Table 5 Human studies on NSW and clock genes

From: Night shift work and breast cancer: from etiopathology to precision risk analysis

NSW Effect

Parameter(s)

Outcome

Year

Ref.

Epigenetic alterations in core clock genes

DNA methylation: CLOCK (promoter), CRY2 (promoter)

CLOCK ↓meth; CRY2 ↑meth

2011

216

Altered circadian gene expression (not significant after adjustment)

mRNA (PER1, PER3) in peripheral blood leukocytes

PER1, PER3 ↑ (ns)

2013

205

No significant difference in clock gene expression

Peripheral lymphocyte clock gene mRNA

↔ unchanged gene expression

2013

206

Shift-dependent variation of PER2

mRNA (PER2, NR1D1, ESR2) in blood

PER2 ↑ (night), ↓ (day); NR1D1, ESR2 ↔

2015

207

Genome-wide circadian gene hypomethylation

DNA methylation: CLOCK, BMAL1, PER1–3, CSNK1D/E, NPAS2, RORA

↓meth (multiple)

2015

214

Alcohol modulated peripheral clock gene rhythm

mRNA (CLOCK, BMAL1, PER1, CRY2, PER2) in blood

↑amplitude CLOCK, BMAL1, PER1, CRY2

2016

143

Differential methylation of clock genes linked to BC risk

DNA methylation: CLOCK, BMAL1, PER1, CRY1

CLOCK/BMAL1/PER1 ↑meth; CRY1 ↓meth

2017

213

Dampened amplitude and phase misalignment of rhythmic transcripts

mRNA (PER1, DBP, BMAL1, NR1D1, NR1D2) in PBMCs

↓amplitude, phase shift

2018

208

Reduced expression of PER3 and NR1D2

mRNA in beard follicle cells

PER3, NR1D2 ↓

2019

209

Gene–environment interaction in BC risk

CLOCK, CRY2, RORA SNPs

CRY2 (rs2292912) + NSW ↑ BC risk; RORA (rs1482057) ↑ BC risk

2019

195

Light therapy modulated circadian gene markers

mRNA (REV-ERBα, BMAL1) in PBMCs

REV-ERBα ↓ ; REV-ERBα/BMAL1 ratio ↑

2022

211

Differential methylation of circadian genes by shift duration

DNA methylation: CSNK1E, NR1D1, BMAL1

CSNK1E ↑meth; NR1D1 ↓meth; BMAL1 ↑meth

2022

215

Melatonin-linked methylation patterns

DNA methylation: RORA, MTNR1A, PER3

RORA ↑meth; MTNR1A ↑ / ↓ ; PER3 ↓meth

2022

196

Increased clock gene expression post-shift with BP rise

mRNA (BMAL1, CLOCK, PER1–3) in blood; BP

All ↑; ↑SBP/DBP, non-dipping

2023

210

NSW–genotype interaction in T2D risk

CLOCK rs1801260, MTNR1A/B variants

Gene–environment ↑T2D risk

2023

217

Epigenetic alterations in core clock genes

DNA methylation: CRY2, CSNK1D, RORA, RORC

Differential meth (↑/↓)

2023

33

Dysregulated clock gene expression linked to BC susceptibility

mRNA (PER1, TEF, CLOCK)

PER1, TEF ↓ ; CLOCK ↑

2024

26

Disrupted rhythmicity of core clock genes

mRNA (PER2, PER3, BMAL1, ESR1/2) in PBMCs

PER2/BMAL1 rhythm lost; PER1, ESR1 altered

2024

212

Genetic protection vs hypertension under NSW

CLOCK rs1801260, BMAL1 rs11022775

GG (CLOCK), TT (BMAL1) → ↓ HTN risk

2024

218

  1. NSW night shift work, BC breast cancer, BP blood pressure, SBP/DBP systolic/diastolic blood pressure, PBMCs peripheral blood mononuclear cells, mRNA messenger RNA, meth. DNA methylation, CpG cytosine–phosphate–guanine dinucleotide, SNP single-nucleotide polymorphism, TSS transcription start site, UTR untranslated region, T2D type 2 diabetes, BMAL1 (ARNTL), brain and muscle ARNT-like 1, REV-ERBα (NR1D1) nuclear receptor subfamily 1 group D member 1, CRY1/CRY2 cryptochrome circadian regulator 1/2, PER1–3 period circadian regulator 1–3, CLOCK circadian locomotor output cycles kaput, NPAS2 neuronal PAS domain protein 2, CSNK1D/E casein kinase 1 delta/epsilon, RORA/RORC retinoic acid receptor-related orphan receptor α/γ, TEF thyrotroph embryonic factor, DBP D-box binding PAR bZIP transcription factor, ESR1/ESR2 estrogen receptor α/β, MTNR1A/B melatonin receptor 1A/1B, ↑, increase/upregulation/hypermethylation; ↓, decrease/downregulation/hypomethylation; ↔, no significant change.