Why the study?
Although the day–night rhythm in resting heart rate was traditionally attributed to parasympathetic tone, recent work demonstrated an intrinsic sinus node circadian clock, prompting investigation into the role of the sympathetic nervous system.
Key points are not available for this paper at this time.
Population
Mice
Comparison
Sustained long-term block of cardiac beta-adrenergic receptors by propranolol in drinking water
Design
Animal experimental study
Sympathetic input exerts non-canonical control of sinus node rhythms; extends mechanistic framework but leaves clinical relevance open.
Although, for many decades, the day–night rhythm in resting heart rate has been attributed to the parasympathetic branch of the autonomic nervous system (high vagal tone during sleep), recently we have shown that there is a circadian clock in the cardiac pacemaker, the sinus node, and the day–night rhythm in heart rate involves an intrinsic rhythmic transcriptional remodelling of pacemaker ion channels, particularly Hcn4 . We have now investigated the role of the sympathetic branch of the autonomic nervous system in this and shown it to have a non-canonical role. In mice, sustained long-term block of cardiac β-adrenergic receptors by propranolol administered in the drinking water abolished the day–night rhythm in pacemaking in the isolated sinus node. Concomitant with this, there was a loss of the normal day–night rhythm in many pacemaker ion channel transcripts. However, there was little or no change in the local circadian clock, indicating that the well-known day–night rhythm in sympathetic nerve activity is directly involved in pacemaker ion channel transcription. The day–night rhythm in pacemaking helps explain the occurrence of clinically significant bradyarrhythmias during sleep, and this study improves our understanding of this pathology. This article is part of the theme issue ‘The heartbeat: its molecular basis and physiological mechanisms’.
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Anderson et al. (2023) studied this question.
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