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Abstract

Volume 27, Issue 5 (September 2025) 27, 564–573; 10.4103/aja20258

Regulation of testosterone synthesis by circadian clock genes and its research progress in male diseases

Ning, Gang1,2; Li, Bo-Nan3; Wu, Hui1; Shi, Ruo-Bing1; Peng, A-Jian1; Wang, Hao-Yu1; Zhou, Xing2

1The First Clinical College of Chinese Medicine, Hunan University of Chinese Medicine, Changsha 410208, China

2Department of Andrology, The First Hospital of Hunan University of Chinese Medicine, Changsha 410007, China

3Affiliated Changsha Hospital of Hunan Normal University, Changsha 410023, China

Correspondence: Dr. X Zhou (zhouxing@hnucm.edu.cn)

Originally published: March 18, 2025 Received: August 23, 2024 Accepted: January 20, 2025

Abstract

The circadian clock is an important internal time regulatory system for a range of physiological and behavioral rhythms within living organisms. Testosterone, as one of the most critical sex hormones, is essential for the development of the reproductive system, maintenance of reproductive function, and the overall health of males. The secretion of testosterone in mammals is characterized by distinct circadian rhythms and is closely associated with the regulation of circadian clock genes. Here we review the central and peripheral regulatory mechanisms underlying the influence of circadian clock genes upon testosterone synthesis. We also examined the specific effects of these genes on the occurrence, development, and treatment of common male diseases, including late-onset hypogonadism, erectile dysfunction, male infertility, and prostate cancer.

Keywords: circadian clock genes; circadian rhythm; male disease; testosterone synthesis

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Asian Journal of Andrology CN 31-1795/R ISSN 1008-682X  Copyright © 2023  Shanghai Materia Medica, Chinese Academy of Sciences.  All rights reserved.