Second, since there are no mechanistic studies on DTR and malignant tumors, we reviewed other literature and speculated that high DTR can increase malignant tumors mortality risk by affecting human stem cells functions; the higher the DTR, the more likely it is to affect one's circadian rhythm, and one study suggested that changes in circadian rhythm may increase malignant tumor death risk by affecting the functions of the human clock genes CLOCK and BMAL1 [19]. Here, BMAL1 is linked to cancer.