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Publication : Disrupting the key circadian regulator CLOCK leads to age-dependent cardiovascular disease.

First Author  Alibhai FJ Year  2017
Journal  J Mol Cell Cardiol Volume  105
Pages  24-37 PubMed ID  28223222
Mgi Jnum  J:251272 Mgi Id  MGI:6102171
Doi  10.1016/j.yjmcc.2017.01.008 Citation  Alibhai FJ, et al. (2017) Disrupting the key circadian regulator CLOCK leads to age-dependent cardiovascular disease. J Mol Cell Cardiol 105:24-37
abstractText  The circadian mechanism underlies daily rhythms in cardiovascular physiology and rhythm disruption is a major risk factor for heart disease and worse outcomes. However, the role of circadian rhythms is generally clinically unappreciated. Clock is a core component of the circadian mechanism and here we examine the role of Clock as a vital determinant of cardiac physiology and pathophysiology in aging. Clock(Delta19/Delta19) mice develop age-dependent increases in heart weight, hypertrophy, dilation, impaired contractility, and reduced myogenic responsiveness. Young Clock(Delta19/Delta19) hearts express dysregulated mRNAs and miRNAs in the PTEN-AKT signal pathways important for cardiac hypertrophy. We found a rhythm in the Pten gene and PTEN protein in WT hearts; rhythmic oscillations are lost in Clock(Delta19/Delta19) hearts. Changes in PTEN are associated with reduced AKT activation and changes in downstream mediators GSK-3beta, PRAS40, and S6K1. Cardiomyocyte cultures confirm that Clock regulates the AKT signalling pathways crucial for cardiac hypertrophy. In old Clock(Delta19/Delta19) mice cardiac AKT, GSK3beta, S6K1 phosphorylation are increased, consistent with the development of age-dependent cardiac hypertrophy. Lastly, we show that pharmacological modulation of the circadian mechanism with the REV-ERB agonist SR9009 reduces AKT activation and heart weight in old WT mice. Furthermore, SR9009 attenuates cardiac hypertrophy in mice subjected to transverse aortic constriction (TAC), supporting that the circadian mechanism plays an important role in regulating cardiac growth. These findings demonstrate a crucial role for Clock in growth and renewal; disrupting Clock leads to age-dependent cardiomyopathy. Pharmacological targeting of the circadian mechanism provides a new opportunity for treating heart disease.
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