Reprogramming the mitochondrial–circadian energy code with incretins

Apr 2, 2026Trends in endocrinology and metabolism: TEM

Changing the body's daily energy cycle through incretin hormones

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Abstract

Mitochondrial dysfunction, circadian disruption, and senescent cell accumulation are associated with impaired metabolic flexibility, a common feature of obesity and aging.

  • Obesity is framed as a nutrient-driven expression of disrupted mitochondrial and circadian energy regulation.
  • Aging is viewed as a time-driven expression of similar disruptions.
  • Impaired substrate switching and flattened energy rhythms are shared consequences of these disruptions.
  • Restoring mitochondrial-circadian code integrity may enhance metabolic flexibility, potentially guiding therapeutic approaches.
  • GLP-1 and dual GLP-1/GIP agonists could improve mitochondrial efficiency and support circadian alignment.
  • Node-specific and combination strategies may help reprogram energy coordination and delay age-related metabolic decline.

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