Recent advances in understanding the kidney circadian clock mechanism

Am J Physiol Renal Physiol. 2024 Mar 1;326(3):F382-F393. doi: 10.1152/ajprenal.00214.2023. Epub 2024 Jan 4.

Abstract

Circadian rhythms are endogenous biological oscillations that regulate various physiological processes in organisms, including kidney function. The kidney plays a vital role in maintaining homeostasis by regulating water and electrolyte balance, blood pressure, and excretion of metabolic waste products, all of which display circadian rhythmicity. For this reason, studying the circadian regulation of the kidney is important, and the time of day is a biological and experimental variable that must be considered. Over the past decade, considerable progress has been made in understanding the molecular mechanisms underlying circadian regulation within the kidney. In this review, the current knowledge regarding circadian rhythms in the kidney is explored, focusing on the molecular clock machinery, circadian control of renal functions, and the impact of disrupted circadian rhythms on kidney health. In addition, parameters that should be considered and future directions are outlined in this review.

Keywords: blood pressure; circadian rhythm; endothelin; renal function; sex differences.

Publication types

  • Review

MeSH terms

  • Circadian Clocks*
  • Circadian Rhythm / physiology
  • Homeostasis
  • Kidney / metabolism
  • Water-Electrolyte Balance