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The role of circadian clock-controlled mitochondrial dynamics in diabetic cardiomyopathy
Zhenshuai Jin1, Yanwei Ji1, Wating Su1
1Department of Anesthesiology, Renmin Hospital of Wuhan University, Wuhan, China.
Insights
Disrupted mitochondrial dynamics, controlled by the circadian clock, contribute to diabetic cardiomyopathy (DCM). Restoring this rhythm may offer new treatments for this heart condition in diabetes patients.
Area of Science:
- Cardiovascular Medicine
- Metabolic Diseases
- Mitochondrial Biology
Background:
- Diabetes mellitus is a global metabolic disease with high prevalence.
- Cardiovascular complications, particularly diabetic cardiomyopathy (DCM), are the primary cause of mortality.
- DCM involves cardiac dysfunction unrelated to traditional risk factors like hypertension.
Purpose of the Study:
- To review the role of circadian clock-controlled mitochondrial dynamics in diabetic cardiomyopathy (DCM).
- To explore the connection between disrupted mitochondrial rhythm and DCM development.
- To provide insights for potential DCM treatment strategies.
Main Methods:
- Literature review focusing on mitochondrial dynamics and circadian rhythms in diabetes.
- Analysis of studies linking mitochondrial dysfunction to diabetic cardiomyopathy.
- Synthesis of current research on the etiological role of circadian clock-controlled mitochondrial dynamics.
Main Results:
- Mitochondria are crucial for heart function and exhibit dynamic changes.
- Disruption of mitochondrial dynamics is implicated in the development of DCM.
- The circadian clock regulates mitochondrial dynamics, and this rhythm is disordered in diabetes.
Conclusions:
- Circadian clock-controlled mitochondrial dynamics play a significant role in the etiology of DCM.
- Disordered mitochondrial rhythm in diabetes contributes to cardiac dysfunction.
- Understanding these mechanisms may lead to novel therapeutic approaches for DCM.
Abstract:
Diabetes mellitus is a metabolic disease with a high prevalence worldwide, and cardiovascular complications are the leading cause of mortality in patients with diabetes. Diabetic cardiomyopathy (DCM), which is prone to heart failure with preserved ejection fraction, is defined as a cardiac dysfunction without conventional cardiac risk factors such as coronary heart disease and hypertension. Mitochondria are the centers of energy metabolism that are very important for maintaining the function of the heart. They are highly dynamic in response to environmental changes through mitochondrial dynamics. The disruption of mitochondrial dynamics is closely related to the occurrence and development of DCM. Mitochondrial dynamics are controlled by circadian clock and show oscillation rhythm. This rhythm enables mitochondria to respond to changing energy demands in different environments, but it is disordered in diabetes. In this review, we summarize the significant role of circadian clock-controlled mitochondrial dynamics in the etiology of DCM and hope to play a certain enlightening role in the treatment of DCM.
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