SlideShare a Scribd company logo
1 of 26
Chronopharmacology
Vinay Sridhar
R h y t h m i c E v e n t s
 The formal study of biological temporal rhythms, such as daily, weekly, seasonal, and annual
rhythms, is called chronobiology.
 To be called circadian, a biological rhythm must meet these three general criteria:
 The rhythm has an endogenous free-running period that lasts approximately 24 hours
 The rhythms are entrainable (i.e.can be reset; eg.jet lag)
 The rhythms exhibit temperature compensation
 Chronopharmacology is the study of how the effects of drugs vary with biological timing and
endogenous periodicities.
Your boss controls your work…
Who controls your body?
Who is the master regulator of your time?
Suprachiasmatic nucleus (SCN)
The "master clock" that controls circadian rhythms consists
of a group of nerve cells in the brain called the suprachiasmatic
nucleus, or SCN. The SCN contains about 20,000 nerve cells
and is located in the hypothalamus, an area of the brain just
above where the optic nerves from the eyes cross.
SCN
SCN
PINEAL
GLAND
MELATONIN
MELATONIN
MELATONIN
MELATONIN
PINEAL
GLAND
Glutamate is the central neurotransmitter released by retinal cells in response to light. Neurons and astrocytes express
different types of glutamate receptors (GluR). Most of glutamate uptake after its release to extracellular space is
mediated by glial transporters (GLAST, GLT-1). In astrocytes, glutamate may be converted to glutamine by glutamine
synthetase (GS). In turn, glutamine may be released; neurons are able to uptake it and convert it to glutamate through
glutaminase (an enzyme present in both cell types).
GS
Glutamate-induced calcium influx into SCN neurons represents the first step in the signal transduction pathway
leading to entrainment. Voltage-dependent calcium channels (VDCC) are also expressed in SCN neurons and are
partially responsible for the increase in [Ca2+]i. The increase in intracellular calcium levels can interact with
intracellular stores by activation of IP3 and ryanodine receptors. Moreover, calcium can act directly on
posttranscriptional mechanisms leading to changes in clock gene expression and/or activity.
Types I and III IP3 receptors are expressed in a circadian fashion, peaking during the early and late subjective night,
respectively.
CYTOPLASM
NUCLEUS
CLOCK
Bmal1
CLOCK
Bmal1
Cry
Rev-Erbα
Per
E-box
E-box
E-box
Cry
Rev-Erbα
Per
Bmal1
Rev-Erbα
CKIε
Per
CKIε
Per
P Cry
Per
CKIε
Cry
Per
CKIε
Induction
Inhibition
SCN neuronal cell
Per andCry
genes/proteins
 Period genes
 The mammalian period 1 and period 2 genes play key roles in
photoentrainment of the circadian clock to light pulses
 mPer1 and mPer2 are necessary for the daily resetting of the
circadian clock to normal environmental light cues
 mPer2 knockout mice show increased sensitivity to gamma
radiation and tumor development and a significant decrease in
apoptosis (non circadian role)
 Cryptochrome genes
 Required for sleep homeostasis
Afferent inputs and efferent pathways of
the SCN
RHT: Retinohypothalamic tract,
GHT: Geniculohypothalamic tract,
OC: Optic chiasm,
3V:Third ventricle,
IGL: Intergeniculate leaflet,
DM: Dorsomedial SCN,
VL:Ventrolateral SCN,
NPY: NeuropeptideY,
GABA: Gamma amino butyric acid,
PACAP: Pituitary adenylate cyclase-
activating polypeptide
Preventing dehydration
during sleep
• organum vasculosom
lamina terminalis
(OVLT)
• magnocellular
neurosecretory cells
(MNCs)
• supraoptic nucleus
(SON)
• paraventricular
nucleus (PVN)
• Vasopressin (VP/
ADH)
• posterior pituitary
(PP)
• Hypertonic stimulation triggers action potentials in the OVLT and excite MNCs in the SON and PVN in the hypothalamus.
• The MNCs then go on to produce and release vasopressin into the circulation through the PP, where this hormone
promotes water re-absorption.
• The autonomic nervous system (ANS) also regulates kidney function and prevents diuresis.
• SCN presynaptically inhibits this sensory input to the MNCs during subjective day. This inhibition is removed during the late
sleep phase, resulting in an increase release of vasopressin and water retention in the kidneys
Heart attacks are three times more likely
to strike in the morning than in the
evening.
Difficulty waking up?
Blame the time keeper within you!
Tromsø, which is just north of the Arctic
circle, gets about two months of continuous
daylight in summer, two months of
darkness in winter, and only a few weeks of
regular length days around the equinoxes.
Chronopharmacology: The Study of How Drug Effects Vary With Biological Timing

More Related Content

Similar to Chronopharmacology: The Study of How Drug Effects Vary With Biological Timing

Chapter9 Power Point Lecture
Chapter9 Power Point LectureChapter9 Power Point Lecture
Chapter9 Power Point LectureGladys Escalante
 
Sleep & Waking1 Ppt
Sleep & Waking1 PptSleep & Waking1 Ppt
Sleep & Waking1 Pptguest052daff
 
Sleep & Waking1 Ppt
Sleep &  Waking1 PptSleep &  Waking1 Ppt
Sleep & Waking1 Ppticy unknown
 
Parasympathomimetics (Cholinergic drugs)
Parasympathomimetics (Cholinergic drugs)Parasympathomimetics (Cholinergic drugs)
Parasympathomimetics (Cholinergic drugs)A M O L D E O R E
 
Sleep Neurobiology and Insomnia.pptx
Sleep Neurobiology and Insomnia.pptxSleep Neurobiology and Insomnia.pptx
Sleep Neurobiology and Insomnia.pptxPramod Krishnan
 
ANS pharmacology ppt
ANS pharmacology pptANS pharmacology ppt
ANS pharmacology pptMANISH mohan
 
anspharmacologyppt-190119044256.pdf
anspharmacologyppt-190119044256.pdfanspharmacologyppt-190119044256.pdf
anspharmacologyppt-190119044256.pdfKelfalaHassanDawoh
 
Chronopharmacology- Biological and Circadian rhythms.pptx
Chronopharmacology- Biological and Circadian rhythms.pptxChronopharmacology- Biological and Circadian rhythms.pptx
Chronopharmacology- Biological and Circadian rhythms.pptxdhanushyagopal
 
Obesity , Circadian rythms
Obesity , Circadian rythmsObesity , Circadian rythms
Obesity , Circadian rythmsRuy Pantoja
 
Chronobiolgoy 6378510
Chronobiolgoy 6378510Chronobiolgoy 6378510
Chronobiolgoy 6378510Suman Sajan
 
and lifelong absence of FXR as occurs inthe FXR-null model, .docx
and lifelong absence of FXR as occurs inthe FXR-null model, .docxand lifelong absence of FXR as occurs inthe FXR-null model, .docx
and lifelong absence of FXR as occurs inthe FXR-null model, .docxjustine1simpson78276
 
Bfp spring r14_final_review
Bfp spring r14_final_reviewBfp spring r14_final_review
Bfp spring r14_final_reviewjskrzypek
 
Cholinergic Pharmacology and Cholinergic Drugs 2017
Cholinergic Pharmacology and Cholinergic Drugs 2017Cholinergic Pharmacology and Cholinergic Drugs 2017
Cholinergic Pharmacology and Cholinergic Drugs 2017http://neigrihms.gov.in/
 
Pharmacology of the Autonomic nervous system
Pharmacology of the Autonomic nervous systemPharmacology of the Autonomic nervous system
Pharmacology of the Autonomic nervous systemMohaned Massaad
 
Neurobiology of sleep_disorders_lattova(5280ab0cb6099)
Neurobiology of sleep_disorders_lattova(5280ab0cb6099)Neurobiology of sleep_disorders_lattova(5280ab0cb6099)
Neurobiology of sleep_disorders_lattova(5280ab0cb6099)Hena Jawaid
 

Similar to Chronopharmacology: The Study of How Drug Effects Vary With Biological Timing (20)

Chapter9 Power Point Lecture
Chapter9 Power Point LectureChapter9 Power Point Lecture
Chapter9 Power Point Lecture
 
Sleep and elderly
Sleep and elderlySleep and elderly
Sleep and elderly
 
SCN ( supra chiasmatic nucleus)
SCN                                  ( supra chiasmatic nucleus)SCN                                  ( supra chiasmatic nucleus)
SCN ( supra chiasmatic nucleus)
 
Circadian rhythms
Circadian rhythmsCircadian rhythms
Circadian rhythms
 
Sleep & Waking1 Ppt
Sleep & Waking1 PptSleep & Waking1 Ppt
Sleep & Waking1 Ppt
 
Sleep & Waking1 Ppt
Sleep &  Waking1 PptSleep &  Waking1 Ppt
Sleep & Waking1 Ppt
 
Parasympathomimetics (Cholinergic drugs)
Parasympathomimetics (Cholinergic drugs)Parasympathomimetics (Cholinergic drugs)
Parasympathomimetics (Cholinergic drugs)
 
Sleep Neurobiology and Insomnia.pptx
Sleep Neurobiology and Insomnia.pptxSleep Neurobiology and Insomnia.pptx
Sleep Neurobiology and Insomnia.pptx
 
ANS pharmacology ppt
ANS pharmacology pptANS pharmacology ppt
ANS pharmacology ppt
 
anspharmacologyppt-190119044256.pdf
anspharmacologyppt-190119044256.pdfanspharmacologyppt-190119044256.pdf
anspharmacologyppt-190119044256.pdf
 
Sleep wake regulation
Sleep wake regulationSleep wake regulation
Sleep wake regulation
 
Chronopharmacology- Biological and Circadian rhythms.pptx
Chronopharmacology- Biological and Circadian rhythms.pptxChronopharmacology- Biological and Circadian rhythms.pptx
Chronopharmacology- Biological and Circadian rhythms.pptx
 
Obesity , Circadian rythms
Obesity , Circadian rythmsObesity , Circadian rythms
Obesity , Circadian rythms
 
Chronobiolgoy 6378510
Chronobiolgoy 6378510Chronobiolgoy 6378510
Chronobiolgoy 6378510
 
and lifelong absence of FXR as occurs inthe FXR-null model, .docx
and lifelong absence of FXR as occurs inthe FXR-null model, .docxand lifelong absence of FXR as occurs inthe FXR-null model, .docx
and lifelong absence of FXR as occurs inthe FXR-null model, .docx
 
Chronopharmacology
ChronopharmacologyChronopharmacology
Chronopharmacology
 
Bfp spring r14_final_review
Bfp spring r14_final_reviewBfp spring r14_final_review
Bfp spring r14_final_review
 
Cholinergic Pharmacology and Cholinergic Drugs 2017
Cholinergic Pharmacology and Cholinergic Drugs 2017Cholinergic Pharmacology and Cholinergic Drugs 2017
Cholinergic Pharmacology and Cholinergic Drugs 2017
 
Pharmacology of the Autonomic nervous system
Pharmacology of the Autonomic nervous systemPharmacology of the Autonomic nervous system
Pharmacology of the Autonomic nervous system
 
Neurobiology of sleep_disorders_lattova(5280ab0cb6099)
Neurobiology of sleep_disorders_lattova(5280ab0cb6099)Neurobiology of sleep_disorders_lattova(5280ab0cb6099)
Neurobiology of sleep_disorders_lattova(5280ab0cb6099)
 

Recently uploaded

Beyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactBeyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactPECB
 
Measures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and ModeMeasures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and ModeThiyagu K
 
Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfciinovamais
 
1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 -  Danh muc Sach Giao Khoa 10 . pdf1029 -  Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdfQucHHunhnh
 
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdfssuser54595a
 
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptxSOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptxiammrhaywood
 
Accessible design: Minimum effort, maximum impact
Accessible design: Minimum effort, maximum impactAccessible design: Minimum effort, maximum impact
Accessible design: Minimum effort, maximum impactdawncurless
 
microwave assisted reaction. General introduction
microwave assisted reaction. General introductionmicrowave assisted reaction. General introduction
microwave assisted reaction. General introductionMaksud Ahmed
 
Software Engineering Methodologies (overview)
Software Engineering Methodologies (overview)Software Engineering Methodologies (overview)
Software Engineering Methodologies (overview)eniolaolutunde
 
CARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptxCARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptxGaneshChakor2
 
mini mental status format.docx
mini    mental       status     format.docxmini    mental       status     format.docx
mini mental status format.docxPoojaSen20
 
Arihant handbook biology for class 11 .pdf
Arihant handbook biology for class 11 .pdfArihant handbook biology for class 11 .pdf
Arihant handbook biology for class 11 .pdfchloefrazer622
 
Paris 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activityParis 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activityGeoBlogs
 
How to Make a Pirate ship Primary Education.pptx
How to Make a Pirate ship Primary Education.pptxHow to Make a Pirate ship Primary Education.pptx
How to Make a Pirate ship Primary Education.pptxmanuelaromero2013
 
Introduction to AI in Higher Education_draft.pptx
Introduction to AI in Higher Education_draft.pptxIntroduction to AI in Higher Education_draft.pptx
Introduction to AI in Higher Education_draft.pptxpboyjonauth
 
Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111Sapana Sha
 
Hybridoma Technology ( Production , Purification , and Application )
Hybridoma Technology  ( Production , Purification , and Application  ) Hybridoma Technology  ( Production , Purification , and Application  )
Hybridoma Technology ( Production , Purification , and Application ) Sakshi Ghasle
 

Recently uploaded (20)

Mattingly "AI & Prompt Design: The Basics of Prompt Design"
Mattingly "AI & Prompt Design: The Basics of Prompt Design"Mattingly "AI & Prompt Design: The Basics of Prompt Design"
Mattingly "AI & Prompt Design: The Basics of Prompt Design"
 
Beyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global ImpactBeyond the EU: DORA and NIS 2 Directive's Global Impact
Beyond the EU: DORA and NIS 2 Directive's Global Impact
 
Measures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and ModeMeasures of Central Tendency: Mean, Median and Mode
Measures of Central Tendency: Mean, Median and Mode
 
Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdf
 
1029 - Danh muc Sach Giao Khoa 10 . pdf
1029 -  Danh muc Sach Giao Khoa 10 . pdf1029 -  Danh muc Sach Giao Khoa 10 . pdf
1029 - Danh muc Sach Giao Khoa 10 . pdf
 
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf
18-04-UA_REPORT_MEDIALITERAСY_INDEX-DM_23-1-final-eng.pdf
 
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptxSOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
SOCIAL AND HISTORICAL CONTEXT - LFTVD.pptx
 
Accessible design: Minimum effort, maximum impact
Accessible design: Minimum effort, maximum impactAccessible design: Minimum effort, maximum impact
Accessible design: Minimum effort, maximum impact
 
microwave assisted reaction. General introduction
microwave assisted reaction. General introductionmicrowave assisted reaction. General introduction
microwave assisted reaction. General introduction
 
Software Engineering Methodologies (overview)
Software Engineering Methodologies (overview)Software Engineering Methodologies (overview)
Software Engineering Methodologies (overview)
 
CARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptxCARE OF CHILD IN INCUBATOR..........pptx
CARE OF CHILD IN INCUBATOR..........pptx
 
mini mental status format.docx
mini    mental       status     format.docxmini    mental       status     format.docx
mini mental status format.docx
 
Arihant handbook biology for class 11 .pdf
Arihant handbook biology for class 11 .pdfArihant handbook biology for class 11 .pdf
Arihant handbook biology for class 11 .pdf
 
INDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptx
INDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptxINDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptx
INDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptx
 
Paris 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activityParis 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activity
 
How to Make a Pirate ship Primary Education.pptx
How to Make a Pirate ship Primary Education.pptxHow to Make a Pirate ship Primary Education.pptx
How to Make a Pirate ship Primary Education.pptx
 
Introduction to AI in Higher Education_draft.pptx
Introduction to AI in Higher Education_draft.pptxIntroduction to AI in Higher Education_draft.pptx
Introduction to AI in Higher Education_draft.pptx
 
TataKelola dan KamSiber Kecerdasan Buatan v022.pdf
TataKelola dan KamSiber Kecerdasan Buatan v022.pdfTataKelola dan KamSiber Kecerdasan Buatan v022.pdf
TataKelola dan KamSiber Kecerdasan Buatan v022.pdf
 
Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111Call Girls in Dwarka Mor Delhi Contact Us 9654467111
Call Girls in Dwarka Mor Delhi Contact Us 9654467111
 
Hybridoma Technology ( Production , Purification , and Application )
Hybridoma Technology  ( Production , Purification , and Application  ) Hybridoma Technology  ( Production , Purification , and Application  )
Hybridoma Technology ( Production , Purification , and Application )
 

Chronopharmacology: The Study of How Drug Effects Vary With Biological Timing

  • 2. R h y t h m i c E v e n t s
  • 3.  The formal study of biological temporal rhythms, such as daily, weekly, seasonal, and annual rhythms, is called chronobiology.  To be called circadian, a biological rhythm must meet these three general criteria:  The rhythm has an endogenous free-running period that lasts approximately 24 hours  The rhythms are entrainable (i.e.can be reset; eg.jet lag)  The rhythms exhibit temperature compensation  Chronopharmacology is the study of how the effects of drugs vary with biological timing and endogenous periodicities.
  • 4. Your boss controls your work… Who controls your body?
  • 5. Who is the master regulator of your time? Suprachiasmatic nucleus (SCN)
  • 6. The "master clock" that controls circadian rhythms consists of a group of nerve cells in the brain called the suprachiasmatic nucleus, or SCN. The SCN contains about 20,000 nerve cells and is located in the hypothalamus, an area of the brain just above where the optic nerves from the eyes cross.
  • 7.
  • 8.
  • 9.
  • 11.
  • 12. Glutamate is the central neurotransmitter released by retinal cells in response to light. Neurons and astrocytes express different types of glutamate receptors (GluR). Most of glutamate uptake after its release to extracellular space is mediated by glial transporters (GLAST, GLT-1). In astrocytes, glutamate may be converted to glutamine by glutamine synthetase (GS). In turn, glutamine may be released; neurons are able to uptake it and convert it to glutamate through glutaminase (an enzyme present in both cell types). GS
  • 13. Glutamate-induced calcium influx into SCN neurons represents the first step in the signal transduction pathway leading to entrainment. Voltage-dependent calcium channels (VDCC) are also expressed in SCN neurons and are partially responsible for the increase in [Ca2+]i. The increase in intracellular calcium levels can interact with intracellular stores by activation of IP3 and ryanodine receptors. Moreover, calcium can act directly on posttranscriptional mechanisms leading to changes in clock gene expression and/or activity. Types I and III IP3 receptors are expressed in a circadian fashion, peaking during the early and late subjective night, respectively.
  • 14.
  • 16. Per andCry genes/proteins  Period genes  The mammalian period 1 and period 2 genes play key roles in photoentrainment of the circadian clock to light pulses  mPer1 and mPer2 are necessary for the daily resetting of the circadian clock to normal environmental light cues  mPer2 knockout mice show increased sensitivity to gamma radiation and tumor development and a significant decrease in apoptosis (non circadian role)  Cryptochrome genes  Required for sleep homeostasis
  • 17.
  • 18. Afferent inputs and efferent pathways of the SCN RHT: Retinohypothalamic tract, GHT: Geniculohypothalamic tract, OC: Optic chiasm, 3V:Third ventricle, IGL: Intergeniculate leaflet, DM: Dorsomedial SCN, VL:Ventrolateral SCN, NPY: NeuropeptideY, GABA: Gamma amino butyric acid, PACAP: Pituitary adenylate cyclase- activating polypeptide
  • 19. Preventing dehydration during sleep • organum vasculosom lamina terminalis (OVLT) • magnocellular neurosecretory cells (MNCs) • supraoptic nucleus (SON) • paraventricular nucleus (PVN) • Vasopressin (VP/ ADH) • posterior pituitary (PP) • Hypertonic stimulation triggers action potentials in the OVLT and excite MNCs in the SON and PVN in the hypothalamus. • The MNCs then go on to produce and release vasopressin into the circulation through the PP, where this hormone promotes water re-absorption. • The autonomic nervous system (ANS) also regulates kidney function and prevents diuresis. • SCN presynaptically inhibits this sensory input to the MNCs during subjective day. This inhibition is removed during the late sleep phase, resulting in an increase release of vasopressin and water retention in the kidneys
  • 20. Heart attacks are three times more likely to strike in the morning than in the evening.
  • 21.
  • 22.
  • 23. Difficulty waking up? Blame the time keeper within you!
  • 24.
  • 25. Tromsø, which is just north of the Arctic circle, gets about two months of continuous daylight in summer, two months of darkness in winter, and only a few weeks of regular length days around the equinoxes.

Editor's Notes

  1. In the SCN neurons, the intracellular levels of Clock remain steady throughout the 24-hour period, whereas Bmal1 expression levels are high at the beginning of a subjective day and low at the beginning of a subjective night.  The high level of Bmal1 promotes the formation of Bmal1–Clock heterodimers. These bind to E-box sequences in the promoters of the Cry, Per and Rev–Erb genes to activate transcription at the beginning of a circadian day.  After transcription and translation, the Rev–Erb protein enters the nucleus to suppress the transcription of Bmal1 and Cry genes. As the Per proteins, such as Per2, accumulate in the cytoplasm, they become phosphorylated (P) by CKI. The phosphorylated forms of Per are unstable and are degraded by ubiquitylation. Late in the subjective day, however, Cry accumulates in the cytoplasm, promoting the formation of stable CKI/Per/Cry complexes, which enter the nucleus at the beginning of a subjective night. Once in the nucleus, Cry1 disrupts the Clock/Bmal1-associated transcriptional complex, resulting in the inhibition of Cry, Per and Rev–Erb transcription, and derepression of Bmal1 transcription The interacting positive and negative feedback loops of circadian genes ensure low levels of Per and Cry, and a high level of Bmal1 at the beginning of a new circadian day  retinoic acid-related orphan receptor response elements (ROREs) present in Bmal1 promoter While RORs activate transcription of Bmal1, REV-ERBs repress the same transcription process