rs55694368 — PER2 PER2 regulatory variant
Upstream regulatory signal near the core circadian clock gene PER2 that shifts chronotype toward eveningness and increases susceptibility to shift-work misalignment
Details
- Gene
- PER2
- Chromosome
- 2
- Risk allele
- T
- Clinical
- Risk Factor
- Evidence
- Strong
Population Frequency
Category
Hormones & SleepSee your personal result for PER2
Upload your DNA data to find out which genotype you carry and what it means for you.
Upload your DNA dataWorks with 23andMe, AncestryDNA, and other DNA test exports. Results in under 60 seconds.
PER2 Upstream Variant — A Regulatory Switch for Your Sleep Timing
About 121 kilobases upstream of the
PER2 gene11 PER2 gene
Period Circadian Regulator 2: one of the core negative-feedback proteins in the mammalian circadian clock. PER2 protein accumulates during the day, enters the cell nucleus to inhibit its own transcription, then gets degraded — resetting the clock for the next 24-hour cycle
sits a regulatory region that acts as a long-range tuner of PER2 expression.
The rs55694368 variant in this region was first identified in a 2016 genome-wide
association study of nearly 90,000 people and independently confirmed in a 2019
meta-analysis of 697,828 individuals — one of the largest chronotype studies
ever conducted. Carriers of the T allele (about 13% of people of European
ancestry) show a measurable shift in their biological clock toward eveningness.
The Mechanism
PER2 expression is tightly controlled not just by its promoter but by distal
enhancer elements22 enhancer elements
Stretches of DNA, often tens to hundreds of kilobases from a gene, that bind transcription factors and loop back to the promoter to boost or tune gene expression. They are especially important for genes like PER2 that must be precisely timed
that bind
CLOCK/BMAL133 CLOCK/BMAL1
The master activator complex of the mammalian circadian clock. CLOCK and BMAL1 proteins form a dimer that drives transcription of PER2 and other clock genes; PER2 protein in turn accumulates and inhibits CLOCK/BMAL1 — completing the core feedback loop
and other transcription factors. rs55694368 sits in one such upstream regulatory
region. The T allele is thought to reduce the efficiency of this enhancer,
producing slightly less PER2 protein per cell cycle. Because PER2 is a
transcriptional repressor that drives its own oscillation, reduced levels slow
the feedback loop slightly, delaying the phase of the clock — shifting the
entire sleep-wake cycle toward later timing. This is a distinct regulatory
haplotype from the PER2 5'UTR variant (rs2304672) and the coding variant
rs35333999, meaning rs55694368 tags an independent route to the same outcome.
The Evidence
The initial discovery came from
Hu et al.44 Hu et al.
Hu Y et al. GWAS of 89,283 individuals identifies genetic variants associated with self-reporting of being a morning person. Nat Commun, 2016,
a genome-wide association study of 89,283 individuals from the 23andMe cohort.
The study identified seven loci near established circadian genes, including
rs55694368 at PER2, reaching genome-wide significance (P=2.6×10⁻⁹). The G
allele carried OR≈1.16 for self-reported morningness, meaning T carriers have
approximately 14% lower odds of being a morning person per copy of T (OR≈0.86
for morningness per T allele copy).
Replication and extension came from the landmark
Jones et al. chronotype GWAS55 Jones et al. chronotype GWAS
Jones SE et al. Genome-wide association analyses of chronotype in 697,828 individuals provides insights into circadian rhythms. Nat Commun, 2019,
which expanded the known genetic architecture of chronotype from 24 to 351
loci in a meta-analysis of UK Biobank and 23andMe data. The PER2 region
was confirmed among the circadian-gene-enriched set. Mendelian randomization
in that study found that genetically predicted later chronotype causally
associates with poorer mental health outcomes, independent of sleep duration
— adding clinical weight to this locus beyond its effect on sleep timing alone.
The effect size at rs55694368 is modest in isolation — as expected for a common regulatory variant influencing a complex trait — but it tags a distinct regulatory haplotype from the other two PER2 variants in the GeneOps database (rs2304672 and rs35333999), providing independent information about your circadian regulation.
Practical Implications
Chronotype is substantially genetic, and the T allele at rs55694368 is one
piece of that genetic architecture. Carriers of one or two T alleles have a
slightly stronger biological tendency toward later sleep timing. For most
people in standard day-shift jobs, this manifests as needing slightly more
effort to maintain early schedules. For T allele carriers in
shift work66 shift work
Work schedules that rotate across evenings, nights, and weekends, forcing the body clock to repeatedly misalign with work and social timing. Epidemiological studies link shift work to elevated rates of metabolic syndrome, cardiovascular disease, depression, and cancer
or trans-meridian travel, the mismatch between biology and schedule can be
more pronounced. The practical tools for managing chronotype — strategic light
exposure, light-avoidance at night, and consistent anchoring of the sleep-wake
cycle — are particularly valuable when the genetic tendency runs counter to
social demands.
Interactions
rs55694368 tags a regulatory haplotype that is independent of, and potentially additive with, the PER2 5'UTR variant rs2304672 (associated with morning preference, opposite direction to rs55694368-T) and the coding variant rs35333999 (V903I, also eveningness-associated). A carrier of both rs55694368-TT and rs35333999-TT would carry two independent genetic pushes toward eveningness within the same gene. The CLOCK activator rs1801260 sits on the opposite side of the feedback loop: the G allele (eveningness-associated) and rs55694368-T may compound toward later sleep timing through distinct mechanisms — rs1801260 reducing CLOCK transcriptional activity and rs55694368 reducing PER2 enhancer response. Combined effects across these PER2 and CLOCK loci have not been formally tested but represent a plausible interaction for carriers of multiple evening-preference alleles.
Genotype Interpretations
What each possible genotype means for this variant:
Standard PER2 regulatory activity and typical sleep timing
The GG genotype represents homozygosity for the reference (G) allele at rs55694368, which in GWAS of over 89,000 individuals carries OR≈1.16 for self-reported morningness. At the population level, GG homozygotes tend slightly toward morning preference compared to T carriers, though the effect per allele is modest. European ancestry GG frequency is approximately 80% (based on T allele frequency of ~10.7% in non-Finnish Europeans). For the majority of people, circadian timing is primarily set by environmental factors, and the GG genotype at this locus imposes no additional genetic constraint.
One copy of the eveningness allele; mildly later biological clock
Heterozygous GT carriers have one copy of the allele that reduces activity of the PER2 upstream enhancer. The per-allele effect from Hu et al. 2016 (OR≈0.86 for morningness per T copy, P=2.6×10⁻⁹) predicts a modest but real shift toward eveningness. In the Jones et al. 2019 Mendelian randomization analysis, genetically predicted later chronotype was causally associated with poorer mental health outcomes — suggesting the downstream consequences extend beyond sleep timing preference itself. The variant tags an independent regulatory haplotype from other PER2 variants; if you also carry eveningness alleles at rs35333999 or rs1801260, the effects may be additive.
Two copies of the eveningness allele; stronger shift toward later sleep timing
TT homozygotes carry two copies of the allele that reduces PER2 upstream enhancer activity. Assuming an additive model (supported by the genome-wide evidence), TT carries approximately twice the per-allele effect — roughly 30% lower odds of being a morning person versus the GG genotype at this locus. The rarity of TT (approximately 0.5% globally) means no large study has characterized this specific genotype in isolation, but the additive architecture confirmed in GWAS meta-analyses justifies extrapolating the doubled per-allele effect.
The downstream consequences are practical: sustained misalignment between a later biological clock and socially imposed early schedules is associated with metabolic, mood, and cognitive impairments independent of sleep duration. The Jones et al. 2019 Mendelian randomization found causal links between genetically predicted evening preference and depression and anxiety outcomes. For TT carriers, proactively managing circadian hygiene is more consequential than for the average person.
If shift work is unavoidable, TT carriers should know that rotating and permanent night-shift schedules impose the highest circadian misalignment burden on people with genetically later clocks, amplifying the known health risks of shift work beyond those seen in morning-type workers.