Circadian oscillator Rev-Erbα has been proposed to coordinate circadian metabolic responses. Circadian rhythms are driven by interlocking
transcription/translation feedback regulatory loops (TTFLs) that generate and maintain these daily rhythms, and Rev-Erbα is involved in a secondary TTFL in mammals. The primary TTFL features transcriptional activator proteins
CLOCK and
BMAL1 that contribute to the rhythmic expression of genes within this loop, notably
per and
cry. The expression of these genes then act through negative feedback to inhibit CLOCK:BMAL1 transcription. RORα shares the same response elements as Rev-Erbα but exerts opposite effects on gene transcription; BMAL1 expression is repressed by Rev-Erbα and activated by RORα. CLOCK:BMAL1 expression activates the transcription of
NR1D1, encoding the Rev-Erbα protein. Increased Rev-Erbα expression in turn, represses transcription of BMAL1, stabilizing the loop. The oscillating expression of RORα and Rev-Erbα in the
suprachiasmatic nucleus, the principal circadian timekeeper in mammals, leads to the circadian pattern of BMAL1 expression. The occupancy of the BMAL1 promoter by these two receptors is key for proper timing of the core clock machinery in mammals. Rev-Erbα relays circadian signals into metabolic and inflammatory regulatory responses and vice versa, although the precise mechanisms underlying this relationship are not entirely understood. In addition, the silencing of Rev-erbα is associated with the reduction of fatty acid synthase, a key regulator of
lipogenesis. and Rev-erbα polymorphisms in humans have been associated with obesity. Rev-erbα also regulates
adipogenesis of white and brown adipocytes. More directly, Rev-erbα's expression in the pancreas regulates the function of
α-cells and
β-cells, which produce glucagon and insulin, respectively.
Muscle and cartilage Rev-erbα plays a role in
myogenesis through interaction with the transcription complex
Nuclear Factor-T. One study found that in patients with osteoarthritis has reduced Rev-erbα levels compared to normal cartilage. Research on rheumatoid arthritis (RA) has implicated the potential for treatment with Rev-erbα agonists to RA patients due to their suppression of bone and cartilage destruction.
Immune system Rev-erbα contributes to the inflammatory response in mammals. Rev-erbα has also been implicated in the development of
group 3 innate lymphoid cells (ILC3), which play a role in regulating intestinal health and are responsible for lymphoid development. REV-ERBα promotes
RORγt expression, and RORγt is required for ILC3 expression. Rev-erbα is highly expressed in ILC3 subsets.
Mood and behavior Rev-erbα has been implicated in the regulation of memory and mood. Rev-erbα knockout mice are deficient in short term, long term, and contextual memories, showing deficits in the function of their
hippocampus. In addition, Rev-erbα has been proposed to play a role in the regulation of midbrain
dopamine production and mood-related behavior in mice through repression of
tyrosine hydroxylase gene transcription. Dopamine related dysfunction is associated with mood disorders, notably
major depressive disorder,
seasonal affective disorder, and
bipolar disorder. Genetic variations in human
NR1D1 loci are also associated with bipolar disorder onset. Rev-erbα has been proposed as a target in the treatment of bipolar disorder through
lithium, which indirectly regulates the protein at a post-translational level. Lithium inhibits
glycogen synthase kinase (GSK 3β), an enzyme that phosphorylates and stabilizes Rev-erbα. Lithium binding to GSK 3β then destabilizes and alters the function of Rev-erbα. This research has been implicated in the development of therapeutic agents for affective disorders, such as lithium for bipolar disorder. == References ==