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Molecular Links Between Circadian Rhythm Disruption, Melatonin, and Neurodegenerative Diseases: An Updated Review
Kemal Hüsnü Can Baser1, Ismail Celil Haskologlu2, Emine Erdag3
1Department of Pharmacognosy, Faculty of Pharmacy, Near East University, 99138 Nicosia, Cyprus.
Abstract:
Circadian rhythms are molecular oscillations governed by transcriptional-translational feedback loops (TTFLs) operating in nearly all cell types and are fundamental to physiological homeostasis. Key circadian regulators, such as circadian locomotor output cycles kaput (CLOCK), brain and muscle ARNT-like 1 (BMAL1), period (PER), and cryptochrome (CRY) gene families, regulate intracellular metabolism, oxidative balance, mitochondrial function, and synaptic plasticity. Circadian disruption is known as a central contributor to the molecular pathophysiology of neurodegenerative disorders. Disease-specific disruptions in clock gene expression and melatoninergic signaling are known as potential early-stage molecular biomarkers. Melatonin, a neurohormone secreted by the pineal gland, modulates clock gene expression, mitochondrial stability, and inflammatory responses. It also regulates epigenetic and metabolic processes through nuclear receptors and metabolic regulators involved in circadian and cellular stress pathways, thereby exerting neuroprotective effects and maintaining neuronal integrity. This review provides recent findings from the past five years, highlighting how circadian dysregulation mediates key molecular and cellular disturbances and the translational potential of circadian-based therapies in neurodegenerative diseases.
Insights
Circadian rhythms regulate bodily functions and are disrupted in neurodegenerative diseases. Melatonin and circadian-based therapies offer neuroprotection and potential treatments for these conditions.
Area of Science:
- Neuroscience
- Chronobiology
- Molecular Biology
Background:
- Circadian rhythms, governed by transcriptional-translational feedback loops (TTFLs), are crucial for physiological homeostasis.
- Key regulators like CLOCK, BMAL1, PER, and CRY genes influence metabolism, oxidative balance, mitochondrial function, and synaptic plasticity.
- Disruptions in circadian rhythms are implicated in the molecular pathophysiology of neurodegenerative diseases.
Purpose of the Study:
- To review recent findings (past five years) on circadian dysregulation in neurodegeneration.
- To highlight the molecular and cellular disturbances caused by circadian disruption.
- To explore the translational potential of circadian-based therapies for neurodegenerative diseases.
Main Methods:
- Literature review focusing on studies published within the last five years.
- Analysis of research on clock gene expression and melatoninergic signaling in neurodegenerative disorders.
- Examination of melatonin's role in modulating circadian rhythms, mitochondrial stability, and epigenetic/metabolic processes.
Main Results:
- Circadian disruption contributes to the molecular pathophysiology of neurodegenerative disorders.
- Altered clock gene expression and melatoninergic signaling may serve as early biomarkers.
- Melatonin exhibits neuroprotective effects by influencing circadian pathways, mitochondrial function, and cellular stress responses.
Conclusions:
- Circadian dysregulation is a significant factor in neurodegenerative disease development.
- Melatonin and other circadian-based interventions hold promise for neuroprotection and therapeutic strategies.
- Targeting circadian mechanisms offers a potential avenue for treating neurodegenerative conditions.
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