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Circadian immunity from bench to bedside: a practical guide
Huram Mok, … , Guy Hazan, Jeffrey A. Haspel
Huram Mok, … , Guy Hazan, Jeffrey A. Haspel
Published February 1, 2024
Citation Information: J Clin Invest. 2024;134(3):e175706. https://doi.org/10.1172/JCI175706.
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Review Article has an altmetric score of 6

Circadian immunity from bench to bedside: a practical guide

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Abstract

The immune system is built to counteract unpredictable threats, yet it relies on predictable cycles of activity to function properly. Daily rhythms in immune function are an expanding area of study, and many originate from a genetically based timekeeping mechanism known as the circadian clock. The challenge is how to harness these biological rhythms to improve medical interventions. Here, we review recent literature documenting how circadian clocks organize fundamental innate and adaptive immune activities, the immunologic consequences of circadian rhythm and sleep disruption, and persisting knowledge gaps in the field. We then consider the evidence linking circadian rhythms to vaccination, an important clinical realization of immune function. Finally, we discuss practical steps to translate circadian immunity to the patient’s bedside.

Authors

Huram Mok, Elaine Ostendorf, Alex Ganninger, Avi J. Adler, Guy Hazan, Jeffrey A. Haspel

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Figure 1

The oscillator model of circadian rhythm generation.

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The oscillator model of circadian rhythm generation.
In this model, the ...
In this model, the circadian molecular clock acts as a cell-autonomous rhythm generator (center) that produces rhythmic patterns of gene expression. At the organism level, the system has two parts: a central pacemaker housed in the central nervous system within the suprachiasmatic nucleus (SCN) of the hypothalamus and local pacemakers within peripheral tissues responsible for physiological outputs. To set the biological time of day (the circadian phase), the clock within the central pacemaker converts rhythms in external light into synchronized oscillations in hormone secretion (melatonin and hypothalamic pituitary axis), autonomic neural activity, arousal, appetite, and core body temperature. These rhythmic internal cues are converted by oscillators within peripheral cells into tissue-specific circadian rhythms. Circadian rhythms can modify the external environment around cells and, in so doing, can affect the amplitude and phase of the peripheral clock through feedback regulation.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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