An Overview of the Circadian Clock in the Frame of Chronotherapy: From Bench to Bedside

Pharmaceutics. 2022 Jul 6;14(7):1424. doi: 10.3390/pharmaceutics14071424.

Abstract

Most living organisms in both the plant and animal kingdoms have evolved processes to stay in tune with the alternation of day and night, and to optimize their physiology as a function of light supply. In mammals, a circadian clock relying on feedback loops between key transcription factors will thus control the temporally regulated pattern of expression of most genes. Modern ways of life have highly altered the synchronization of human activities with their circadian clocks. This review discusses the links between an altered circadian clock and the rise of pathologies. We then sum up the proofs of concept advocating for the integration of circadian clock considerations in chronotherapy for health care, medicine, and pharmacotherapy. Finally, we discuss the current challenges that circadian biology must face and the tools to address them.

Keywords: chronotherapy; circadian clock; mathematic modeling; metabolic disorders; pathologies.

Publication types

  • Review

Grants and funding

This work has been supported by the Agence Nationale de la Recherche through I-SITE ULNE (ANR-16-IDEX-0004), LABEX CEMPI (ANR-11-LABX-0007), University of Lille, as well as by the Ministry of Higher Education and Research, Hauts de France council and European Regional Development Fund (ERDF) through the Contrat de Projets Etat-Region (CPER) Photonics for Society (P4S) and I-PRIMER.