Disruption of the circadian clock has been associated with pathological conditions including obesity, type 2 diabetes mellitus, cancer, depression and neurodegenerative diseases. Disturbed sleep patterns have now been associated with reduced erectile function. The mechanisms behind this effect are unclear but could include hypoxia signalling and low testosterone.
This is a preview of subscription content, access via your institution
Access options
Access Nature and 54 other Nature Portfolio journals
Get Nature+, our best-value online-access subscription
$29.99 / 30 days
cancel any time
Subscribe to this journal
Receive 12 print issues and online access
$209.00 per year
only $17.42 per issue
Buy this article
- Purchase on Springer Link
- Instant access to full article PDF
Prices may be subject to local taxes which are calculated during checkout
References
Masri, S. & Sassone-Corsi, P. The emerging link between cancer, metabolism, and circadian rhythms. Nat. Med. 24, 1795–1803 (2018).
Rodriguez, K. M. et al. Shift work sleep disorder and night shift work significantly impair erectile function. J. Sex. Med. 17, 1687–1693 (2020).
Maggi, M., Filippi, S., Vignozzi, L. & Rastrelli, G. Controversial aspects of testosterone in the regulation of sexual function in late-onset hypogonadism. Andrology https://doi.org/10.1111/andr.12794 (2020).
Deng, N., Haney, N. M., Kohn, T. P., Pastuszak, A. W. & Lipshultz, L. I. The effect of shift work on urogenital disease: a systematic review. Curr. Urol. Rep. 19, 57 (2018).
Kirby, W. et al. MP91-06 increased risk of hypogonadal symptoms in shift workers with shift work sleep disorder. J. Urol. 197, e1220 (2017).
Pastuszak, A. W. et al. Poor sleep quality predicts hypogonadal symptoms and sexual dysfunction in male nonstandard shift workers. Urology 102, 121–125 (2017).
Lee, D. S., Choi, J. B. & Sohn, D. W. Impact of sleep deprivation on the hypothalamic–pituitary–gonadal axis and erectile tissue. J. Sex. Med. 16, 5–16 (2019).
Yujnovsky, I., Hirayama, J., Doi, M., Borrelli, E. & Sassone-Corsi, P. Signaling mediated by the dopamine D2 receptor potentiates circadian regulation by CLOCK:BMAL1. Proc. Natl Acad. Sci. USA 103, 6386–6391 (2006).
Wu, Y. et al. Reciprocal regulation between the circadian clock and hypoxia signaling at the genome level in mammals. Cell. Metab. 25, 73–85 (2017).
Filippi, S. et al. Effects of hypoxia on endothelin-1 sensitivity in the corpus cavernosum. Mol. Hum. Reprod. 9, 765–774 (2003).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Rights and permissions
About this article
Cite this article
Vignozzi, L., Maggi, M. Circadian rhythm and erectile function: is there a penile clock?. Nat Rev Urol 17, 603–604 (2020). https://doi.org/10.1038/s41585-020-00376-7
Published:
Issue Date:
DOI: https://doi.org/10.1038/s41585-020-00376-7
This article is cited by
-
A review for the impacts of circadian disturbance on urological cancers
Sleep and Biological Rhythms (2024)