Abstract
Circadian rhythms are endogenous biological cycles that regulate sleep-wake patterns, hormonal secretion, metabolism, and behavior. Disruptions of circadian rhythms, caused by shift work, jet lag, or exposure to artificial light at night, are increasingly recognized as major contributors to chronic diseases. Misalignment between internal biological clocks and external environmental cues has been linked to obesity, diabetes, cardiovascular disease, mood disorders, and even cancer. Recent advances in chronobiology have deepened our understanding of the molecular mechanisms of circadian rhythms, emphasizing the role of core clock genes and their regulatory pathways. This article explores the physiological functions of circadian rhythms, the health consequences of circadian disruption, and emerging strategies for chronotherapy and lifestyle modifications aimed at restoring circadian alignment.
References
1. Bass, J., & Takahashi, J. S. (2010). Circadian integration of metabolism and energetics. Science, 330(6009), 1349–1354.
2. Panda, S. (2016). Circadian physiology of metabolism. Science, 354(6315), 1008–1015.
3. Scheer, F. A., Hilton, M. F., Mantzoros, C. S., & Shea, S. A. (2009). Adverse metabolic and cardiovascular consequences of circadian misalignment. Proceedings of the National Academy of Sciences, 106(11), 4453–4458.
4. Walker, W. H., Walton, J. C., DeVries, A. C., & Nelson, R. J. (2020). Circadian rhythm disruption and mental health. Translational Psychiatry, 10(1), 28.
5. Logan, R. W., & McClung, C. A. (2019). Rhythms of life: Circadian disruption and brain disorders across the lifespan. Nature Reviews Neuroscience, 20(1), 49–65.
6. Kelleher, F. C., Rao, A., & Maguire, A. (2014). Circadian molecular clocks and cancer. Cancer Letters, 342(1), 9–18.
7. Haus, E. L., & Smolensky, M. H. (2013). Shift work and cancer risk: Potential mechanistic roles of circadian disruption, light at night, and sleep deprivation. Sleep Medicine Reviews, 17(4), 273–284.
8. Cermakian, N., Lange, T., Golombek, D., Sarkar, D., Nakao, A., Shibata, S., & Mazzoccoli, G. (2013). Crosstalk between the circadian clock circuitry and the immune system. Chronobiology International, 30(7), 870–888.
9. Smolensky, M. H., Hermida, R. C., Reinberg, A., Sackett-Lundeen, L., & Portaluppi, F. (2016). Circadian disruption: New clinical perspective of disease pathology and basis for chronotherapeutic intervention. Chronobiology International, 33(8), 1101–1119.
10. Lévi, F., & Schibler, U. (2007). Circadian rhythms: Mechanisms and therapeutic implications. Annual Review of Pharmacology and Toxicology, 47, 593–628.