Department of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei, Anhui, China; Inflammation and Immune Mediated Diseases Laboratory of Anhui Province, 81 Meishan Road, Hefei, Anhui, China.
School of Public Health, Faculty of Medicine, University of Queensland, 288 Herston Road, Herston, QLD, 4006, Brisbane, Australia.
Autoimmun Rev. 2021 Aug;20(8):102866. doi: 10.1016/j.autrev.2021.102866. Epub 2021 Jun 10.
Circadian rhythm is a natural, endogenous process whose physiological functions are controlled by a set of clock genes. Disturbance of the clock genes have detrimental effects on both innate and adaptive immunity, which significantly enhance pro-inflammatory responses and susceptibility to autoimmune diseases via strictly controlling the individual cellular components of the immune system that initiate and perpetuate the inflammation pathways. Autoimmune diseases, especially rheumatoid arthritis (RA), often exhibit substantial circadian oscillations, and circadian rhythm is involved in the onset and progression of autoimmune diseases. Mounting evidence indicate that the synthetic ligands of circadian clock genes have the property of reducing the susceptibility and clinical severity of subjects. This review supplies an overview of the roles of circadian clock genes in the pathology of autoimmune diseases, including BMAL1, CLOCK, PER, CRY, REV-ERBα, and ROR. Furthermore, summarized some circadian clock genes as candidate genes for autoimmune diseases and current advancement on therapy of autoimmune diseases with synthetic ligands of circadian clock genes. The existing body of knowledge demonstrates that circadian clock genes are inextricably linked to autoimmune diseases. Future research should pay attention to improve the quality of life of patients with autoimmune diseases and reduce the effects of drug preparation on the normal circadian rhythms.
昼夜节律是一种自然的、内源性的过程,其生理功能受一组时钟基因控制。时钟基因的紊乱对固有免疫和适应性免疫都有不利影响,通过严格控制免疫系统启动和延续炎症途径的各个细胞成分,显著增强促炎反应和自身免疫性疾病的易感性。自身免疫性疾病,特别是类风湿关节炎(RA),常表现出明显的昼夜节律波动,昼夜节律参与自身免疫性疾病的发生和进展。越来越多的证据表明,昼夜节律钟基因的合成配体具有降低易感性和临床严重程度的特性。本综述概述了昼夜节律钟基因在自身免疫性疾病发病机制中的作用,包括 BMAL1、CLOCK、PER、CRY、REV-ERBα 和 ROR。此外,还总结了一些昼夜节律钟基因作为自身免疫性疾病的候选基因,以及利用昼夜节律钟基因的合成配体治疗自身免疫性疾病的最新进展。现有知识表明,昼夜节律钟基因与自身免疫性疾病密切相关。未来的研究应注意提高自身免疫性疾病患者的生活质量,并减少药物制剂对正常昼夜节律的影响。