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昼夜节律与心脏生理学:一种重要的相互作用。

Circadian rhythms and cardiac physiology: An essential interplay.

作者信息

Caputo Rosanna, Idini Alessandra, Greco Carolina Magdalen

机构信息

Department of Biomedical Sciences, Humanitas University, Milan, Italy; IRCCS Humanitas Research Hospital, Milan, Italy.

Department of Biomedical Sciences, Humanitas University, Milan, Italy; IRCCS Humanitas Research Hospital, Milan, Italy.

出版信息

Int Rev Cell Mol Biol. 2025;393:15-44. doi: 10.1016/bs.ircmb.2024.07.001. Epub 2024 Jul 17.

Abstract

Virtually every cell in the human body contains a molecular circadian clock that orchestrates the rhythmic oscillations of a multitude of tissue-specific functions. This is evident in the heart, where circadian rhythms are seen in various cardiac functions. Genetic disruption of clock genes has underscored their significance in regulating multiple aspects of cardiac physiology. In this review, we report the principal findings regarding the impact of clock gene manipulation (whole body or cardiomyocyte specific) on cardiac function. Furthermore, we present the current knowledge on the circadian clock in the different cell populations in the heart-cardiomyocytes, endothelial cells, fibroblasts, and immune cells. While increasing studies have shown mechanistic links between core clock components and cardiomyocytes-specific genes, the information of clock function within other cardiac cells in the heart is extremely limited. This review underlines the need to gain more information on the temporal segregation of clock processes in cardiac-especially in non-cardiomyocytes-cells, as clock-controlled mechanism may be target of chronotherapy to optimize current treatments for cardiovascular diseases.

摘要

人体几乎每个细胞都包含一个分子生物钟,它协调着众多组织特异性功能的节律性振荡。这在心脏中很明显,心脏的各种功能都存在昼夜节律。生物钟基因的基因破坏突出了它们在调节心脏生理学多个方面的重要性。在这篇综述中,我们报告了关于生物钟基因操纵(全身或心肌细胞特异性)对心脏功能影响的主要发现。此外,我们介绍了目前关于心脏中不同细胞群体——心肌细胞、内皮细胞、成纤维细胞和免疫细胞——中生物钟的知识。虽然越来越多的研究表明核心生物钟成分与心肌细胞特异性基因之间存在机制联系,但关于心脏中其他心脏细胞内生物钟功能的信息极其有限。这篇综述强调了需要更多地了解心脏中生物钟过程的时间分隔——特别是在非心肌细胞中——因为生物钟控制机制可能是时间疗法的靶点,以优化当前心血管疾病的治疗方法。

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