Evidence map›Paper›PMID 41339276›Full record

ReviewAnnals of medicine2025

Tuned by time: the role of circadian rhythms in metabolic energy sensing and chronotherapy.

Arun Thanuskodi Rajakumar, Gothandam Kodiveri Muthukaliannan

Abstract readReview
In one paragraph

Review in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Arun Thanuskodi RajakumarDepartment of Biotechnology, School of Bio Science and Technology, Vellore Institute of Technology, Vellore, Tamil Nadu, India.
Gothandam Kodiveri MuthukaliannanDepartment of Biotechnology, School of Bio Science and Technology, Vellore Institute of Technology, Vellore, Tamil Nadu, India.ORCID 0000-0003-1576-5324

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCircadian rhythms are produced endogenously from oscillators that are based on transcription-translation feedback loops, which can synchronize central and peripheral clocks into orderly timing of physiological processes to ensure the precision of metabolic homeostasis in organ such as liver, muscle, pancreas and adipose tissue. The master circadian clock located in the suprachiasmatic nucleus (SCN) of the anterior hypothalamus receives light signals and synchronizes the other internal clocks in important metabolic organs. Nuclear receptors regulate the circadian secretion of hormones and AMP-activated protein kinase (AMPK) and Sirtuins (SIRTs) represent favoured energy-sensing mechanisms in these tissue-specific clocks. This review summarizes the interplay between circadian rhythms and metabolism as well how a restoration of the circadian mechanism with the use of targeted treatments benefiting the metabolic dysfunction of a world with lengthened light exposure. DISCUSSION: Lifestyle habits of contemporary life such as artificial light at night (ALAN) and irregular feeding regime disturb these important oscillations and interfere with physiological function and metabolism. As a result, peripheral clocks become decoupled from light-dark cycle and influence glucose absorption into the muscles. Among the disruptions, the underlying molecular mechanism includes intricate interactions among core clock genes (CLOCK, BMAL1, CRY, PER), regulation of the NAD+/NADH ratio and the lactate shuttle. Time is therefore a critical variable in the context of homeostasis as witnessed by such processes as circadian entrainment and metabolic flux. Novel chrono therapeutics are required to restore the circadian homeostasis, including time-restricted feeding, light and pharmacotherapy that responds to the circadian rhythm, in the aim of improving metabolic parameters.

conclusionFindings suggest that circadian disruption has a significant causal role in the development of metabolic disease in modern civilization. Chronotherapeutic strategies to enhance therapeutic efficacy and decrease adverse reactions by aligning treatment to an individual's time of circadian sensitivity represent one approach for restoring circadian homeostasis to remedy the ills of the modern illuminated world.

Indexed as

ChronotherapyCircadian RhythmEnergy MetabolismAnimalsCircadian ClocksHomeostasisHumansSuprachiasmatic NucleusAMPKchronotherapyCircadian rhythmenergy signallingfeeding patternmetabolismsirtuins

Identifiers

PMID41339276
PMCPMC12677041

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.