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Understanding the mechanistic interlink between circadian misalignment and heart disease in night shift workers:
Jad Bou Serhal1, Mohammad Fayyad-Kazan2, Colette S Kabrita3,4
1Faculty of Arts and Sciences, Department of Psychology, American University of Beirut (AUB), Beirut, Lebanon.
Insights
Shift work disrupts circadian rhythms, increasing cardiovascular disease (CVD) risk, especially in older adults. This review examines molecular links between disrupted biological rhythms and heart health, focusing on clock genes and cardiac biomarkers.
Area of Science:
- Cardiovascular physiology and chronobiology.
- Molecular mechanisms of circadian disruption and heart disease.
Background:
- Rotating and night shift work are associated with increased cardiovascular disease (CVD) morbidity and mortality, particularly in older workers.
- Circadian misalignment from atypical work schedules disrupts neuroendocrine pathways regulating cardiovascular function, potentially causing myocardial damage.
Purpose of the Study:
- To review molecular mechanisms linking disrupted biological rhythms to heart health.
- To investigate the role of core clock genes, such as BMAL1, and cardiac biomarkers like troponin I (cTnI) in shift work-related CVD.
Main Methods:
- Literature review assessing molecular mechanisms.
- Focus on proteomic and transcriptomic disruptions.
- Examination of central and myocardial oscillators.
Main Results:
- Circadian misalignment contributes to cognitive decline, metabolic dysfunction, and immune disruption, all elevating CVD risk.
- BMAL1 dysfunction is linked to hypertension, arrhythmias, and myocardial injury.
- Disrupted sleep affects clock gene expression, impacting heart function and cardiac biomarkers.
Conclusions:
- Circadian misalignment presents significant CVD risks, especially for older shift workers.
- Further research is needed on clock gene and cardiac biomarker expression in older shift workers.
- Behavioral interventions like chronotherapy and light therapy may mitigate risks, requiring further study.
Background:
Rotating and night shift work, especially in older workers, is a growing health concern of modern societies due to the associated high morbidity and mortality rates from cardiovascular disease (CVD). The resulting circadian misalignment disrupts neuroendocrine pathways that regulate cardiovascular physiology, risking myocardial tissue damage and heart dysfunction.
Aims:
Considering the gaps in the literature as to how atypical work behaviors may disrupt the temporal link between the central and myocardial oscillators at the level of the proteome and transcriptome, the primary goal of this review is to assess the molecular mechanisms linking disrupted biological rhythms to heart health, with a focus on core clock genes like BMAL1 and cardiac troponin I (cTnI) as a myocardial biomarker.
Major Findings:
Circadian misalignment can lead to cognitive decline, metabolic dysfunction, and immune disruption, all of which elevate CVD risk. BMAL1 has a key role in maintaining cardiovascular integrity, with its dysfunction associated with hypertension, arrhythmias, and myocardial injury. Additionally, disrupted sleep patterns influence the expression of clock genes, potentially leading to altered heart function and elevated levels of cardiac biomarkers like troponin.
Conclusion:
Circadian misalignment poses significant CVD risks, particularly for older workers. Future research should investigate how the expression of central and peripheral clock genes, as well as cardiac biomarkers is affected by shift work, especially in older individuals. Behavioral interventions such as chronotherapy, light therapy, and scheduled evening sleep may help mitigate these risks, but more studies are needed to assess their long-term effectiveness.
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