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June 17, 2012AJP Heart and Circulatory Physiology157 citationsOpen Access

Development of dilated cardiomyopathy inBmal1-deficient mice

MLMellani LeftaKCKenneth S. CampbellHFHan‐Zhong Feng

Key Result

Bmal1-deficient mice develop an age-associated dilated cardiomyopathy, demonstrated by a significant reduction in fractional shortening to 24.6% compared to 32.5% in wild-type controls at 36 weeks.

Structured PICO

P
Population
Germline Bmal1-/- mice (backcrossed to C57BL6 background) and wild-type littermates
I
Intervention
Bmal1 gene knockout
C
Comparator
Wild-type littermates
O
Outcome
Development of dilated cardiomyopathy assessed by echocardiography, histology, and molecular markerssurrogate

Loss of the core circadian clock gene Bmal1 in mice leads to the development of age-associated dilated cardiomyopathy, demonstrating the critical role of the molecular clock in maintaining cardiac structural and functional integrity.

Main Result

Absolute Event Rate: 24.6% vs 32.5%

p-value: p=<0.01

Limitations

  • Significantly lower heart rate in Bmal1-/- mice could confound echocardiography interpretation
  • Bmal1-/- mice were more sensitive to isoflurane anesthesia
  • Potential sampling differences between titin isoform determination and mechanical measurements
  • Possible selective loss of stiffer cells during cardiomyocyte isolation

Abstract

Circadian rhythms are approximate 24-h oscillations in physiology and behavior. Circadian rhythm disruption has been associated with increased incidence of hypertension, coronary artery disease, dyslipidemia, and other cardiovascular pathologies in both humans and animal models. Mice lacking the core circadian clock gene, brain and muscle aryl hydrocarbon receptor nuclear translocator (ARNT)-like protein (Bmal1), are behaviorally arrhythmic, die prematurely, and display a wide range of organ pathologies. However, data are lacking on the role of Bmal1 on the structural and functional integrity of cardiac muscle. In the present study, we demonstrate that Bmal1(-/-) mice develop dilated cardiomyopathy with age, characterized by thinning of the myocardial walls, dilation of the left ventricle, and decreased cardiac performance. Shortly after birth the Bmal1(-/-) mice exhibit a transient increase in myocardial weight, followed by regression and later onset of dilation and failure. Ex vivo working heart preparations revealed systolic ventricular dysfunction at the onset of dilation and failure, preceded by downregulation of both myosin heavy chain isoform mRNAs. We observed structural disorganization at the level of the sarcomere with a shift in titin isoform composition toward the stiffer N2B isoform. However, passive tension generation in single cardiomyocytes was not increased. Collectively, these findings suggest that the loss of the circadian clock gene, Bmal1, gives rise to the development of an age-associated dilated cardiomyopathy, which is associated with shifts in titin isoform composition, altered myosin heavy chain gene expression, and disruption of sarcomere structure.

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Cite This Study

Lefta et al. (2012) studied Dilated cardiomyopathy. Bmal1 deficiency (Bmal1-/-) vs. Wild-type littermates was evaluated on Fractional shortening at 36 weeks (%) (p=<0.01). Bmal1-deficient mice develop an age-associated dilated cardiomyopathy, demonstrated by a significant reduction in fractional shortening to 24.6% compared to 32.5% in wild-type controls at 36 weeks.

synapsesocial.com/papers/6a18b3088dcaf40f45cfa746https://doi.org/10.1152/ajpheart.00238.2012
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Alteration of contractile function and excitation-contraction coupling in dilated cardiomyopathy.1992 · 224 citations
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  3. 3Protein Kinase G Modulates Human Myocardial Passive Stiffness by Phosphorylation of the Titin Springs2008 · 404 citations
  4. 4Electrophoretic separation and quantitation of cardiac myosin heavy chain isoforms in eight mammalian species1998 · 156 citations
  5. 5Gene expression profiling of dilated cardiomyopathy in older male EP4 knockout mice2009 · 43 citations