2007
DOI: 10.1146/annurev.pharmtox.47.120505.105208
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Circadian Rhythms: Mechanisms and Therapeutic Implications

Abstract: The mammalian circadian system is organized in a hierarchical manner in that a central pacemaker in the suprachiasmatic nucleus (SCN) of the brain's hypothalamus synchronizes cellular circadian oscillators in most peripheral body cells. Fasting-feeding cycles accompanying rest-activity rhythms are the major timing cues in the synchronization of many, if not most, peripheral clocks, suggesting that the temporal coordination of metabolism and proliferation is a major task of the mammalian timing system. The inac… Show more

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Cited by 566 publications
(531 citation statements)
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References 155 publications
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“…Likewise, resetting clock phase or strengthening internal synchronization, e.g. by timed light exposure or scheduled sleep/ wake times, might affect metabolic pathologies such as obesity, diabetes and night eating syndrome (Levi and Schibler, 2007). Given the increasing prevalence and fatality rates of obesityassociated disorders, tackling the circadian clock has the potential to become an important instrument in fighting obesity as a major plague of the industrialised world.…”
Section: Resultsmentioning
confidence: 99%
“…Likewise, resetting clock phase or strengthening internal synchronization, e.g. by timed light exposure or scheduled sleep/ wake times, might affect metabolic pathologies such as obesity, diabetes and night eating syndrome (Levi and Schibler, 2007). Given the increasing prevalence and fatality rates of obesityassociated disorders, tackling the circadian clock has the potential to become an important instrument in fighting obesity as a major plague of the industrialised world.…”
Section: Resultsmentioning
confidence: 99%
“…In mammals, including humans, the circadian system is organized into a hierarchical manner with a central pacemaker in the suprachiasmatic nucleus (SCN) of the brain's hypothalamus (Levi and Schibler, 2007). The SCN synchronizes the circadian physiological and behavioural rhythms, including sleep and wakefulness, temperature, feeding, neuroendocrine and autonomic effects, with the 24 h periodicity to match the environmental light–dark cycle, thereby orchestrating an optimized internal temporal order.…”
Section: Introductionmentioning
confidence: 99%
“…Another rationale for chronotherapy is linked to the metabolism of xenobiotics (such as cancer drugs): Degradation and modification of these substances is subject to circadian control. Thus, giving a drug at the trough point of degradation activity will allow the A c c e p t e d M a n u s c r i p t use of overall lower doses, thereby reducing the potential side effects [72][73][74]. The beneficial effects of chronotherapeutics have now been demonstrated in various clinical trials (reviewed in [72]).…”
Section: Treating In Time: Chronotherapymentioning
confidence: 99%