Defining circadian disruption in neurodegenerative disorders
Open accessAbstract
Neurodegenerative diseases encompass a large group of conditions that are clinically and pathologically diverse yet are linked by a shared pathology of misfolded proteins. The accumulation of insoluble aggregates is accompanied by a progressive loss of vulnerable neurons. For some patients, the symptoms are motor focused (ataxias), while others experience cognitive and psychiatric symptoms (dementias). Among the shared symptoms of neurodegenerative diseases is a disruption of the sleep/wake cycle that occurs early in the trajectory of the disease and may be a risk factor for disease development. In many cases, the disruption in the timing of sleep and other rhythmic physiological markers immediately raises the possibility of neurodegeneration-driven disruption of the circadian timing system. The aim of this Review is to summarize the evidence supporting the hypothesis that circadian disruption is a core symptom within neurodegenerative diseases, including Alzheimer's disease, Huntington's disease, and Parkinson's disease, and to discuss the latest progress in this field. The Review discusses evidence that neurodegenerative processes may disrupt the structure and function of the circadian system and describes circadian-based interventions as well as timed drug treatments that may improve a wide range of symptoms associated with neurodegenerative disorders. It also identifies key gaps in our knowledge.
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Disruption of sleep/wake cycle is a shared symptom among different neurodegenerative diseases.
“Disruption of the sleep/wake cycle is a shared symptoms among different neurodegenerative diseases.120”
From Role of neuroinflammation in neurodegeneration development (2023) · cites this paper as [120]
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BackgroundCircadian disruption and sleep disorders in neurodegeneration
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Circadian Rhythms in Aging and Age-Related Neurogenerative Disease
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Sex differences in sleep architecture in a mouse model of Huntington's disease
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REV-ERBα Mitigates Astrocyte Activation and Protects Dopaminergic Neurons from Damage
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Circadian clocks and their role in kidney and eye diseases across organ systems
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Evaluating the Genetic Role of Circadian Clock Genes in Parkinson’s Disease
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Circadian disruption during fetal development promotes pathological cardiac remodeling in male mice
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Circadian rhythms are disrupted in patients and preclinical models of Machado-Joseph disease
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Circadian disruption promotes the neurotoxicity of oligomeric alpha-synuclein in mice
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Is it time to think about chronotherapy in migraine
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Scheduled feeding improves sleep in a mouse model of Huntington’s disease
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Circadian rhythms and chronotherapy in Alzheimer's disease: Mechanisms and therapeutic implications
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Melatonin as a Chronobiotic and Cytoprotector in Healthy Aging
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Effects of DNA methylation inhibitors on light-induced circadian clock plasticity
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Dysregulation of the molecular clock by blood-borne factors in Alzheimer’s disease patients
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Missing the Dark: Malediction for the Environment and Human Health
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Enhancing Animal Welfare Through Home Cage Monitoring Systems
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Yogic Interventions in Clock Dysfunction, Neurodegeneration and Ageing
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- Authors
- Colwell, C. S.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Colwell, Christopher S.
- Venue
- Journal of Clinical Investigation
- Published
- 2021-10-01
- Volume
- 131
- Issue
- 19
- ISSN
- 0021-9738 (ISSN-L)
- 1558-8238
- PMC
- PMC8483739
- OpenAlex
- W3202654968
- Cited by
- 90
- References
- 153
- Citations by year
- 2026: 11 · 2025: 23 · 2024: 19 · 2023: 22 · 2022: 15
- FWCI
- 1.79
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Investigation (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Keywords
- circadian rhythm disruption, neurodegenerative diseases, circadian system, sleep-wake cycle, protein misfolding, protein aggregation, Alzheimer's disease, Huntington's disease, Parkinson's disease, dementia, ataxia
- MeSH terms
- Animals, Body Temperature, Circadian Rhythm, Humans, Hydrocortisone, Inflammation, Suprachiasmatic Nucleus, Protein Folding, Neurodegenerative Diseases, Chronobiology Disorders, Mice
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