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Distinct circadian mechanisms govern cardiac rhythms and susceptibility to arrhythmia.

Published version
Peer-reviewed

Type

Article

Change log

Authors

Van Dongen, Hans PA  ORCID logo  https://orcid.org/0000-0002-4678-2971
Stangherlin, Alessandra  ORCID logo  https://orcid.org/0000-0001-7296-1183
Gaddameedhi, Shobhan 

Abstract

Electrical activity in the heart exhibits 24-hour rhythmicity, and potentially fatal arrhythmias are more likely to occur at specific times of day. Here, we demonstrate that circadian clocks within the brain and heart set daily rhythms in sinoatrial (SA) and atrioventricular (AV) node activity, and impose a time-of-day dependent susceptibility to ventricular arrhythmia. Critically, the balance of circadian inputs from the autonomic nervous system and cardiomyocyte clock to the SA and AV nodes differ, and this renders the cardiac conduction system sensitive to decoupling during abrupt shifts in behavioural routine and sleep-wake timing. Our findings reveal a functional segregation of circadian control across the heart's conduction system and inherent susceptibility to arrhythmia.

Description

Keywords

ARNTL Transcription Factors, Adult, Animals, Arrhythmias, Cardiac, Atrioventricular Node, Autonomic Nervous System, Circadian Clocks, Circadian Rhythm, Electrocardiography, Female, Gene Expression Regulation, Heart Rate, Humans, Male, Mice, Mice, Transgenic, Middle Aged, Myocytes, Cardiac, Sinoatrial Node, Sleep

Journal Title

Nat Commun

Conference Name

Journal ISSN

2041-1723
2041-1723

Volume Title

12

Publisher

Springer Science and Business Media LLC