Key result
BMAL1 overexpression improves post-MI cardiac function and reduces fibrosis by suppressing TGF-β1/SMAD3 signaling.
Why the study?
Myocardial fibrosis impairs cardiac function after myocardial infarction, and the role of the core circadian regulator BMAL1 in post-MI cardiac fibrosis remains unclear.
Does BMAL1 overexpression improve cardiac function and reduce myocardial fibrosis in post-MI mice?
Does BMAL1 overexpression improve cardiac function and reduce myocardial fibrosis in post-MI mice?
BMAL1 overexpression attenuates post-MI cardiac fibrosis and improves cardiac function by inhibiting the TGF-β1/SMAD3 pathway, highlighting a potential novel therapeutic target for cardiac remodeling.
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May warrant BMAL1 targeting to limit post-MI remodeling; extends preclinical circadian data but leaves open human translatability.
Cardiac function is markedly impaired as a result of myocardial fibrosis, a major pathological consequence that develops after myocardial infarction (MI). While BMAL1 (Brain and Muscle ARNT-like protein 1), a core circadian rhythm regulator, has been implicated in various cardiovascular pathologies, its role in post-MI cardiac fibrosis remains unclear. This study aimed to elucidate the role and underlying molecular mechanisms of BMAL1 in cardiac fibrosis. MI was induced in mice by permanent ligation of the left anterior descending coronary artery, and TGF-β1 was used to induce fibroblast activation in vitro . BMAL1 expression was manipulated through adeno-associated virus 9 (AAV9) overexpression and small interfering RNA (siRNA) knockdown. Our findings revealed a downregulation of BMAL1 expression in both infarcted myocardial tissue and TGF-β1–treated cardiac fibroblasts. In vivo , AAV9-mediated BMAL1 overexpression in MI mice significantly improved cardiac function and reduced myocardial fibrotic area. At the cellular level, BMAL1 overexpression effectively inhibited TGF-β1-induced fibroblast activation and extracellular matrix (ECM) deposition. Conversely, BMAL1 knockdown exacerbated fibroblast activation. Mechanistically, we demonstrated that BMAL1 suppresses the TGF-β1/SMAD3 signaling cascade by enhancing SMAD7 expression, reducing the expression of fibrosis-related genes. Collectively, our findings reveal BMAL1 as a critical negative regulator of post-MI myocardial fibrosis by inhibiting the TGF-β1/SMAD3 pathway mediated by SMAD7. Targeting BMAL1 may offer a novel therapeutic approach for improving cardiac remodeling following MI. • BMAL1 inhibits myocardial fibrosis via the TGF-β1/SMAD3 signaling pathway. • AAV9-mediated BMAL1 overexpression improves cardiac function post-MI. • BMAL1 is a novel therapeutic target for post-MI cardiac remodeling.
Zhang et al. (2026) studied this question. BMAL1 overexpression significantly improves cardiac function and reduces myocardial fibrosis following myocardial infarction by suppressing the TGF-β1/SMAD3 signaling cascade.
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