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Circadian Clocks

Anatomy and Physiology · NLM MeSH · updated 2026-10-31 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 4 min read

Biological mechanism that controls circadian rhythm.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (748 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

Biological mechanism that controls circadian rhythm. Circadian clocks exist in the simplest form in cyanobacteria and as more complex systems in fungi, plants, and animals. In humans the system includes photoresponsive retinal ganglion cells and the suprachiasmatic nucleus that acts as the central oscillator.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Circadian Clock; Clock, Circadian; Clocks, Circadian; Circadian Clock System; Circadian Clock Systems; Clock System, Circadian; Clock Systems, Circadian; System, Circadian Clock.

Where it fits in the MeSH classification

Broader topics
Biological Clocks
See also
Circadian Rhythm

Related concepts

  • Circadian Rhythm
  • Retinal Ganglion Cells
  • Suprachiasmatic Nucleus

Research landscape

PubMed indexes 6,585 records tagged with the MeSH heading “Circadian Clocks” (counts retrieved 2026-10-31). 3,069 of them (46.6%) were published from 2020 onward, and the busiest period so far is 2010-2019 with 3,598 records.

Reviews account for 1,737 records (26.4%) and meta-analyses for 12. Randomized controlled trials number 27 (0.4%) as a share of all records on the topic. Randomized trials make up only a small share of this literature, so much of what is known comes from laboratory, observational or descriptive work.

PubMed records by publication periodthrough 1999: 0 records; 2000-2009: 2 records; 2010-2019: 3,598 records; 2020 onward: 3,069 records0through 199922000-20093,5982010-20193,0692020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19990
2000-20092
2010-20193,598
2020 onward3,069
Share of records by publication typeReviews: 26.4 percent; Meta-analyses: 0.2 percent; Randomized controlled trials: 0.4 percentReviews26.4% (1,737)Meta-analyses0.2% (12)Randomized controlled trials0.4% (27)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 6,585 PubMed records
TypeRecordsShare
Reviews1,73726.4%
Meta-analyses120.2%
Randomized controlled trials270.4%

Method: PubMed query "Circadian Clocks"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-31.

Reading the evidence in anatomy and physiology

Anatomy describes how body structures are built and physiology describes how they normally work, so most findings here are descriptive or mechanistic rather than evidence about treatment. Much of what is known comes from dissection, imaging, tissue studies and experiments in animals, and measurements in healthy volunteers can differ from those in people with disease or at different ages. Normal ranges vary between individuals and populations. Check whether a result was measured in people or in another species, the age and health of the participants, and the method used.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Synaptic connectome of the Drosophila circadian clock
Reinhard N, Fukuda A, Manoli G, Derksen E, Saito A, Möller G, et al.
2024Research article
Design not recorded in structured metadata
89cc by
PMID 39638801 · DOI · PMC11621569
Targeting the intestinal circadian clock by meal timing ameliorates gastrointestinal inflammation
Niu Y, Heddes M, Altaha B, Birkner M, Kleigrewe K, Meng C, et al.
2024Research article
Design not recorded in structured metadata
55cc by
PMID 38918576 · DOI · PMC11291886
Circadian Rhythms, Chrononutrition, Physical Training, and Redox Homeostasis-Molecular Mechanisms in Human Health
Drăgoi CM, Nicolae AC, Ungurianu A, Margină DM, Grădinaru D, Dumitrescu IB
2024Review article
Design not recorded in structured metadata
54cc by
PMID 38247830 · DOI · PMC10814043
A circadian checkpoint relocates neutrophils to minimize injury
Aroca-Crevillén A, Martín-Salamanca S, Torres LS, Crainiciuc G, Sicilia J, Peñaloza-Martínez E, et al.
2026Research article
Design not recorded in structured metadata
9cc by
PMID 41385080 · DOI · PMC7618653

Synaptic connectome of the Drosophila circadian clock [1]

Research article Reinhard N, Fukuda A, Manoli G, Derksen E, Saito A, Möller G, et al. · · 2024 · cited 89 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The circadian clock and its output pathways play a pivotal role in optimizing daily processes.
Closing excerpt
Our analyses identified additional novel neuropeptides expressed in clock neurons and suggest that peptidergic signaling significantly enriches interconnectivity within the clock network.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (167 words)

The circadian clock and its output pathways play a pivotal role in optimizing daily processes. To obtain insights into how diverse rhythmic physiology and behaviors are orchestrated, we have generated a comprehensive connectivity map of an animal circadian clock using the Drosophila FlyWire brain connectome. Intriguingly, we identified additional dorsal clock neurons, thus showing that the Drosophila circadian network contains ~240 instead of 150 neurons. We revealed extensive contralateral synaptic connectivity within the network and discovered novel indirect light input pathways to the clock neurons. We also elucidated pathways via which the clock modulates descending neurons that are known to regulate feeding and reproductive behaviors. Interestingly, we observed sparse monosynaptic connectivity between clock neurons and downstream higher-order brain centers and neurosecretory cells known to regulate behavior and physiology. Therefore, we integrated single-cell transcriptomics and receptor mapping to decipher putative paracrine peptidergic signaling by clock neurons. Our analyses identified additional novel neuropeptides expressed in clock neurons and suggest that peptidergic signaling significantly enriches interconnectivity within the clock network.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 39638801 · DOI · PMC11621569

Targeting the intestinal circadian clock by meal timing ameliorates gastrointestinal inflammation [2]

Research article Niu Y, Heddes M, Altaha B, Birkner M, Kleigrewe K, Meng C, et al. · · 2024 · cited 55 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
The expression of clock genes has been observed to be impaired in biopsies from patients with inflammatory bowel disease (IBD).
Closing excerpt
Enhancing intestinal clock function by RF modulates the pathogenesis of IBD and thus could become a novel strategy to ameliorate symptoms in IBD patients.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (240 words)

The expression of clock genes has been observed to be impaired in biopsies from patients with inflammatory bowel disease (IBD). Disruption of circadian rhythms, which occurs in shift workers, has been linked to an increased risk of gastrointestinal diseases, including IBD. The peripheral circadian clock in intestinal epithelial cells (IECs) was previously shown to balance gastrointestinal homeostasis by regulating the microbiome. Here, we demonstrated that the intestinal clock is disrupted in an IBD-relevant mouse model (IL-10-/-). A lack of the intestinal clock gene (Bmal1) in intestinal epithelial cells (IECs) in a chemically and a novel genetically induced colitis model (DSS, Bmal1IEC-/-xIL-10-/-) promoted colitis and dramatically reduced survival rates. Germ-free Bmal1IEC-/- mice colonized with disease-associated microbiota from IL-10-/- mice exhibited increased inflammatory responses, highlighting the importance of the local intestinal clock for microbiota-induced IBD development. Targeting the intestinal clock directly by timed restricted feeding (RF) in IL-10-/- mice restored intestinal clock functions, including immune cell recruitment and microbial rhythmicity; improved inflammatory responses; dramatically enhanced survival rates and rescued the histopathological phenotype. In contrast, RF failed to improve IBD symptoms in Bmal1IEC-/-xIL-10-/- mice, demonstrating the significance of the intestinal clock in determining the beneficial effect of RF. Overall, we provide evidence that intestinal clock dysfunction triggers host immune imbalance and promotes the development and progression of IBD-like colitis. Enhancing intestinal clock function by RF modulates the pathogenesis of IBD and thus could become a novel strategy to ameliorate symptoms in IBD patients.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 38918576 · DOI · PMC11291886

Circadian Rhythms, Chrononutrition, Physical Training, and Redox Homeostasis-Molecular Mechanisms in Human Health [3]

Review article Drăgoi CM, Nicolae AC, Ungurianu A, Margină DM, Grădinaru D, Dumitrescu IB · · 2024 · cited 54 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
A multitude of physiological processes, human behavioral patterns, and social interactions are intricately governed by the complex interplay between external circumstances and endogenous circadian rhythms.
Closing excerpt
This comprehensive review endeavors to synthesize existing empirical evidence that substantiates the conceptual integration of the circadian clock, biochemical molecular homeostasis, oxidative stress, and the stimuli imparted by physical exercise, sleep, and nutrition.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (191 words)

A multitude of physiological processes, human behavioral patterns, and social interactions are intricately governed by the complex interplay between external circumstances and endogenous circadian rhythms. This multidimensional regulatory framework is susceptible to disruptions, and in contemporary society, there is a prevalent occurrence of misalignments between the circadian system and environmental cues, a phenomenon frequently associated with adverse health consequences. The onset of most prevalent current chronic diseases is intimately connected with alterations in human lifestyle practices under various facets, including the following: reduced physical activity, the exposure to artificial light, also acknowledged as light pollution, sedentary behavior coupled with consuming energy-dense nutriments, irregular eating frameworks, disruptions in sleep patterns (inadequate quality and duration), engagement in shift work, and the phenomenon known as social jetlag. The rapid evolution of contemporary life and domestic routines has significantly outpaced the rate of genetic adaptation. Consequently, the underlying circadian rhythms are exposed to multiple shifts, thereby elevating the susceptibility to disease predisposition. This comprehensive review endeavors to synthesize existing empirical evidence that substantiates the conceptual integration of the circadian clock, biochemical molecular homeostasis, oxidative stress, and the stimuli imparted by physical exercise, sleep, and nutrition.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 38247830 · DOI · PMC10814043

A circadian checkpoint relocates neutrophils to minimize injury [4]

Research article Aroca-Crevillén A, Martín-Salamanca S, Torres LS, Crainiciuc G, Sicilia J, Peñaloza-Martínez E, et al. · · 2026 · cited 9 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Inflammation-driven injury, a significant source of morbidity and mortality worldwide, is largely mediated by the cytotoxic activities of neutrophils, which extend the initial lesion and jeopardize organ function.
Closing excerpt
Thus, a circadian neutrophil checkpoint protects from exuberant inflammation and can be activated to protect the host.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (150 words)

Inflammation-driven injury, a significant source of morbidity and mortality worldwide, is largely mediated by the cytotoxic activities of neutrophils, which extend the initial lesion and jeopardize organ function. Intriguingly, inflammatory injury naturally declines at specific times of day, suggesting that circadian mechanisms exist that mitigate the destructive activity of neutrophils and protect the host. Here, we show that the periods of diurnal protection coincide with peaks in plasma CXCL12, a chemokine that inhibits the neutrophil-intrinsic circadian clock by signaling through CXCR4. Genetic deletion of this clock, or a hyperactive form of CXCR4, prevented the diurnal spikes of injury, and treatment with a synthetic CXCR4 agonist conferred protection from myocardial and vascular injury. In tissues, this protection was mediated by repositioning neutrophils in the wound core, which spared neighboring host cells from apoptotic death. Thus, a circadian neutrophil checkpoint protects from exuberant inflammation and can be activated to protect the host.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 41385080 · DOI · PMC7618653

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Circadian Mechanisms in Medicine [5]
    Allada R, Bass J · N Engl J Med · 2021 · cited 436 times (Europe PMC)
  • Research article Molecular regulations of circadian rhythm and implications for physiology and diseases [6]
    Fagiani F, Di Marino D, Romagnoli A, Travelli C, Voltan D, Di Cesare Mannelli L, et al. · Signal Transduct Target Ther · 2022 · cited 365 times (Europe PMC)
  • Research article Clocks, cancer, and chronochemotherapy [7]
    Sancar A, Van Gelder RN · Science · 2021 · cited 221 times (Europe PMC)
  • Research article Circadian Rhythms Disrupted by Light at Night and Mistimed Food Intake Alter Hormonal Rhythms and Metabolism [8]
    Meléndez-Fernández OH, Liu JA, Nelson RJ · Int J Mol Sci · 2023 · cited 150 times (Europe PMC)
  • Research article Roles of circadian clocks in cancer pathogenesis and treatment [9]
    Lee Y · Exp Mol Med · 2021 · cited 146 times (Europe PMC)
  • Research article Interconnections between circadian clocks and metabolism [10]
    Guan D, Lazar MA · J Clin Invest · 2021 · cited 143 times (Europe PMC)

References

  1. Reinhard N, Fukuda A, Manoli G, Derksen E, Saito A, Möller G, et al.. Synaptic connectome of the Drosophila circadian clock. . 2024. PMID 39638801 · DOI · PMC11621569
  2. Niu Y, Heddes M, Altaha B, Birkner M, Kleigrewe K, Meng C, et al.. Targeting the intestinal circadian clock by meal timing ameliorates gastrointestinal inflammation. . 2024. PMID 38918576 · DOI · PMC11291886
  3. Drăgoi CM, Nicolae AC, Ungurianu A, Margină DM, Grădinaru D, Dumitrescu IB. Circadian Rhythms, Chrononutrition, Physical Training, and Redox Homeostasis-Molecular Mechanisms in Human Health. . 2024. PMID 38247830 · DOI · PMC10814043
  4. Aroca-Crevillén A, Martín-Salamanca S, Torres LS, Crainiciuc G, Sicilia J, Peñaloza-Martínez E, et al.. A circadian checkpoint relocates neutrophils to minimize injury. . 2026. PMID 41385080 · DOI · PMC7618653
  5. Allada R, Bass J. Circadian Mechanisms in Medicine. N Engl J Med. 2021. PMID 33567194 · DOI · PMC8108270
  6. Fagiani F, Di Marino D, Romagnoli A, Travelli C, Voltan D, Di Cesare Mannelli L, et al.. Molecular regulations of circadian rhythm and implications for physiology and diseases. Signal Transduct Target Ther. 2022. PMID 35136018 · DOI · PMC8825842
  7. Sancar A, Van Gelder RN. Clocks, cancer, and chronochemotherapy. Science. 2021. PMID 33384351 · DOI
  8. Meléndez-Fernández OH, Liu JA, Nelson RJ. Circadian Rhythms Disrupted by Light at Night and Mistimed Food Intake Alter Hormonal Rhythms and Metabolism. Int J Mol Sci. 2023. PMID 36834801 · DOI · PMC9963929
  9. Lee Y. Roles of circadian clocks in cancer pathogenesis and treatment. Exp Mol Med. 2021. PMID 34615982 · DOI · PMC8568965
  10. Guan D, Lazar MA. Interconnections between circadian clocks and metabolism. J Clin Invest. 2021. PMID 34338232 · DOI · PMC8321578

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-31.

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Related research topics

  • Circadian RhythmAnatomy and Physiology
  • PeriodicityAnatomy and Physiology
  • Retinal Ganglion CellsNeuroscience
  • ChronotypeAnatomy and Physiology
  • Immune SystemAnatomy and Physiology
  • Respiratory SystemAnatomy and Physiology

All 542 articles in Anatomy and Physiology →

At a glance

6,585
PubMed records on this heading
47%
published since 2020
1,737
review articles
27
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-31; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • Circadian RhythmAnatomy and Physiology
  • PeriodicityAnatomy and Physiology
  • Retinal Ganglion CellsNeuroscience
  • ChronotypeAnatomy and Physiology
  • Immune SystemAnatomy and Physiology

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Sources

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