Tissue |
Palmieri et al. 2015; [60] Weintraub et al., 2020; [61] Liu et al. 2017 [62]; Mosna et al. 2021[63] |
Clock gene expression in colonic mucosa, leukocytes |
Altered expression in IBD and in inflamed mucosa, associated with increased endoscopic disease activity, inflammation |
Rodent |
Eum et al. 2023; [64] |
Circadian disruption (constant light exposure) |
Increased intestinal epithelial permeability, altered expression of tight junction proteins |
|
Tran et al. 2021; [65] Voigt et al. 2014; [66] Liu et al. 2021; [67] Preuss et al. 2008 [68] |
Circadian disruption (shifting light/dark cycles) |
Increased intestinal epithelial permeability; altered gut microbiota; reduced resistance to colonic injury |
|
Kyoko et al. 2014; [69] Stokes et al. 2017; [70] Liu et al. 202167
|
Clock gene mutation |
Altered expression of tight junction proteins, altered resistance to colonic injury; altered intestinal regeneration |
Human |
Burgess et al. 2010; [71] Conley et al. 2020 [72] |
Melatonin rhythms |
~ 25–73% of IBD patients had disrupted melatonin rhythms |
|
Chakradeo et al. 2018; [73] Swanson et al. 2021 [74] |
Variability in sleep timing |
Observed more in IBD patients vs. controls (whether inactive or active disease), associated with more severe IBD disease history, more intestinal permeability, more pro-inflammatory gut microbiota |
|
Chakradeo et al. 2018; [73] Chrobak et al. 2018 [75] |
Later chronotype/more eveningness |
Associated with reduced IBD-related quality of life, increased fatigue |