Heart disease, cancer, diabetes: A gene that ties together the “Big 3”

When it comes to chronic diseases, the “Big 3” are heart disease, cancer, and type 2 diabetes. Heart disease is the number one killer in the US, with cancer a close second. Diabetes numbers are increasing at an alarming rate.

Genetically, there is one gene that impacts all three of these chronic diseases. It is one of the core circadian clock genes, and lifestyle factors along with genetic variants are important here.

BMAL1 Gene: Circadian clock, diabetes, heart disease, and cancer

Our circadian rhythm is driven by two pairs of proteins that act together as a molecule clock. One pair of proteins, CLOCK and BMAL1,  influence biological activities during the daytime; another pair governs the night half of the rhythm (PER and CRY).  During the day, BMAL1 and CLOCK levels rise; at night, PER’s and CRY’s levels peak.

Circadian rhythm biology is not just unique to humans – plants, all animals, and even some bacteria have similar circadian genes. It makes sense that your body can turn on processes that are needed when you are active (e.g. digestive enzymes, immune system genes) and then turn them off at night.

When it comes to the circadian clock genes, researchers like to use terminology like ‘period’ and ‘amplitude’. Let’s take BMAL1 as an example: the levels will rise and then fall (amplitude) over the course of 24 hours (period).  It is easier to picture this if you visual the amount of BMAL1 rising and falling like a sine wave:

Quite a lot of your body’s processes rise and fall over the course of the day. In fact, researchers estimate that 20 – 43% of genes are following a circadian pattern.

These circadian rhythms are obvious when you think about our natural sleep/wake cycle. Other biological rhythms include cortisol levels, body temperature, and blood pressure.

Blood pressure and BMAL1:

Blood pressure also follows a natural rhythm over the course of a 24-hour day, dipping by about 10% at night.[ref] Dipping at night is important, and people with high blood pressure often lose that oscillation.

  • Animal studies show that disrupting the natural dipping pattern causes heart disease.[ref]
  • Human studies find that BMAL1 genetic variants are linked to heart disease.[ref]
  • And a recent study found that loss of BMAL1 causes atherosclerosis.[ref]

Cancer and BMAL1:

The 24-hour day is based on the sun rising and setting…  And light is a driving factor in resetting our circadian rhythm, keeping us on track each day.  Electric lights at night, though, can disrupt our circadian rhythm genes.

Both exposure to light at night and working the night shift cause an increased risk in breast cancer. Of course, not everyone working the night shift gets breast cancer. Genetic variants seem to play a role in whether light at night significantly increases your risk of breast cancer.

BMAL1 gene variants have been tied to both increased[ref][ref] and decreased risk of cancer[ref], depending on the variant and type of cancer.

To find out how BMAL1 influences cancer, researchers investigated what happens when BMAL1 is deleted in a cell. The study found that in some types of cancer cells, deleting BMAL1 increased invasive cancer but in other cells, it triggered apoptosis which killed the cancer cell.[ref]

Diabetes and BMAL1:

Several circadian genetic variants have been found to increase the risk of type 2 diabetes. Some, like melatonin receptor variants, influence insulin release and lead to insulin resistance for those who eat too late at night.

In the pancreas, cells called beta cells are responsible for creating and secreting insulin needed for shuttling glucose into all of the cells of the body.  Without enough beta cells, the pancreas has a hard time producing enough insulin.  BMAL1 is involved in pancreatic beta cell proliferation as well as regulation of adipogenesis (fat cell creation). [ref]


BMAL1 & Genetic Variants

The BMAL1 protein is coded for by the ARNTL gene. 

Check your genetic data for rs6486122 (23andMe v4, v5; AncestryDNA):

  • T/T: increased risk of heart disease, diabetes [ref]
  • C/T: slightly increased risk of heart disease, diabetes
  • C/C: typical

Check your genetic data for rs11022775 (23andMe v4; AncestryDNA):

  • T/T: Increased risk of diabetes [ref][ref]
  • C/T: increased risk of diabetes
  • C/C: typical

Check your genetic data for rs969485 (23andMe v4, v5; AncestryDNA)

  • G/G: increased risk of breast cancer with night shift work[ref]
  • A/G:  increased risk of breast cancer with night shift work (64%)
  • A/A: typical

Check your genetic data for rs2278749 (23andMe v4, v5; AncestryDNA):

  • T/T: night shift work less likely to increase breast cancer risk[ref] more fertile[ref]
  • C/T: night shift work less likely to increase breast cancer risk[ref]
  • C/C: typical



Circadian optimization is foundational. You need to block out blue light at night either through turning off electronics and bright overhead lights or through wearing blue-blocking glasses. Bright light during the day is also essential, so get outside first thing in the morning.

Selenium, a mineral found in Brazil nuts, has also been found to upregulate BMAL1 levels.[ref] You can eat Brazil nuts  daily, or there are inexpensive selenium supplements. Taking selenium first thing in the morning may give you the most benefit for increasing BMAL1.

Author Information:   Debbie Moon
Debbie Moon is the founder of Genetic Lifehacks. She holds a Master of Science in Biological Sciences from Clemson University and an undergraduate degree in engineering. Debbie is a science communicator who is passionate about explaining evidence-based health information. Her goal with Genetic Lifehacks is to bridge the gap between the research hidden in scientific journals and everyone's ability to use that information. To contact Debbie, visit the contact page.