Evidence map›Paper›PMID 40652400›Full record

ReviewAnnals of medicine2025

Clock genes in pancreatic disease progression: from circadian regulation to dysfunction.

Tiankuo Zheng, Kunpeng Wang, Qiao Shi, Lilong Zhang, Qihao Yan, Wanrong Jiang, Chen Chen, Kailiang Zhao, Jiarui Feng, Weixing Wang

Abstract readReview
In one paragraph

Review in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Tiankuo ZhengDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Kunpeng WangDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Qiao ShiDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Lilong ZhangDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Qihao YanDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Wanrong JiangDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Chen ChenDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Kailiang ZhaoDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Jiarui FengDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Weixing WangDepartment of General Surgery, Renmin Hospital of Wuhan University, Wuhan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCircadian rhythms, governed by core clock genes, are essential for maintaining metabolic, endocrine, and immune homeostasis. Disruption of these rhythms has been increasingly implicated in the pathogenesis of various pancreatic diseases.

objectiveThis review summarizes current evidence on the role of circadian rhythm disruption in pancreatic diseases, including type 2 diabetes (T2D), type 1 diabetes (T1D), pancreatitis, and pancreatic cancer (PC), with a focus on underlying mechanisms involving clock gene dysregulation. RECENT

findingsIn T2D, dampened oscillations of clock gene expression in pancreatic islets are associated with impaired insulin secretion and loss of cellular synchrony. In T1D, circadian dysregulation enhances immune activation and reduces β-cell tolerance, accelerating disease progression. In pancreatitis, especially in chronic forms, loss of core clock components such as Bmal1 exacerbates pancreatic stellate cell activation, fibrosis, and inflammatory cytokine release. Additionally, circadian disruption has been linked to pancreatic tumorigenesis, suggesting a potential role of clock genes in early cancer development through modulation of the inflammatory microenvironment and stromal remodeling.

conclusionCircadian clock genes play a multifaceted role in pancreatic disease pathophysiology, extending beyond metabolic regulation to influence immune responses, inflammation, and tumorigenesis. Understanding these mechanisms may inform the development of novel circadian-based therapeutic strategies for pancreatic disorders.

Indexed as

Circadian ClocksCircadian RhythmCLOCK ProteinsPancreatic DiseasesAnimalsDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Disease ProgressionHumansPancreatic NeoplasmsPancreatitisCLOCK ProteinsCircadian rhythmsclock genesdiabetes mellituspancreatic cancerpancreatic diseasespancreatitis

Identifiers

PMID40652400
PMCPMC12258174

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.