Female ClockΔ19/Δ19 mice are protected from the development of age-dependent cardiomyopathy

Sep 21, 2017Cardiovascular research

Female mice with the ClockΔ19/Δ19 gene change are protected from age-related heart disease

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Abstract

Female ClockΔ19/Δ19 mice are protected from age-dependent cardiomyopathy, showing heart structure and function similar to 18-month-old wild-type mice.

Aging female ClockΔ19/Δ19 mice maintain normal glucose tolerance, unlike their male counterparts.
Metabolic profiling indicates that aging female mice have normal cardiac glucose uptake, while males exhibit increased uptake associated with pathological changes.
Differences in specific phospholipids were identified, with increased cardiolipin CL76:11 and decreased CL72:8 in male ClockΔ19/Δ19 mice.
Increased activation of AKT signaling and preserved cytochrome c oxidase activity in female mice may explain their protection from heart disease.
Ovarian hormones contribute to the protection against heart disease in female ClockΔ19/Δ19 mice, as ovariectomized females exhibit cardiac dilation and glucose intolerance.

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AIMS: Circadian rhythms are important for healthy cardiovascular physiology and they are regulated by the molecular circadian mechanism. Previously, we showed that disruption of the circadian mechanism factor CLOCK in male ClockΔ19/Δ19 mice led to development of age-dependent cardiomyopathy. Here, we investigate the role of biological sex in protecting against heart disease in aging female ClockΔ19/Δ19 mice.

METHODS AND RESULTS: Female ClockΔ19/Δ19 mice are protected from the development of cardiomyopathy with age, as heart structure and function are similar to 18 months of age vs. female WT mice. We show that female ClockΔ19/Δ19 mice maintain normal glucose tolerance as compared with female WT. Tissue metabolic profiling revealed that aging female ClockΔ19/Δ19 mice maintain normal cardiac glucose uptake, whereas the male ClockΔ19/Δ19 mice have increased cardiac glucose uptake consistent with pathological remodelling. Shotgun lipidomics revealed differences in phospholipids that were sex and genotype specific, including cardiolipin CL76:11 that was increased and CL72:8 that was decreased in male ClockΔ19/Δ19 mice. Additionally, female ClockΔ19/Δ19 mice show increased activation of AKT signalling and preserved cytochrome c oxidase activity compared with male ClockΔ19/Δ19 mice, which can help to explain why they are protected from heart disease. To determine how this protection occurs in females even with the Clock mutation, we examined the effects of ovarian hormones. We show that ovarian hormones protect female ClockΔ19/Δ19 mice from heart disease as ovariectomized female ClockΔ19/Δ19 mice develop cardiac dilation, glucose intolerance and reduced cardiac cytochrome c oxidase; this phenotype is consistent with the age-dependent decline observed in male ClockΔ19/Δ19 mice.

CONCLUSIONS: These data demonstrate that ovarian hormones protect female ClockΔ19/Δ19 mice from the development of age-dependent cardiomyopathy even though Clock function is disturbed. Understanding the interaction of biological sex and the circadian mechanism in cardiac growth, renewal and remodelling opens new doors for understanding and treating heart disease.

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Female ClockΔ19/Δ19 mice are protected from the development of age-dependent cardiomyopathy

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