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. 2023 Dec 5;22(2):163–180. doi: 10.1007/s41105-023-00500-1

Table 1.

Summary for the association between PCA and circadian clock genes

Author Refs Study design Study size Function Main result
Wendeu-Foyet [111, 112] Case–control study 732 cases and 783 controls Genotyping prediction

The core-circadian pathway (CLOCK, BMAL1, CRY1/2, PER1/2/3, CSNK1E, NPAS2) (p = 0.0006) was correlated to PCA, both for low (p = 0.002) and high (p = 0.01) grade tumors

These pathway was also significant for nightshift workers with aggressive PCA (p = 0.004), and especially predominant for those working at night < 20 years (p = 0.0002) or receiving long nightshift > 10 h/night (p = 0.001)

ARNTL, NPAS2, and RORA were significantly related to aggressive PCA for nightshift workers at gene level

Zhu [113] Case–control study 1308 cases and 1266 controls Genotyping prediction One SNP in nine circadian genes (PER1/2/3, CSNK1E, CRY1/2, ARNTL, CLOCK, NPAS2) were significantly correlated to PCA (both for overall and aggressive risks), while four SNPs in three genes (PER1/3, CLOCK) were varied by disease aggressiveness
Chu [114] Case–control study 187 cases and 242 controls Genotyping prediction CRY2-variant C allele indicated about 1.7-fold increased PCA risk (95% CI 1.1–2.7) than GG genotype
Chu [115] Case–control study 450 cases and 422 controls Genotyping prediction NPAS2 variation was related to PCA risk, with one SNP remained statistically significant (rs746924) after Bonferroni correction
Yu [116] Case–control study 458 localized and 324 advanced PCA Genotyping prediction A SNP of NPAS2 (rs6542993 A > T) was significantly connected to PCA progression, both for localized (p = 0.001) and advanced (p = 0.039) cases
Gu [117] Bioinformatics tool 14,818 cases and 14,227 controls Genotyping prediction The top two significant genes related to PCA were NPAS2 (pgene < 0.0062) and AANAT (pgene < 0.00078) after Bonferroni correction
Mocellin [118] Consortium meta-analysis 14,160 cases and 12,724 controls Genotyping prediction

Circadian pathway genetic variation was significantly correlated to PCA (p = 4.1*10–6; top gene ARNTL, gene p = 0.0002)

Seven circadian pathway variation (PER1/2, TIMELESS, NPAS2, ARNTL, RORα/β) were significantly related to aggressive PCA

Markt [119] Kernel machine test 24, 40, and 105 fatal cases respectively Genotyping prediction

None of the 96 SNPs in 12 circadian clocks was individually consistent involved to fatal PCA

Even CRY1 variation was just nominally involved to fatal PCA (p = 0.01, 0.05, 0.01 for AGES-Reykjavik, PHS, and HPFS, respectively)

Cao [120] Animal and/or cells Suppressor-Per1

Per1 could interact with AR to inhibit its transcriptional activity in LNCaP

Overexpressed Per1 significantly reduced tumor growth and induced apoptosis for PCA cells

Jung-Hynes [121] Animal and/or cells

Suppressor-Per2, Clock

Promoter-Bmal1

Bmal1 was increased but Clock and Per2 were dramatically decreased in PCA cells

Upregulated Per2 could inhibit tumor growth and viability

Melatonin preserved Per2 and Clock while decreased Bmal1 to manage PCA

Li [122] Animal and/or cells

Suppressor-Per3

Promoter-Bmal1

PER3 was downregulated both in human PCA tissue and ALDHhiCD44+ (DP) PCA cells, PER3 concentration was associated to better patient survival

Low PER3 level induced expression of BMAL1 to lead phosphorylation of β-catenin and activate WNT/β-catenin pathway in TME

Cai [123] Animal and/or cells Suppressor-Per3

PER3 in paclitaxel-resistant PCA tissue was significantly lower than nonresistant group, upregulation of PER3 induced paclitaxel-resistant PCA being sensitive to paclitaxel

Overexpressed PER3 significantly reduced IC-50, arrested cell cycle, and increased apoptosis

Overexpressed PER3 attenuated this paclitaxel-resistance by inhibiting Notch1