Shift
work
increases
the
risk
for
human
errors,
such
that
drowsiness
due
to
shift
has
contributed
major
industrial
disasters,
including
Space
Shuttle
Challenger,
Chernobyl
and
Alaska
Oil
Spill
with
extraordinary
socio-economical
costs.
Overnight
operations
pose
a
challenge
because
our
circadian
biology
inhibits
cognitive
performance
at
night.
Yet
how
system
modulates
cognition
over
multiple
days
under
realistic
conditions
remains
be
established.
Importantly,
task-specific
brain
regions
show
different
24-h
dynamics,
we
hypothesize
misalignment
impacts
task-dependently.
Using
biologically-driven
paradigm
mimicking
night
work,
randomized,
cross-over
design,
between
pacemaker
behavioral/environmental
cycles
vulnerability
on
sustained
attention,
throughput,
information
processing
visual-motor
days,
compared
alignment
(day
shifts).
Circadian
effects
are
task-dependent:
while
they
acutely
impair
attention
recovery
after
3-days,
progressively
hinder
daily
learning.
Individuals
felt
sleepier
during
misalignment,
but
did
not
rate
their
as
worse.
Furthermore,
depended
prior
sleep
history.
Collectively,
may
provide
an
important
biological
framework
developing
countermeasures
against
adverse
in
workers.
Abstract
Circadian
clocks
are
endogenous
oscillators
that
control
24-h
physiological
and
behavioral
processes.
The
central
circadian
clock
exerts
over
myriad
aspects
of
mammalian
physiology,
including
the
regulation
sleep,
metabolism,
immune
system.
Here,
we
review
advances
in
understanding
genetic
sleep
through
system,
as
well
impact
dysregulated
gene
expression
on
metabolic
function.
We
also
recent
studies
have
begun
to
unravel
clock’s
role
controlling
cardiovascular
nervous
systems,
gut
microbiota,
cancer,
aging.
Such
these
systems
relies,
part,
transcriptional
regulation,
with
evidence
for
genome-wide
chromosome
organization.
These
novel
insights
into
genomic
human
physiology
provide
opportunities
discovery
improved
treatment
strategies
new
biological
underpinnings
disease.
Doubts
in
cancer-rhythms
connections
Circadian
clocks
help
to
coordinate
physiological
processes
with
the
daily
cycles
of
light
and
dark
periods
feeding,
activity,
rest.
Being
out
sync
such
24-hour
can
have
unhealthy
effects.
Sancar
Van
Gelder
review
available
evidence
regarding
circadian
disruption
predisposition
cancer
variations
response
chemotherapy.
The
literature
be
difficult
interpret.
For
example,
complete
knockouts
clock
genes
are
not
same
as
shift
work.
Overall,
they
find
that
jury
is
still
on
whether
promote
general
if
timing
treatment
optimized.
However,
enough
indications
present
further
research
recommended.
Science
,
this
issue
p.
42
Proceedings of the National Academy of Sciences,
Год журнала:
2020,
Номер
118(2)
Опубликована: Дек. 23, 2020
Significance
The
circadian
clock
mechanism
is
a
daily
rhythmic
activation
of
gene
transcription
by
the
CLOCK–BMAL1
heterodimer
and
repression
CRYs
(CRY1
CRY2)
PERs
(PER1
PER2).
are
highly
expressed
around
predawn,
when
they
begin
repressing
cry
per
other
genes,
leading
to
nadir
in
afternoon.
CRY
represses
simply
binding
on
DNA,
PER
removing
from
DNA
CRY-dependent
manner.
This
work
shows
that
removal
involves
phosphorylation
CLOCK,
which
accomplished
CK1δ
deliver
complex
nucleus.
Stroke,
Год журнала:
2021,
Номер
52(9), С. 3063 - 3071
Опубликована: Июль 22, 2021
Despite
years
of
basic
research
and
pioneering
clinical
work,
ischemic
stroke
remains
a
major
public
health
concern.
Prior
STAIR
(Stroke
Treatment
Academic
Industry
Roundtable)
conferences
identified
both
failures
trial
design
in
preclinical
assessment
developing
putative
treatments.
At
XI,
participants
workshop
no.
1
Top
Priorities
for
Neuroprotection
sought
to
redefine
the
neuroprotection
paradigm
given
paucity
evidence
underlying
assessment,
offer
consensus-based
recommendations.
proposes
term
brain
cytoprotection
or
cerebroprotection
replace
when
intention
an
investigation
is
demonstrate
that
new,
candidate
treatment
benefits
entire
brain.
Although
“time
still
brain,”
tissue
imaging
techniques
have
been
developed
identify
patients
with
predicted
core
injury
penumbral,
salvageable
tissue,
regardless
time
after
symptom
onset.
XI
called
this
approach
window
select
recanalization.
Elements
neurovascular
unit
show
differential
vulnerability
evolving
over
differing
scales
different
regions.
target
suggest
therapies
elements
at
times.
Based
on
contemporary
principles
rigor
transparency,
updated,
revised,
enhanced
recommendations
new
treatments
2
phases:
exploratory
qualification
phase
definitive
validation
phase.
For
treatments,
investigators
should
carefully
characterize
mechanism
action,
pharmacokinetics/pharmacodynamics,
engagement,
confirm
penetration
through
blood-brain
barrier.
Before
trials,
testing
molecules
models
could
proceed
comprehensive
manner
using
animals
sexes
include
significant
variables
such
as
age
comorbid
conditions.
Comprehensive
might
multicenter,
collaborative
testing,
example,
network
trials.
In
absence
proven
cerebroprotective
agent
use
gold
standard,
however,
it
speculative
whether
can
effectively
predict
outcome.
Royal Society of Chemistry eBooks,
Год журнала:
2024,
Номер
unknown
Опубликована: Янв. 23, 2024
Circadian
rhythms
have
been
shown
to
be
ubiquitous
and
critically
important
in
the
experimental
laboratory,
accounting
for
difference
between
life
death
response
identical
stimulus.
The
partly
endogenous
nature
of
circadian
has
well
documented
methods
their
characterisation
developed
enabling
cellular
molecular
mechanisms
understood.
Chronobiology
Chronomedicine
aims
provide
a
review
these
underlying
illustrate
role
brain’s
suprachiasmatic
nuclei
‘pace-making’
process
effects
caused
by
‘clock
genes’
present
almost
all
cells.
Beyond
involved,
book
discusses
relationship
body
systems,
disease,
proper
function;
particular,
how
disruption
rhythm
is
associated
with
ill
health
disease
status
from
observations
made
at
organismic
level.
organised
an
ideal
introduction
postgraduate
various
fields,
reviewing
developments
outlining
show
depth
breadth
chronobiology
chronomedicine,
as
invaluable
companion
researchers
healthcare
professionals
working
field
interest
developing
novel
therapeutic
approaches.
Science,
Год журнала:
2023,
Номер
379(6631), С. 478 - 483
Опубликована: Фев. 2, 2023
The
circadian
clock
modulates
human
physiology.
However,
the
organization
of
tissue-specific
gene
expression
rhythms
and
how
these
depend
on
age
sex
is
not
defined
in
humans.
We
combined
data
from
Genotype-Tissue
Expression
(GTEx)
project
with
an
algorithm
that
assigns
phases
to
914
donors,
by
integrating
temporal
information
multiple
tissues
each
individual,
identify
messenger
RNA
(mRNA)
46
tissues.
Clock
transcripts
showed
conserved
timing
relationships
tight
synchrony
across
body.
mRNA
varied
breadth,
covering
global
functions,
including
metabolic
pathways
systemic
responses.
structure
was
sexes
groups.
overall
were
highly
sex-dimorphic
more
sustained
females.
Rhythmic
programs
generally
dampened
PLoS Biology,
Год журнала:
2022,
Номер
20(3), С. e3001567 - e3001567
Опубликована: Март 24, 2022
The
circadian
clock
is
an
evolutionarily
highly
conserved
endogenous
timing
program
that
structures
physiology
and
behavior
according
to
the
time
of
day.
Disruption
rhythms
associated
with
many
common
pathologies.
emerging
field
medicine
aims
exploit
mechanisms
clock–disease
interaction
for
clinical
diagnosis,
treatment,
prevention.
In
this
Essay,
we
outline
principle
approaches
medicine,
highlight
development
in
selected
areas,
point
out
open
questions
challenges.
Circadian
has
unambiguous
health
benefits
over
standard
care
but
rarely
utilized.
It
biology
become
integrated
part
translational
research.