Abstract
Circadian rhythms are essential to cardiovascular health and disease. Temporal coordination of cardiac structure and function has focused primarily at the physiological and gene expression levels, but these analyses are invariably incomplete, not the least because proteins underlie many biological processes. The purpose of this study was to reveal the diurnal cardiac proteome and important contributions to cardiac function. The 24-h day-night murine cardiac proteome was assessed by two-dimensional difference in gel electrophoresis (2D-DIGE) and liquid chromatography-mass spectrometry. Daily variation was considerable, as ∼7.8% (90/1,147) of spots exhibited statistical changes at paired times across the 24-h light- (L) dark (D) cycle. JTK_CYCLE was used to investigate underlying diurnal rhythms in corresponding mRNA. We next revealed that disruption of the L:D cycle altered protein profiles and diurnal variation in cardiac function in Langendorff-perfused hearts, relative to the L:D cycle. To investigate the role of the circadian clock mechanism, we used cardiomyocyte clock mutant (CCM) mice. CCM myofilaments exhibited a loss of time-of-day-dependent maximal calcium-dependent ATP consumption, and altered phosphorylation rhythms. Moreover, the cardiac proteome was significantly altered in CCM hearts, especially enzymes regulating vital metabolic pathways. Lastly, we used a model of pressure overload cardiac hypertrophy to demonstrate the temporal proteome during heart disease. Our studies demonstrate that time of day plays a direct role in cardiac protein abundance and indicate a novel mechanistic contribution of circadian biology to cardiovascular structure and function.
Keywords: cardiovascular, circadian, diurnal, proteomics, two-dimensional difference in gel electrophoresis
circadian rhythms are intrinsic 24-h rhythms that underlie behavior and physiology, as reviewed previously (52, 62, 65). They are crucial to many major processes in the cardiovascular system in humans and other mammals, including heart rate (51) and blood pressure (69), consistent with the sympathovagal balance of the autonomic nervous system (reviewed in Refs. 19, 22, 34, 40, and 74). Circadian rhythms are also associated with the timing of onset of adverse cardiac events [e.g., myocardial infarction (16, 47, 48, 61), ventricular tachyarrhythmia (79), and sudden cardiac death (88)], which peak early in the day. Rhythm disruptions occur in shift work and sleep disorders and are associated with increased prevalence of adverse cardiac events, exacerbation of heart disease, and metabolic disorders linked with heart disease, as evidenced by many clinical (5, 20, 21) and experimental studies (6, 39, 41, 56). Circadian rhythms are of central relevance to the healthy cardiovascular system, and their disruption contributes significantly to cardiovascular morbidity and mortality.
Recent studies demonstrate circadian variations not only in cardiac physiology, but also at the molecular level in the heart (95). Global mRNA profiling studies reveal that ∼13% of gene transcripts are rhythmic across 24 h light (L) and dark (D) diurnal (38, 41, 82) and circadian cycles (76); undoubtedly, the heart is transcriptionally a different organ in the day vs. the night. These rhythms are necessary to coordinate biological and biochemical processes crucial for maintaining the normal structure and function of the heart, and remodeling in cardiovascular disease (as reviewed in Refs. 7, 19, 40, 53, 74). However, our current understanding is incomplete. For example, the relative contribution of factors that are extrinsic (e.g., neurohormonal factors) vs. intrinsic (e.g., the cardiomyocyte circadian clock), which drive these rhythms are not fully known. Moreover, although many studies have investigated diurnal gene expression underlying time-of-day cardiovascular (and other organ) physiology, it is only recently that investigations have turned toward the proteins. Proteins are fundamentally important as they underlie many biological processes. Moreover, levels of mRNA and proteins do not always correlate with each other because of posttranscriptional mechanisms controlling translation rates, half-lives, and posttranslational modifications, for example (23, 50); thus, the proteome warrants independent investigation. This concept was demonstrated on a global scale by Reddy et al. (60), who reported that only ∼50% of fluctuations in the hepatic proteome could be accounted for by changes in mRNA levels. Notably, researchers are now turning their focus toward proteomics approaches applied to the circadian field, where large-scale quantitative protein abundance measurements will increase understanding of how protein rhythms underlie circadian physiology (24, 42, 46, 54, 60, 64, 83).
Proteomics has been established as a powerful tool for analyzing biological phenomena. Most recently, we and others have begun using large-scale proteomics approaches to demonstrate de novo time-of-day changes in the proteome (12, 14, 24, 42, 46, 60, 83); however, to date, no studies have investigated the global day-night cardiovascular proteome, despite its critical importance underlying cardiac structure and function. Here, we used two-dimensional difference in gel electrophoresis (2D-DIGE) and liquid chromatography mass spectrometry (LC/MS/MS) to discover that up to ∼7.8% (90/1,147 spots on 2D-DIGE) change in abundance in the normal heart over 24-h daily periods and that protein spots identified with LC/MS/MS and Western blot may have a corresponding cycling transcript by JTK_CYCLE gene expression analyses. In addition, we demonstrated that shortening the 24-h photoperiod to 20 h (to which the animals cannot entrain) alters the relationship between the L:D cycle and their endogenous rhythms, by using the Comprehensive Lab Animal Monitoring System (CLAMS), along with functional consequences in left ventricular developed pressure on Langendorff. Moreover, we also examined the cardiac proteome mechanistically using cardiomyocyte-specific clock mutant (CCM) mice. We detected changes in CCM vs. wild-type (WT) mice in myofilament ATPase activity, myofilament phosphorylation, and abundance of cardiac metabolic enzymes, revealing the importance of the intact molecular clock for the temporal cardiac proteome. Finally, we demonstrate important contributions of proteomic programming in a model of cardiovascular disease.
MATERIALS AND METHODS
Animals.
All animal work was conducted under the guidelines of the Canadian Council on Animal Care and were approved by the Animal Care Committee of the University of Guelph. The experimental approach is in Fig. 1, and the rationale for these approaches is in the Fig. 1 legend. For detection of the diurnal cardiac proteome (Fig. 1A), male C57BL/6 mice (8 wk old; Charles River Laboratories) were entrained to a 12:12-h light-dark cycle (12:12 L:D) for 2 wk at the University of Guelph. Animals were euthanized by isoflurane and cervical dislocation. Tissues were collected from animals killed every 4 h starting 1 h before lights on [Zeitgeber Time (ZT) 23] for 1 day/night cycle (n = 3/time). For the L:D-disrupted protocol (Fig. 1B), animals were housed under controlled conditions in a 12:12 L:D cycle for 2 wk, then on either their normal 12:12 L:D or an established diurnal disruption protocol that shortens the photoperiod (10:10 L:D) (32, 39). Animals were euthanized (n = 3/time point, 4 times; n = 12/group) for tissue collection. To investigate the role of the cardiomyocyte-specific clock (Fig. 1C), we used male CCM mice (FVB background, University of Alabama at Birmingham) and WT littermates. Animals were euthanized (n = 8/time point, 4 times; n = 32 per group), and ventricular tissues were collected. To investigate diurnal rhythms in heart disease (Fig. 1D), we used the transverse aortic constriction (TAC) model of cardiac hypertrophy in male C57BL/6 mice, as described previously (41). Briefly, cardiac hypertrophy was induced in mice anesthetized with isoflurane, and intubated and ventilated (0.3 l/min O2, 140 respirations/min; Harvard Apparatus 687). A thoracotomy was performed in the second left intercostal space, aorta distal to the subclavian artery cleared, and a silk suture (Ethicon 7–0) that was placed around a 27-gauge needle was used to constrict the arch. Sham-operated animals underwent the same surgical procedure, except the ligature was not tightened. Mice were administered buprenorphine (0.1 mg/kg) upon awakening and at 8 h and 24 h postoperation. At 1 wk postsurgery, animals were euthanized by isoflurane and cervical dislocation every 4 h starting 1 h before lights on (ZT23) for 1 diurnal cycle (n = 3/time point, 18 TAC, 18 sham), and serum and ventricular tissue was collected. Samples were frozen in liquid nitrogen and stored at −80°C until use.
Protein purification.
Soluble heart proteins were collected following tissue homogenization in urea/CHAPs lysis buffer (10 mM Tris pH 8, 8 M urea, 4% wt/vol 3-[(3-cholamidopropyl) dimethylammonio]-1-propanesulfonate), with protease inhibitors (Roche; complete Mini EDTA-free). Tissue was homogenized on ice using Potter-Elvehjem grinder and centrifuged at 12,000 g, the supernatant was collected, and the protein concentration was measured by the Bradford assay (Bio-Rad).
2D-DIGE.
Soluble cardiac protein extracts (50 μg) were incubated in the dark with 200 pmol CyDye Fluors (GE Healthcare) for 30 min at 0°C, and the reaction quenched with 10 mM lysine, as described previously (26). For detection of the diurnal cardiac proteome (Fig. 1A), individual hearts collected 12 h apart were analyzed as 1) ZT23 (Cy5) vs. ZT11 (Cy3), or 2) ZT15 (Cy5) vs. ZT03 (Cy3), or 3) ZT07 (Cy5) vs. ZT19 (Cy3) (n = 3 gels/time point, 9 gels total). The rationale for pairing time points that were 12 h apart is in relation to mathematical modeling of circadian expression by cosine function, where peak and trough are ∼12 h apart (for example, Refs. 3, 28, 60, 77, 80). For studies investigating the clock mechanism (Fig. 1C), CCM samples were labeled with Cy3, and WT controls were labeled with Cy5. Gels were labeled as 1) ZT23, 2) ZT03, 3) ZT11, or 4) ZT15 (n = 3 gels/time, 12 gels total). For TAC heart disease (Fig. 1D), samples were labeled as ZT23 (Cy5) vs. ZT11 (Cy3), ZT15 (Cy5) vs. ZT03 (Cy3), or ZT07 (Cy3) vs. ZT19 (Cy5) (n = 3 gels/time, 9 gels total). For all studies, the internal standard was labeled with Cy2 and consisted of the pooled protein extracts used in each study, in accordance with field standards (1, 37, 81). For the first dimension, Cy-dye-labeled proteins were mixed with rehydration buffer (8 M urea, 1% CHAPS, 65 mM DTT, 0.5% vol/vol pharmalytes pH 3–10) and were added to 13-cm nonlinear immobilized pH gradient dry strips (pH 3–10) (GE Healthcare). Isoelectric focusing (IEF) was performed using a Protean cell (GE Healthcare). For the second dimension, IEF strips were equilibrated [75 mM Tris (pH 8.8), 6 M urea, 30% glycerol, 2% SDS, 1% wt/vol DTT, 2.5% wt/vol iodoacetamide], overlaid on 12% SDS-polyacrylamide gels, and electrophoresed using a DALT 6 apparatus (GE Healthcare). Gels were scanned with a Typhoon 9410 using the excitation/emission filters: 532 nm/580 nm for Cy3, 633 nm/670 nm for Cy5, and 488 nm/520 nm for Cy2. The photomultiplier tube was set at 550 and pixel size at 100 μm.
Bioinformatics.
2D-DIGE gels were analyzed with DeCyder 6.5 software (GE Healthcare). Difference in gel analysis was used to detect and match differentially labeled proteins within the gels. Protein abundance was calculated after background subtraction and normalization to the internal Cy2 control. Biological variance analysis was used to match multiple 2D-DIGE gels and calculate fold change (FC). Spots present in >75% of gels with volumes > 2 × 104 were included in the analyses. Normalized protein abundances were visualized in DeCyder where peak height and volume correlated with spot intensity. Normalized protein abundance and FC were visualized using graph view, and dashed lines represent individual FC, and the solid line is average FC.
In-gel digestion.
Spots were excised from 2D-DIGE SYPRO Ruby gels containing 300-μg pooled protein, using the Ettan Spot Picker (GE Healthcare). Trypsin digestion was carried out using in-gel digest kit (Thermo Scientific). Gel pieces were destained (25 mM ammonium bicarbonate, 50% vol/vol acetonitrile), reduced (50 mM Tris[2-carboxyethyl]phosphine in 25 mM ammonium bicarbonate), alkylated (100 mM iodoacetamide), then dried (acetonitrile), as per manufacturer's directions. Gel spots were rehydrated in 10 ng/μl trypsin digestion buffer and incubated at 30°C overnight. Solution containing tryptic peptide fragments was collected for LC/MS/MS.
LC/MS/MS analysis.
Peptide fragments were identified by nanoliquid chromatography (LC)-1D+ coupled to a hybrid linear ion trap/triple quadrupole mass spectrometer (QTRAP4000, ABSciex). Separation was performed using a linear binary gradient starting at 5% solvent B and ramping to 30% solvent B in 60 min; then, the gradient reached 100% B in 5 min and was held for 15 min before returning to the initial conditions. Solvent A contained 2% acetonitrile in water with 0.1% formic acid; solvent B contained 2% water in acetonitrile with 0.1% formic acid. Separation was performed at a flow-rate of 500 nl/min. The MS was set up in independent data acquisition mode where an enhanced mass scan triggered an enhanced product ion scan for ions between m/z 400 and m/z 1,000, with charge state 2 and 4, which exceeded 3,000 counts per second (cps). Mascot version 2.4, ProteinPilot v2.0.1, X!Tandem and Mouse Swiss Prot database were used for searching. Search parameters were trypsin, mouse, fixed modifications (carbamidomethyl), partial modifications [dehydration, deamidated (NQ), dioxidation (M), Gln→pyro-Glu (N-term Q), Gln→pyro-Glu (N-term E), oxidation (M)], and three missed cleavages. False positives were controlled by comparing molecular mass of the target spot on 2D-DIGE with the molecular weight (MW) of the identified protein and estimated to be <1%.
Western blot analysis.
Proteins identified by LC/MS/MS were independently validated at their 2D-DIGE identified time points (12-h paired time points) using pooled protein extracts (n = 3). In addition, time-of-day profiles (all 6 ZT time points) for proteins were independently determined from n = 3 individual samples taken at each time point across the diurnal cycle. Proteins were visualized by 12% SDS-PAGE [4–20% (Lonza) for PER2] and transferred to polyvinyl fluoride membrane (Bio-Rad). The following antisera were used: 1:10,000 mouse monoclonal STIP1 (Stressgen; SRA1500), 1:2,500 rabbit polyclonal IGF2 (Abcam; Ab9574), 1:100 rabbit polyclonal ALDH4A1 (Santa Cruz Biotechnology; sc130948), 1:1,000 rabbit polyclonal PER2 (Millipore, AB5428P), 1:1,000 goat polyclonal ALDH2 (Santa Cruz Biotechnology; sc48837), 1:2,000 rabbit polyclonal ECHS1 (ProteinTech; 11305–1-AP), 1:3,000 goat polyclonal LDHB (Abcam; ab2101), 1:1,500 rabbit polyclonal DLST (Aviva Systems Biology; OAAB01666), 1:1,500 rabbit polyclonal GOT2 (Aviva Systems Biology; ARP43518T100), 1:2,000 mouse monoclonal PDHE1a (Abcam; ab110330), 1:5,000 rabbit polyclonal CA2 (Santa Cruz Biotechnology; sc25596), 1:100 goat polyclonal FGB (Santa Cruz Biotechnology; sc18029), 1:200 rabbit polyclonal PSMA6 (Santa Cruz Biotechnology; sc67343), 1:200 goat polyclonal PCCA (Santa Cruz Biotechnology; sc68997), 1:1,000 rabbit polyclonal PDIA3 (Enzo; ADISPA585), and 1:1,000 rabbit polyclonal HSPB1 (Enzo; ADISPA801). Mouse monoclonal to β-actin at 1:25,000 (Millipore clone C4; MAB1501) was used as a loading control. Immunoreactive bands were visualized with ECLplus (GE Healthcare) and 1:5,000 HRP-conjugated secondary antibodies as applicable [goat anti-mouse (Sigma; A2304), rabbit anti-goat (Sigma; A5420), and goat anti-rabbit (Sigma; A6667).
mRNA expression and JTK analysis.
mRNA expression profiles were derived from our Affymetrix MOE430A GeneChip microarrays (GEO accession no. GSE36407) (41, 82). Briefly, a separate set of hearts were collected in the same diurnal manner as those used for protein studies, that is, every 4 h over 24 h starting at 1 h before lights on (ZT23) (ZT23, ZT03, ZT07, ZT11, ZT15, ZT19; n = 3 per time point, 18 samples total). Total RNA was isolated by TRIzol (Invitrogen) and assessed for high quality using a Nanodrop ND1000 (Thermo Scientific) and the Agilent Bioanalyzer 2100 (Agilent Technologies). Hybridization and scanning were in accordance with Affymetrix specifications, as described previously (82).The raw data set covered 22,690 transcripts (based on UniGene database build 107, June 2002) and were analyzed for diurnal rhythms in gene expression using the JTK_CYCLE nonparametric algorithm (28), as described on the CircaDB database (http://bioinf.itmat.upenn.edu/circa) (57).
Real-time PCR.
The microarray mRNA expression profiles corresponding to our proteins of interest were validated at peak and trough times by real-time PCR. The criteria for correlating the protein identifiers were as follows. Protein identifiers and corresponding tryptic peptide sequences provided by Mascot were used to retrieve protein identification data from SwissProt, including the protein full name, short name, identifier, references, and other cross-referencing material (see Supplemental Data S1). These were then used to retrieve the protein and mRNA sequences from the NCBI database. The NM_sequence gene reference identifier was used to search the Affymetrix microarray data.
For real-time PCR, total RNA from an independent set of normal C57BL/6 hearts collected every 4 h over 24 h was prepared using TRIzol (Invitrogen) as described previously (8, 82) and quality-assessed by Nanodrop (ThermoScientific). Amplification was performed on a VIIA7 real-time PCR system (Life Technologies) using the Power SYBR Green RNA-to-Ct one-step PCR kit (Life Technologies) under the following protocol: reverse transcription, 48°C for 30 min, 95°C for 10 min for 1 cycle, followed by amplification at 95°C for 15 s, 60°C for 1 min for 40 cycles. All primers were validated by twofold dilutions from 200 ng to 12.5 ng of mRNA and are listed in Supplemental Data S2. Real-time PCR samples were run in triplicate, and all values were normalized to histone using the delta delta CT method.
In silico circadian motif search.
The 2,000 base pair region upstream of the coding sequence for genes of interest (http://genome.ucsc.edu/cgi-bin/hgTables) were searched for putative circadian E/E′-box sequences (CANNTG, CACGTG, CACGTT), RORE motifs (AAAGTAGGTCA), and D-boxes ([A/G]T[G/T]A[T/C]GTAA[T/C]). We also searched the circadian mammalian promoter/enhancer database (PEDB, http://promoter.cdb.riken.jp/circadian.html) for E-boxes, D-boxes, and RREs that are predicted conserved in human vs. mouse, and searched circadian motifs identified in published reporter assays (35), and published ChIP and deep-sequencing analyses (63), and time-dependent patterns of circadian transcription (33).
CLAMS.
To investigate whole body behavioral and metabolic analyses, mice were housed in a CLAMS (Columbus Instruments). Recordings were first taken under a 12:12 L:D cycle (normal environment) for 5 days, after which the photoperiod was shortened to a 10:10 L:D for 5 days (6 L:D cycles). Daily patterns of respiratory exchange ratio (RER), energy expenditure, food intake, and physical activity were measured, as described previously(2).
Langendorff.
For ex vivo functional studies, hearts were excised, mounted, and perfused with Krebs-Henseleit buffer (118 mM NaCl, 25 mM NaHCO3, 1.2 mM KH2PO4, 4.7 mM KCl, 2.5 mM CaCl2, 1.2 mM MgSO4, 11 mM glucose, 0.2 mM EDTA, 0.5 mM Na pyruvate (95% O2-5% CO2, 37°C and 80-mmHg perfusion pressure). A balloon attached to a pressure transducer (AdInstruments) was inserted into the left ventricle and inflated to give end-diastolic pressures of 1–5 mmHg. Left ventricular developed pressure (LVDP) was determined after 30 min of stabilization (ADInstrument PowerLab, Chart Software v5.5.5, Colorado Creeks, USA). Function was assessed in hearts collected in the light period (murine sleep time) at 3 h after lights on, and in the dark period (murine wake time) at 3 h after lights off.
Myofilaments.
Cardiac myofilaments were isolated as described previously (90). Ventricular tissue was homogenized in ice-cold standard buffer (30 mM imidazole (pH 7.0), 60 mM KCl, 2 mM MgCl2, 0.2 mM PMSF, 0.01 mM leupeptin, 0.1 mM benzamidine). Tissue pellets were dissolved in skinning buffer (14.4 mM KCl, 60 mM imidazole (pH 7.0), 10 mM EGTA, 8.2 mM MgCl2, 5.5 mM ATP, 12 mM creatine phosphate, 10 U/ml bovine creatine phosphokinase, 0.2 mM PMSF, 0.01 mM leupeptin, 0.1 mM benzamidine, 1% Triton X100) for 45 min at 4°C. Resulting pellets were washed three times in ice-cold standard buffer, and protein concentrations were determined by the Bradford assay.
Actomyosin MgATPase.
We used an actomyosin Mg2+ ATPase assay to assess myofilament function. Myofilaments (50 μg) were incubated at 32°C for 10 min in mixtures of activating and relaxing buffer to create a range of free Ca2+. Activating buffer contained (in mM) 23.5 KCl, 20 imidazole (pH 7.0), 5 MgCl2, 3.2 ATP, 2 EGTA, 2.2 CaCl2, 0.2 PMSF, and 0.01 leupeptin; 0.1 benzamidine relaxing buffer consisted of 26 mM KCl, 5.1 mM MgCl2, 3.2 mM ATP, 2 mM EGTA, 20 mM imidazole (pH 7.0), 4.9 μM CaCl2. Free calcium was calculated using MaxChelator software (55). Reactions were quenched by adding an equal volume of ice-cold 10% trichloroacetic acid (TCA). Proteins were removed by centrifugation, and an equal volume of developing solution (0.5% FeSO4, 1% ammonium molybdate in 1 M H2SO4) was added to the supernatant. Absorbance was measured at 630 nm. ATPase values were plotted as the amount of phosphate released (nmol Pi·min−1·mg protein−1) vs. free Ca2+ (μM). Sigmoidal actomyosin Mg2+ ATPase activity-calcium relations were fit by a nonlinear procedure to a modified Hill equation: P = max·[Ca2+]H/([Ca2+]H + EC50H), where P is actomyosin MgATPase activity, max is the maximum value at saturating calcium, EC50 is the calcium concentration at which 50% of maximum is reached, and H is the slope of the relationship (Hill coefficient) (59).
Myofilament phosphorylation.
Myofilament isolates from flash-frozen isolates as were used for the actomyosin MgATPase assay (10 μg) were resolved using SDS-PAGE, and ProQ Diamond stain to evaluate protein phosphorylation. Load was determined using Coomassie blue stain. Gels were scanned with a Typhoon 9410.
Blood serum cytokines.
Serum cytokines were quantified using the murine Th1/Th2/Th17 cytometric bead array (BD BioSciences), according to the manufacturer's specifications.
Statistical analyses.
Values are expressed as means ± SE. Statistical comparisons were done using DeCyder values for normalized protein abundance (2D-DIGE) and either an unpaired Student's t-test or one-way ANOVA followed by the Tukey test for multiple groups in GraphPad Prism (GraphPad Software). Values of P < 0.05 were considered statistically significant.
RESULTS
We first used a conventional diurnal environment to show that hearts from mice housed in the normal 24-h L:D cycle had evidence of a diurnal cardiac proteome, as indicated by the difference in spot abundance on 2D-DIGE (Fig. 2). The 2D-DIGE approach is a variant of two-dimensional (2D) gel electrophoresis that specifically addresses the variation between gels (which used to occur with 2D gels). Moreover, this technique has the advantage of running an internal standard as part of each separation (Cy2-labeled pools of all proteins run on the gel). It also allows for running up to two test samples simultaneously (thus, the paired time points) with more accurate and reliable results. Gels were run for each 12-h time point comparison (ZT11 vs ZT23, ZT07 vs. ZT19, and ZT03 vs. ZT15), using the soluble cardiac proteome from individual murine hearts (three individual murine hearts per time point, all gels run in triplicate), and a total of 1,147 protein spots were reliably detected on the gels (>75% of gels, spot volume >2 × 104) (Fig. 2A). Of these consistently detected spots, there were 382 uniquely identified as exhibiting altered abundance at paired time points, and 90 (7.8%) were significant (P < 0.05) by ANOVA (DeCyder software). Of these 90 spots, 38 exhibited statistically (P < 0.05) increased abundance in the light period (murine sleep time), and 52 were increased (P < 0.05) in the dark period (murine wake time).The DeCyder software illustration of abundance (top image), area under the peak (middle image), and relative expression (bottom graph) for six of these spots at paired time points is shown in Fig. 2B. Thus, overall, we estimated that about 7.8% of the soluble cardiac proteome varies in abundance over 24-h diurnal cycles.
To independently demonstrate time-of-day changes and confirm that these spots correlated with proteins that vary in abundance in the heart over the 24-h diurnal cycle, we selected 10 high-stringency spots identified with 1.4-fold or greater difference in abundance at pairwise time points (ZT23 vs. ZT11; ZT03 vs. ZT15; ZT07 vs. ZT19) and significant (P < 0.05) by ANOVA (Fig. 2A arrows, Supplemental Data S3). The spots were identified by LC/MS/MS as δ-1-pyrrolinie-5-carboxylate dehydrogenase, mitochondrial (ALDH4A1) (2.4 ± 0.5 FC), cAMP-dependent protein kinase-α (PRKACA) (1.7 ± 0.4 FC), ATP synthase-α, mitochondrial (ATP5A1) (2.8 ± 0.3 FC), stress-induced phosphoprotein-1 (STIP1) (1.5 ± 0.1 FC), aconitate hydratase, mitochondrial (ACO2) (1.5 ± 0.1 FC), peroxiredoxin-1 (PRDX1) (1.95 ± 0.04 FC), trifunctional enzyme subunit-β, mitochondrial (HADHB) (1.6 ± 0.1 FC), insulin-like growth factor II (IGF2) (2.0 ± 0.3 FC), inner membrane protein, mitochondrial (IMMT) (1.5 ± 0.1 FC), and 60-kDa heat shock protein (HSPD1) (2.5 ± 0.5 FC). See Supplemental Data S1 for protein name, replicate gels, accession numbers, MW, Mascot search and query scores, other database information, number of peptides, tryptic sequences, measured/predicted peptide mass, and specificity. We independently validated proteins by Western blot analysis (Fig. 2C). Our choice of targets was determined by unique tryptic peptide matches per protein and the availability of commercial antisera. Moreover, we examined protein abundance over the 24-h diurnal cycle using samples from all six time points by Western blot analysis (Fig. 2C). Protein abundance (n = 3 hearts per time point) varied across the L:D cycle, as illustrated by densitometry analyses of the Western blots (Fig. 2D). The core circadian clock protein Period2 (PER2) was used as a positive control for rhythmic protein abundance and exhibited a 24-h cycle consistent with its known mRNA cycling pattern (38).
To determine whether proteins exhibiting diurnal profiles had an underlying rhythmic mRNA complement in the heart, we compared the protein profiles with our earlier diurnal (L:D) Affymetrix microarray gene expression data collected from independent sets of hearts over the 24-h day-night cycle (38, 41, 82). Diurnal mRNA rhythms were determined using the well-established JTK_CYCLE algorithm (28, 57). A total of 3,875 out of 22,690 (17%) rhythmic mRNA transcripts were detected using JTK (ADJ, P < 0.05), and, moreover, 599/22,690 (2.6%) were detected at highest stringency using JTK (BH, Q < 0.05). We found diurnal microarray data for all corresponding proteins of interest (Fig. 3A). The significant JTK P values were for Igf2 (P < 0.006) and Stip1 (P < 0.022), indicative of rhythmic expression and consistent with the positive control Per2 (P < 2.5e-05) (Supplemental Data S2). All the microarray data in Fig. 3A were further validated by using an independent set of hearts and examining the expression at the peak vs. trough time points and real-time PCR (Fig. 3B, Supplemental Data S2). Of the genes that significantly (P < 0.05) peaked in the dark phase, Igf2 exhibited a 1.3 ± 0.1 FC (ZT19 vs. ZT07), and Hspd1 had a 1.2 ± 0.1 FC (ZT23 vs. ZT07). For the genes that significantly (P < 0.05) peaked in the light phase, Aco2 showed a 1.5 ± 0.04 FC (ZT07 vs. ZT03). Aldh4a1, Stip1, and Prdx1 mRNA did not show a significant (P > 0.05) peak-trough change by real-time PCR. Per2 was used as a positive control for circadian cycling and exhibited a significant (P < 0.05) peak at ZT15 and a trough at ZT03, as anticipated. Moreover, the Per2 mRNA exhibited a delay between message and protein, as anticipated; however, interestingly, Igf2, Aldh4a1, and Aco2 were relatively coincident, and Stip1 appeared to exhibit a delay.
We explored mechanisms that could account for underlying mRNA patterns, to investigate whether they might be under clock mechanism control. To do this, we searched promoter sequences (retrieved from http://genome.ucsc.edu/cgi-bin/hgTables) for circadian elements (E/E′ box), and the (http://promoter.cdb.riken.jp/circadian.html) circadian mammalian promoter/enhancer database PEDB (35), and previously published ChIP assays with deep sequencing and reporter assays investigating circadian elements (33, 63). We detected elements in all mRNA that exhibited a diurnal rhythm, as well as those mRNA that were not rhythmic across the diurnal cycle by microarray and JTK_CYCLE or PCR analyses (Supplemental Data S2), suggesting that there are also other mechanisms underlying diurnal translational control.
Next, we examined what happens when the diurnal cycle is altered to 10:10 L:D. The animals cannot entrain to this shortened photoperiod, and thus, it uncouples the L:D environment from their circadian rhythms (32). The rationale for altering L:D is that numerous experimental and epidemiologic studies have previously demonstrated that altered L:D cycles can affect cardiovascular health and disease in humans and rodents, for example (21, 39, 41, 56). Moreover, altering the 24-h L:D cycle affects molecular cardiac gene expression (40). Thus, we tested whether altering the L:D cycle also impacted protein abundance in the heart. Mice were subjected to an established L:D disruption protocol (10:10 L:D) (32, 41), and hearts were collected after 5 days. As a control, independent pooled sets of hearts were taken from mice under normal diurnal 12:12-h L:D, and they exhibited the same relative abundance of the sentinel proteins ALD4a1, STIP1, IGF2, and PER2 at D:L (transition to sleep time, Fig. 4, A and B) and L:D (transition to wake, Fig. 4, C and D) time points. However, profiles were significantly (P < 0.05) altered in hearts from diurnally disrupted mice (Fig. 4, A–D, Supplemental Data S4). To further investigate the effect of the shortened photoperiod on endogenous rhythms, we used a CLAMS. As shown in Fig. 4E (left, black lines), in the normal 12:12-h L:D environment, RER (a measure of substrate utilization, where lower RER in the light phase is indicative of increased fatty acid oxidation) exhibits a predictable diurnal profile that is lowest during the light phase (rodent sleep time) and highest in the dark (rodent wake time). The animals cannot entrain to the shortened 20-h photoperiod, and as shown in Fig. 4E (right, red lines), they continued to exhibit a clear endogenous rhythm in RER that did not follow the L:D cycle. The mice showed a similar pattern for the other CLAMS variables as well, including energy expenditure, food intake, and physical activity (Supplemental Data S4). These data were consistent with the findings of Karatsoreos et al. (32), which showed that the endogenous circadian rhythm in body temperature was maintained in the 10:10 L:D cycle. The times at which heart tissue was collected for protein analyses, in reference to both the L:D cycle and the endogenous rhythms, are illustrated in Fig. 4F. To pursue further the functional impact of L:D disruption, we assessed contractile function in Langendorff perfused hearts. Function was assessed in hearts collected in the light period at 3 h after lights on, and the dark period at 3 h after lights off. Consistent with LVDP as a measure of cardiac function ex vivo, hearts from animals maintained in the normal (12:12-h L:D) environment exhibited diurnal variation (P < 0.05) (light period, 66.81 ± 2.02 mmHg vs. dark, 96.85 ± 6.71 mmHg; Fig. 4G), revealing differences in cardiac function day vs. night, as anticipated (94). However, hearts from the 10:10 mice lacked this diurnal variation in LVDP relative to the L:D cycle (light: 72.91 ± 2.44 mmHg vs. dark: 72.37 ± 2.36 mmHg; Fig. 4G).
Critical to circadian clock function is the transcription factor CLOCK (reviewed in Refs. 19, 40, 52, 62, 65, and many others). To investigate the relative contribution of the cardiomyocyte clock on cardiac protein abundance, we next used CCM mice (17). We performed 2D-DIGE to investigate global changes in CCM vs. WT hearts across the diurnal cycle. Triplicate mouse hearts (n = 3) were examined at each time point. As shown in Fig. 5A, 2D-DIGE revealed that CCM hearts had 56 spots that differed (P < 0.05) in abundance (of 1,471 spots identified on these gels) vs. WT. A subset was identified by LC/MS/MS and Mascot (Fig. 5A, arrows), then independently validated by DeCyder (Fig. 5B), and Western blot analysis (Fig. 5C). Proteins with increased (P < 0.05) abundance in CCM hearts included pyruvate dehydrogenase E1a, mitochondrial (PDHE1a) (1.4 ± 0.1 FC), aspartate aminotransferase, mitochondrial (GOT2) (1.4 ± 0.02 FC), and dihydrolipoyllysine succinyltransferase of 2-oxoglutarate dehydrogenase, mitochondrial (DLST) (1.5 ± 0.1 FC), while proteins with decreased (P < 0.05) abundance were aldehyde dehydrogenase, mitochondrial (ALDH2) (1.4 ± 0.01 FC), l-lactate dehydrogenase B (LDHB) (1.3 ± 0.01 FC), enoyl-CoA hydratase, mitochondrial (ECHS1) (1.6 ± 0.1 FC), and d-β-hydroxybutyrate dehydrogenase, mitochondrial (BDH1) (2.1 ± 0.1 FC) (see Supplemental Data S1, S3 for details). Taken together, we estimated that 3.8% of soluble cardiac proteome exhibited differences in abundance in CCM, providing further support for a role for the circadian clock in regulating protein abundance in the heart.
In addition to modulation of total protein levels, the cardiomyocyte clock may influence the proteome through posttranslational modifications. Our 2D-DIGE revealed multiple isoforms of proteins in the heart; it has been noted by others that isoforms carry different charges and, thus, are segregated by isoelectric focusing (60). For example, three distinct spots were present for 60-kDa heat shock protein, mitochondrial (HSPD1) in normal C57BL/6 hearts (Fig. 5D). Moreover, we found six distinct PDHE1a spots, which predominated in CCM vs. WTs at different times of day or night (Fig. 5E). PDHE1a protein at spot i exhibits a 1.88 increase at ZT03 (P < 0.05) in CCM vs. WT (1.70 ± 0.26 au vs. 0.90 ± 0.04 au) heart, and at spot ii a 1.57 decrease (P < 0.005) in CCM vs. WT (0.67 ± 0.03 au vs. 1.05 ± 0.01 au) heart. One likely posttranslational modification that expresses in a circadian manner is phosphorylation, as described by Reddy et al. (60); other possibilities may also exist.
To examine whether the cardiomyocyte clock influenced diurnal myofilament function, we next purified cardiac myofilaments at different times across the diurnal cycle for WT and CCM hearts, and measured actomyosin MgATPase activity. The subcellular fraction was enriched for myofilaments and actinomyosin ATPase evaluated using established protocols (55, 59, 90). Compared with hearts from WT littermates, the CCM hearts lacked rhythmic myofilament calcium sensitivity (Fig. 6, A and B, Supplemental Data S5). For example, myofilament calcium sensitivity as measured by EC50 lacked a rhythm in CCM hearts, but was variable across the diurnal cycle in WT hearts (Fig. 6B). We examined the expression of myosin in the myofilament preparations and found no evidence of isoform shifts contributing to this effect. To further investigate diurnal changes in cardiac myofilaments, we examined phosphorylation patterns by SDS-PAGE and Pro-Q Diamond stain (Fig. 6, C and D). The myofilament phosphorylation samples were taken from the same flash-frozen tubes as the ATPase assay and run simultaneously. Consistent with the functional measurements across the diurnal cycle, CCM hearts exhibited altered (P < 0.05) myofilament protein phosphorylation at times across the diurnal cycle for cardiac myosin binding protein-C, desmin, troponins T and I, and tropomyosin compared with WT (Fig. 6E, Supplemental Data S5). These findings illustrate time-dependent posttranslational modifications of cardiac myofilament proteins, which are dependent on the cardiomyocyte circadian clock.
Finally, we examined what happens in heart disease. Circadian rhythms play an important role in timing of onset of adverse cardiovascular events, for example (45, 48, 49, 79, 89). In addition, blood pressure exhibits a 24-h cycling pattern; a major risk factor for cardiovascular disease occurs in hypertensive subjects that do not exhibit a dip during the night (87). Moreover, diurnal timing for cardiovascular therapies may benefit cardiac remodeling (43). Also, diurnal gene rhythms can be useful biomarkers of heart disease (82). Thus in this fourth model, we began to investigate what happened to the diurnal proteome in heart disease, using an established murine model of pressure overload-induced cardiac hypertrophy (TAC). As anticipated, increased (P < 0.01) heart weight-to-body weight ratio was observed in sham vs. TAC (4.9 ± 0.1 mg/g vs. 6.4 ± 0.4 mg/g) mice at 1 wk postsurgery (Fig. 7A, also Supplemental Data S6 for pathophysiology). Moreover, analysis by 2D-DIGE revealed that TAC hearts had 70 spots that differed (P < 0.05) in abundance across the diurnal cycle on 2D-DIGE (of the 997 identified). We selected six (arrows) with differences at pairwise times (ZT23 vs. ZT11, ZT03 vs. ZT15, and ZT07 vs. ZT19) for identification by LC/MS/MS (see Supplemental Data S1 and S3). One representative gel is shown in Fig. 7B, with the identified spots noted. Differences in abundance were also illustrated by DeCyder single channel (Fig. 7C, upper), graphs (lower), and validated by Western blot analyses across the diurnal time points (Fig. 7D). Proteins with increased (P < 0.05) abundance in TAC hearts in the light phase were fibrinogen beta chain (FGB) (ZT07 vs. ZT19, 1.6 ± 0.2 FC), heat shock protein b1 (HSPB1) (ZT03 vs. ZT15, 2.0 ± 0.4 FC), proteasome subunit 6a (PSMA6) (ZT11 vs. ZT23, 1.4 ± 0.1 FC), and propionyl-CoA carboxylase-α (PCCA) (ZT07 vs. ZT19, 3.7 ± 0.9 FC), and protein disulfide isomerase A3 (PDIA3) (ZT11 vs. ZT23, 1.5 ± 0.3 FC). Carbonic anhydrase 2 (CA2) (ZT03 vs. ZT15, 1.5 ± 0.2 FC) was increased (P < 0.05) during the dark. Moreover, we purified cardiac myofilaments and measured actomyosin MgATPase activity (Fig. 7E, Supplemental Data S7), revealing that TAC hearts exhibited a diurnal pattern of myofilament sensitivity (dark, 217.06 ± 14.24 vs. light, 181.31 ± 4.93 nmol Pi·min−1·mg−1); however, levels were reduced (P < 0.05) compared with sham hearts (dark, 242.69 ± 17.18 vs. light, 198.70 ± 11.82 nmol Pi·min−1·mg−1). We also investigated the peripheral cytokine proteome revealing that TAC alters (P < 0.05) diurnal cycling of innate serum cytokines IL-6, TNF-α, and IL-17α, but not Th1/Th2 cytokines implicated in other types of responses (Fig. 7F, Supplemental Data S8). Taken together, these studies confirm that coordination of cardiac function in health and disease is more complex than previously anticipated and that circadian regulation occurring across multiple levels, including transcriptional, translational, and posttranslational, can play a role in the disease process.
DISCUSSION
In this study, global proteomic approaches were used to test the hypothesis that the cardiac proteome differs in abundance over the 24-h day/night period, that temporal changes in proteins can be dependent on the cardiomyocyte circadian clock mechanism and that maintaining these rhythms is important for cardiac function. We found differences in abundance in ∼7.8% of the normal soluble cardiac proteome as analyzed by 2D-DIGE and mass spectrometry at 12-h paired time points across the diurnal cycle. This estimate is conservatively within the range in other murine tissues and other organisms (14, 29, 46, 60, 75, 83), albeit slightly lower than murine liver (up to 20%) (60). Daily oscillations in cellular function are due to a combination of fluctuations in the neurohormonal milieu (i.e., extrinsic factors) and cell autonomous rhythms (driven by circadian clocks). Manipulation of the L:D cycle affects both extrinsic and intrinsic factors, and, accordingly, disrupts rhythms in both the cardiac proteome and contractility relative to the diurnal cycle. Selective genetic disruption of the cardiomyocyte circadian clock attenuates rhythms in the subset of the cardiac proteome. There is also a temporal cardiac proteome underlying heart disease.
In our first study in the normal heart, we identified several mitochondrial metabolic proteins involved in substrate generation for the citric acid cycle [HADHB (84), ALDH4a1(85)], the citric acid cycle itself (ACO2), and ATP production [ATP5A1(31)]. HADHB, a component of the trifunctional protein complex responsible for fatty acid β-oxidation, was most abundant during the sleep phase, which corresponds with times of greater reliance on fatty acids by the heart (92). Conversely, ALDH4a1 was most abundant during the L:D transition times, making it tempting to speculate on alternative substrates for energy production during this transitional metabolic period. Moreover, ACO2, which catalyzes the conversion of citrate to isocitrate in the citric acid cycle was least abundant during ALD4a1 peak abundance, thus providing further support for time-of-day activity. Decreased isocitrate production may be compensated for by increased α-ketogluturate production, allowing the TCA cycle to continue. Since our studies focused on soluble proteins, many of the diurnal proteins identified included enzymes predominantly associated with vital cardiac metabolic pathways. Indeed, it is tempting to speculate that mitochondrial content, in general, exhibits a circadian pattern. This would be consistent with the notion of diurnal metabolism, and moreover, it was recently demonstrated that mitochondrial proteins involved in metabolic pathways are influenced by circadian clock-driven acetylation (44). A more detailed look at the day-night cardiac mitochondrial proteome is likely worthy of further investigation, although beyond the scope of the current study.
We also investigated the underlying diurnal mRNA expression by JTK_CYCLE, which revealed statistically significant rhythms for up to 17% of the cardiac transcriptome, which is consistent with reports by others (38, 41, 76, 82). These included several of our genes of interest, supporting the notion that transcription can underlie rhythmic protein abundance. Moreover, the Per2 mRNA exhibited a delay between message and protein as anticipated, and interestingly, Igf2, Aldh4a1, and Aco2 were relatively coincident and Stip1 appeared to exhibit a delay. Our in silico analyses revealed the presence of E-boxes in many additional genes, suggesting that translational control through promoter activity of known circadian elements alone is not sufficient to explain these corresponding mRNA profiles. Additional mechanisms likely are also involved in regulating diurnal protein abundance in the heart. These findings are consistent with reports in other tissues such as liver (60). Collectively, these studies promote new understanding of cardiac processes, and diurnal regulation provides a means for promoting protein abundance and flexibility over a 24-h period.
Next, we examined what happens to the cardiac proteome when L:D rhythms were altered. We and others have previously demonstrated that altered L:D adversely affects the expression of diurnal gene rhythms in the heart and cardiac function (18, 39–41, 56, 93); however, effects on the cardiac proteome have not been similarly investigated. This study revealed altered cardiac protein profiles with altered L:D. A CLAMS was used to demonstrate that the mice do not synchronize to the shortened L:D cycle, consistent with previous studies (32). Therefore, heart proteins were sampled in reference to the L:D cycle, but there was still a clear endogenous rhythm in body physiology that likely contributed to altered protein abundance. Moreover, there was loss of diurnal variation in LVDP on Langendorff analyses in the hearts of diurnally disrupted mice, relative to the L:D cycle. Thus, the altered diurnal environment can impact cardiac protein abundance and heart function relative to the L:D cycle. These findings have implications for cardiovascular health and disease of individuals subjected to rhythm disruptions, such as shift workers, patients with sleep disorders (including sleep apnea), nondipping hypertensives, as well as others associated with the 24/7 demands of society.
Our findings also suggest that protein abundance in the heart is regulated, in part, by the cardiomyocyte clock. For example, we found significantly altered abundance of GOT2 and BDH1 in CCM hearts. Similarly, previous microarray studies revealed altered got2 and bdh1 gene expression in CCM vs. WT hearts (7), consistent with our findings. Also, regulation of PDHE1a and LDHB by the circadian clock may be at the translational level contributing to the observed rhythms in glucose and lactate metabolism and are supported by previous observations that rhythmic cardiac glucose and lactate metabolism are disrupted in CCM mice (15). Lastly, it is tempting to speculate that the posttranslational modification of PDH observed in CCM hearts is potentially phosphorylation. PDH, when phosphorylated, is inactivated. Decreased PDH activity, plus decreased LDHB, ECHS1, and BDH1 could limit acetyl-CoA production in CCM hearts. A mechanistic illustration of the metabolic proteins with altered abundance in CCM hearts is in Fig. 8A.
The heart responds to diurnal variations in drive, altering metabolic expression, oxidative metabolism, and energy handling. While significant research has been undertaken to understand the circadian variances in these areas, relatively little is known about how myofilaments—the central contractile element and largest consumer of energy in cardiac myocytes—are affected by circadian rhythms. Recently, investigators identified a link between cardiac myofilaments and the circadian clock when they reported the movement of CLOCK protein between cardiac Z-discs and nuclei of cells under stress (4); however, subsequent work failed to repeat these findings(86). Interestingly, recent work by Collins et al. (11) reports novel time-of-day variation in myocardial contractility that could not be fully explained by differences in calcium handling. Moreover, a comprehensive cardiac myofilament subproteome has been described with potential for studying dynamic changes important for myofilament contraction (91). Roles for myofilaments have been hypothesized; however, no previous study has examined diurnal variations in myofilament function or regulation. Thus, despite these and other studies suggesting that cardiac myofilaments are targeted by the circadian clock, to our knowledge, the current study is the first investigation of circadian variations in cardiac myofilament function.
A novel finding of our experiments is that myofilament function exhibits a temporal oscillation in the heart. A mechanistic illustration of these myofilament proteins is provided (Fig. 8B).The observed rhythms may be due in part to daily variations in cAMP levels (58), a molecule known to regulate bioavailability of the cAMP-dependent protein kinase A, which is crucial for phosphorylating myofilament proteins(72). Consistent with this notion is that we found rhythms in PRKACA, the major catalytic subunit of cAMP protein-dependent kinase (PKA) responsible for regulation of cardiac structure and function via posttranslational modification of numerous intracellular targets. PRKACA was most abundant in normal hearts during the early waking hours, which may allow for increased PKA activity and modulation of cardiac function via myofilament phosphorylation. Moreover, we found altered ATPase activity in CCM hearts, further indicating a role for the clock mechanism in myofilament structure and function. These diurnal differences in myofilament function were associated with observable alterations in phosphorylation of several key myofilament proteins important for sarcomere function (72, 73). Consistent with these findings of a role for the circadian mechanism in sarcomeric structure/function is that GSK3b exhibits diurnal activity(30) and is mechanistically tied to the cardiac circadian clock mechanism (16) and has been shown recently to phosphorylate cMyBP-C (36). A critical implication of these findings relates to cardiac hypertrophy (TAC mice), in which we observed a reduction in myofilament sensitivity to Ca2+. Moreover, these findings are consistent with recent reports of circadian oscillations in calcineurin activity and protein phosphorylation in normal vs. TAC hypertrophy and failing hearts (67). There are also diurnal variations in myocellular excitation-contraction coupling that relate to calcium homeostasis (10). Other avenues could also be worthy of future study. For example, we enriched for myofilaments consistent with our established protocols (55, 59, 90); however, future studies could use 2D-DIGE to examine preparations enriched for sarcomeric proteins, including alpha-myosin and beta-myosin heavy-chain changes in disease, and circadian changes in phosphorylation of sarcomeric proteins identified by isoelectric focusing. In summary, these findings indicate novel time-dependent posttranslational mechanisms within cardiac sarcomeres that influence myofilament contractility and relaxation over the course of the day.
Perspectives and Significance
Clinical and experimental studies have revealed that circadian rhythms play an important role in the pathophysiology of heart disease [e.g., timing of onset of myocardial infarction (MI) (9, 27, 48), severity of MI (16, 61, 78), time of day of ventricular tachyarrhythmias (79), temporal nocturnal hypertensive profiles (25, 70), and response to angiotensin-converting enzyme inhibitors (43, 71)]. Furthermore, a flurry of recent studies has associated cardiovascular structure and function with an underlying rhythmic genome by microarray and bioinformatics analyses (38, 66, 76). There are altered diurnal genomic expression profiles in TAC heart disease (41, 82). Moreover, diurnal gene expression profiles in the heart are regulated by both the diurnal environment (40, 41) and the cardiomyocyte clock mechanism (17, 19). However, the diurnal proteome has not been similarly investigated. Although genes encode proteins, it is the proteins that actually perform many important cellular functions. Here, we use proteomic approaches to reveal a temporal cardiac proteome, regulation by both the environment and the cardiac clock, and altered diurnal protein abundance in heart disease. These findings support the notion that temporal regulation of substrate utilization optimizes metabolic efficiency and cardiac function in a normal diurnal environment, and elucidates an important yet relatively unrecognized role in heart disease. The implications are that de novo studies, such as these, investigating the diurnal cardiac metabolic, sarcomeric, and myocellular proteome, can lead to new approaches to understand and treat heart disease.
GRANTS
This work was supported by grants from the Canadian Institutes of Health Research (MOP119518 to T. A. Martino) and the National Heart, Lung, and Blood Institute (HL-074259, M. Young).
DISCLOSURES
No conflicts of interest, financial or otherwise, are declared by the authors.
AUTHOR CONTRIBUTIONS
P.P., W.G.P., S.A., F.J.A., E.V.T., W.F.R., A.M., J.A.S., D.C.W., M.E.Y., and T.A.M. performed experiments; P.P., W.G.P., S.A., F.J.A., E.V.T., A.M., J.A.S., D.C.W., and T.A.M. analyzed data; P.P., W.G.P., F.J.A., E.V.T., and T.A.M. prepared figures; P.P., W.G.P., S.A., F.J.A., E.V.T., W.F.R., A.M., J.A.S., G.K., D.C.W., M.E.Y., and T.A.M. approved final version of manuscript; W.G.P., J.A.S., G.K., M.E.Y., and T.A.M. conception and design of research; P.P., W.G.P., S.A., F.J.A., E.V.T., D.C.W., and T.A.M. interpreted results of experiments; W.G.P., M.E.Y., and T.A.M. edited and revised manuscript; T.A.M. drafted manuscript.
Supplementary Material
ACKNOWLEDGMENTS
The authors sincerely thank Dr. John Hogenesch at the Institute for Biomedical Informatics, Institute for Translation Medicine and Therapeutics, University of Pennsylvania Perelman School of Medicine, Philadelphia PA, for analysis of the microarray data using JTK_CYCLE, and for his thoughtful comments and helpful advice.
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