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The nuclear melatonin receptors\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    s are pivotally involved in circadian rhythm regulation and melatonin effects mediation. However, the functional roles of\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    s in the heart have never been investigated and were therefore the subject of this study on myocardial ischemia\/reperfusion (\n                    <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n                    \/R) injury pathogenesis.\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    <jats:italic>\u03b1<\/jats:italic>\n                    and\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    <jats:italic>\u03b3<\/jats:italic>\n                    subtypes were detected in the adult mouse heart, and\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    <jats:italic>\u03b1<\/jats:italic>\n                    but not\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    <jats:italic>\u03b3<\/jats:italic>\n                    was downregulated after\n                    <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n                    \/R. To determine the pathological consequence of\n                    <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n                    \/R\u2010induced reduction of\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    <jats:italic>\u03b1<\/jats:italic>\n                    , we subjected\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    <jats:italic>\u03b1<\/jats:italic>\n                    \u2010deficient staggerer mice and wild\u2010type (\n                    <jats:styled-content style=\"fixed-case\">WT<\/jats:styled-content>\n                    ) littermates to\n                    <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n                    \/R injury, resulting in significantly increased myocardial infarct size, myocardial apoptosis and exacerbated contractile dysfunction in the former. Mechanistically,\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    <jats:italic>\u03b1<\/jats:italic>\n                    deficiency promoted\n                    <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n                    \/R\u2010induced endoplasmic reticulum stress, mitochondrial impairments, and autophagy dysfunction. Moreover,\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    <jats:italic>\u03b1<\/jats:italic>\n                    deficiency augmented\n                    <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n                    \/R\u2010induced oxidative\/nitrative stress. Given the emerging evidence of\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    <jats:italic>\u03b1<\/jats:italic>\n                    as an essential melatonin effects mediator, we further investigated the\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    <jats:italic>\u03b1<\/jats:italic>\n                    roles in melatonin\u2010exerted cardioprotection, in particular against\n                    <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n                    \/R injury, which was significantly attenuated in\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    <jats:italic>\u03b1<\/jats:italic>\n                    \u2010deficient mice, but negligibly affected by cardiac\u2010specific silencing of\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    <jats:italic>\u03b3<\/jats:italic>\n                    . Finally, to determine cell type\u2010specific effects of\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    <jats:italic>\u03b1<\/jats:italic>\n                    , we generated mice with cardiomyocyte\u2010specific\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    <jats:italic>\u03b1<\/jats:italic>\n                    overexpression and they were less vulnerable to\n                    <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n                    \/R injury. In summary, our study provides the first direct evidence that the nuclear melatonin receptor\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    <jats:italic>\u03b1<\/jats:italic>\n                    is a novel endogenous protective receptor against\n                    <jats:styled-content style=\"fixed-case\">MI<\/jats:styled-content>\n                    \/R injury and an important mediator of melatonin\u2010exerted cardioprotection; melatonin\u2010\n                    <jats:styled-content style=\"fixed-case\">ROR<\/jats:styled-content>\n                    <jats:italic>\u03b1<\/jats:italic>\n                    axis signaling thus appears important in protection against ischemic heart injury.\n                  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