PMID- 27000098 OWN - NLM STAT- MEDLINE DCOM- 20171211 LR - 20180129 IS - 2047-4881 (Electronic) IS - 2047-4873 (Linking) VI - 23 IP - 13 DP - 2016 Sep TI - Does exercise training impact clock genes in patients with coronary artery disease and type 2 diabetes mellitus? PG - 1375-82 LID - 10.1177/2047487316639682 [doi] AB - BACKGROUND: Recent findings revealed negative effects of deregulated molecular circadian rhythm in coronary artery disease (CAD) and type 2 diabetes mellitus (T2DM). Physical exercise training (ET) has been shown to promote anti-diabetic and anti-atherogenic responses in skeletal muscle of these patients, but the role of the circadian clock-machinery remains unknown. This study investigated whether mRNA expression of clock genes in skeletal muscle of CAD and T2DM patients is influenced by physical ET intervention. METHODS: Nineteen patients with CAD and T2DM (age 64 +/- 5 years) were randomised to either six months of ET (four weeks of in-hospital ET followed by a five-month ambulatory programme) or usual care. At the beginning of the study, after four weeks and after six months parameters of metabolic and cardiovascular risk factors, and physical exercise capacity were assessed. Gene expression was measured in skeletal muscle biopsies by quantitative real-time polymerase chain reaction (PCR). RESULTS: A selection of clock genes and associated components (circadian locomoter output cycle kaput protein (CLOCK), period (PER) 1, cryptochrome (CRY) 2 and aminolevulinate-deltA-synthase-1 (ALAS1)) was reliably measured and used for further analysis. A time-dependent effect in gene expression was observed in CLOCK (p = 0.013) and a significant interaction between time and intervention was observed for ALAS1 (p = 0.032; p = 0.014) as a result of ET. CONCLUSION: This is the first study to analyse clock gene expression in skeletal muscles of patients with CAD and T2DM participating in a long-lasting exercise intervention. ET, as one of the cornerstones in prevention and rehabilitation of CAD and T2DM, exerts no effects on CLOCK genes but meaningful effects on the clock-associated gene ALAS1. CI - (c) The European Society of Cardiology 2016. FAU - Steidle-Kloc, Eva AU - Steidle-Kloc E AD - University Institute of Sports Medicine, Prevention and Rehabilitation, Paracelsus Medical University, Austria. FAU - Schonfelder, Martin AU - Schonfelder M AD - Research Institute of Molecular Sports Medicine and Rehabilitation, Paracelsus Medical University, Austria. FAU - Muller, Edith AU - Muller E AD - Research Institute of Molecular Sports Medicine and Rehabilitation, Paracelsus Medical University, Austria. FAU - Sixt, Sebastian AU - Sixt S AD - Angiologikum GmbH, Hamburg, Germany. FAU - Schuler, Gerhard AU - Schuler G AD - Heart Center, Department of Cardiology, University of Leipzig, Germany. FAU - Patsch, Wolfgang AU - Patsch W AD - Institute of Pharmacology and Toxicology, Paracelsus Medical University, Salzburg, Austria. FAU - Niebauer, Josef AU - Niebauer J AD - University Institute of Sports Medicine, Prevention and Rehabilitation, Paracelsus Medical University, Austria Research Institute of Molecular Sports Medicine and Rehabilitation, Paracelsus Medical University, Austria j.niebauer@salk.at. LA - eng PT - Journal Article DEP - 20160321 PL - England TA - Eur J Prev Cardiol JT - European journal of preventive cardiology JID - 101564430 RN - 0 (Muscle Proteins) RN - 0 (RNA, Messenger) SB - IM CIN - Eur J Prev Cardiol. 2016 Sep;23(13):1372-4. PMID: 27231397 MH - Circadian Rhythm/*genetics MH - Coronary Artery Disease/complications/*genetics/rehabilitation MH - Diabetes Mellitus, Type 2/complications/*genetics/rehabilitation MH - Exercise/*physiology MH - *Exercise Therapy MH - Female MH - *Gene Expression MH - Humans MH - Male MH - Middle Aged MH - Muscle Proteins/biosynthesis/*genetics MH - Muscle, Skeletal/metabolism MH - Polymerase Chain Reaction MH - RNA, Messenger/genetics MH - Risk Factors OTO - NOTNLM OT - Cardiovascular disease OT - cardiovascular risk OT - circadian rhythm OT - physical training EDAT- 2016/03/24 06:00 MHDA- 2017/12/12 06:00 CRDT- 2016/03/23 06:00 PHST- 2015/08/17 00:00 [received] PHST- 2016/02/27 00:00 [accepted] PHST- 2016/03/23 06:00 [entrez] PHST- 2016/03/24 06:00 [pubmed] PHST- 2017/12/12 06:00 [medline] AID - 2047487316639682 [pii] AID - 10.1177/2047487316639682 [doi] PST - ppublish SO - Eur J Prev Cardiol. 2016 Sep;23(13):1375-82. doi: 10.1177/2047487316639682. Epub 2016 Mar 21.