Genome wide association study of a Circadian Imbalance Index in 312,935 European ancestry UK Biobank participants identifies loci related to diabetes, mood and myocardial infarction.
Study Design
- Tipo de estudio
- genome-wide association study
- Tamaño de muestra
- 312935
- Intervención
- Genome wide association study of a Circadian Imbalance Index in 312,935 European ancestry UK Biobank participants identifies loci related to diabetes, mood and myocardial infarction. None
- Comparador
- Placebo
- Dirección del efecto
- Mixed
- Riesgo de sesgo
- Low
Abstract
The Circadian Imbalance Index (CII) integrates chronotype, sleep duration, neuroticism, caffeine intake, and vitamin D. In a genome wide association study (GWAS) of CII in 312,935 European ancestry UK Biobank participants, we identified 27 loci mapping to 72 genes, including circadian regulators CALCA, DHCR7, KDM5A, HAL, and CRX. Gene-overlap analyses demonstrated shared architecture with CII components, while EPHB1, SERPING1, C12orf74, PLEKHG7, and EEA1 were uniquely associated with CII. A CII polygenic score (CII-PRS) showed phenome-wide associations with type 2 diabetes (T2D), major depressive disorder, and obesity. Genetic correlations linked CII with insomnia, mood symptoms, body mass index (BMI), T2D, coronary artery disease (CAD), and myocardial infarction (MI). Mendelian randomization suggested causal effects of CII on T2D, mood swings, and MI, and reverse effects of CAD, mood, and MI on CII. This work shows that circadian imbalance is a polygenic trait connecting sleep-related biology to metabolic, cardiovascular and mood health outcomes.
Full Text
Figures
Fig. 1:
Manhattan plot from the genome-wide association study of the Circadian Imbalance Index in 312,935 European ancestry UK Biobank participants, highlighting significant loci.
chart
Fig. 2:
Regional association plots for lead SNPs identified in the GWAS of the Circadian Imbalance Index, showing loci related to diabetes, mood, and myocardial infarction.
chart
Fig. 3:
Phenome-wide association results linking the Circadian Imbalance Index genetic loci to related traits including sleep duration, chronotype, and cardiometabolic outcomes.
chart
Fig. 4:
Pathway or gene-set enrichment analysis for the significant loci from the Circadian Imbalance Index GWAS, revealing biological processes relevant to circadian regulation.
chartTables
Table 1
| CII value | ||||||||
|---|---|---|---|---|---|---|---|---|
| 0 | 1 | 2 | 3 | 4 | 5 | Total | ||
|
| 29,538 (9.4) | 87,028 (27.8) | 103,761 (33.2) | 65,257 (20.9) | 23,254 (7.4) | 4,097 (1.3) | 312,935 | |
|
| 58.1 ± 7.8 | 57.2 ± 8.0 | 56.5 ± 8.0 | 55.8 ± 8.1 | 55.2 ± 8.1 | 54.2 ± 8.1 | 56.6 ± 8.1 | |
|
| 15,810 (53.5) | 43,253 (49.7) | 48,700 (46.9) | 29,271 (44.9) | 9,781 (42.1) | 1,658 (40.5) | 148,473 (47.4) | |
|
| 26.4 ± 3.9 | 26.9 ± 4.3 | 27.4 ± 4.7 | 27.9 ± 5.1 | 28.5 ± 5.5 | 29.2 ± 5.9 | 27.4 ± 4.7 | |
|
|
| 4,325 (14.7) | 13,504 (15.5) | 18,301 (17.7) | 13,593 (20.9) | 5,979 (25.8) | 1,354 (33.3) | 5,7056 (18.3) |
|
| 6,602 (22.4) | 19,224 (22.1) | 22,747 (22.0) | 14,478 (22.3) | 5,065 (21.9) | 861 (21.2) | 68,977 (22.1) | |
|
| 7,213 (24.4) | 21,001 (24.2) | 24,690 (23.8) | 15,105 (23.2) | 5,020 (21.7) | 774 (19.0) | 73,803 (23.6) | |
|
| 6,066 (20.6) | 17,882 (20.6) | 20,307 (19.6) | 11,522 (17.7) | 3,446 (14.9) | 487 (12.0) | 59,710 (19.1) | |
|
| 1,952 (6.6) | 5,221 (6.0) | 5,458 (5.3) | 2631 (4.0) | 750(3.2) | 87(2.1) | 16,099 (5.2) | |
|
| 3,352 (11.4) | 10,070 (11.6) | 12,040 (11.6) | 7,730 (11.9) | 2,879 (12.4) | 504 (12.4) | 36,575 (11.7) | |
|
|
| 10,544 (35.7) | 30,398 (34.9) | 34,399 (33.2) | 19,617 (30.1) | 6,266 (26.9) | 980 (23.9) | 102,204 (32.7) |
|
| 14,788 (50.1) | 43,294 (49.7) | 52,267 (50.4) | 33,678 (51.6) | 12,073 (51.9) | 2,168 (52.9) | 158,268 (50.6) | |
|
| 4,206 (14.2) | 13,336 (15.3) | 17,095 (16.5) | 11,962 (18.3) | 4,915 (21.1) | 949 (23.2) | 52,463 (16.8) | |
|
| 2,020 (13.0) | 6,938 (13.8) | 9,628 (15.4) | 7,009 (17.8) | 2,821 (21.0) | 560 (26.3) | 28,976 (9.3) | |
| CII components | ||||||||
| Evening Person | Short Or Long Sleep | High Neuroticism | No Or High Caffeine | Low Vit D | Total | |||
|
| 105,673 (33.8) | 96,903 (31.0) | 74,742 (23.9) | 161,085 (51.5) | 165,419 (52.9) | 312,935 | ||
|
| 55.7 ± 8.3 | 57.1 ± 7.9 | 55.3 ± 8.0 | 56.2 ± 8.1 | 56.0 ± 8.1 | 56.6 ± 8.1 | ||
|
| 49,943 (47.3) | 46,105 (47.6) | 28,978 (38.8) | 72,382 (44.9) | 78,472 (47.4) | 148,473 (47.4) | ||
|
| 27.6 ± 4.8 | 28.0 ±5.1 | 27.4 ±5.1 | 27.5 ± 4.9 | 28.0 ± 5.1 | 27.4 (4.7) | ||
|
|
| 19,374 (18.4) | 22,205 (23.0) | 16,942 (22.7) | 31,267 (19.5) | 31,783 (19.3) | 57,056 (18.3) | |
|
| 23,142 (22.0) | 21,574 (22.3) | 16,478 (22.1) | 35,864 (22.3) | 35,659 (21.6) | 68,977 (22.1) | ||
|
| 25,258 (24.0) | 20,912 (21.7) | 16,888 (22.7) | 37,342 (23.2) | 39,246 (23.8) | 73,803 (23.6) | ||
|
| 20,642 (19.6) | 15,169 (15.7) | 12,375 (16.6) | 29,217 (18.2) | 31,878 (19.3) | 59,710 (19.1) | ||
| CII value | ||||||||
| 0 | 1 | 2 | 3 | 4 | 5 | Total | ||
|
| 5,507 (5.2) | 3,945 (4.1) | 2,631 (3.5) | 7,147 (4.4) | 8,235 (5.0) | 16,099 (5.2) | ||
|
| 11,505 (10.9) | 12,746 (13.2) | 9,170 (12.3) | 19,818 (12.3) | 18,137 (11.0) | 36,575 (11.7) | ||
|
|
| 35,511 (33.6) | 26,268 (27.1) | 21,327 (28.5) | 47,558 (29.5) | 57,347 (34.7) | 102,204 (32.7) | |
|
| 54,562 (51.6) | 49,737 (51.3) | 38,740 (51.8) | 83,752 (52.0) | 81,203 (49.1) | 158,268 (50.6) | ||
|
| 15,600 (14.8) | 20,898 (21.6) | 14,675 (19.6) | 29,775 (18.5) | 26,869 (16.2) | 52,463 (16.8) | ||
| 11,082 (17.4) | 10,515 (19.9) | 7,504 (17.3) | 15,835 (16.6) | 16,369 (16.0) | 28,976 (9.3) | |||
Table 2
| Genomic Locus | Variant | Chromosome: position | Nearest gene | Effect allele | Effect size (P) | Standard error | P-value |
|---|---|---|---|---|---|---|---|
| 7 | rs34265662 | 4:72617557 | GC | TA | 0,0793 | 0,0031 | 1,49E-147 |
| 11 | rs117913124 | 11:14900931 | CYP2R1 | A | 0,2192 | 0,0085 | 1,01E-146 |
| 14 | rs3794060 | 11:71187679 | NADSYN1 | T | −0,0434 | 0,0034 | 5,05E-37 |
| 10 | 9:140259068_T_TA | 9:140259068 | EXD3 | TA | 0,0301 | 0,0043 | 1,57E-12 |
| 9 | rs73198970 | 8:11040216 | XKR6 | C | 0,0187 | 0,0028 | 3,47E-11 |
| 12 | 11:57522200_CCCCT_C | 11:57522200 | TMX2-CTNND1:RP11-691N7.6:CTNND1 | C | 0,0196 | 0,0030 | 6,42E-11 |
| 22 | rs567979837 | 13:60753105 | RNY4P28 | CT | −0,0185 | 0,0028 | 7,51E-11 |
| 25 | rs1557341 | 18:35127427 | CELF4 | C | −0,0193 | 0,0030 | 9,28E-11 |
| 5 | rs7652808 | 3:85603643 | CADM2 | G | 0,0185 | 0,0029 | 2,12E-10 |
| 21 | rs10859995 | 12:96375682 | HAL | C | 0,0178 | 0,0028 | 3,08E-10 |
| 27 | rs2547244 | 19:48363039 | TPRX2P | G | 0,0231 | 0,0037 | 4,92E-10 |
| 17 | rs6487365 | 12:24066460 | SOX5 | A | 0,0183 | 0,0030 | 9,12E-10 |
| 26 | rs2126786 | 18:53447005 | RP11-397A16.1:RP11-397A16.2 | C | 0,0225 | 0,0037 | 1,01E-09 |
| 19 | 12:39098718_GT_G | 12:39098718 | CPNE8 | G | 0,0171 | 0,0028 | 1,55E-09 |
| 16 | rs10848644 | 12:365289 | SLC6A13:RP11-283I3.4 | T | −0,0167 | 0,0028 | 2,81E-09 |
| 1 | rs61816761 | 1:152285861 | FLG-AS1:FLG | A | −0,0574 | 0,0097 | 3,80E-09 |
| 8 | rs2979241 | 8:8303353 | CTA-398F10.2 | C | −0,0162 | 0,0028 | 7,34E-09 |
| 3 | rs11563179 | 2:51693002 | AC007682.1 | C | 0,0222 | 0,0039 | 9,43E-09 |
| 2 | rs2279681 | 1:201861016 | SHISA4 | G | −0,0168 | 0,0029 | 1,02E-08 |
| 20 | rs139923919 | 12:93222395 | EEA1 | CAT | −0,0176 | 0,0031 | 1,04E-08 |
| 13 | rs509533 | 11:66070575 | TMEM151A | C | 0,0159 | 0,0028 | 1,68E-08 |
| 23 | rs16661 | 14:75128316 | AREL1 | C | 0,0165 | 0,0030 | 2,74E-08 |
| 18 | rs9668760 | 12:34611172 | RP13-7D7.1 | G | −0,0157 | 0,0028 | 2,98E-08 |
| 24 | rs62007299 | 15:77711719 | PEAK1 | A | 0,0169 | 0,0031 | 3,55E-08 |
| 4 | rs7625384 | 3:18774357:G:T | AC144521.1 | T | 0,0170 | 0,0031 | 3,89E-08 |
| 6 | rs4082244 | 3:134729537:C:G | EPHB1 | G | −0,0160 | 0,0029 | 4,79E-08 |
| 15 | rs10750539 | 11:133548873:A:G | RP11-448P19.1 | A | 0,0160 | 0,0029 | 4,81E-08 |
Table 3
| Ensg | Symbol | Chr | Strand | MsigDB Label | PLI | Min GWAS p | Ind Sig Snps | GL |
|---|---|---|---|---|---|---|---|---|
| ENSG00000110680 | CALCA | 11 | −1 | WP CLOCKCONTROLLED AUTOPHAGY IN BONE METABOLISM | 0.0014 | 4.8730e-25 | 11:14992795_AGGAGCCCACAGACCTT_A; rs61878675 | 11 |
| ENSG00000172893 | DHCR7 | 11 | −1 | UEDA PERIFERAL CLOCK | 5.0427e-08 | 6.1235e-37 | rs12793607, rs1540129, rs3794060, rs1790349, rs369124946, 11:71203933_AT_A, rs181766110, rs139168803, rs35708376, rs760165576 | 14 |
| ENSG00000073614 | KDM5A | 12 | −1 | WP CIRCADIAN RHYTHM GENES | 0.99999 | 6.1331e-07 | rs10848644 | 16 |
| ENSG00000084110 | HAL | 12 | −1 | UEDA PERIFERAL CLOCK | 5.9087e-17 | 3.0841e-10 | rs10859995 | 21 |
| ENSG00000105392 | CRX | 19 | 1 | WP CIRCADIAN RHYTHM GENES | 0.6237 | 4.7685e-08 | rs2547244 | 27 |
Table 4
| GWAS overall | GWAS in women | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Ensg | GL | Symbol | Chr | PLI | Ind Sig Snps | Ind Sig SNP p | β | se | Ind Sig SNP p | β | se |
| ENSG00000154928 | 6 | EPHB1 | 3 | 9.98E-01 | rs4082244 | 4.79E-08 | −0.0160 | 0.0029 | 1.47E-07 | −0.0303 | 0.0058 |
| ENSG00000149131 | 12 | SERPING1 | 11 | 9.73E-01 | rs1647396 | 2.46E-07 | 0.0153 | 0.0028 | - | - | - |
| ENSG00000214215 | 20 | C12orf74 | 12 | 5.22E-04 | rs139923919 | ||||||
| ENSG00000187510 | 20 | PLEKHG7 | 12 | 3.68E-11 | rs139923919 | ||||||
| ENSG00000102189 | 20 | EEA1 | 12 | 6.97E-01 | rs139923919 | ||||||
References
- Central and Peripheral Circadian Clocks in Mammals Annu. Rev. Neurosci., 2012
- The Mammalian Circadian Timing System: Organization and Coordination of Central and Peripheral Clocks Annu. Rev. Physiol., 2010
- Untitled Mood and Anxiety Related Phenotypes in Mice, 2009
- The two-process model of sleep regulation: Beginnings and outlook† J. Sleep Res., 2022
- Genetics of circadian rhythms and sleep in human health and disease Nat. Rev. Genet., 2023
- Impact of Circadian Disruption on Cardiovascular Function and Disease Trends Endocrinol. Metab., 2019
- Health consequences of shift work and insufficient sleep BMJ, 2016
- Sleep and circadian rhythm disruption in neuropsychiatric illness Curr. Opin. Neurobiol., 2013
- Circadian disruption and human health J. Clin. Invest., 2021
- Genetics of Circadian Rhythms Neurol. Clin., 2019
- Molecular regulations of circadian rhythm and implications for physiology and diseases Signal Transduct. Target. Ther., 2022
- Clocks, Genes and Sleep J. R. Soc. Med., 2003
- Untitled A newly developed circadian imbalance index (CII) and risk of cardiovascular-kidney-metabolic disease in the UK biobank
- Untitled Sleep inertia drives the association of evening chronotype with psychiatric disorders: epidemiological and genetic evidence, 2024
- Genome-Wide Association Analyses in 128,266 Individuals Identifies New Morningness and Sleep Duration Loci PLOS Genet, 2016
- Insomnia and short sleep duration, but not chronotype, is associated with chronic widespread pain: Mendelian randomization study Rheumatol. Int., 2024
- A Role for 1α,25-Dihydroxyvitamin D3 in the Expression of Circadian Genes J. Biol. Rhythms, 2014
- The Circadian Gene Clock Regulates Bone Formation Via PDIA3 J. Bone Miner. Res., 2017
- Circadian Rhythm and Cartilage Extracellular Matrix Genes in Osseointegration: A Genome-Wide Screening of Implant Failure by Vitamin D Deficiency PLoS ONE, 2011
- Titanium biomaterials with complex surfaces induced aberrant peripheral circadian rhythms in bone marrow mesenchymal stromal cells PLOS ONE, 2017
- Effects of caffeine on the human circadian clock in vivo and in vitro Sci. Transl. Med., 2015
- Caffeine, the circadian clock, and sleep Science, 2015
- Caffeine alters circadian rhythms and expression of disease and metabolic markers Int. J. Biochem. Cell Biol., 2011
- Caffeine governs molecular mechanism(s) on circadian rhythm and circadian clock gene expression FASEB J, 2017
- Sweetened caffeine drinking revealed behavioral rhythm independent of the central circadian clock in male mice Npj Sci. Food, 2024
- The nurses’ health study Am. J. Nurs., 1978
- The Evolution of a Large Biobank at Mass General Brigham J. Pers. Med., 2022
- The “All of Us” Research Program N. Engl. J. Med., 2019
- LocusZoom: regional visualization of genome-wide association scan results Bioinformatics, 2010
- LD Score regression distinguishes confounding from polygenicity in genome-wide association studies Nat. Genet., 2015
- Identifying novel circadian rhythm biomarkers for diagnosis and prognosis of melanoma by an integrated bioinformatics and machine learning approach Aging, 2024
- Gene set enrichment analysis: A knowledge-based approach for interpreting genome-wide expression profiles Proc. Natl. Acad. Sci., 2005
- The Molecular Signatures Database (MSigDB) hallmark gene set collection Cell Syst, 2015
- Molecular signatures database (MSigDB) 3.0 Bioinformatics, 2011
- Polygenic prediction via Bayesian regression and continuous shrinkage priors Nat. Commun., 2019
- FinnGen provides genetic insights from a well-phenotyped isolated population Nature, 2023
- Trans-ancestry genome-wide study of depression identifies 697 associations implicating cell types and pharmacotherapies Cell, 2025
- New genetic loci link adipose and insulin biology to body fat distribution Nature, 2015
- Genome-wide meta-analyses identify multiple loci associated with smoking behavior Nat. Genet., 2010
- GCTA: A Tool for Genome-wide Complex Trait Analysis Am. J. Hum. Genet., 2011
- Causal associations between risk factors and common diseases inferred from GWAS summary data Nat. Commun., 2018
- Unravelling the complex causal effects of substance use behaviours on common diseases Commun. Med., 2024
- ETS1 Promotes Aerobic Glycolysis and Growth in Head and Neck Squamous Cell Carcinoma by Targeting RRAS2 Biochem. Genet., 2024
- Activating Mutations of RRAS2 Are a Rare Cause of Noonan Syndrome Am. J. Hum. Genet., 2019
- A hotspot mutation targeting the R-RAS2 GTPase acts as a potent oncogenic driver in a wide spectrum of tumors Cell Rep, 2022
- A peptide encoded within a 5′ untranslated region promotes pain sensitization in mice Pain, 2021
- Parabrachial neurons promote nociplastic pain Trends Neurosci, 2024
- Chemical Mediators’ Expression Associated with the Modulation of Pain in Rheumatoid Arthritis Curr. Med. Chem., 2020
- Regulation of Endoribonuclease Activity of Alpha-Type Proteasome Subunits in Proerythroleukemia K562 Upon Hemin-Induced Differentiation Protein J, 2016
- DHCR7: A vital enzyme switch between cholesterol and vitamin D production Prog. Lipid Res., 2016
- DHCR7 promotes tumorigenesis via activating PI3K/AKT/mTOR signalling pathway in bladder cancer Cell. Signal., 2023
- Effect of Polymorphisms in the NADSYN1/DHCR7 Locus (rs12785878 and rs1790349) on Plasma 25-Hydroxyvitamin D Levels and Coronary Artery Disease Incidence Lifestyle Genomics, 2013
- Genetic variants of vitamin D metabolism-related DHCR7/NADSYN1 locus and CYP2R1 gene are associated with clinical features of Parkinson’s disease Int. J. Neurosci., 2022
- Maternal circadian disruption is associated with variation in placental DNA methylation PLOS ONE, 2019
- Abstract 13596: Effects of Plasminogen Activator Inhibitor-1 on the Circadian Clock in Liver Circulation, 2022
- Forward signaling by EphB1/EphB2 interacting with ephrin-B ligands at the optic chiasm is required to form the ipsilateral projection Eur. J. Neurosci., 2011
- EphB1 Associates with Grb7 and Regulates Cell Migration J. Biol. Chem., 2002
- EphB1 promotes the differentiation and maturation of dendritic cells in non-small cell lung cancer Cancer Lett, 2024
- Loss of Expression of EphB1 Protein in Gastric Carcinoma Associated with Invasion and Metastasis Oncology, 2007
- EphB1 Is Underexpressed in Poorly Differentiated Colorectal Cancers Pathobiology, 2008
- Loss of expression of EphB1 protein in serous carcinoma of ovary associated with metastasis and poor survival Int. J. Clin. Exp. Pathol., 2014
- Peripheral EphrinB1/EphB1 signalling attenuates muscle hyperalgesia in MPS patients and a rat model of taut band-associated persistent muscle pain Mol. Pain, 2020
- Increased Gene Expression of C1orf74 Is Associated with Poor Prognosis in Cervical Cancer Cells, 2023
- A Single-Nucleotide Polymorphism in C12orf43 Region is Associated with the Risk of Coronary Artery Disease in a Pakistani Cohort Biochem. Genet., 2016
- Mutations in EEA1 are associated with allergic bronchopulmonary aspergillosis and affect phagocytosis of Aspergillus fumigatus by human macrophages PLOS ONE, 2018
- Endosomal Localization of the Autoantigen EEA1 Is Mediated by a Zinc-binding FYVE Finger J. Biol. Chem., 1996
- Autoantibodies to early endosome antigen (EEA1) produce a staining pattern resembling cytoplasmic anti-neutrophil cytoplasmic antibodies (C-ANCA) Clin. Exp. Immunol., 2001
- EEA1 restores homeostatic synaptic plasticity in hippocampal neurons from Rett syndrome mice J. Physiol., 2017
- Attenuation of FGF signalling in mouse β-cells leads to diabetes Nature, 2000
- Expression of fgf and fgf receptor genes in human breast cancer Int. J. Cancer, 1995
- Expression of FGF1 and FGFR1 in human melanoma tissues Melanoma Res, 1996
- Fgf signaling in adipocytes as a target for metabolic diseases Mol. Metab., 2013
- The Circadian Syndrome: is the Metabolic Syndrome and much more! J. Intern. Med., 2019
- UK Biobank: An Open Access Resource for Identifying the Causes of a Wide Range of Complex Diseases of Middle and Old Age PLOS Med, 2015
- Prevalence and Characteristics of Probable Major Depression and Bipolar Disorder within UK Biobank: Cross-Sectional Study of 172,751 Participants PLoS ONE, 2013
- Compared Heritability of Chronotype Instruments in a Single Population Sample J. Biol. Rhythms, 2021
- CIRCADIAN RHYTHMICITY OF CORTISOL AND BODY TEMPERATURE: MORNINGNESS-EVENINGNESS EFFECTS Chronobiol. Int., 2001
- The impact of chronotype on circadian rest-activity rhythm and sleep characteristics across the week Chronobiol. Int., 2021
- Genome-wide association analyses of chronotype in 697,828 individuals provides insights into circadian rhythms Nat. Commun., 2019
- Social Jetlag: Misalignment of Biological and Social Time Chronobiol. Int., 2006
- A marker for the end of adolescence Curr. Biol., 2004
- Chronotype: Implications for Epidemiologic Studies on Chrono-Nutrition and Cardiometabolic Health Adv. Nutr., 2019
- Meal timing influences daily caloric intake in healthy adults Nutr. Res. N. Y. N, 2014
- 0017 Circadian Phase Alignment and Sleep Duration in Overweight Adults: Associations with Cardiometabolic Risk Factors SLEEP, 2024
- Morning Circadian Misalignment during Short Sleep Duration Impacts Insulin Sensitivity Curr. Biol., 2015
- Sleep and circadian rhythm disruption in psychiatric and neurodegenerative disease Nat. Rev. Neurosci., 2010
- Untitled Encyclopedia of Sleep, 2013
- Wide awake at bedtime? Effects of caffeine on sleep and circadian timing in male adolescents – A randomized crossover trial Biochem. Pharmacol., 2021
- A Sleep, Neuronal Plasticity and Brain Function, 2014
- “No Thanks, Coffee Keeps Me Awake”: Individual Caffeine Sensitivity Depends on ADORA2A Genotype Sleep, 2012
- A Genome-Wide Association Study of Caffeine-Related Sleep Disturbance: Confirmation of a Role for a Common Variant in the Adenosine Receptor Sleep, 2012
- Association Between A2a Receptor Gene Polymorphisms and Caffeine-Induced Anxiety Neuropsychopharmacology, 2003
- Impact of Genetic Variability on Physiological Responses to Caffeine in Humans: A Systematic Review Nutrients, 2018
- Genetics of caffeine consumption and responses to caffeine Psychopharmacology (Berl.), 2010
- Vitamin D: A millenium perspective J. Cell. Biochem., 2003
- Vitamin D Deficiency N. Engl. J. Med., 2007
- Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers, and cardiovascular disease Am. J. Clin. Nutr., 2004
- The lullaby of the sun: the role of vitamin D in sleep disturbance Sleep Med, 2019
- The world epidemic of sleep disorders is linked to vitamin D deficiency Med. Hypotheses, 2012
- Daily and seasonal mitochondrial protection: Unraveling common possible mechanisms involving vitamin D and melatonin J. Steroid Biochem. Mol. Biol., 2020
- The role of vitamin D in sleep regulation: mechanisms, clinical advances, and future directions Front. Nutr., 2025
- Vitamin D and Sleep Regulation: Is there a Role for Vitamin D? Curr. Pharm. Des., 2020
- An atlas of genetic correlations across human diseases and traits Nat. Genet., 2015
- Computationally efficient whole-genome regression for quantitative and binary traits Nat. Genet., 2021
- Functional mapping and annotation of genetic associations with FUMA Nat. Commun., 2017
- LD Score regression distinguishes confounding from polygenicity in genome-wide association studies Nat. Genet., 2015
- Neighborhood socioeconomic status and mortality in the nurses’ health study (NHS) and the nurses’ health study II (NHSII) Environ. Epidemiol., 2023
- Quality control and analytic best practices for testing genetic models of sex differences in large populations Cell, 2023
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