Garaulet Marta, Madrid Juan A
Department of Physiology, University of Murcia, Murcia, Spain.
Curr Opin Lipidol. 2009 Apr;20(2):127-34. doi: 10.1097/MOL.0b013e3283292399.
Circadian rhythms are such an innate part of our lives that we rarely pause to speculate why they even exist. Recently, some studies have suggested that the disruption of the circadian system may be causal for the manifestations of metabolic syndrome (MetS). This review summarizes the latest evidence of the existing interaction among chronobiology, genetics and MetS.
Shift work, sleep deprivation and bright light exposure at night are related to increased adiposity and prevalence of MetS. Animal models have revealed that mice with circadian locomotor output cycles kaput (clock) gene disruption are prone to develop a phenotype resembling MetS. Moreover, studies in humans have shown that clock genes are expressed in adipose tissue, and that both their levels of expression and their genetic variants correlate with different components of the MetS. Current studies are illustrating the particular role of different clock gene variants and their predicted haplotypes in MetS.
The circadian system has an important impact on metabolic disturbances and vice versa. Although the precise mechanism linking the MetS to chronodisruption is not well known, hypotheses point to the internal desynchronization between different circadian rhythms. The novelty of this area of research is contributing to the development of new and intriguing studies, particularly those focused on the association between different clock genes polymorphisms and MetS traits.
昼夜节律是我们生活中与生俱来的一部分,以至于我们很少停下来思考它们为何存在。最近,一些研究表明昼夜节律系统的紊乱可能是代谢综合征(MetS)表现的原因。本综述总结了时间生物学、遗传学和代谢综合征之间现有相互作用的最新证据。
轮班工作、睡眠剥夺和夜间强光照射与肥胖增加和代谢综合征患病率有关。动物模型显示,昼夜运动输出周期破坏(clock)基因被破坏的小鼠容易出现类似代谢综合征的表型。此外,对人类的研究表明,时钟基因在脂肪组织中表达,其表达水平和基因变异都与代谢综合征的不同组成部分相关。目前的研究正在阐明不同时钟基因变异及其预测单倍型在代谢综合征中的特定作用。
昼夜节律系统对代谢紊乱有重要影响,反之亦然。虽然将代谢综合征与昼夜节律紊乱联系起来的精确机制尚不清楚,但假说指向不同昼夜节律之间的内部不同步。这一研究领域的新颖性有助于开展新的有趣研究,特别是那些关注不同时钟基因多态性与代谢综合征特征之间关联的研究。