Chronic circadian rhythm disorder induces heart failure with preserved ejection fraction-like phenotype through the Clock-sGC-cGMP-PKG1 signaling pathway

Sci Rep. 2024 May 11;14(1):10777. doi: 10.1038/s41598-024-61710-2.

Abstract

Emerging evidence has documented that circadian rhythm disorders could be related to cardiovascular diseases. However, there is limited knowledge on the direct adverse effects of circadian misalignment on the heart. This study aimed to investigate the effect of chronic circadian rhythm disorder on heart homeostasis in a mouse model of consistent jetlag. The jetlag model was induced in mice by a serial 8-h phase advance of the light cycle using a light-controlled isolation box every 4 days for up to 3 months. Herein, we demonstrated for the first time that chronic circadian rhythm disorder established in the mouse jetlag model could lead to HFpEF-like phenotype such as cardiac hypertrophy, cardiac fibrosis, and cardiac diastolic dysfunction, following the attenuation of the Clock-sGC-cGMP-PKG1 signaling. In addition, clock gene knock down in cardiomyocytes induced hypertrophy via decreased sGC-cGMP-PKG signaling pathway. Furthermore, treatment with an sGC-activator riociguat directly attenuated the adverse effects of jetlag model-induced cardiac hypertrophy, cardiac fibrosis, and cardiac diastolic dysfunction. Our data suggest that circadian rhythm disruption could induce HFpEF-like phenotype through downregulation of the clock-sGC-cGMP-PKG1 signaling pathway. sGC could be one of the molecular targets against circadian rhythm disorder-related heart disease.

Keywords: Clock; Cyclic GMP; HFpEF; Jetlag; Riociguat; Soluble guanylate cyclase.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • CLOCK Proteins* / genetics
  • CLOCK Proteins* / metabolism
  • Chronobiology Disorders / metabolism
  • Circadian Rhythm / physiology
  • Cyclic GMP* / metabolism
  • Cyclic GMP-Dependent Protein Kinase Type I / genetics
  • Cyclic GMP-Dependent Protein Kinase Type I / metabolism
  • Disease Models, Animal
  • Heart Failure* / etiology
  • Heart Failure* / metabolism
  • Heart Failure* / physiopathology
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Myocytes, Cardiac / metabolism
  • Phenotype
  • Signal Transduction*
  • Soluble Guanylyl Cyclase* / metabolism
  • Stroke Volume

Substances

  • Cyclic GMP
  • Soluble Guanylyl Cyclase
  • CLOCK Proteins
  • Cyclic GMP-Dependent Protein Kinase Type I
  • Clock protein, mouse