The role of Bmal1 in SIMD
The advantage of the CLP (cecal ligation and puncture) model lies in its ability to inoculate the peritoneum with a mixed microbial community derived from the animal’s own intestinal flora, in conjunction with necrotic tissue. This triggers immune and biochemical responses that closely resemble those seen in human sepsis. At 24 hours after CLP, surviving mice in the CLP group and controls underwent echocardiography, which revealed a significant reduction in both ejection fraction (EF) and fractional shortening (FS) (Fig. 1A, B). In mice with SIMD, serum levels of creatine kinase isoenzyme (CK-MB) and lactate dehydrogenase (LDH) were elevated (Fig. S1A, B), while ANP and BNP levels were also markedly increased (Fig. S1C, D), indicating aggravated myocardial injury. Histological examination at 24 hours post-modeling showed disrupted myocardial fibers, along with inflammatory cell infiltration (Fig. S1E). Taken together, these results confirm the successful establishment of a mouse model of SIMD.
To investigate the role of Bmal1 in SIMD beyond circadian regulation, we established mouse models and collected heart tissue samples from both control and CLP mice 24 hours post-modeling. Results showed a significant reduction in both Bmal1 protein expression and mRNA levels in the heart tissues of CLP mice at the 24-hour time point (Fig. 1C, D). To further explore the mechanism of SIMD, we treated H9C2 cells with 1 µg/mL LPS to establish an in vitro sepsis model. After LPS treatment, Western blot and qRT-PCR analyses revealed a consistent downregulation of Bmal1, mirroring the trend observed in vivo (Fig. 1E, F). These findings suggest that Bmal1 expression is suppressed following the onset of SIMD, indicating its potential involvement in the pathogenesis of this condition.
The impact of Bmal1 deficiency on sepsis
In order to investigate the role of Bmal1 in SIMD, we generated cardiomyocyte-specific, tamoxifen-inducible Bmal1 knockout mice (Bmal1-cKO).
For this purpose, 6- to 8-week-old male αMHCCre/WT/Bmal1Flox/Flox mice were injected intraperitoneally with tamoxifen on days 1 and 3. Subsequent experiments were conducted 10 days later. We established CLP models using both Bmal1-cKO mice and wild-type controls, and performed echocardiography on surviving mice 24 hours after surgery. The results showed that, compared with control CLP mice, Bmal1-cKO CLP mice exhibited reduced ejection fraction (EF) and fractional shortening (FS) (Fig. 2A, B), along with significantly impaired cardiac function. Moreover, other markers of myocardial injury—ANP, BNP, CK-MB, and LDH—were markedly elevated (Fig. 2C–F), indicating that Bmal1 deficiency exacerbates SIMD.
In vitro, we transfected H9C2 cells with si-Bmal1 and then induced sepsis using LPS. Upon Bmal1 silencing, both the protein and mRNA levels of the inflammatory factors TNF-α and IL-18 were elevated (Fig. 2G–J), along with increased IL-6 expression in the culture medium (Fig. 2K). LDH release was also significantly enhanced (Fig. 2L), indicating that reduced Bmal1 expression exacerbates SIMD.
The role of nucleoli in SIMD
The nucleoli are mainly responsible for rRNA synthesis and ribosome assembly, and are also involved in quality control of phase separation proteins and stem cell differentiation [27]. The functions of nucleoli play an important role in CVD, and there have been no reports of nucleoli involvement in SIMD. To investigate whether the nucleoli are affected in SIMD, we first measured the expression levels of ribosomal proteins and rRNA synthesis levels in SIMD model. The results showed a significant decrease in the expression of ribosomal proteins RPS3 and RPL29 (Fig. 3A, B), as well as a decrease in rRNA synthesis (Fig. 3C, D). EU (not Edu) staining is a technique used to monitor the overall transcription level within cells, and can also be used for studying nucleolar function. The results showed that overall transcription levels decreased after LPS induction (Fig. 3E).
Argyrophilic nucleolar organizing regions (Ag NORs) can reflect nucleolar function by regulating rRNA transcription and processing, directly participating in nucleolar function and structural integrity. The number and distribution of Ag NORs also reflect cellular metabolism and proliferation levels. We observed Ag NORs in vivo through silver staining to evaluate nucleolar function. In the hearts of SIMD mice, we observed a decrease in the number of Ag NORs (Fig. 4A). Similarly, we found a decrease in the number of Ag NORs induced by LPS in H9C2 cells (Fig. 4B). Sucrose density gradient centrifugation is used to study the functional status of ribosomes. By analyzing the distribution of ribosomes in different density components, the translation activity of cells and the functional integrity of ribosomes can be evaluated. After LPS induction, ribosome-dimer aggregation occurred and mature 80S ribosomes were significantly reduced (Fig. 4C). In addition, FBL (Fibrillarin) is a nucleolar protein located in the DFC region of the nucleoli, which can effectively indicate the size and morphology of the nucleoli (Fig. 4D). We also found significant changes in the size and morphology of the nucleoli after LPS induction. After LPS treatment, the abundance of newly formed RPS3 and RPL29 proteins was significantly inhibited (Fig. 4E), which is consistent with the results of Western blotting. The above results indicate that the morphology and function of the nucleoli are affected after the occurrence of SIMD.
Bmal1 interacts with Ncl
Ncl, a key structural component of the nucleolus, is essential for its primary function and structural integrity. To determine whether Bmal1 directly interacts with Ncl, we first performed molecular docking, which suggested potential structural binding between the two proteins (Fig. 5A). We further validated this protein-protein interaction in H9C2 cells using co-immunoprecipitation (Co-IP) assays (Fig. 5B).
To investigate whether Bmal1 regulates Ncl expression, we examined Ncl levels under Bmal1 modulation. Silencing Bmal1 led to a decrease in both Ncl protein and mRNA levels (Fig. 5C, D). Consistent with this, Ncl expression was also reduced in Bmal1 cKO mice (Fig. 5E, F). Conversely, Bmal1 overexpression significantly increased Ncl protein levels (Fig. 5). These results demonstrate that Bmal1 not only interacts with Ncl but also positively regulates its expression.
Bmal1 is required for the dynamic behavior and organization of Ncl
To computationally evaluate the LLPS potential of Ncl, we employed the online predictor PhaseP (http://predict.phasep.pro/), which returned a high score, indicating a strong propensity for phase separation (Fig. 6A). Intrinsically disordered regions (IDRs)—typically enriched in aromatic and polar residues as well as multivalent interaction motifs—promote LLPS by facilitating weak noncovalent interactions, including hydrophobic, hydrogen bonding, and electrostatic forces [28]. In silico sequence analysis revealed the presence of IDRs in Ncl (Fig. 6B), domains often associated with biomolecular condensation. Together, these bioinformatic results suggest that Ncl has a high intrinsic propensity to undergo LLPS, prompting us to further examine its biophysical properties in cellular contexts.
To assess Ncl’s LLPS within the nucleolus, we transfected H9C2 cells with an Ncl-EGFP plasmid and performed fluorescence recovery after photobleaching (FRAP). After photobleaching, the fluorescence of Ncl-EGFP recovered to over 70% of the pre-bleach level (Fig. 6C), reflecting high mobility and dynamic exchange consistent with LLPS in the nucleolus. In contrast, upon Bmal1 silencing, FRAP analysis showed that Ncl-EGFP fluorescence did not recover and was even subject to quenching (Fig. 6D), indicating that Bmal1 depletion disrupts the nucleolar dynamics of Ncl’s LLPS (Fig. 6E).
Bmal1 affects nucleolar function
Ncl, an essential nucleolar protein, plays a critical role in ribosome biogenesis. Previous studies have reported that NCL coexists with proteins such as LIN28 and FBL in a common complex to help maintain nucleolar structural integrity [29, 30]. Given our findings that Bmal1 interacts with Ncl and influences its dynamic properties, we further investigated whether Bmal1 regulates ribosome biogenesis via Ncl. At the cellular level, Bmal1 knockdown resulted in reduced rRNA synthesis (Fig. 7A). Consistent with this, EU staining indicated a declining trend in overall transcription levels (Fig. 7B). The number of AgNORs also decreased (Fig. 7C), and Western blot analysis revealed a reduction in ribosomal protein synthesis (Fig. 7D). Importantly, Bmal1 silencing led to decreased production of newly synthesized RPS3 and RPL29, as well as enhanced degradation of both proteins, as demonstrated by Ribo-Halo assay (Fig. 7E).
The distribution and dynamics of Ncl in SIMD
To determine the dynamics of Ncl in SIMD, we transfected LPS-induced SIMD cell model with an Ncl-EGFP plasmid, and performed fluorescence recovery after photobleaching (FRAP). The results showed that Ncl fluorescence failed to recover beyond 50%, even after an extended recovery period, and direct fluorescence quenching was observed in a few cells (Fig. 8A).
Immunofluorescence analysis revealed that LPS treatment induced morphological changes in Ncl similar to those seen after si-Bmal1 treatment, indicating disrupted Ncl distribution under septic stress (Fig. 8B). These findings suggest that Ncl’s LLPS is markedly altered in SIMD. The parallel effects of Bmal1 deficiency and LPS stress on Ncl dynamics underscore the pathophysiological relevance of this Bmal1-Ncl’s LLPS regulatory axis, with Ncl dysfunction emerging as a common pathological endpoint that promotes nucleolar impairment and contributes to SIMD progression.