The effects of the pineal gland on diurnal endocrine function were studied in male rats. Pineal stimulation by exposure to short daily photoperiods (1L:23D) did not alter plasma levels of testosterone, thyroid-stimulating hormone (TSH) or growth hormone (GH) as compared with those of controls maintained under normal (12L:12D) lighting. Pinealectomy lowered diurnal testosterone levels and increased TSH levels in animals maintained under lL:23D lighting. Pinealectomy also altered the TSH rhythm and shifted the peak in testosterone levels but did not abolish hormonal rhythms. Active immunization against melatonin and its precursor, N-acetylserotonin (NAS), significantly reduced diurnal androgen levels and elevated TSH levels in animals exposed to short photoperiods, but the 24-hour rhythms persisted. Plasma GH exhibited a diurnal rhythm in animals kept under short photoperiods but GH levels were not affected by any of the above treatments. These data suggest that melatonin and/or NAS may be involved in the maintenance of basal testosterone and TSH levels. The pineal may not be involved in generating hormonal rhythms; however, it may have a role in entraining TSH and testosterone rhythms to environmental lighting.

Glucagon is secreted from pancreatic alpha cells in response to low blood glucose and increases hepatic glucose production. Furthermore, glucagon enhances hepatic protein and lipid metabolism during a mixed meal. Glucagon-like peptide-1 (GLP-1) and glucose-dependent insulinotropic polypeptide (GIP) are secreted from gut endocrine cells during meals and control glucose homeostasis by potentiating insulin secretion and inhibiting food intake. Both glucose homeostasis and food intake have been reported to be affected by circadian rhythms and vice versa. In this study, we investigated whether the secretion of glucagon, GLP-1 and GIP was affected by circadian rhythms. A total of 24 healthy men with regular sleep schedules were examined for 24 h at the hospital ward with 15 h of wakefulness and 9 h of sleep. Food intake was standardized, and blood samples were obtained every third hour. Plasma concentrations of glucagon, GLP-1 and GIP were measured, and data were analyzed by rhythmometric statistical methods. Available data on plasma glucose and plasma C-peptide were also included. Plasma concentrations of glucagon, GLP-1, GIP, C-peptide and glucose fluctuated with a diurnal 24-h rhythm, with the highest levels during the day and the lowest levels during the night: glucagon (p < 0.0001, peak time 18:26 h), GLP-1 (p < 0.0001, peak time 17:28 h), GIP (p < 0.0001, peak time 18:01 h), C-peptide (p < 0.0001, peak time 17.59 h), and glucose (p < 0.0001, peak time 23:26 h). As expected, we found significant correlations between plasma concentrations of C-peptide and GLP-1 and GIP but did not find correlations between glucose concentrations and concentrations of glucagon, GLP-1 and GIP. Our results demonstrate that under meal conditions that are similar to that of many free-living individuals, plasma concentrations of glucagon, GLP-1 and GIP were observed to be higher during daytime and evening than overnight. These findings underpin disturbed circadian rhythm as a potential risk factor for diabetes and obesity. ClinicalTrials.gov Identifier: NCT06166368. Registered 12 December 2023.

Pharmacotherapy involving hormones and hormone-derived molecules has various potential treatment targets. This includes addressing (partial) hormonal deficiencies, pursuing osteoanabolic effects, providing contraceptive options, or supporting gender-affirming transitions. In chronotherapy, the timing of the administration of active ingredients and different pharmaceutical forms is leveraged to maximize therapeutic efficacy while minimizing adverse effects, based on the principle that it is optimal for drugs to be administered according to the body's circadian rhythms. Just as a drummer sets the pace and keeps the rhythm steady for the entire band, the physician, through the application of chronotherapy, ensures the treatment regimen is harmonized with the body's internal clock. However, while this is a consolidated aspect for several endocrine treatments, for others, it represents a novelty. The new advancements in the treatment of osteoporosis, with the latest parathyroid hormone-related protein analogue, abaloparatide, or in congenital adrenal hyperplasia with the new long-lasting hydrocortisone formulation, are notable examples. We herein summarized the state of the art regarding the hormonal circadian rhythm to discuss in depth the evidence available regarding the correct timing of commonly administered hormonal therapies in adult patients. By offering clear indications, this manuscript delves into the importance of harmonizing hormonal therapy with circadian rhythms through chronotherapy, exploring its potential to enhance therapeutic outcomes while minimizing adverse effects.

Purpose. The aim of this review was to systematically summarize the current literature on corticospinal excitation and muscle activity in restless legs syndrome (RLS) patients during daytime and diurnal activities. Three models of muscle activation in RLS directed this review: (i) evoked neuromuscular activation; (ii) sensory reflex responsiveness; (iii) voluntary muscle activation. Methods. A literature search was conducted in PubMed and Google Scholar, and 51 articles met the primary inclusion criteria. After a quality analysis, a total 13 articles were deemed of sufficient quality for data extraction. Results. Three studies on evoked neuromuscular activation demonstrated increased motor excitability associated with RLS. Sensory reflex responsiveness studies in RLS patients revealed increased reflex responsiveness, indicating increased spinal excitability and a possible dysfunction in afferent inhibition. Voluntary muscle activation studies showed both diurnal muscle electromyography abnormalities and an increased circadian variation in the musculature of the lower leg in RLS patients. Conclusions. Although a number of mechanisms have been evaluated increasing the understanding of RLS, few studies have evaluated RLS during daytime and diurnal muscle activity in patients with RLS. Furthermore, potential associations with the circadian rhythm have not been thoroughly investigated, nor have methodologies been combined. Future research should aim to establish differences in muscle activity of RLS patients and associate these differences with the duration and severity of symptoms. Suggestions for further studies are provided.

In young ovariectomized rats the SCN, MPN, and AN exhibited a diurnal rhythm in 5HT activity which was high during the light hours and low during the dark. The diurnal rhythm could not be detected in any hypothalamic nuclei of ovariectomized middle-aged animals. The loss in the circadian component of 5HT activity is not due to a loss in serotonergic function, since overall turnover rates were not reduced compared to young animals. Estrogen treatment modified the diurnal pattern of 5HT activity in the SCN, MPN, and AN in young rats but had no effect in the middle-aged rats. In young rats, estrogen induced a transitory rise in ME-5HT turnover at 1200 h, just before the expected onset of the LH surge. In middle-aged animals the increase in ME-5HT turnover did not occur until 1800 h and correlates with a delay in the initiation of the estradiol-induced LH surge. We conclude that: 1) there is a loss in the rhythm of 5HT activity in middle-aged rats and 2) the diurnal rhythmicity of 5HT turnover may be necessary for the maintenance of normal cyclic release of LH. Published in Endocrinology (1988)

Effect of adaptation to meal-feeding on insulin, glucagon and the cyclic nucleotide-protein kinase system in rats. Diurnal changes in insulin, glucagon and the cyclic nucleotide-protein kinase system were examined in rats trained to eat a 2-hour daily meal and in control rats fed ad libitum. Sharp increases in both insulin and glucagon were observed in response to feeding in trained rats. However, throughout most of the rest of the day, the plasma concentrations of both hormones were lower in meal-fed than in control rats. In adipose tissue, diurnal changes in cyclic AMP concentration were inversely correlated with changes in plasma insulin concentration. In general, cyclic AMP concentrations were depressed and cyclic GMP elevated in adipose tissue of meal-fed rats compared with those fed ad libitum. Diurnal changes in cyclic GMP concentration tended to parallel those of cyclic AMP. Cyclic AMP-activated protein kinase was elevated in adipose tissue of meal-fed rats. However, with the exception of fasting rats, the percentage of the enzyme in the active form was decreased. In liver, there was no clear relation significant differenced were observed with the protein kinase.

timing of the activity phase. Depending on their innate active phase, organisms can be classified into one of three categories: Diurnal, which describes Chronobiology is a field of biology that examines timing processes, including periodic (cyclic) phenomena in living organisms, such as their adaptation to solar- and lunar-related rhythms. These cycles are known as biological rhythms. Chronobiology comes from the ancient Greek χρόνος (chrónos, meaning "time"), and biology, which pertains to the study, or science, of life. The related terms chronom Infr…