut), Npas2(mut)).
  • Assessment of sympathoadrenal function, including enzyme activity related to catecholamine synthesis and disposition.
  • Evaluation of pressor and adrenocortical responses to stress in relation to clock gene status and timing.

Main Results:

  • Bmal1 deletion abolished 24-hour cardiovascular rhythms but a shorter ultradian rhythm persisted.
  • Sympathoadrenal function was disrupted in mutant mice, affecting enzymes like phenylethanolamine N-methyl transferase, monoamine oxidase B, and catechol-O-methyl transferase.
  • Clock gene disruption modulated sympathoadrenal and pressor responses to stress, but not adrenocortical responses.

Conclusions:

  • The molecular clock differentially regulates catecholamines and corticosteroids, influencing cardiovascular function.
  • Clock genes play a critical role in integrating stress responses with underlying circadian cardiovascular rhythms.
  • The molecular clock may mediate the time-dependent incidence of cardiovascular events through coordinated stress response and cardiovascular rhythm regulation.

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