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Muscle-specific loss of Bmal1 leads to disrupted tissue glucose metabolism and systemic glucose homeostasis
Open accessAbstract
BACKGROUND: Diabetes is the seventh leading cause of death in the USA, and disruption of circadian rhythms is gaining recognition as a contributing factor to disease prevalence. This disease is characterized by hyperglycemia and glucose intolerance and symptoms caused by failure to produce and/or respond to insulin. The skeletal muscle is a key insulin-sensitive metabolic tissue, taking up ~80 % of postprandial glucose. To address the role of the skeletal muscle molecular clock to insulin sensitivity and glucose tolerance, we generated an inducible skeletal muscle-specific Bmal1 (-/-) mouse (iMSBmal1 (-/-)). RESULTS: Progressive changes in body composition (decreases in percent fat) were seen in the iMSBmal1 (-/-) mice from 3 to 12 weeks post-treatment as well as glucose intolerance and non-fasting hyperglycemia. Ex vivo analysis of glucose uptake revealed that the extensor digitorum longus (EDL) muscles did not respond to either insulin or 5-aminoimidazole-4-carboxamide ribonucleotide (AICAR) stimulation. RT-PCR and Western blot analyses demonstrated a significant decrease in mRNA expression and protein content of the muscle glucose transporter (Glut4). We also found that both mRNA expression and activity of two key rate-limiting enzymes of glycolysis, hexokinase 2 (Hk2) and phosphofructokinase 1 (Pfk1), were significantly reduced in the iMSBmal1 (-/-) muscle. Lastly, results from metabolomics analyses provided evidence of decreased glycolytic flux and uncovered decreases in some tricarboxylic acid (TCA) intermediates with increases in amino acid levels in the iMSBmal1 (-/-) muscle. These findings suggest that the muscle is relying predominantly on fat as a fuel with increased protein breakdown to support the TCA cycle. CONCLUSIONS: These data support a fundamental role for Bmal1, the endogenous circadian clock, in glucose metabolism in the skeletal muscle. Our findings have implicated altered molecular clock dictating significant changes in altered substrate metabolism in the absence of feeding or activity changes. The changes in body composition in our model also highlight the important role that changes in skeletal muscle carbohydrate, and fat metabolism can play in systemic metabolism.
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![Fig. 2 iMSBmal1−/− mice display altered systemic glucose handling. a Fasted blood glucose (n = 8/group (2 females and 6 males in both groups)). b Fasted blood insulin n = 7/group (3 females and 4 males in both groups). c Glucose tolerance depicted as blood glucose versus time post-glucose injection and area under the curve (n = 8/group (2 females and 6 males) in both groups). d Non-fasted blood glucose measured every 4 h for 24 h [n = 4 per time point: CT18 iMSBmal1+/+ n = 2 F/2 M; iMSBmal1−/− n = 2 F/2 M; CT22 iMSBmal1+/+ n = 4 M; iMSBmal1−/− n = 2 F/2 M; CT26 iMSBmal1+/+ n = 2 F/2 M; iMSBmal1−/− n = 1 F/3 M; CT30 iMSBmal1+/+ n = 1 F/3 M; iMSBmal1−/− n = 1 F/3 M; CT34 iMSBmal1+/+ n = 1 F/3 M; iMSBmal1−/− n = 1 F/3 M]](/paper-figures/362f82dfc33c446c86d7311341759253/muscle-specific-loss-of-bmal1-leads-to-disrupted-tissue-glucose-metabolism-and-figure-2.jpg)
![Fig. 3 Glucose uptake was diminished in the iMSBmal1−/− mice. a Insulin-stimulated glucose uptake in the EDL muscles using a maximum insulin dose and 20 min of exposure [n = 8 (2 F/6 M)/group]. b AICAR-stimulated glucose uptake in the EDL muscles after 40 min of exposure incubation media with or without AICAR n = 5 (5 F)/group](/paper-figures/e01c56e0414e410082e273611e38da3e/muscle-specific-loss-of-bmal1-leads-to-disrupted-tissue-glucose-metabolism-and-figure-3.jpg)




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In the citing paper
“Considering the negative metabolic consequences, such as reduction in insulin sensitivity and mitochondrial function, attributed to both circadian misalignment and sleep loss [21,67] and the potential benefits of exercise in this context [17,68], further research is warranted.”
From Exercise mitigates sleep-loss-induced changes in glucose tolerance, mitochondrial function, sarcoplasmic protein synthesis, and diurnal rhythms (2021) · cites this paper as [67]
In the citing paper
“Disruption of the muscle clock has also been shown to have significant impact on glucose intolerance and insulin resistance with very small changes in fiber types (Dyar et al., 2014; Schroder et al., 2015; Harfmann et al., 2016).”
From Myosteatosis in the Context of Skeletal Muscle Function Deficit: An Interdisciplinary Workshop at the National Institute on Aging (2020) · cites this paper as Harfmann et al., 2016
In the citing paper
“When investigating glucose transport ex vivo, it was clear that there was no increase in glucose uptake in response to insulin.”
From Myosteatosis in the Context of Skeletal Muscle Function Deficit: An Interdisciplinary Workshop at the National Institute on Aging (2020) · cites this paper as Harfmann et al., 2016
In the citing paper
“Muscles from Bmal1 knockout mice exhibit reduced glycolytic enzyme activity (e.g., 50% reduction in both hexokinase and phosphofructokinase activity) and a significant reduction in expression of the glucose transporter type 4 (GLUT-4) suggests that the molecular clock regulates muscle mechanisms that impact glucose uptake in muscle (Harfmann et al., 2016).”
From Myosteatosis in the Context of Skeletal Muscle Function Deficit: An Interdisciplinary Workshop at the National Institute on Aging (2020) · cites this paper as Harfmann et al., 2016
In the citing paper
“Using an inducible muscle specific Bmal1 knockout mouse, Harfmann et al. (2016), showed that non-fasted blood glucose (measured every 4 h for about 32 h) in the mice was always elevated compared to controls.”
From Myosteatosis in the Context of Skeletal Muscle Function Deficit: An Interdisciplinary Workshop at the National Institute on Aging (2020) · cites this paper as Harfmann et al., 2016
In the citing paper
“Further, use of 5-aminoimidazole-4-carboxamide-1-D-ribofuranoside (AICAR) to activate adenosine monophosphate (AMP)-activated protein kinase (AMPK) also did not increase glucose uptake indicating that loss of Bmal1 affects both exercise as well as insulin-induced glucose uptake.”
From Myosteatosis in the Context of Skeletal Muscle Function Deficit: An Interdisciplinary Workshop at the National Institute on Aging (2020) · cites this paper as Harfmann et al., 2016
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Metadata
- Authors
- Harfmann, B. D., Schroder, E. A., Kachman, M. T., Hodge, B. A., Zhang, X., & Esser, K. A.
- Affiliations
- University of Kentucky (US)
- University of Michigan (US)
- Corresponding author
- Esser, Karyn A.
- ORCID
- Venue
- Skeletal Muscle
- Published
- 2016-03-30
- Volume
- 6
- Issue
- 1
- Pages
- 12-12
- ISSN
- 2044-5040 (ISSN-L)
- PMC
- PMC4969979
- OpenAlex
- W2333878333
- Cited by
- 231
- References
- 38
- Citations by year
- 2026: 24 · 2025: 30 · 2024: 24 · 2023: 20 · 2022: 29 · 2021: 19 · 2020: 33 · 2019: 17 · 2018: 15 · 2017: 18 · 2016: 2
- FWCI
- 11.03
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Skeletal Muscle (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- University of Florida Digital Collections (University of Florida) (submittedVersion, other-oa)
- UKnowledge (University of Kentucky) (submittedVersion, cc-by)
- Funders
- National Institutes of Health (R01AR066082, RC1ES018636)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Metabolism, Diabetes, and Cancer
- Health Sciences › Medicine › Physiology (medical) › Adipose Tissue and Metabolism
- Keywords
- Bmal1, circadian clock, glucose metabolism, glucose homeostasis, impaired glucose tolerance, hyperglycemia, insulin sensitivity, GLUT4, hexokinase 2, phosphofructokinase-1, glycolysis, TCA cycle, substrate metabolism, fat metabolism, protein degradation, body composition, diabetes mellitus
- MeSH terms
- Adipose Tissue, Aminoimidazole Carboxamide, Animals, Blood Glucose, Body Weight, Circadian Rhythm, Female, Hexokinase, Homeostasis, Hypoglycemic Agents, Insulin, Male, Motor Activity, Ribonucleotides, RNA, Messenger, Mice, Knockout, Muscle, Skeletal, Phosphofructokinase-1, Muscle Type, Glucose Transporter Type 4, Mice, ARNTL Transcription Factors
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