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1.
J Biol Rhythms ; 37(1): 43-52, 2022 02.
Article in English | MEDLINE | ID: mdl-34724846

ABSTRACT

Circadian omics analyses present investigators with large amounts of data to consider and many choices for methods of analysis. Visualization is crucial as rhythmicity can take many forms and p-values offer an incomplete picture. Yet statically viewing the entirety of high-throughput datasets is impractical, and there is often limited ability to assess the impact of choices, such as significance threshold cutoffs. Nitecap provides an intuitive and unified web-based solution to these problems. Through highly responsive visualizations, Nitecap enables investigators to see dataset-wide behavior. It supports deep analyses, including comparisons of two conditions. Moreover, it focuses upon ease-of-use and enables collaboration through dataset sharing. As an application, we investigated cross talk between peripheral clocks in adipose and liver tissues and determined that adipocyte clock disruption does not substantially modulate the transcriptional rhythmicity of liver but does advance the phase of core clock gene Bmal1 (Arntl) expression in the liver. Nitecap is available at nitecap.org and is free-to-use.


Subject(s)
ARNTL Transcription Factors , Circadian Clocks , ARNTL Transcription Factors/genetics , ARNTL Transcription Factors/metabolism , CLOCK Proteins/genetics , Circadian Clocks/genetics , Circadian Rhythm/genetics , Liver/metabolism , Software
2.
Curr Opin Clin Nutr Metab Care ; 24(4): 333-338, 2021 07 01.
Article in English | MEDLINE | ID: mdl-33966021

ABSTRACT

PURPOSE OF REVIEW: This review will discuss the recent studies that implicate disturbed diurnal rhythms with the development of obesity. The second part of the review will discuss studies that use feeding time to restore diurnal rhythms and rescue obesity. RECENT FINDINGS: Studies in patients with obesity and diabetes reveal attenuated circadian and metabolic rhythms in adipose tissue. The use of animal models furthers our mechanistic insight on how environmental disturbances such as high-fat diet and shift work disturb circadian and metabolic rhythms. Studies in both animals and humans describe how disturbance of diurnal rhythms can lead to increased adiposity and obesity. The effects of time-restricted feeding in animals and the time of feeding in humans provide new evidence on how restoring diurnal rhythms can reverse adiposity and obesity. SUMMARY: Many more studies in humans were performed in recent years to confirm a number of findings from animal studies. It is becoming apparent that the time of feeding and maintaining a healthy daily schedule is important for metabolic health. Ongoing studies may soon improve current recommendations regarding the time of eating and time of day behavior.


Subject(s)
Circadian Rhythm , Obesity , Adiposity , Animals , Diet, High-Fat , Fasting , Humans
3.
Front Public Health ; 9: 751451, 2021.
Article in English | MEDLINE | ID: mdl-34976917

ABSTRACT

During the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic, providing safe in-person schooling has been a dynamic process balancing evolving community disease burden, scientific information, and local regulatory requirements with the mandate for education. Considerations include the health risks of SARS-CoV-2 infection and its post-acute sequelae, the impact of remote learning or periods of quarantine on education and well-being of children, and the contribution of schools to viral circulation in the community. The risk for infections that may occur within schools is related to the incidence of SARS-CoV-2 infections within the local community. Thus, persistent suppression of viral circulation in the community through effective public health measures including vaccination is critical to in-person schooling. Evidence suggests that the likelihood of transmission of SARS-CoV-2 within schools can be minimized if mitigation strategies are rationally combined. This article reviews evidence-based approaches and practices for the continual operation of in-person schooling.


Subject(s)
COVID-19 , Pandemics , Child , Humans , Pandemics/prevention & control , Quarantine , SARS-CoV-2 , Schools
4.
J Mol Biol ; 432(12): 3578-3610, 2020 05 29.
Article in English | MEDLINE | ID: mdl-32376454

ABSTRACT

Under normal circadian function, metabolic control is temporally coordinated across tissues and behaviors with a 24-h period. However, circadian disruption results in negative consequences for metabolic homeostasis including energy or redox imbalances. Yet, circadian disruption has become increasingly prevalent within today's society due to many factors including sleep loss. Metabolic consequences of both have been revealed by metabolomics analyses of circadian biology and sleep. Specifically, two primary analytical platforms, mass spectrometry and nuclear magnetic resonance spectroscopy, have been used to study molecular clock and sleep influences on overall metabolic rhythmicity. For example, human studies have demonstrated the prevalence of metabolic rhythms in human biology, as well as pan-metabolome consequences of sleep disruption. However, human studies are limited to peripheral metabolic readouts primarily through minimally invasive procedures. For further tissue- and organism-specific investigations, a number of model systems have been studied, based upon the conserved nature of both the molecular clock and sleep across species. Here we summarize human studies as well as key findings from metabolomics studies using mice, Drosophila, and zebrafish. While informative, a limitation in existing literature is a lack of interpretation regarding dynamic synthesis or catabolism within metabolite pools. To this extent, future work incorporating isotope tracers, specific metabolite reporters, and single-cell metabolomics may provide a means of exploring dynamic activity in pathways of interest.


Subject(s)
Circadian Rhythm/genetics , Metabolome/genetics , Metabolomics , Sleep/genetics , Animals , Circadian Clocks/genetics , Homeostasis/genetics , Humans , Mice
5.
Mol Brain ; 13(1): 26, 2020 02 24.
Article in English | MEDLINE | ID: mdl-32093736

ABSTRACT

The astrocyte brain-type fatty acid binding protein (Fabp7) gene expression cycles globally throughout mammalian brain, and is known to regulate sleep in multiple species, including humans. The mechanisms that control circadian Fabp7 gene expression are not completely understood and may include core circadian clock components. Here we examined the circadian expression of Fabp7 mRNA in the hypothalamus of core clock gene Bmal1 knock-out (KO) mice. We observed that the circadian rhythm of Fabp7 mRNA expression is blunted, while overall Fabp7 mRNA levels are significantly higher in Bmal1 KO compared to control (C57BL/6 J) mice. We did not observe any significant changes in levels of hypothalamic mRNA expression of Fabp3 or Fabp5, two other fatty acid binding proteins expressed in mammalian brain, between Bmal1 KO and control mice. These results suggest that Fabp7 gene expression is regulated by circadian processes and may represent a molecular link controlling the circadian timing of sleep with sleep behavior.


Subject(s)
ARNTL Transcription Factors/deficiency , Circadian Rhythm/genetics , Fatty Acid-Binding Protein 7/genetics , Gene Expression Regulation , ARNTL Transcription Factors/metabolism , Animals , Fatty Acid-Binding Protein 7/metabolism , Mice, Knockout , RNA, Messenger/genetics , RNA, Messenger/metabolism
6.
Sci Rep ; 9(1): 13477, 2019 09 17.
Article in English | MEDLINE | ID: mdl-31530843

ABSTRACT

Library preparation is a key step in sequencing. For RNA sequencing there are advantages to both strand specificity and working with minute starting material, yet until recently there was no kit available enabling both. The Illumina TruSeq stranded mRNA Sample Preparation kit (TruSeq) requires abundant starting material while the Takara Bio SMART-Seq v4 Ultra Low Input RNA kit (V4) sacrifices strand specificity. The SMARTer Stranded Total RNA-Seq Kit v2 - Pico Input Mammalian (Pico) by Takara Bio claims to overcome these limitations. Comparative evaluation of these kits is important for selecting the appropriate protocol. We compared the three kits in a realistic differential expression analysis. We prepared and sequenced samples from two experimental conditions of biological interest with each of the three kits. We report differences between the kits at the level of differential gene expression; for example, the Pico kit results in 55% fewer differentially expressed genes than TruSeq. Nevertheless, the agreement of the observed enriched pathways suggests that comparable functional results can be obtained. In summary we conclude that the Pico kit sufficiently reproduces the results of the other kits at the level of pathway analysis while providing a combination of options that is not available in the other kits.


Subject(s)
Gene Library , High-Throughput Nucleotide Sequencing , Sequence Analysis, RNA , Animals , Computational Biology/methods , Gene Expression Profiling , High-Throughput Nucleotide Sequencing/methods , Liver/metabolism , Male , Mice , Reproducibility of Results , Sensitivity and Specificity , Sequence Analysis, RNA/methods , Transcriptome
7.
Aging Cell ; 18(5): e13014, 2019 10.
Article in English | MEDLINE | ID: mdl-31373126

ABSTRACT

The mechanistic target of rapamycin (mTOR) is an evolutionarily conserved protein kinase that regulates growth and metabolism. mTOR is found in two protein complexes, mTORC1 and mTORC2, that have distinct components and substrates and are both inhibited by rapamycin, a macrolide drug that robustly extends lifespan in multiple species including worms and mice. Although the beneficial effect of rapamycin on longevity is generally attributed to reduced mTORC1 signaling, disruption of mTORC2 signaling can also influence the longevity of worms, either positively or negatively depending on the temperature and food source. Here, we show that loss of hypothalamic mTORC2 signaling in mice decreases activity level, increases the set point for adiposity, and renders the animals susceptible to diet-induced obesity. Hypothalamic mTORC2 signaling normally increases with age, and mice lacking this pathway display higher fat mass and impaired glucose homeostasis throughout life, become more frail with age, and have decreased overall survival. We conclude that hypothalamic mTORC2 is essential for the normal metabolic health, fitness, and lifespan of mice. Our results have implications for the use of mTORC2-inhibiting pharmaceuticals in the treatment of brain cancer and diseases of aging.


Subject(s)
Hypothalamus/metabolism , Longevity , Mechanistic Target of Rapamycin Complex 2/metabolism , Animals , Female , Mice , Mice, Inbred C57BL
8.
Auton Neurosci ; 219: 66-70, 2019 07.
Article in English | MEDLINE | ID: mdl-31122604

ABSTRACT

The circadian clock organizes the timing of physiological processes in anticipation of diurnal environmental changes that originate from the rotation of the Earth. Several of the metabolic functions of adipose tissues are under regulation by the circadian clock to achieve temporal coordination and whole body homeostasis. Adipose tissues, once believed to only express physiological phenotypes that are downstream of central nervous system regulation, are now well described to communicate not only to other peripheral tissues, but also to the central nervous system for temporal orchestration of metabolism. In this review, we will cover the involvement of the circadian clocks, both master and adipocyte clocks, in the regulation of adipose tissue physiology and the associated consequences for energy homeostasis.


Subject(s)
Adipose Tissue/physiology , Circadian Clocks/physiology , Animals , Eating/physiology , Humans , Lipid Metabolism/physiology , Thermogenesis/physiology
9.
Cell Rep ; 24(4): 809-814, 2018 07 24.
Article in English | MEDLINE | ID: mdl-30044978

ABSTRACT

Previous studies using genetic mouse models have implicated COX-2 in the browning of white adipose tissues (WATs) in mice during cold exposure. However, COX-2 is important during development, and conventional knockouts (KOs) exhibit many defects, conditioned by genetic background. Similarly, the physiological relevance of transgenic overexpression of COX-2 is questionable. In the present study, we utilized mice in which COX-2 was deleted postnatally, bypassing the consequences of enzyme deficiency during development. Despite activation of thermogenesis and browning of inguinal WAT, cold exposure failed to increase COX-2 expression in the adipose tissues of mice with different genetic backgrounds, and the body temperature response to cold was unaltered in postnatal global COX-2 KOs. Selective disruption of COX-2 in adipose tissues also failed detectably to impact systemic prostaglandin biosynthesis. Browning of inguinal WATs induced by exposure to cold is independent of adipose tissue COX-2.


Subject(s)
Adipose Tissue, Brown/enzymology , Adipose Tissue, White/enzymology , Cyclooxygenase 2/metabolism , Animals , Cold Temperature , Mice , Thermogenesis
10.
Trends Genet ; 33(10): 760-769, 2017 10.
Article in English | MEDLINE | ID: mdl-28844699

ABSTRACT

The circadian clock directs many aspects of metabolism, to separate in time opposing metabolic pathways and optimize metabolic efficiency. The master circadian clock of the suprachiasmatic nucleus synchronizes to light, while environmental cues such as temperature and feeding, out of phase with the light schedule, may synchronize peripheral clocks. This misalignment of central and peripheral clocks may be involved in the development of disease and the acceleration of aging, possibly in a gender-specific manner. Here we discuss the interplay between the circadian clock and metabolism, the importance of the microbiome, and how they relate to aging.


Subject(s)
Aging , Circadian Clocks , Microbiota , Animals , Humans , Suprachiasmatic Nucleus/physiology
11.
Front Pharmacol ; 6: 112, 2015.
Article in English | MEDLINE | ID: mdl-26082718

ABSTRACT

Metabolic processes exhibit diurnal variation from cyanobacteria to humans. The circadian clock is thought to have evolved as a time keeping system for the cell to optimize the timing of metabolic events according to physiological needs and environmental conditions. Circadian rhythms temporally separate incompatible cellular processes and optimize cellular and organismal fitness. A modern 24 h lifestyle can run at odds with the circadian rhythm dictated by our molecular clocks and create desynchrony between internal and external timing. It has been suggested that this desynchrony compromises metabolic homeostasis and may promote the development of obesity (Morris et al., 2012). Here we review the evidence supporting the association between circadian misalignment and metabolic homeostasis and discuss the role of feeding time.

12.
Circulation ; 131(13): 1202-1213, 2015 Mar 31.
Article in English | MEDLINE | ID: mdl-25712206

ABSTRACT

BACKGROUND: Genome-wide association studies have established ADAMTS7 as a locus for coronary artery disease in humans. However, these studies fail to provide directionality for the association between ADAMTS7 and coronary artery disease. Previous reports have implicated ADAMTS7 in the regulation of vascular smooth muscle cell migration, but a role for and the direction of impact of this gene in atherogenesis have not been shown in relevant model systems. METHODS AND RESULTS: We bred an Adamts7 whole-body knockout mouse onto both the Ldlr and Apoe knockout hyperlipidemic mouse models. Adamts7(-/-)/Ldlr(-/-) and Adamts7(-/-)/Apoe(-/-) mice displayed significant reductions in lesion formation in aortas and aortic roots compared with controls. Adamts7 knockout mice also showed reduced neointimal formation after femoral wire injury. Adamts7 expression was induced in response to injury and hyperlipidemia but was absent at later time points, and primary Adamts7 knockout vascular smooth muscle cells showed reduced migration in the setting of tumor necrosis factor-α stimulation. ADAMTS7 localized to cells positive for smooth muscle cell markers in human coronary artery disease lesions, and subcellular localization studies in cultured vascular smooth muscle cells placed ADAMTS7 at the cytoplasm and cell membrane, where it colocalized with markers of podosomes. CONCLUSIONS: These data represent the first in vivo experimental validation of the association of Adamts7 with atherogenesis, likely through modulation of vascular cell migration and matrix in atherosclerotic lesions. These results demonstrate that Adamts7 is proatherogenic, lending directionality to the original genetic association and supporting the concept that pharmacological inhibition of ADAMTS7 should be atheroprotective in humans, making it an attractive target for novel therapeutic interventions.


Subject(s)
ADAM Proteins/analysis , ADAM Proteins/physiology , Atherosclerosis/prevention & control , Coronary Disease/enzymology , Neointima/enzymology , Vascular Remodeling/physiology , ADAM Proteins/deficiency , ADAM Proteins/genetics , ADAMTS7 Protein , Amino Acid Sequence , Animals , Aorta/enzymology , Aorta/pathology , Apolipoproteins E/deficiency , Apolipoproteins E/genetics , Atherosclerosis/etiology , Atherosclerosis/genetics , Atherosclerosis/pathology , Cell Division , Cell Movement , Cells, Cultured , Coronary Disease/pathology , Diet, Western/adverse effects , Endothelial Cells/metabolism , Female , Femoral Artery/injuries , Femoral Artery/pathology , Human Umbilical Vein Endothelial Cells , Humans , Hyperlipidemias/complications , Hyperlipidemias/genetics , Male , Mice , Mice, Inbred C57BL , Mice, Knockout , Molecular Sequence Data , Myocytes, Smooth Muscle/enzymology , Myocytes, Smooth Muscle/metabolism , Myocytes, Smooth Muscle/ultrastructure , Neointima/pathology , RNA Interference , RNA, Messenger/biosynthesis , RNA, Messenger/genetics , RNA, Small Interfering/pharmacology , Receptors, LDL/deficiency , Receptors, LDL/genetics , Tumor Necrosis Factor-alpha/pharmacology
13.
Hum Mol Genet ; 24(6): 1801-12, 2015 Mar 15.
Article in English | MEDLINE | ID: mdl-25416278

ABSTRACT

Fever predicts clinical outcomes in sepsis, trauma and during cardiovascular stress, yet the genetic determinants are poorly understood. We used an integrative genomics approach to identify novel genomic determinants of the febrile response to experimental endotoxemia. We highlight multiple integrated lines of evidence establishing the clinical relevance of this novel fever locus. Through genome-wide association study (GWAS) of evoked endotoxemia (lipopolysaccharide (LPS) 1 ng/kg IV) in healthy subjects of European ancestry we discovered a locus on chr7p11.2 significantly associated with the peak febrile response to LPS (top single nucleotide polymorphism (SNP) rs7805622, P = 2.4 × 10(-12)), as well as with temperature fluctuation over time. We replicated this association in a smaller independent LPS study (rs7805622, P = 0.03). In clinical translation, this locus was also associated with temperature and mortality in critically ill patients with trauma or severe sepsis. The top GWAS SNPs are not located within protein-coding genes, but have significant cis-expression quantitative trait loci (eQTL) associations with expression of a cluster of genes ∼400 kb upstream, several of which (SUMF2, CCT6A, GBAS) are regulated by LPS in vivo in blood cells. LPS- and cold-treatment of adipose stromal cells in vitro suggest genotype-specific modulation of eQTL candidate genes (PSPH). Several eQTL genes were up-regulated in brown and white adipose following cold exposure in mice, highlighting a potential role in thermogenesis. Thus, through genomic interrogation of experimental endotoxemia, we identified and replicated a novel fever locus on chr7p11.2 that modulates clinical responses in trauma and sepsis, and highlight integrated in vivo and in vitro evidence for possible novel cis candidate genes conserved across human and mouse.


Subject(s)
Chromosomes, Human, Pair 7 , Fever/genetics , Genetic Loci , Stress, Physiological/genetics , Adolescent , Adult , Aged , Animals , Female , Fever/chemically induced , Genome-Wide Association Study , Humans , Lipopolysaccharides/toxicity , Male , Mice , Middle Aged , Polymorphism, Single Nucleotide , Regulatory Elements, Transcriptional , Sepsis/genetics , Stress, Physiological/drug effects , White People/genetics , Wounds and Injuries/genetics , Young Adult
14.
Nutr Res ; 33(1): 67-75, 2013 Jan.
Article in English | MEDLINE | ID: mdl-23351412

ABSTRACT

The role of the skeleton in the regulation of energy metabolism in humans is not clear. This study investigates the hypothesis that biomarkers of bone turnover are associated with indices of glucose homeostasis and systemic inflammation in young adults. A cross-sectional study investigating the relationships between biomarkers of bone turnover (serum total and uncarboxylated osteocalcin, bone-specific alkaline phosphatase, C-telopeptide of type I collagen, urinary N-telopeptide of type I collagen) and glucose metabolism (fasting plasma glucose [FPG], insulin, insulin resistance [homeostatic model assessment of insulin resistance]), systemic inflammation (high-sensitivity C-reactive protein [hsCRP] and interleukin-6), adipokines (leptin and adiponectin), and body composition was conducted in 268 young, nondiabetic overweight and obese adults aged 20 to 40 years (116 men, 152 women; body mass index, 27.5-32.5 kg/m(2)). Data on diet, physical activity, serum 25-hydroxyvitamin D, and parathyroid hormone were also collected. In women, there was a stepwise increase in lean body mass (P < .05) and a decrease in serum hsCRP (P < .001) across tertiles of total osteocalcin. Multiple linear regression analysis showed significant inverse associations between total osteocalcin and FPG (ß = -0.350; P = .016; 95% confidence interval [CI], -0.35 to -0.04), insulin (ß = -0.455; P = .002; 95% CI, -1.9 to -0.46), and homeostatic model assessment of insulin resistance (ß = -0.508; P = .001; 95% CI, -10.93 to -3.17) in women with total osteocalcin concentrations below the group median. Men in the lowest tertile of uncarboxylated osteocalcin had twice the concentration of hsCRP than did other men (P = .05). In this sample, women with less lean body mass had lower circulating total osteocalcin concentrations and exhibited higher FPG, insulin resistance, and hsCRP compared with their similarly sized counterparts, suggesting that associations between osteocalcin and systemic inflammation, glucose homeostasis, and insulin resistance may be influenced by differences in sex and body composition.


Subject(s)
C-Reactive Protein/analysis , Insulin Resistance , Obesity/blood , Osteocalcin/blood , Overweight/blood , Adiponectin/blood , Adult , Biomarkers/blood , Blood Glucose/analysis , Body Composition , Body Mass Index , Collagen Type I/blood , Cross-Sectional Studies , Energy Metabolism , Fasting , Female , Homeostasis , Humans , Insulin/blood , Interleukin-6/blood , Leptin/blood , Life Style , Linear Models , Male , Motor Activity , Parathyroid Hormone/blood , Peptides/blood , Seafood , Vitamin D/analogs & derivatives , Vitamin D/blood , Young Adult
15.
Bio Protoc ; 3(10)2013 May 20.
Article in English | MEDLINE | ID: mdl-27446975

ABSTRACT

The two tests are used to evaluate in vivo sensitivity to insulin in mouse. The hypoerinsulinemic-euglycemic clamp provides information about the sensitivity to insulin in liver and other metabolically relevant tissues.

16.
Nat Med ; 18(12): 1768-77, 2012 Dec.
Article in English | MEDLINE | ID: mdl-23142819

ABSTRACT

Adipocytes store excess energy in the form of triglycerides and signal the levels of stored energy to the brain. Here we show that adipocyte-specific deletion of Arntl (also known as Bmal1), a gene encoding a core molecular clock component, results in obesity in mice with a shift in the diurnal rhythm of food intake, a result that is not seen when the gene is disrupted in hepatocytes or pancreatic islets. Changes in the expression of hypothalamic neuropeptides that regulate appetite are consistent with feedback from the adipocyte to the central nervous system to time feeding behavior. Ablation of the adipocyte clock is associated with a reduced number of polyunsaturated fatty acids in adipocyte triglycerides. This difference between mutant and wild-type mice is reflected in the circulating concentrations of polyunsaturated fatty acids and nonesterified polyunsaturated fatty acids in hypothalamic neurons that regulate food intake. Thus, this study reveals a role for the adipocyte clock in the temporal organization of energy regulation, highlights timing as a modulator of the adipocyte-hypothalamic axis and shows the impact of timing of food intake on body weight.


Subject(s)
ARNTL Transcription Factors/deficiency , Adipocytes/metabolism , Appetite Regulation/genetics , Circadian Rhythm/physiology , Energy Metabolism/physiology , Obesity/genetics , ARNTL Transcription Factors/genetics , Absorptiometry, Photon , Animals , Appetite Regulation/physiology , Blotting, Western , Calorimetry , Chromatin Immunoprecipitation , Chromatography, Liquid , DNA Primers/genetics , Discriminant Analysis , Energy Metabolism/genetics , Fatty Acids, Unsaturated/metabolism , Gene Deletion , Histological Techniques , Hypothalamus/metabolism , Mass Spectrometry , Mice , Neuropeptides/metabolism , Protein Array Analysis , Real-Time Polymerase Chain Reaction , Statistics, Nonparametric
17.
Circ Res ; 106(5): 833-41, 2010 Mar 19.
Article in English | MEDLINE | ID: mdl-20299673

ABSTRACT

The circadian clock regulates many aspects of physiology, including cardiovascular function. Internal oscillators exist in endothelial, smooth muscle cells, and fibroblasts of the vasculature. Vascular tone and thrombus formation, 2 key elements of vascular function with regard to adverse cardiovascular events, exhibit diurnal rhythmicity. In this review, we describe changes in vascular function that result from genetic disruption of discrete elements of the circadian clock.


Subject(s)
Biological Clocks , Blood Vessels/physiopathology , Circadian Rhythm , Thrombosis/physiopathology , Animals , Biological Clocks/genetics , Circadian Rhythm/genetics , Gene Expression Regulation , Humans , Thrombosis/blood , Thrombosis/genetics
18.
Annu Rev Pharmacol Toxicol ; 50: 187-214, 2010.
Article in English | MEDLINE | ID: mdl-20055702

ABSTRACT

The physiology of a wide variety of organisms is organized according to periodic environmental changes imposed by the earth's rotation. This way, a large number of physiological processes present diurnal rhythms regulated by an internal timing system called the circadian clock. As part of the rhythmicity in physiology, drug efficacy and toxicity can vary with time. Studies over the past four decades present diurnal oscillations in drug absorption, distribution, metabolism, and excretion. On the other hand, diurnal variations in the availability and sensitivity of drug targets have been correlated with time-dependent changes in drug effectiveness. In this review, we provide evidence supporting the regulation of drug kinetics and dynamics by the circadian clock. We also use the examples of hypertension and cancer to show current achievements and challenges in chronopharmacology.


Subject(s)
Biological Clocks/genetics , Circadian Rhythm , Pharmacokinetics , Pharmacology , ARNTL Transcription Factors/genetics , Animals , Blood Pressure , CLOCK Proteins/genetics , Cyclic GMP/biosynthesis , Humans , Hypertension/drug therapy , Neoplasms/drug therapy , Nitric Oxide/biosynthesis , Renin-Angiotensin System/drug effects , Suprachiasmatic Nucleus/physiology
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