Title:Insight on Cardiac Chronobiology and Latest Developments of Chronotherapeutic
Antihypertensive Interventions for Better Clinical Outcomes
Volume: 19
Issue: 2
Author(s): Kumud Joshi*, Madhubanti Das, Anupam Sarma, Mandeep K. Arora, Manmohan SInghal and Bhavna Kumar
Affiliation:
- Department of Pharmacy, Lloyd Institute of Management and Technology, Greater Noida, India
Keywords:
Chronotherapy, hypertension, dipper pattern, blood pressure, cardiovascular risks, chrono-biomarkers.
Abstract: Cardiac circadian rhythms are an important regulator of body functions, including cardiac
activities and blood pressure. Disturbance of circadian rhythm is known to trigger and aggravate
various cardiovascular diseases. Thus, modulating the circadian rhythm can be used as a therapeutic
approach to cardiovascular diseases. Through this work, we intend to discuss the current
understanding of cardiac circadian rhythms, in terms of quantifiable parameters like BP and HR.
We also elaborate on the molecular regulators and the molecular cascades along with their specific
genetic aspects involved in modulating circadian rhythms, with specific reference to cardiovascular
health and cardiovascular diseases. Along with this, we also presented the latest pharmacogenomic
and metabolomics markers involved in chronobiological control of the cardiovascular
system along with their possible utility in cardiovascular disease diagnosis and therapeutics.
Finally, we reviewed the current expert opinions on chronotherapeutic approaches for utilizing the
conventional as well as the new pharmacological molecules for antihypertensive chronotherapy.