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Submitted on June 13, 2007
Accepted on August 16, 2007
Department of Endocrinology and Metabolism, Academic Medical Center of the University of Amsterdam, Amsterdam, The Netherlands; Department of Endocrinology and Metabolism, Leiden University Medical Center, Leiden, The Netherlands; Instituto de Investigaciones Biomedicas, Universidad Autonoma Mexico, Apartado Postal 70228, Ciudad Universitaria, 04510 Mexico D.F.
* To whom correspondence should be addressed. E-mail: a.kalsbeek{at}nin.knaw.nl.
In the present review first we present the anatomical connections used by the mammalian biological clock to enforce its endogenous rhythmicity on the rest of the body, especially the energy homeostatic systems. Subsequently we present a number of physiological experiments investigating the functional significance of this neuro-anatomical substrate. Together this overview of experimental data, for a major part derived from our own experiments, reveals a highly specialized organization of connections between the endogenous pacemaker and both the pre-sympathetic and pre-parasympathetic hypothalamic systems, providing the biological clock with a unique opportunity to modulate the balance of sympathetic/parasympathetic inputs to peripheral organs. We hypothesize that a well balanced autonomic nervous input, differentiated according to the time of day and the body compartment, is an important companion to withstand the progressive burden of the current 24/7 society on our health and well-being.
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