Nature communications

Control of medicine release based on daily body rhythm signals

Updated

Abstract

Essence

Researchers engineered a melatonin-responsive gene switch that drove nighttime GLP-1 release in a proof-of-concept diabetes cell therapy model.

Evidence

This synthetic biology and implanted-cell experiment identified as a circadian sensor and showed alginate-encapsulated engineered cells in male C3H/HeJ mice responded to physiologic melatonin or MTNR1A agonists with nighttime-only GLP-1 expression.

Caveat

The therapeutic evidence is preclinical and limited to implanted engineered cells in male mice, so human efficacy and safety remain unknown.

Simplified

Key numbers

40×
Increase in expression
Induction level of production in engineered cells upon treatment.
50 pM
threshold for therapeutic efficacy
Threshold level for in the bloodstream to restore normoglycemia.

Key figures

Fig. 1
Circadian biomarker oscillations and engineered cell responses to and .
Highlights strong, receptor-specific protein expression responses to circadian biomarkers TSH and melatonin in engineered cells.
41467_2025_64761_Fig1_HTML
  • Panel a
    Oscillatory patterns of circadian biomarkers TSH and melatonin over 24 hours, with distinct night peaks.
  • Panel b
    Schematic of engineered cells with surface receptors detecting circadian biomarkers to trigger protein secretion.
  • Panel c
    secretion levels in cells transfected with TSH receptor show a 4.4-fold increase after 24 h induction with 30 pM TSH.
  • Panel d
    SEAP secretion levels in cells with melatonin receptors or MTNR1B after 24 h induction with 100 nM melatonin; MTNR1A shows a 17.7-fold increase, MTNR1B shows no significant change.
Fig. 2
Optimization of receptor signaling and combinations for gene expression control
Highlights how promoter and reporter choices affect melatonin-induced gene expression strength and inducibility in engineered cells.
41467_2025_64761_Fig2_HTML
  • Panel a
    expression levels from various signaling pathways after 24 h melatonin (MTN) induction, with CRE and CRE-SRE-NFAT pathways showing significant increases.
  • Panel b
    SEAP expression driven by pCK53 promoter variant with four constitutive promoters (CMV, SV40, mPGK, EF1α); melatonin treatment (blue) visibly increases SEAP levels compared to untreated (gray), especially for SV40 and EF1α.
  • Panel c
    SEAP expression driven by pSP16 promoter variant with the same four constitutive promoters; melatonin treatment increases SEAP levels across all promoters, with SV40 and EF1α showing higher expression.
  • Panel d
    SEAP expression driven by pVH421 promoter variant with four constitutive promoters; melatonin treatment increases SEAP expression notably for SV40, mPGK, and EF1α promoters.
  • Panels e–f
    Heatmaps showing maximal gene expression capacity (e) and by melatonin (f) for all promoter and reporter combinations; mPGK with pCK53 shows highest expression capacity, while EF1α with pSP16 shows highest fold induction.
Fig. 3
-induced expression and secretion dynamics in engineered mammalian cells
Highlights tunable, reversible melatonin-triggered protein expression and secretion in engineered cells for circadian biomarker sensing.
41467_2025_64761_Fig3_HTML
  • Panel a
    activity measured 24 h after 100 nM melatonin treatment in various mammalian cell lines transfected with and SEAP reporter; melatonin-treated cells show visibly higher SEAP levels than untreated controls.
  • Panel b
    Dose-response curve of SEAP expression in HEK293T cells 24 h after melatonin treatment showing increasing SEAP levels with melatonin concentration, with physiological melatonin levels indicated.
  • Panel c
    SEAP expression in HEK293T cells after 24 h treatment with different MTNR1A (Ramelteon, Agomelatine, Piromelatine, Tasimelteon) showing dose-dependent increases in SEAP levels.
  • Panels d
    Time course of SEAP and nLuc expression in HEK293T cells after 10 nM melatonin induction, showing increasing reporter levels over 24 h compared to untreated controls.
  • Panel e
    SEAP secretion 24 h after melatonin induction in monoclonal cell line C16 with genome-integrated MTNR1A and SEAP reporter, showing dose-dependent SEAP increase.
  • Panel f
    SEAP secretion dynamics over 72 h in clone C16 treated with varying melatonin concentrations, showing time- and dose-dependent increases in SEAP levels.
  • Panel g
    Reversibility of SEAP expression in clone C16 over 96 h with alternating melatonin (10 nM) and standard media every 24 h, showing SEAP levels rising and falling accordingly.
  • Panel h
    Melatonin-dependent secretion measured by ELISA in monoclonal cell line C33 48 h after melatonin induction, showing dose-dependent increases in GLP-1 levels.
Fig. 4
-induced production from engineered cells implanted in mice under different conditions
Highlights melatonin-triggered GLP-1 production and dose-dependent therapeutic effects in implanted mice
41467_2025_64761_Fig4_HTML
  • Panel a
    Schematic of microencapsulated implanted in mice, engineered to produce GLP-1 in response to melatonin; microscopy image shows cells inside alginate-poly-L-lysine-alginate beads (scale bar: 200 µm)
  • Panel b
    GLP-1 secretion from encapsulated HEK cells cultured without or with 1000 pM melatonin; melatonin-treated samples show a 135-fold increase in GLP-1 levels
  • Panel c
    In vivo GLP-1 levels in mice after a single oral dose of 710 µg/kg melatonin over 24 h; melatonin-treated mice show significantly higher GLP-1 levels at 6, 8, 12, and 24 hours
  • Panel d
    GLP-1 and blood melatonin levels 24 h after implantation in C57BL/6J and C3H/HeJ mice housed in light or dark; C3H/HeJ dark group shows higher GLP-1 and melatonin levels than C57BL/6J
  • Panel e
    Dose-dependent increase of GLP-1 levels in mice 24 h after implantation and melatonin administration ranging from 0 to 5000 µg/kg
  • Panel f
    GLP-1 levels 24 h after implantation and melatonin doses from 0 to 5000 µg/kg with an indicated; GLP-1 exceeds threshold at higher melatonin doses
  • Panel g
    Fasting glycemia levels in db/db mice implanted with microencapsulated HEK cells and given melatonin doses; glycemia decreases significantly at melatonin doses ≥68 µg/kg compared to wild-type controls
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Full Text

What this is

  • This research explores a gene switch that uses () to control therapeutic protein release based on circadian rhythms.
  • The engineered system activates transgene expression in response to physiological melatonin levels, specifically during the night phase.
  • This approach could enable personalized therapies, particularly for conditions like obesity and type-2 diabetes, by aligning treatment with the body's natural rhythms.

Essence

  • The study demonstrates a melatonin-responsive gene switch that regulates GLP-1 expression in engineered cells, providing a potential therapeutic strategy for obesity and type-2 diabetes by leveraging circadian biology.

Key takeaways

  • The engineered cells can produce GLP-1 in response to melatonin, achieving up to 40× induction in vitro. This indicates a robust system for controlling therapeutic output based on circadian signals.
  • In vivo experiments show that melatonin administration leads to dose-dependent increases in GLP-1 levels in mice, restoring normoglycemia in type-2 diabetic models. This highlights the potential for nighttime therapies that align with natural hormone cycles.

Caveats

  • The system's effectiveness may be limited in older populations due to declining melatonin levels. Supplementation or alternative agonists may be necessary to maintain therapeutic efficacy.

Definitions

  • circadian rhythm: Natural, roughly 24-hour cycles regulating various physiological processes, influenced by environmental cues.
  • melatonin receptor 1A (MTNR1A): A receptor that mediates the effects of melatonin, involved in regulating circadian rhythms and various biological functions.

Simplified

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