Circadian Rhythms Play a Role in Muscle Repair

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Clara Peek, PhD, assistant professor of Biochemistry and Molecular Genetics and Medicine in the Division of Endocrinology.
Clara Peek, PhD, assistant professor of Biochemistry and Molecular Genetics and Medicine in the Division of Endocrinology, and senior author of the study.

Circadian rhythms play a role in how quickly damaged muscles heal, according to a Northwestern Medicine study published in Science Advances.

The findings could have implications for shift workers and may also prove useful in understanding the effects of aging and obesity, said Clara Peek, PhD, assistant professor of Biochemistry and Molecular Genetics and Medicine in the Division of Endocrinology, who was senior author of the study.

“In each of our cells, we have genes that form the molecular circadian clock,” Peek said. “These clock genes encode a set of transcription factors that regulate many processes throughout the body and align them with the appropriate time of day. Things like sleep/wake behavior, metabolism, body temperature, hormones – all these are circadian.”

Previous research from the Peek laboratory found that mice regenerated muscle tissues faster when the damage occurred during their normal waking hours. When mice experienced muscle damage during their usual sleeping hours, healing was slowed.

In the current study, Peek and her collaborators sought to better understand how circadian clocks within muscle stem cells govern regeneration depending on the time of day.

For the study, Peek and her collaborators performed single-cell sequencing of injured and uninjured muscles in mice at different times of the day. They found that the time of day influenced inflammatory response levels in stem cells, which signal to neutrophils – the “first responder” innate immune cells in muscle regeneration.

Pei Zhu, PhD, research assistant professor of Biochemistry and Molecular Genetics.
Pei Zhu, PhD, research assistant professor of Biochemistry and Molecular Genetics, was first author of the study.

“We discovered that the cells’ signaling to each other was much stronger right after injury when mice were injured during their wake period,” Peek said. “That was an exciting finding and is further evidence that the circadian regulation of muscle regeneration is dictated by this stem cell-immune cell crosstalk.”

The investigators found that the muscle stem cell clock also affected the post-injury production of NAD+, a coenzyme found in all cells that is essential to creating energy in the body and is involved in hundreds of metabolic processes.

Next, using a genetically manipulated mouse model produced in the laboratory of  Navdeep Chandel, PhD, the David W. Cugell, MD, Professor of Medicine in the Division of Pulmonary and Critical Care, which boosted NAD+ production specifically in muscle stem cells, the investigators found that NAD+ induces inflammatory responses and neutrophil recruitment, promoting muscle regeneration.

The findings may be especially relevant to understanding the circadian rhythm disruptions that occur in aging and obesity, Peek said.

“Circadian disruptions linked to aging and metabolic syndromes like obesity and diabetes are also associated with diminished muscle regeneration,” Peek said. “Now, we are able to ask: do these circadian disruptions contribute to poorer muscle regeneration capacity in these conditions? How does that interact with the immune system?”

The study’s results could also clarify the impacts of shift work, which is known to disrupt circadian rhythms in humans.

Moving forward, Peek and her collaborators hope to identify exactly how NAD+ induces immune responses and how these responses are altered in disease.

“A lot of circadian biology focuses on molecular clocks in individual cell types and in the absence of stress,” Peek said. “We haven’t had the technology to sufficiently look at cell-cell interactions until recently. Trying to understand how different circadian clocks interact in conditions of stress and regeneration, is really an exciting new frontier.”

Pei Zhu, PhD, research assistant professor of Biochemistry and Molecular Genetics, was first author of the study.

The study was supported by National Institutes of Health grants R01DK123358, P30DK020595, K08 AR081391, 5P01AG049665-09 and T32 HL076139-11. Additional funding was provided by the U.S. Department of Veterans Affairs via grant IK6 RX003351.