Anticipating anticipation: pursuing identification of cardiomyocyte circadian clock function

Martin E Young1

  • 1USDA/ARS Children's Nutrition Research Center, Baylor College of Medicine, Dept. of Pediatrics, 1100 Bates St., Houston, TX 77030, USA. meyoung@bcm.edu

Insights

The heart has an internal circadian clock within its cells that influences heart function and disease. Disrupting this cardiomyocyte circadian clock impacts cardiovascular health, opening new avenues for treatment.

Area of Science:

  • Cardiovascular Physiology
  • Chronobiology
  • Molecular Cardiology

Background:

  • Diurnal rhythms affect heart function and disease, traditionally attributed to external factors.
  • Recent evidence reveals an intrinsic cardiomyocyte circadian clock within heart cells.
  • This intracellular clock anticipates environmental changes, optimizing cellular responses.

Purpose of the Study:

  • To review current knowledge on the cardiomyocyte circadian clock's role in cardiovascular physiology and pathophysiology.
  • To highlight emerging research frontiers in understanding and targeting this mechanism.
  • To explore the implications for cardiovascular disease prevention and treatment.

Main Methods:

  • Review of existing literature on cardiomyocyte circadian clocks.
  • Analysis of studies using genetically modified mice with disrupted cardiomyocyte clocks.
  • Discussion of ongoing and future research directions.

Main Results:

  • The cardiomyocyte circadian clock regulates gene expression, beta-adrenergic signaling, and metabolism.
  • It influences heart rate, cardiac output, and tolerance to ischemia-reperfusion.
  • Disruption of this clock has significant pathophysiological consequences.

Conclusions:

  • The cardiomyocyte circadian clock is a critical regulator of heart function and disease.
  • Future research should focus on molecular links, pathophysiological impacts, and therapeutic targeting.
  • Understanding this clock may offer novel strategies for cardiovascular disease management and potentially benefit other tissues.