Circadian rhythms and the molecular clock in cardiovascular biology and disease
Open accessAbstract
The Earth turns on its axis every 24 h; almost all life on the planet has a mechanism - circadian rhythmicity - to anticipate the daily changes caused by this rotation. The molecular clocks that control circadian rhythms are being revealed as important regulators of physiology and disease. In humans, circadian rhythms have been studied extensively in the cardiovascular system. Many cardiovascular functions, such as endothelial function, thrombus formation, blood pressure and heart rate, are now known to be regulated by the circadian clock. Additionally, the onset of acute myocardial infarction, stroke, arrhythmias and other adverse cardiovascular events show circadian rhythmicity. In this Review, we summarize the role of the circadian clock in all major cardiovascular cell types and organs. Second, we discuss the role of circadian rhythms in cardiovascular physiology and disease. Finally, we postulate how circadian rhythms can serve as a therapeutic target by exploiting or altering molecular time to improve existing therapies and develop novel ones.
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Human and animal studies suggest that circadian clocks are important drivers of rhythms in CVD physiology and pathology and for disease prevention and management.
“Human and animal studies suggest that circadian clocks are not only important drivers of rhythms in CVD physiology and pathology but also for disease prevention and management 19, 61.”
From The Circadian Syndrome: is the Metabolic Syndrome and much more! (2019) · cites this paper as [19]
Clock genes likely influence cardiac physiology and pathophysiology.
“It has been suggested that that clock genes likely influence cardiac physiology and pathophysiology 19, 61.”
From The Circadian Syndrome: is the Metabolic Syndrome and much more! (2019) · cites this paper as [19]
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Thrombomodulin Is a Clock-controlled Gene in Vascular Endothelial Cells
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Clock Genes Display Rhythmic Expression in Human Hearts
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Circadian Rhythm Disruption in the Critically Ill
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Cardiovascular Tissues Contain Independent Circadian Clocks
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Circadian variation of symptomatic paroxysmal atrial fibrillation. Data from almost 10000 episodes
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Evening versus morning dosing regimen drug therapy for hypertension
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The day/night proteome in the murine heart
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Delirium and Circadian Rhythm of Melatonin During Weaning From Mechanical Ventilation
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The Circadian Clock Starts Ticking at a Developmentally Early Stage
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Time-Dependent Effects of Aspirin on Blood Pressure and Morning Platelet Reactivity
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Tissue-intrinsic dysfunction of circadian clock confers transplant arteriosclerosis
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Vascular circadian rhythms in a mouse vascular smooth muscle cell line (Movas-1)
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Therapeutic applications of circadian rhythms for the cardiovascular system
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Circadian rhythms and medical diseases: Does it matter when drugs are taken?
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WORKING THE NIGHT SHIFT CAUSES INCREASED VASCULAR STRESS AND DELAYED RECOVERY IN YOUNG WOMEN
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Do eating and drinking habits interact with work schedule variables?
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Circadian rhythm of blood cardiac troponin T concentration
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Female ClockΔ19/Δ19 mice are protected from the development of age-dependent cardiomyopathy
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Diurnal variation of endothelial function and arterial stiffness in hypertension
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Chronobiology Predicts Actual and Proxy Outcomes when Dipping Fails
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Diagnosing vascular variability anomalies, not only MESOR-hypertension
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Mice Show Circadian Rhythms of Blood Pressure During Each Wake-Sleep State
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Smad3 and Bmal1 regulate p21 and S100A4 expression in myocardial stromal fibroblasts via TNF-α
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Linking sleep duration and obesity among black and white US adults
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Are there ethnic differences in the circadian variation in onset of acute myocardial infarction?
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Circadian Rhythms in Cell Maturation
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Entrainment of Free-running Circadian Rhythms by Melatonin in Blind People,
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Sex and Circadian Periodicity of Cardiovascular Diseases
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Chronobiologically interpreted ambulatory blood pressure monitoring: past, present, and future
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The Circadian Syndrome: is the Metabolic Syndrome and much more!
Zimmet, P., Alberti, K. G. M. M., Stern, N., Bilu, C., El‐Osta, A., Einat, H., & Kronfeld‐Schor, N. (2019) · Journal of Internal Medicine · doi:10.1111/joim.12924 · Cited by 387 · see citing works
Time-restricted eating for the prevention and management of metabolic diseases
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Magnetic field effects in biology from the perspective of the radical pair mechanism
Zadeh-Haghighi, H., & Simon, C. (2022) · Journal of The Royal Society Interface · doi:10.1098/rsif.2022.0325 · Cited by 197 · see citing works
Activity Tracker–Based Metrics as Digital Markers of Cardiometabolic Health: Cross-Sectional Study
Rykov, Y., Thach, T.-Q., Dunleavy, G., Roberts, A. C., Christopoulos, G., Soh, C. K., & Car, J. (2020) · JMIR mHealth and uHealth · doi:10.2196/16409 · Cited by 29 · see citing works
Association between polarity of first episode and solar insolation in bipolar I disorder
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Murukesu, R. R., Alkaff, Z. A., Bridges, C., & Spitschan, M. (2025) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd016157 · Cited by 5 · see citing works
- Authors
- Crnko, S., Du Pré, B. C., Sluijter, J. P. G., & Van Laake, L. W.
- Affiliations
- Utrecht University (NL)
- Venue
- Nature Reviews Cardiology
- Published
- 2019-02-22
- Volume
- 16
- Issue
- 7
- Pages
- 437-447
- ISSN
- 1759-5002 (ISSN-L)
- 1759-5010
- OpenAlex
- W2917295444
- Cited by
- 499
- References
- 175
- Citations by year
- 2026: 63 · 2025: 79 · 2024: 95 · 2023: 59 · 2022: 79 · 2021: 65 · 2020: 45 · 2019: 14
- FWCI
- 6.22
- Type
- journal article
- Language
- en
- Open access
- green
- dspace.library.uu.nl
- Licence
- other-oa
- www.springer.com/tdm (tdm)
- Locations
- Nature Reviews Cardiology (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- Utrecht University Repository (Utrecht University) (submittedVersion, other-oa)
- Utrecht University Repository (Utrecht University) (submittedVersion)
- Funders
- Universiteit Utrecht
- Nederlandse Federatie van Universitair Medische Centra
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
- Keywords
- circadian rhythm, circadian clock, cardiovascular physiology, cardiovascular disease, endothelial function, thrombosis, blood pressure, heart rate, myocardial infarction, stroke, cardiac arrhythmias, chronotherapy
- MeSH terms
- Animals, Biological Clocks, Blood Vessels, Cardiovascular Diseases, Circadian Rhythm, Humans, Chronobiology Disorders
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