Summary of key neurological and neurovascular studies linking BMAL1/circadian regulation to PI3K/AKT-mTOR signaling under ischemic and vascular stress.
| Ref. | Model/Context | CLOCK/BMAL1 axis | PI3K/AKT node(s) emphasized | Principal finding |
|---|---|---|---|---|
| [84] | Mouse focal cerebral ischemia | Time-of-day (ZT) + BMAL1 rhythmicity | pAKT 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 interaction | PDK1, mTOR, PTEN, GSK3α/β, p70S6K phosphorylation panel | BMAL1/melatonin context amplifies phosphorylation across PI3K/AKT cascade, consistent with stress resilience. |
| [86] | Mouse focal cerebral ischemia + proteomics | BMAL1 overexpression vs. knockdown/deletion | mTOR (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/R | BMAL1 overexpression | Indirect support of PI3K/AKT via redox: Nrf2/HO-1, Bcl-2/Bax | BMAL1 enhances antioxidant defense and anti-apoptotic balance under ischemic stress. |
| [88] | Endothelial/hematopoietic BMAL1 deletion (vascular injury) | Cell-type-specific BMAL1 loss | pAKT S473, mTORC2/RICTOR implication; eNOS/NO signaling | BMAL1 deletion reduces pAKT (S473) and worsens microvascular outcomes (nitrative stress, degeneration). |
| [89] | Disturbed flow/vascular regions | BMAL1/CLOCK regulation by hemodynamic context | eNOS and AKT phosphorylation dynamics | Disturbed flow is associated with BMAL1/CLOCK changes and endothelial signaling remodeling. |
| [90] | VSMC proliferation under growth factor | BMAL1 induction via ROS–ERK–EGR1 | ERK 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.