The Lancet. Neurology

Links between body clock rhythms and brain diseases that worsen over time

Updated

Abstract

Circadian rhythm disruptions are observed in ageing adults, particularly in those with neurodegenerative diseases such as Alzheimer's and Parkinson's.

  • Disruptions in 24-hour circadian rhythms are common in older adults, with greater severity in neurodegenerative diseases.
  • The type and severity of neurodegenerative disease influence the specific manifestations of circadian rhythm disruptions.
  • For some patients, circadian rhythm disruptions may occur before typical clinical symptoms of neurodegeneration appear.
  • Preliminary evidence suggests that circadian rhythm disruptions could be a risk factor for developing Alzheimer's disease and related dementias, as well as Parkinson's disease.
  • The relationship between circadian rhythms and neurodegeneration requires confirmation through large, longitudinal studies.
  • Proposed mechanisms linking circadian rhythms to neurodegeneration include changes in protein balance and immune/inflammatory processes.

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Full Text

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Funding

Competing interests

Declaration of interests. E.S.M receives personal fees from Eisai Pharmaceuticals and GLG Consulting. F.P.C. receives book royalties from Oxford University Press. K.Y. serves on DSMBs for Takeda, Eli Lilly, and an NIH sponsored study and is a member of the Beeson Scholars in Aging Scientific Advisory Board and a Senate member of the German Center for Neurodegenerative Diseases. All other authors declare not competing interests.
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