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A brief morning rest period benefits cardiac repair in pressure overload hypertrophy and postmyocardial infarction
Cristine J. Reitz, … , W. Glen Pyle, Tami A. Martino
Cristine J. Reitz, … , W. Glen Pyle, Tami A. Martino
Published October 18, 2022
Citation Information: JCI Insight. 2022;7(22):e164700. https://doi.org/10.1172/jci.insight.164700.
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Research Article Cardiology

A brief morning rest period benefits cardiac repair in pressure overload hypertrophy and postmyocardial infarction

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Abstract

Rest has long been considered beneficial to patient healing; however, remarkably, there are no evidence-based experimental models determining how it benefits disease outcomes. Here, we created an experimental rest model in mice that briefly extends the morning rest period. We found in 2 major cardiovascular disease conditions (cardiac hypertrophy, myocardial infarction) that imposing a short, extended period of morning rest each day limited cardiac remodeling compared with controls. Mechanistically, rest mitigates autonomic-mediated hemodynamic stress on the cardiovascular system, relaxes myofilament contractility, and attenuates cardiac remodeling genes, consistent with the benefits on cardiac structure and function. These same rest-responsive gene pathways underlie the pathophysiology of many major human cardiovascular conditions, as demonstrated by interrogating open-source transcriptomic data; thus, patients with other conditions may also benefit from a morning rest period in a similar manner. Our findings implicate rest as a key driver of physiology, creating a potentially new field — as broad and important as diet, sleep, or exercise — and provide a strong rationale for investigation of rest-based therapy for major clinical diseases.

Authors

Cristine J. Reitz, Mina Rasouli, Faisal J. Alibhai, Tarak N. Khatua, W. Glen Pyle, Tami A. Martino

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Figure 7

Rest regulates cardiac gene expression with implications for human heart disease.

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Rest regulates cardiac gene expression with implications for human heart...
(A) Principal components analysis of cardiac transcriptome from healthy mice under the rest model (+Rest) for 4 weeks versus control. Hearts were collected during the middle of the rest period (ZT07). (B) Differentially regulated genes (fold change ≥ 1.3) in control versus rest model. (C) Gene ontology cellular compartment and biological process correlations, upregulated (blue) or downregulated (yellow) with rest. See Supplemental Figure 4. (D) Real-time PCR of cardiac biomarkers upregulated and downregulated in the heart with rest, pooled across the rest period (ZT03, 07, 11). n = 9/group from n = 3/time point, *P < 0.05, unpaired Student’s t test. (E) Open-source human heart tissue gene bioinformatics of cardiac remodeling and myofilament genes. *P < 0.05 versus nonfailing controls, unpaired Student’s t test. (F) Rhythmic and rest-responsive genes encode molecular drug targets of commonly prescribed cardiac medications.

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