“…This "circadian gating" is indeed bidirectional in nature. Some targets of the clock include immuneinflammatory responses (16,18,25,44,51), oxidative stress response (15,38), proliferation (37), remodeling (14,48), intracellular calcium concentration ([Ca 2ϩ ] i ) (26,28,33,35,36), and metabolism (23,45): pathways highly relevant to chronic respiratory disease physiology. In the laboratory setting, clock disruption animal models (e.g., BMAL1 knockout; altered light-dark cycles) reveal detrimental effects on lung function (4,12,39,53) and increased susceptibility and inflammatory response to infection with poorer recovery outcomes (16,18,21,32,44,47,48,53).…”