Pioneering new frontiers in circadian medicine chronotherapies for cardiovascular health

Ifene David Festus; Jeri Spilberg; Martin E Young; Sean Cain; Sepideh Khoshnevis; Michael H Smolensky; Fariya Zaheer; Giannina Descalzi; Tami A Martino

doi:10.1016/j.tem.2024.02.011

Pioneering new frontiers in circadian medicine chronotherapies for cardiovascular health

Trends Endocrinol Metab. 2024 Mar 7:S1043-2760(24)00040-7. doi: 10.1016/j.tem.2024.02.011. Online ahead of print.

Authors

Ifene David Festus¹, Jeri Spilberg¹, Martin E Young², Sean Cain³, Sepideh Khoshnevis⁴, Michael H Smolensky⁵, Fariya Zaheer⁶, Giannina Descalzi⁶, Tami A Martino⁷

Affiliations

¹ Centre for Cardiovascular Investigations, University of Guelph; Guelph, Ontario, Canada; Department of Biomedical Sciences, University of Guelph; Guelph, Ontario, Canada.
² Division of Cardiovascular Disease, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA.
³ Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia.
⁴ Department of Biomedical Engineering, Cockrell School of Engineering, The University of Texas at Austin, Austin, TX, USA.
⁵ Department of Biomedical Engineering, Cockrell School of Engineering, The University of Texas at Austin, Austin, TX, USA; Department of Internal Medicine, Division of Cardiology, McGovern School of Medicine, The University of Texas Health Science Center at Houston, Houston, TX, USA.
⁶ Department of Biomedical Sciences, University of Guelph; Guelph, Ontario, Canada.
⁷ Centre for Cardiovascular Investigations, University of Guelph; Guelph, Ontario, Canada; Department of Biomedical Sciences, University of Guelph; Guelph, Ontario, Canada. Electronic address: tmartino@uoguelph.ca.

PMID: 38458859
DOI: 10.1016/j.tem.2024.02.011

Abstract

Cardiovascular disease (CVD) is a global health concern. Circadian medicine improves cardiovascular care by aligning treatments with our body's daily rhythms and their underlying cellular circadian mechanisms. Time-based therapies, or chronotherapies, show special promise in clinical cardiology. They optimize treatment schedules for better outcomes with fewer side effects by recognizing the profound influence of rhythmic body cycles. In this review, we focus on three chronotherapy areas (medication, light, and meal timing) with potential to enhance cardiovascular care. We also highlight pioneering research in the new field of rest, the gut microbiome, novel chronotherapies for hypertension, pain management, and small molecules that targeting the circadian mechanism.

Keywords: cardiovascular disease; chronotherapy; circadian biology; feeding/fasting; heart clock; hypertension; light; rest.

Publication types

Review