From:  BMAL1-PI3K/AKT crosstalk in ischemic injury and vascular repair: a circadian framework for neurovascular resilience

 Summary of key neurological and neurovascular studies linking BMAL1/circadian regulation to PI3K/AKT-mTOR signaling under ischemic and vascular stress.

Ref.Model/ContextCLOCK/BMAL1 axisPI3K/AKT node(s) emphasizedPrincipal finding
[84]Mouse focal cerebral ischemiaTime-of-day (ZT) + BMAL1 rhythmicitypAKT T308, ERK1/2 phosphorylation, survival signaling mediators (mTOR/S6; Bad/PRAS40 axis)Ischemic damage is time-of-day dependent; higher BMAL1 phase associates with enhanced AKT activation and improved survival signaling.
[85]OGD (± reoxygenation)BMAL1-melatonin interactionPDK1, mTOR, PTEN, GSK3α/β, p70S6K phosphorylation panelBMAL1/melatonin context amplifies phosphorylation across PI3K/AKT cascade, consistent with stress resilience.
[86]Mouse focal cerebral ischemia + proteomicsBMAL1 overexpression vs. knockdown/deletionmTOR (Ser2448) + mitochondrial/metabolic modules (OXPHOS/TCA/ATP synthase proteins)BMAL1 gain-of-function reduces infarct and neuronal injury and reprograms metabolic pathways consistent with pro-survival PI3K/AKT-mTOR tone.
[87]PC12 OGD/RBMAL1 overexpressionIndirect support of PI3K/AKT via redox: Nrf2/HO-1, Bcl-2/BaxBMAL1 enhances antioxidant defense and anti-apoptotic balance under ischemic stress.
[88]Endothelial/hematopoietic BMAL1 deletion (vascular injury)Cell-type-specific BMAL1 losspAKT S473, mTORC2/RICTOR implication; eNOS/NO signalingBMAL1 deletion reduces pAKT (S473) and worsens microvascular outcomes (nitrative stress, degeneration).
[89]Disturbed flow/vascular regionsBMAL1/CLOCK regulation by hemodynamic contexteNOS and AKT phosphorylation dynamicsDisturbed flow is associated with BMAL1/CLOCK changes and endothelial signaling remodeling.
[90]VSMC proliferation under growth factorBMAL1 induction via ROS–ERK–EGR1ERK modulation (PI3K/AKT adjacent crosstalk)BMAL1 participates in growth-factor-driven vascular proliferation via MAPK/ERK coupling.

BMAL1: basic helix-loop-helix ARNT-like protein 1; PI3K: phosphatidylinositol 3-kinase; CLOCK: circadian locomotor output cycles kaput; ZT: zeitgeber time; pAKT: phospho AKT; T308: threonine 308; Bad: Bcl-2-associated agonist of cell death; PRAS40: proline-rich AKT substrate of 40 kDa; OGD: oxygen-glucose deprivation; PDK1: 3-phosphoinositide-dependent kinase-1; PTEN: phosphatase and tensin homolog; GSK3: glycogen synthase kinase 3; p70S6K: p70 ribosomal protein S6 kinase; OXPHOS: oxidative phosphorylation; TCA: tricarboxylic acid; Nrf2: nuclear factor erythroid 2-related factor 2; HO-1: heme oxygenase-1; S473: serine 473; mTORC2: mechanistic target of rapamycin complex 2; RICTOR: rapamycin-insensitive companion of mTOR; eNOS: endothelial nitric oxide synthase; VSMC: vascular smooth muscle cell; ROS: reactive oxygen species; ERK: extracellular signal-regulated kinase; EGR1: early growth response protein 1; MAPK: mitogen-activated protein kinase.