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Research
Biological rhythms with a period of about 24 hours are called circadian rhythms (from Latin circa dies, meaning "about a day"). Circadian rhythms exist at all levels of complexity, from gene expression to rhythms in physiology, metabolism, and behavior. They are generated by an internal timing system - an endogenous circadian clock - that allows organisms to anticipate daily changes in their environment. Light acts as the primary stimulus to synchronize the internal clock with the external world. In mammals, circadian clocks have been found in almost every cell, but they are organized hierarchically: A tiny brain structure, the suprachiasmatic nucleus (SCN) of the hypothalamus, is known to be the main pacemaker. Specialized neurons in the retina sense light and relay this information to the SCN via the retinohypothalamic tract. Peripheral clocks in other tissues are synchronized by the SCN and are responsible for regulating organ-specific rhythms in physiology and metabolism.
Over the past three decades, the molecular mechanism of circadian rhythm generation has been uncovered and the associated genes and gene variants have been identified. It is now clear that synchronization between endogenous circadian and exogenous environmental cycles is critical for health and well-being. However, modern life constantly challenges our internal clock, which can lead to circadian rhythm disruption. Today, it is undeniable that circadian rhythm disruption is associated with many common diseases, including sleep disorders, psychiatric and neurodegenerative diseases, metabolic and cardiovascular disorders, immune system dysfunctions, as well as cancer. The description of the underlying mechanisms, however, has only just begun.