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Updated: Nov 17, 2025

Parallel Measurement of Circadian Clock Gene Expression and Hormone Secretion in Human Primary Cell Cultures
Published on: November 11, 2016
Circadian rhythm as a therapeutic target
Wei Ruan1,2, Xiaoyi Yuan1, Holger K Eltzschig3
1Department of Anesthesiology, McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX, USA.
Abstract:
The circadian clock evolved in diverse organisms to integrate external environmental changes and internal physiology. The clock endows the host with temporal precision and robust adaptation to the surrounding environment. When circadian rhythms are perturbed or misaligned, as a result of jet lag, shiftwork or other lifestyle factors, adverse health consequences arise, and the risks of diseases such as cancer, cardiovascular diseases or metabolic disorders increase. Although the negative impact of circadian rhythm disruption is now well established, it remains underappreciated how to take advantage of biological timing, or correct it, for health benefits. In this Review, we provide an updated account of the circadian system and highlight several key disease areas with altered circadian signalling. We discuss environmental and lifestyle modifications of circadian rhythm and clock-based therapeutic strategies, including chronotherapy, in which dosing time is deliberately optimized for maximum therapeutic index, and pharmacological agents that target core clock components and proximal regulators. Promising progress in research, disease models and clinical applications should encourage a concerted effort towards a new era of circadian medicine.
Insights
Disrupted circadian rhythms negatively impact health, increasing disease risks. This review explores leveraging biological timing for health benefits through lifestyle changes and chronotherapy, ushering in circadian medicine.
Area of Science:
- Chronobiology
- Molecular Biology
- Medicine
Background:
- The circadian clock synchronizes internal physiology with external environmental cues.
- Disruption of circadian rhythms is linked to increased risks of cancer, cardiovascular, and metabolic disorders.
- Understanding and manipulating biological timing offers potential health benefits.
Purpose of the Study:
- To provide an updated overview of the circadian system.
- To highlight diseases associated with altered circadian signaling.
- To discuss therapeutic strategies based on circadian rhythms.
Main Methods:
- Review of current research on circadian rhythms and their disruption.
- Analysis of environmental and lifestyle factors affecting circadian timing.
- Exploration of chronotherapy and pharmacological interventions targeting clock components.
Main Results:
- Circadian rhythm disruption is a significant factor in adverse health outcomes.
- Specific disease areas show altered circadian signaling.
- Chronotherapy and targeted pharmacological agents show therapeutic promise.
Conclusions:
- Harnessing biological timing through lifestyle modifications and therapeutic strategies is crucial.
- Circadian medicine offers a new paradigm for disease prevention and treatment.
- Continued research and clinical applications are paving the way for advancements in circadian medicine.
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