Department of Physiology, University of Kentucky, 800 Rose Street, MS508, Lexington, KY 40536-0298, United States.
Department of Physiology, University of Kentucky, 800 Rose Street, MS508, Lexington, KY 40536-0298, United States; Department of Science and Health, Asbury University, One Macklem Drive, Wilmore, KY 40390, United States.
Curr Opin Pharmacol. 2021 Apr;57:13-20. doi: 10.1016/j.coph.2020.09.015. Epub 2020 Nov 9.
Daily changes in the incidence of sudden cardiac death (SCD) reveal an interaction between environmental rhythms and internal circadian rhythms. Circadian rhythms are physiological rhythms that alter physiology to anticipate daily changes in the environment. They reflect coordinated activity of cellular circadian clocks that exist throughout the body. This review provides an overview of the state of the field by summarizing the results of several different transgenic mouse models that disrupt the function of circadian clocks throughout the body, in cardiomyocytes, or in adult cardiomyocytes. These studies identify important roles for circadian clocks in regulating heart rate, ventricular repolarization, arrhythmogenesis, and the functional expression of cardiac ion channels. They highlight a new dimension in the regulation of cardiac excitability and represent initial forays into understanding the complexities of how time impacts the functional regulation of ion channels, cardiac excitability, and time of day changes in the incidence of SCD.
日常发生的心脏性猝死(SCD)变化揭示了环境节律与内部生物钟节律之间的相互作用。生物钟节律是一种生理节律,它改变生理机能以适应环境的日常变化。它们反映了存在于全身的细胞生物钟的协调活动。本综述通过总结几个不同的转基因小鼠模型的结果,概述了该领域的现状,这些模型扰乱了全身、心肌细胞或成年心肌细胞中生物钟的功能。这些研究确定了生物钟在调节心率、心室复极、心律失常发生和心脏离子通道功能表达方面的重要作用。它们突出了心脏兴奋性调节的一个新维度,代表了理解时间如何影响离子通道、心脏兴奋性和 SCD 发生率的日常时间变化的功能调节的复杂性的初步尝试。