[HTML][HTML] Mutation of the human circadian clock gene CRY1 in familial delayed sleep phase disorder

A Patke, PJ Murphy, OE Onat, AC Krieger, T Özçelik… - Cell, 2017 - cell.com
A Patke, PJ Murphy, OE Onat, AC Krieger, T Özçelik, SS Campbell, MW Young
Cell, 2017cell.com
Patterns of daily human activity are controlled by an intrinsic circadian clock that promotes∼
24 hr rhythms in many behavioral and physiological processes. This system is altered in
delayed sleep phase disorder (DSPD), a common form of insomnia in which sleep episodes
are shifted to later times misaligned with the societal norm. Here, we report a hereditary form
of DSPD associated with a dominant coding variation in the core circadian clock gene
CRY1, which creates a transcriptional inhibitor with enhanced affinity for circadian activator …
Summary
Patterns of daily human activity are controlled by an intrinsic circadian clock that promotes ∼24 hr rhythms in many behavioral and physiological processes. This system is altered in delayed sleep phase disorder (DSPD), a common form of insomnia in which sleep episodes are shifted to later times misaligned with the societal norm. Here, we report a hereditary form of DSPD associated with a dominant coding variation in the core circadian clock gene CRY1, which creates a transcriptional inhibitor with enhanced affinity for circadian activator proteins Clock and Bmal1. This gain-of-function CRY1 variant causes reduced expression of key transcriptional targets and lengthens the period of circadian molecular rhythms, providing a mechanistic link to DSPD symptoms. The allele has a frequency of up to 0.6%, and reverse phenotyping of unrelated families corroborates late and/or fragmented sleep patterns in carriers, suggesting that it affects sleep behavior in a sizeable portion of the human population.
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