Ziegler, K.A.* ; Ahles, A.* ; Dueck, A.* ; Esfandyari, D.* ; Pichler, P.* ; Weber, K.* ; Kotschi, S.* ; Bartelt, A. ; Sinicina, I.* ; Graw, M.* ; Leonhardt, H.* ; Weckbach, L.T.* ; Massberg, S.* ; Schifferer, M.* ; Simons, M.* ; Höher, L. ; Luo ; Ertürk, A. ; Schiattarella, G.G.* ; Sassi, Y.* ; Misgeld, T.* ; Engelhardt, S.*
     
    
        
Immune-mediated denervation of the pineal gland underlies sleep disturbance in cardiac disease.
    
    
        
    
    
        
        Science 381, 285-290 (2023)
    
    
    
      
      
	
	    Disruption of the physiologic sleep-wake cycle and low melatonin levels frequently accompany cardiac disease, yet the underlying mechanism has remained enigmatic. Immunostaining of sympathetic axons in optically cleared pineal glands from humans and mice with cardiac disease revealed their substantial denervation compared with controls. Spatial, single-cell, nuclear, and bulk RNA sequencing traced this defect back to the superior cervical ganglia (SCG), which responded to cardiac disease with accumulation of inflammatory macrophages, fibrosis, and the selective loss of pineal gland-innervating neurons. Depletion of macrophages in the SCG prevented disease-associated denervation of the pineal gland and restored physiological melatonin secretion. Our data identify the mechanism by which diurnal rhythmicity in cardiac disease is disturbed and suggest a target for therapeutic intervention.
	
	
	    
	
       
      
	
	    
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        Publication type
        Article: Journal article
    
 
    
        Document type
        Scientific Article
    
 
    
        Thesis type
        
    
 
    
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        Keywords
        Superior Cervical-ganglion; Expression; Transgene; Melatonin; Neurons; Atrial
    
 
    
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        Language
        english
    
 
    
        Publication Year
        2023
    
 
    
        Prepublished in Year
        0
    
 
    
        HGF-reported in Year
        2023
    
 
    
    
        ISSN (print) / ISBN
        0036-8075
    
 
    
        e-ISSN
        1095-9203
    
 
    
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	    Volume: 381,  
	    Issue: 6655,  
	    Pages: 285-290 
	    Article Number: ,  
	    Supplement: ,  
	
    
 
    
        
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            Publisher
            American Association for the Advancement of Science (AAAS)
        
 
        
            Publishing Place
            1200 New York Ave, Nw, Washington, Dc 20005 Usa
        
 
	
        
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        Reviewing status
        Peer reviewed
    
 
     
    
        POF-Topic(s)
        90000 - German Center for Diabetes Research
30205 - Bioengineering and Digital Health
    
 
    
        Research field(s)
        Helmholtz Diabetes Center
Enabling and Novel Technologies
    
 
    
        PSP Element(s)
        G-501900-251
G-505800-001
    
 
    
        Grants
        TUM
European Research Council
Deutsche Forschungsgemeinschaft (DFG, German Research Foundation)
DZHK (German Centre for Cardiovascular Research)
DFG
German Cardiac Society
Munich Center for Systems Neurology
ERC under the European Union
German Center for Neurodegenerative Diseases (DZNE)
BMBF
    
 
    
        Copyright
        
    
 	
    
    
    
    
    
        Erfassungsdatum
        2023-10-06