Adrenal disease

Effects of Prednisolone Administration on Clock Gene Expression and Indices of Circadian Rhythms in Healthy Human Males

J Clin Endocrinol MetabPublished Randomised controlled trial

Primary result · AUC serum free GC activityResult — go to the resultFold increase 4.5-fold

Authors' conclusion

(1) Prednisolone abrogates the temporal pattern of clock gene expression in human skeletal muscle and adipose tissue. (2) This is accompanied by perturbations of circadian variations in interstitial glucose levels, blood pressure, as well as sleep quality. (3) We hypothesize that adverse effects of high-dose prednisolone treatment are partly mediated by disrupted clocks in metabolic tissues.

Study context

Population
Healthy males aged 18 to 34 yearscrossover, 6-week washout
Participants
10 males
Comparison
Prednisolone vs placebo
Methodological detailsdouble-blind, crossover
  • Double-blind
  • Crossover

Primary result

AUC serum free glucocorticoid (GC) activity

Fold increase

4.5-fold

P < 0.001

By group

As reported in the abstract

Further findings

Nocturnal systolic BP · increased with Prednisolone

P = 0.05

Sleep efficiency · reduced with Prednisolone

P = 0.04

Nocturnal vs diurnal interstitial glucose

Prednisolone increased nocturnal interstitial glucose more than diurnal levels
67% (95% CI 36%-97%, P < .001)

Original publication

Effects of Prednisolone Administration on Clock Gene Expression and Indices of Circadian Rhythms in Healthy Human Males. J Clin Endocrinol Metab. Published 15 October 2025. doi:10.1210/clinem/dgaf564

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