Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2021 Jun 11;11(6):868.
doi: 10.3390/biom11060868.

Circadian Blood Pressure Rhythm in Cardiovascular and Renal Health and Disease

Affiliations
Review

Circadian Blood Pressure Rhythm in Cardiovascular and Renal Health and Disease

Jiayang Zhang et al. Biomolecules. .

Abstract

Blood pressure (BP) follows a circadian rhythm, it increases on waking in the morning and decreases during sleeping at night. Disruption of the circadian BP rhythm has been reported to be associated with worsened cardiovascular and renal outcomes, however the underlying molecular mechanisms are still not clear. In this review, we briefly summarized the current understanding of the circadian BP regulation and provided therapeutic overview of the relationship between circadian BP rhythm and cardiovascular and renal health and disease.

Keywords: blood pressure; cardiovascular; circadian rhythm; renal.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Molecular mechanism of circadian clock in humans. The molecular oscillator comprises interconnected transcription-translation feedback loops. The expression of CCGs is driven by the output of the molecular clock and adjusts circadian clock of cardiovascular and renal function. ROR activates and REV-ERB represses RORE-mediated transcription. PPARα and PPARγ regulate the expression of BMAL1 and REV-ERB via binding to PPRE in their promoters. As the PPAR partner, RXR inhibits the transcriptional activity of BMAL1-CLOCK complex. RORE, ROR response element. PPRE, PPAR response element. RXR, retinoid X receptor.

References

    1. Roenneberg T., Merrow M. Circadian clocks—The fall and rise of physiology. Nat. Rev. Mol. Cell Biol. 2005;6:965–971. doi: 10.1038/nrm1766. - DOI - PubMed
    1. Harmer S.L., Panda S., Kay S.A. Molecular bases of circadian rhythms. Annu. Rev. Cell Dev. Biol. 2001;17:215–253. doi: 10.1146/annurev.cellbio.17.1.215. - DOI - PubMed
    1. Lowrey P.L., Takahashi J.S. Genetics of circadian rhythms in Mammalian model organisms. Adv. Genet. 2011;74:175–230. doi: 10.1016/B978-0-12-387690-4.00006-4. - DOI - PMC - PubMed
    1. Dibner C., Schibler U., Albrecht U. The mammalian circadian timing system: Organization and coordination of central and peripheral clocks. Annu. Rev. Physiol. 2010;72:517–549. doi: 10.1146/annurev-physiol-021909-135821. - DOI - PubMed
    1. Zhang D., Pollock D.M. Diurnal regulation of renal electrolyte excretion: The role of paracrine factors. Annu. Rev. Physiol. 2019 doi: 10.1146/annurev-physiol-021119-034446. - DOI - PMC - PubMed

Publication types

MeSH terms