Biomedicines,
Journal Year:
2025,
Volume and Issue:
13(3), P. 705 - 705
Published: March 13, 2025
The
circadian
clock
is
a
fundamental
timekeeping
system
that
regulates
rhythmic
biological
processes
in
response
to
environmental
light–dark
cycles.
In
mammals,
core
genes
(CLOCK,
BMAL1,
PER,
and
CRY)
orchestrate
these
rhythms
through
transcriptional–translational
feedback
loops,
influencing
various
physiological
functions,
including
bone
remodeling.
Bone
homeostasis
relies
on
the
coordinated
activities
of
osteoblasts,
osteoclasts,
osteocytes,
with
increasing
evidence
highlighting
role
regulation
maintaining
skeletal
integrity.
Disruptions
are
linked
disorders
such
as
osteoporosis.
Posttranslational
modifications
(PTMs),
phosphorylation,
acetylation,
ubiquitination,
serve
crucial
regulators
both
mechanisms
metabolism.
However,
specific
PTMs
integrating
timing
remodeling
remains
underexplored.
This
review
examines
intersection
biology,
elucidating
their
impact
cell
function
homeostasis.
Understanding
interactions
may
uncover
novel
therapeutic
targets
for
diseases
associated
disruptions.
Asia-Pacific Journal of Pharmacotherapy & Toxicology,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 20, 2025
The
circadian
clock
and
its
inherent
rhythms
serve
as
the
foundation
for
regulating
many
of
body’s
vital
processes.
Recent
advances
in
medicine
have
leveraged
these
natural
cycles
through
chronotherapy,
practice
timing
drug
administration
to
align
with
body's
internal
clock,
enhance
treatment
outcomes.
Endogenous
clocks
not
only
dictate
physiological
but
also
influence
how
drugs
are
absorbed,
distributed,
metabolized,
excreted,
thereby
affecting
both
their
therapeutic
efficacy
potential
toxicity.
When
disrupted,
resulting
imbalance
has
been
linked
a
range
disorders,
such
cancer
cardiovascular
diseases,
highlighting
growing
need
time-sensitive
strategies.
Technological
breakthroughs,
including
wearable
sensors,
digital
health
platforms,
sophisticated
machine
learning
techniques,
now
allow
continuous,
real-time
monitoring
biomarkers,
which
turn
helps
optimize
regimens.
In
oncology,
example,
synchronizing
chemotherapy,
therapy,
immunotherapy
anti-inflammatory
patient’s
cycle
shown
effectiveness
improve
tolerability.
Moreover,
observed
sex-based
differences
responses
emphasize
importance
tailoring
individual
patient
profiles.
Emerging
research
is
focusing
on
directly
targeting
molecular
components,
showing
treating
metabolic
oncological
conditions.
However,
fully
integrating
chronopharmacology
into
clinical
will
require
development
standardized
protocols,
regulatory
backing,
large-scale
trials
that
incorporate
biomarkers.
Ultimately,
merging
biology
strategies
promises
efficacy,
minimize
side
effects,
Future
studies
must
address
inter-individual
variability,
sex
differences,
misalignment
harness
chronotherapy’s
personalized
medicine.
BMJ Mental Health,
Journal Year:
2025,
Volume and Issue:
28(1), P. e301189 - e301189
Published: March 1, 2025
Objective
Agitation
in
the
emergency
department
(ED)
affects
up
to
2.6%
of
encounters,
posing
significant
risks
patients
and
caregivers.
This
review
investigates
impact
circadian
rhythms
on
benzodiazepine
(BZD)
pharmacokinetics
pharmacodynamics,
focusing
how
dosing
time
influences
outcomes
managing
acute
agitation.
Methods
A
comprehensive
literature
search
was
performed
using
PubMed
Google
Scholar
(updated
April
2024)
identify
studies
BZD
use
adult
ED
for
Search
terms
included
“antipsychotic
agents,”
“lorazepam,”
“midazolam,”
“diazepam,”
“emergency
service.”
Studies
solely
substance
intoxication
were
excluded.
Priority
given
double-blind
clinical
trials,
while
open-label
if
no
data
available.
Referenced
citations
from
identified
publications
also
reviewed.
Results
Twenty-nine
met
inclusion
criteria:
16
randomised,
double-blinded
placebo-controlled
5
prospective
8
retrospective
reviews.
Of
these,
22
either
did
not
report
day
patient
recruitment
or
recruited
over
a
year-long
frame.
Four
that
specified
suggested
possible
variation
sedation
efficacy.
Additionally,
three
reported
months
revealed
potential
seasonal
patterns
requirements
Conclusions
Circadian
appear
influence
metabolism
therapeutic
effects,
which
could
have
implications
optimising
treatment
strategies.
Aligning
schemes
with
biological
timing
may
enhance
minimise
adverse
effects.
Further
research
is
needed
validate
these
findings
develop
personalised
chronopharmacotherapy
strategies
agitation
ED.
Biomedicines,
Journal Year:
2025,
Volume and Issue:
13(3), P. 705 - 705
Published: March 13, 2025
The
circadian
clock
is
a
fundamental
timekeeping
system
that
regulates
rhythmic
biological
processes
in
response
to
environmental
light–dark
cycles.
In
mammals,
core
genes
(CLOCK,
BMAL1,
PER,
and
CRY)
orchestrate
these
rhythms
through
transcriptional–translational
feedback
loops,
influencing
various
physiological
functions,
including
bone
remodeling.
Bone
homeostasis
relies
on
the
coordinated
activities
of
osteoblasts,
osteoclasts,
osteocytes,
with
increasing
evidence
highlighting
role
regulation
maintaining
skeletal
integrity.
Disruptions
are
linked
disorders
such
as
osteoporosis.
Posttranslational
modifications
(PTMs),
phosphorylation,
acetylation,
ubiquitination,
serve
crucial
regulators
both
mechanisms
metabolism.
However,
specific
PTMs
integrating
timing
remodeling
remains
underexplored.
This
review
examines
intersection
biology,
elucidating
their
impact
cell
function
homeostasis.
Understanding
interactions
may
uncover
novel
therapeutic
targets
for
diseases
associated
disruptions.