The Period 2 (Per2) gene is a key molecular component in controlling mammalian circadian rhythms at the levels of gene expression, physiology, and pathogenesis. Although many immune parameters, such as the number of different subtypes of circulating immune cells and the level of cytokine production in response to infection with bacteria and viruses, have been well documented to display a circadian pattern in mammals, the basic features of molecular clock components in the immune system and the role of clock genes in regulating host immune defenses remain uncharacterized. Previously, we have reported that circadian clock genes oscillate in human mononuclear cells. Here we report that Per2-deficient mice were more resistant to lipopolysaccharide (LPS)-induced endotoxic shock than control wild-type mice. We further demonstrate that the levels of the proinflammatory cytokines gamma interferon (IFN-␥) and interleukin-1 (IL-1) in the serum were dramatically decreased in Per2 ؊/؊ mice following LPS challenge, while production of tumor necrosis factor alpha, IL-6, and IL-10 was approximately normal, compared to that in control wild-type mice. Flow cytometric analyses confirmed that the cellularity of most of the immune cell subsets in the spleens of LPS-challenged mice was normal and that the impaired IFN-␥ production in Per2 ؊/؊ mice was attributable to defective NK and NKT cell function. Our data suggest that Per2 is an important regulator of NK cell function, therefore providing the first direct link between the circadian clock system and innate immune responses.Circadian rhythms are daily oscillations of multiple biological processes driven by endogenous clocks. The master circadian clock in mammals resides in the suprachiasmatic nucleus (SCN) of the anterior hypothalamus. The endogenous clock is further distinguished by its ability to be entrained to a new day/night regimen by environmental cues such as light and temperature cycles (13,27,29). It was originally thought that the mammalian circadian clock system was hierarchically organized; however, while the SCN is a master circadian clock tissue, generating self-sustained circadian oscillators which determine the pace and amplitude of the expression of the circadian clock genes in peripheral tissues through neuronal and hormonal signals, these peripheral clocks in turn control the output of circadian physiology and behavior. However, the details of how the SCNЈs signaling pathway controls the peripheral clock still remain to be elucidated.Circadian rhythms are known to influence the immune response of mammals through their effects on the circulation of the blood as related to diurnal sleeping/waking and activity cycles. Born and coworkers (6) demonstrated that in humans, blood cell compartmentalization, such as with peripheral cell counts of neutrophils, T-lymphocyte subsets, B lymphocytes, monocytes, and natural killer (NK) cells, displays a circadian fluctuation across the day. The peak of each subtype of cells in peripheral blood varies with time. The numbers...