Circadian rhythms in cardiac metabolic flexibility

Chronobiol Int. 2023 Jan;40(1):13-26. doi: 10.1080/07420528.2021.1939366. Epub 2021 Jun 23.

Abstract

Numerous aspects of cardiovascular physiology (e.g., heart rate, blood pressure) and pathology (e.g., myocardial infarction and sudden cardiac death) exhibit time-of-day-dependency. In association with day-night differences in energetic demand and substrate availability, the healthy heart displays remarkable metabolic flexibility through temporal partitioning of the metabolic fate of common substrates (glucose, lipid, amino acids). The purpose of this review is to highlight the contribution that circadian clocks provide toward 24-hr fluctuations in cardiac metabolism and to discuss whether attenuation and/or augmentation of these metabolic rhythms through adjustment of nutrient intake timing impacts cardiovascular disease development.

Keywords: Circadian; heart; metabolism; nutrients.

Publication types

  • Review
  • Research Support, N.I.H., Extramural

MeSH terms

  • Blood Pressure
  • Circadian Clocks* / physiology
  • Circadian Rhythm / physiology
  • Heart
  • Humans
  • Myocardial Infarction*