Exploring Circadian Clock Effects on Disease Diagnosis, Progression, and Therapeutic Approaches

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Clinical Laboratory Medicine".

Deadline for manuscript submissions: 31 March 2026 | Viewed by 1452

Special Issue Editor


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Guest Editor
Institute of Molecular Medicine, McGovern Medical School at the University of Texas Health Science Center (UT Health), Houston, TX, USA
Interests: the circadian clock and disease

Special Issue Information

Dear Colleagues,

Circadian clocks are endogenous oscillators that govern an organism’s 24-hour physiological and behavioral rhythms. The central circadian clock orchestrates various facets of mammalian physiology, including sleep regulation, metabolism, and immune function. Biological timing is crucial for maintaining the body's homeostasis, and any disruptions in the biological synchronization mechanisms have significant pathological consequences. Recent studies have revealed the significant consequences of circadian rhythm disruption, which can stem from intrinsic factors such as clock gene mutations and aging or extrinsic factors such as shift work, jet lag, and nutritional imbalances. These disruptions have been associated with a range of disorders, including infectious diseases, insomnia, inflammation, compromised immune function, metabolic syndrome, Alzheimer’s disease, obesity, hypertension, depression, cardiovascular diseases, and cancer. Targeting the circadian clock presents a promising strategy to alleviate these issues. Chronobiology, the study of time-related biological processes, has gained increasing attention in disease management and diagnosis.

In this Special Issue, we invite our colleagues to contribute their original research articles, reviews, mini-reviews, methods, and commentaries focusing on a range of sub-topics that delve into the intricate connection between the circadian clock and diseases.

Examining circadian variability in evaluating biomarkers for research and clinical practice and ensuring accurate quantification. The following topics are of particular interest to this Special Issue:

  • Clinical, experimental, or mechanistic evidence indicating that circadian clock components can function, whether directly or indirectly, as biomarkers for the early diagnosis or progression of diseases including but not limited to cancer, obesity, neurodegenerative conditions, and metabolic disorders, and studies that offer potential avenues for improving and managing the conditions by targeting circadian clock.
  • Studies providing compelling evidence supporting the influence of chronobiology on the effectiveness of disease screenings. Furthermore, findings that emphasize and optimize the timing of screenings to align with circadian variations and how they could affect efficacy.
  • Research studies that inspect circadian impacts on microbial growth, infections, and immune responses as well as the role of the circadian clock in influencing immunity development or disruptions leading to autoimmune disorders, along with the regulation of innate and adaptive immunity. Studies focusing on enhancing the diagnostic accuracy for infectious diseases and improving treatment efficacy by strategically targeting the circadian clock and immunity.
  • Research demonstrating how circadian insights influence the precision of treatment in clinical decision support systems.

Dr. Baharan Fekry
Guest Editor

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Keywords

  • circadian clocks
  • circadian rhythm disorders
  • diagnosis
  • management

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Published Papers (1 paper)

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Research

20 pages, 713 KB  
Article
Circadian Rhythm and Psychiatric Features in Wolfram Syndrome: Toward Chrono Diagnosis and Chronotherapy
by Gema Esteban-Bueno, Annabel Jiménez-Soto, Juan Luis Fernández-Martínez, Enrique Fernández-Vilas and Juan R. Coca
Diagnostics 2025, 15(18), 2338; https://doi.org/10.3390/diagnostics15182338 - 15 Sep 2025
Viewed by 894
Abstract
Background/Objectives: Wolfram syndrome is a rare neurodegenerative disorder primarily known for its multisystemic manifestations. Although classically associated with diabetes insipidus, diabetes mellitus, optic atrophy, and deafness, emerging evidence suggests a consistent pattern of executive dysfunction in many affected individuals. Methods: Based on findings [...] Read more.
Background/Objectives: Wolfram syndrome is a rare neurodegenerative disorder primarily known for its multisystemic manifestations. Although classically associated with diabetes insipidus, diabetes mellitus, optic atrophy, and deafness, emerging evidence suggests a consistent pattern of executive dysfunction in many affected individuals. Methods: Based on findings from a scoping review and results obtained through the Dysexecutive Questionnaire in a Spanish patient cohort, we propose that WFS1 gene mutations—via chronic endoplasmic reticulum stress—disrupt serotonergic and cholinergic neurotransmission, leading to impairments in planning, inhibition, and emotional regulation. Results: Importantly, recent studies have highlighted the interplay between WFS1-related molecular dysfunction and circadian regulation. Given the role of the endoplasmic reticulum and mitochondrial signaling in circadian homeostasis, and the frequent sleep disturbances observed in patients with Wolfram syndrome, we hypothesize that circadian dysregulation may contribute to the neurobehavioral phenotype. Conclusions: This essay explores neuropsychological foundations of executive dysfunction in WS, and frames the current evidence as hypothesis-generating rather than causal; executive difficulties may be a salient clinical feature and merit consideration in routine care. Furthermore, the potential involvement of circadian mechanisms opens new avenues for future research and therapeutic approaches. Because circadian disruption is linked to psychiatric symptoms and fatigue, emphasizing diurnal patterns, sleep–wake timing, and chronotype may guide circadian-informed assessment. Full article
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