Evidence map›Paper›PMID 39633575›Full record

ArticleArteriosclerosis, thrombosis, and vascular biology2025

Circadian Dysfunction in the Skeletal Muscle Impairs Limb Perfusion and Muscle Regeneration in Peripheral Artery Disease.

Pei Zhu 朱培, Calvin L Chao, Adam W T Steffeck, Caitlyn Dang, Noah X Hamlish, Eric M Pfrender, Bin Jiang, Clara B Peek

Abstract read
In one paragraph

Article in Arteriosclerosis, thrombosis, and vascular biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Endothelial metabolic zonation in the vascular network: a spatiotemporal blueprint for angiogenesis.American journal of physiology. Heart and circulatory physiology · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Pei Zhu 朱培Department of Biochemistry and Molecular Genetics (P.Z., A.W.T.S., N.X.H., E.M.P., C.B.P.), Northwestern University Feinberg School of Medicine, Chicago, IL.ORCID 0000-0002-0321-9636
Calvin L ChaoDepartment of Surgery, Division of Vascular Surgery (C.L.C., C.D., B.J.), Northwestern University Feinberg School of Medicine, Chicago, IL.
Adam W T SteffeckDepartment of Biochemistry and Molecular Genetics (P.Z., A.W.T.S., N.X.H., E.M.P., C.B.P.), Northwestern University Feinberg School of Medicine, Chicago, IL.ORCID 0000-0002-5660-9371
Caitlyn DangDepartment of Surgery, Division of Vascular Surgery (C.L.C., C.D., B.J.), Northwestern University Feinberg School of Medicine, Chicago, IL.ORCID 0009-0001-0555-0509
Noah X HamlishDepartment of Biochemistry and Molecular Genetics (P.Z., A.W.T.S., N.X.H., E.M.P., C.B.P.), Northwestern University Feinberg School of Medicine, Chicago, IL.ORCID 0000-0003-4318-8675
Eric M PfrenderDepartment of Biochemistry and Molecular Genetics (P.Z., A.W.T.S., N.X.H., E.M.P., C.B.P.), Northwestern University Feinberg School of Medicine, Chicago, IL.
Bin JiangDepartment of Surgery, Division of Vascular Surgery (C.L.C., C.D., B.J.), Northwestern University Feinberg School of Medicine, Chicago, IL.ORCID 0000-0003-2390-4312
Clara B PeekDepartment of Biochemistry and Molecular Genetics (P.Z., A.W.T.S., N.X.H., E.M.P., C.B.P.), Northwestern University Feinberg School of Medicine, Chicago, IL.ORCID 0000-0003-0873-0879

Funding

Pilot and Feasibility ProgramP30DK020595 · NIDDK · UNIVERSITY OF CHICAGO · PI GRAEME I BELL, Raghavendra G Mirmira · 2013 to 2026
$20.9M
Vascular Surgery Scientist Training ProgramT32HL094293 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ESKANDARI, MARK K · 2009 to 2023
$4.0M
Clock Control of Muscle Glucose Metabolism and HIF ActivityR01DK123358 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Clara Bien Peek · 2020 to 2026
$2.4M
NHLBI NIH HHS T32 HL094293NIDDK NIH HHS P30 DK020595NIDDK NIH HHS R01 DK123358
6 · The paper itself

Abstract

backgroundPeripheral artery disease (PAD), caused by atherosclerosis, leads to limb ischemia, muscle damage, and impaired mobility in the lower extremities. Recent studies suggest that circadian rhythm disruptions can hinder vascular repair during ischemia, but the specific tissues involved and the impact on muscle health remain unclear. This study investigates the role of the skeletal muscle circadian clock in muscle adaptation to ischemic stress using a surgical mouse model of hindlimb ischemia.

methodsWe performed secondary analysis of publicly available RNA-sequencing data sets derived from patients with PAD to identify the differential expression of circadian-related genes in endothelial cells and ischemic limb skeletal muscles. We used mice with specific genetic loss of the circadian clock activator, BMAL1 (brain and muscle ARNT-like 1), in adult skeletal muscle tissues (

resultsDisrupted expression of circadian rhythm-related genes was observed in existing RNA-sequencing data sets from endothelial cells and ischemic limb skeletal muscles derived from patients with PAD. Genetic loss of

conclusionsCircadian clock in skeletal muscle is crucial for the muscle's response to hypoxia during hindlimb ischemia. Targeting the muscle circadian clock may have therapeutic potential for enhancing muscle response to reduced blood flow and promoting recovery in conditions such as PAD.

Indexed as

Circadian ClocksCircadian RhythmIschemiaMuscle, SkeletalPeripheral Arterial DiseaseRegenerationAnimalsARNTL Transcription FactorsDisease Models, AnimalHindlimbHumansMaleMiceMice, Inbred C57BLMice, KnockoutNeovascularization, PhysiologicARNTL Transcription FactorsBmal1 protein, mousecircadian clocksfemoral arteryischemiaperipheral artery diseasereperfusion

Identifiers

PMID39633575
PMCPMC11753941

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.