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Writer's pictureTeresa Rodríguez

Could ketone bodies, particularly β-hydroxybutyrate (BHB), influence the circadian rhythm?



Yes! This is due to their ability to act as signaling molecules in cellular and metabolic processes that are linked to the circadian system.


Here is a summary of how BHB can interact with the circadian rhythm:


1. Effects of BHB on the Molecular Circadian Clock

Epigenetic modulation:

BHB can act as an inhibitor of histone deacetylases (HDACs), influencing the expression of genes related to the circadian clock. This mechanism can alter the expression of key genes, such as CLOCK and BMAL1, that regulate the circadian rhythm.


Regulation of metabolic genes:

By influencing genes related to energy metabolism, BHB can synchronize metabolic processes with circadian cycles. This is relevant for tissues such as the liver, where ketone body production is influenced by diurnal rhythms.


2. Relationship between Fasting, BHB and Circadian Rhythms

Fasting and feeding-fasting cycles:

Prolonged fasting, which elevates BHB levels, can synchronize peripheral circadian clocks, helping to coordinate metabolic functions with the light-dark cycle. This occurs because ketone bodies act as metabolic signals during periods of caloric restriction, linking energy metabolism to the circadian system.


Diurnal BHB production:

During nocturnal (or prolonged) fasting, BHB levels tend to be higher, which could impact the rhythmic expression of metabolic genes. These changes are part of an adaptive mechanism that aligns energy requirements with physiological rhythms.



3. Neuroprotective Effects and Sleep Regulation

Influence on the suprachiasmatic nucleus (SCN):

The SCN, the main regulator of circadian rhythm in the brain, is influenced by metabolic signals. BHB may act as an alternative energy substrate for the brain and as a metabolic signal that could indirectly modulate SCN activity.


Sleep Regulation:

BHB has been associated with calming and neuroprotective effects, which could improve sleep quality, a fundamental component for circadian synchronization. For example, ketogenic diets have shown benefits in sleep disorders such as insomnia.



4. Therapeutic Implications

Circadian rhythm disorders:

BHB could be useful to regulate circadian imbalances in conditions such as delayed sleep phase syndrome or jet lag, by influencing metabolic synchronization.


Metabolic diseases:

Since circadian imbalances are linked to diseases such as diabetes and obesity, BHB may play a regulatory role by synchronizing metabolic function with circadian rhythms.


5. Scientific Evidence

Animal studies and cell models:

In preclinical studies, BHB has been shown to modulate circadian gene activity and improve metabolic synchronization. For example, it has been observed to elevate the expression of genes related to mitochondrial function and energy metabolism in a time-dependent manner.


Ketogenic diet and circadian rhythms:

In clinical studies, the ketogenic diet, which increases BHB levels, has been shown to positively influence sleep patterns and diurnal energy, suggesting a modulating effect on the circadian rhythm.


Conclusion

BHB may influence the circadian rhythm by modulating the expression of genes related to the circadian clock, regulating energy metabolism, and synchronizing metabolic processes with light-dark cycles. These properties make it an interesting candidate for addressing circadian and metabolic disorders.



References:

  1. Shimazu, T., Hirschey, M. D., Newman, J., He, W., Shirakawa, K., Le Moan, N., Grueter, C. A., Lim, H., Saunders, L. R., Stevens, R. D., Newgard, C. B., & Verdin, E. (2013).Suppression of oxidative stress by β-hydroxybutyrate, an endogenous histone deacetylase inhibitor.Science, 339(6116), 211-214.

  2. Chaix, A., Zarrinpar, A., Miu, P., & Panda, S. (2014). Time-restricted feeding is a preventative and therapeutic intervention against diverse nutritional challenges. Cell Metabolism, 20(6), 991-1005.

  3. Liu, J., & Yang, T. (2021). Interplay between circadian clocks and ketone bodies.Frontiers in Physiology, 12, 727234.

  4. Evans, C. R., & Cogan, K. E. (2022).Ketogenic diets and circadian rhythms: Synergistic benefits for metabolism and performance.Nutrients, 14(5), 1042.

  5. Peek, C. B., Affinati, A. H., Ramsey, K. M., Kuo, H. Y., Yu, W., Sena, L. A., Ilkayeva, O., Marcheva, B., Kobayashi, Y., Rhoades, S. D., & Bass, J. (2013). Circadian clock NAD+ cycle drives mitochondrial oxidative metabolism in mice. Science, 342(6158), 1243417.



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