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Updated: Apr 17, 2026

Isolation and Kv Channel Recordings in Murine Atrial and Ventricular Cardiomyocytes
Published on: March 12, 2013
The cardiomyocyte molecular clock regulates the circadian expression of Kcnh2 and contributes to ventricular
Elizabeth A Schroder1, Don E Burgess1, Xiping Zhang1
1Center for Muscle Biology, Department of Physiology.
Insights
The heart's molecular clock regulates potassium channel gene expression, impacting ventricular repolarization. Disrupting the cardiomyocyte circadian clock may increase the risk of arrhythmias and sudden cardiac death.
Area of Science:
- Cardiology
- Molecular Biology
- Chronobiology
Background:
- Sudden cardiac death (SCD) exhibits diurnal variation, potentially linked to circadian regulation of cardiac electrical properties.
- The basic helix-loop-helix transcription factors BMAL1 and CLOCK are key regulators of circadian gene expression.
Purpose of the Study:
- To investigate if Bmal1 in cardiomyocytes influences K(+) channel expression and diurnal ventricular repolarization.
- To determine the role of cardiomyocyte-specific Bmal1 in cardiac electrophysiology.
Main Methods:
- Utilized inducible cardiomyocyte-specific Bmal1 deletion in transgenic mice (iCSΔBmal1(-/-)).
- Employed quantitative PCR, voltage clamping, promoter-reporter assays, and electrocardiographic telemetry.
Main Results:
- Deletion of Bmal1 disrupted the circadian expression of Kcnh2, a K(+) channel gene.
- Reduced rapidly activating delayed-rectifier K(+) current in iCSΔBmal1(-/-) cardiomyocytes.
- BMAL1 and CLOCK coexpression transactivated the Kcnh2 promoter.
- iCSΔBmal1(-/-) mice showed prolonged QT intervals during the light phase.
Conclusions:
- The cardiac molecular clock regulates Kcnh2 circadian expression and K(+) channel function.
- Disruption of the cardiomyocyte circadian clock affects ventricular repolarization, potentially increasing arrhythmia risk.
- Circadian clock mechanisms are crucial for maintaining normal cardiac electrical stability.
Background:
Sudden cardiac death (SCD) follows a diurnal variation. Data suggest the timing of SCD is influenced by circadian (~24-hour) changes in neurohumoral and cardiomyocyte-specific regulation of the heart's electrical properties. The basic helix-loop-helix transcription factors brain muscle arnt-like1 (BMAL1) and circadian locomotor output control kaput (CLOCK) coordinate the circadian expression of select genes.
Objective:
We sought to test whether Bmal1 expression in cardiomyocytes contributes to K(+) channel expression and diurnal changes in ventricular repolarization.
Methods:
We used transgenic mice that allow for the inducible cardiomyocyte-specific deletion of Bmal1 (iCSΔBmal1(-/-)). We used quantitative polymerase chain reaction, voltage clamping, promoter-reporter bioluminescence assays, and electrocardiographic telemetry.
Results:
Although several K(+) channel gene transcripts were downregulated in iCSΔBmal1(-/-)mouse hearts, only Kcnh2 exhibited a robust circadian pattern of expression that was disrupted in iCSΔBmal1(-/-) hearts. Kcnh2 underlies the rapidly activating delayed-rectifier K(+) current, and the rapidly activating delayed-rectifier K(+) current recorded from iCSΔBmal1(-/-) ventricular cardiomyocytes was ~50% smaller than control ventricular myocytes. Promoter-reporter assays demonstrated that the human Kcnh2 promoter is transactivated by the coexpression of BMAL1 and CLOCK. Electrocardiographic analysis showed that iCSΔBmal1(-/-) mice developed a prolongation in the heart rate-corrected QT interval during the light (resting) phase. This was secondary to an augmented circadian rhythm in the uncorrected QT interval without a corresponding change in the RR interval.
Conclusion:
The molecular clock in the heart regulates the circadian expression of Kcnh2, modifies K(+) channel gene expression, and is important for normal ventricular repolarization. Disruption of the cardiomyocyte circadian clock mechanism likely unmasks diurnal changes in ventricular repolarization that could contribute to an increased risk of cardiac arrhythmias/SCD.
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