Circadian clocks are biologic oscillators present in all photosensitive species that produce 24-h cycles in the transcription of rate-limiting metabolic enzymes in anticipation of the light-dark cycle. In mammals, the clock drives energetic cycles to maintain physiologic constancy during the daily switch in behavioral (sleep/wake) and nutritional (fasting/feeding) states. A molecular connection between circadian clocks and tissue metabolism was first established with the discovery that 24-h transcriptional rhythms are cell-autonomous and selfsustained in cultured fibroblasts, and that clocks are present in most tissues and comprise a robust temporal network throughout the body. A central question remains: how do circadian transcriptional programs integrate physiologic systems within individual cells of the intact animal and how does the ensemble of local clocks align temporal harmonics in the organism with the environment? Our approach to studies of metabolic regulation by the molecular clock began with analyses of metabolic pathologies in circadian mutant animals, experiments that first became possible with the cloning of the clock genes in the late 1990s. A paradox in our early studies was that the effects of circadian clock disruption were both nutrient-and time-dependent, so that, under fed conditions, animals exhibited diabetes whereas during fasting, they decompensated and died. Application of a broad range of tissue-specific genetic and biochemical approaches has now begun to provide mechanistic insight into the circadian control of metabolism.
Genetic Approaches to Dissecting Circadian PhysiologyGlucose homeostasis is a dynamic process that is subjected to rhythmic variation throughout the daily light-dark cycle. Impaired glucose regulation arises from desynchrony in the integration of anabolic, catabolic, and incretin hormones across the circadian cycle and leads to metabolic syndrome and diabetes mellitus, disorders that are associated with over-nutrition, sedentary lifestyle, and sleep-wake disruption common in industrialized society. Individuals with diabetes must adjust their insulin levels differently every day and night even independently of how much they eat; however, the molecular underpinnings of circadian glucose regulation were previously not well understood. Genome-wide association and deepsequencing studies have shown that variants of the melatonin receptor 1b and cryptochrome 2 genes correlate with glucose variation in humans, suggesting a genetic linkage between the circadian system and glucoregulatory processes in man (Bouatia-Naji et al. 2009;Mulder et al. 2009;Dupuis et al. 2010). Against this backdrop, work from our laboratory using circadian clock mutant mice first revealed an essential role for the intrinsic beta cell clock in insulin secretion, beta cell development, and diabetes mellitus (Marcheva et al. 2010). Subsequent studies in three other groups have corroborated our observation that local function of the clock transcription factor in islets is crucial for normal g...