Current Opinion in Systems Biology,
Год журнала:
2024,
Номер
37, С. 100506 - 100506
Опубликована: Фев. 29, 2024
The
growing
numbers
of
cancer
cases
represent
a
medical
and
societal
burden
worldwide.
More
than
half
all
patients
are
treated
with
chemotherapy.
Yet,
chemotherapeutic
drugs
kill
not
only
cells,
but
also
healthy
tissue,
causing
massive
adverse
side
effects.
Recent
research
on
circadian
medicine
suggests
that
side-effects
can
be
reduced,
treatment
efficacy
increased,
by
considering
the
biological
clock
patients.
Integrating
profiles
molecular
markers
in
personalized
mathematical
models
simulate
individual
dynamics
drug
uptake,
action
cellular
response
to
This
requires
advanced
computational
tools
balance
prediction
quality
overfitting.
Personalized
will
eventually
lead
an
optimal
alignment
timing
inner
patient,
reducing
effects,
increasing
enhancing
patient
well-being.
Pharmacological Reviews,
Год журнала:
2017,
Номер
69(2), С. 161 - 199
Опубликована: Март 28, 2017
Chronotherapeutics
aim
at
treating
illnesses
according
to
the
endogenous
biologic
rhythms,
which
moderate
xenobiotic
metabolism
and
cellular
drug
response.
The
molecular
clocks
present
in
individual
cells
involve
approximately
fifteen
clock
genes
interconnected
regulatory
feedback
loops.
They
are
coordinated
by
suprachiasmatic
nuclei,
a
hypothalamic
pacemaker,
also
adjusts
circadian
rhythms
environmental
cycles.
As
result,
many
mechanisms
of
diseases
effects
controlled
timing
system.
Thus,
tolerability
nearly
500
medications
varies
up
fivefold
scheduling,
both
experimental
models
and/or
patients.
Moreover,
treatment
itself
disrupted,
maintained,
or
improved
system
as
function
timing.
Improved
patient
outcomes
on
circadian-based
treatments
(chronotherapy)
have
been
demonstrated
randomized
clinical
trials,
especially
for
cancer
inflammatory
diseases.
However,
recent
technological
advances
highlighted
large
interpatient
differences
functions
resulting
significant
variability
chronotherapy
Such
findings
advocate
advancement
personalized
chronotherapeutics
through
interdisciplinary
systems
approaches.
combination
mathematical,
statistical,
technological,
experimental,
expertise
is
now
shaping
development
dedicated
devices
diagnostic
delivery
algorithms
enabling
individualization.
In
particular,
multiscale
chronopharmacology
approaches
currently
combine
mathematical
modeling
based
whole-body
physiology
preclinical
investigations
toward
design
patient-tailored
chronotherapies.
We
review
research
works
aiming
individualization
disease
treatment,
with
emphasis
management
system–resetting
strategies
improving
chronic
control
outcomes.
Annals of Medicine,
Год журнала:
2014,
Номер
46(4), С. 191 - 207
Опубликована: Июнь 1, 2014
The
circadian
timing
system
(CTS)
controls
several
critical
molecular
pathways
for
cancer
processes
and
treatment
effects
over
the
24
hours,
including
drug
metabolism,
cell
cycle,
apoptosis,
DNA
damage
repair
mechanisms.
This
results
in
time
dependency
of
whole-body
cellular
pharmacokinetics
pharmacodynamics
anticancer
agents.
However,
CTS
robustness
phase
varies
among
patients,
based
on
monitoring
rest–
activity,
body
temperature,
sleep,
and/or
hormonal
secretion
rhythms.
Circadian
disruption
has
been
further
found
up
to
50%
patients
with
metastatic
cancer.
Such
was
associated
poor
outcomes,
fatigue,
anorexia,
sleep
disorders,
short
progression-free
overall
survival.
Novel,
minimally
invasive
devices
have
enabled
continuous
assessment
non-hospitalized
patients.
They
revealed
12-hour
differences
individual
phase.
Taken
together,
data
support
personalization
chronotherapy.
method
aims
at
adjustment
delivery
according
rhythms,
using
programmable-in-time
pumps
or
novel
release
formulations,
order
increase
both
efficacy
tolerability.
A
fixed
oxaliplatin,
5-fluorouracil
leucovorin
chronotherapy
protocol
prolonged
median
survival
men
colorectal
by
3.3
months
as
compared
conventional
delivery,
a
meta-analysis
(P
=
0.009).
Further
analyses
need
prevention
restoration
robust
function
chronotherapy,
optimize
effects.
strengthening
external
synchronizers
could
meet
such
goal,
through
programmed
exercise,
meal
timing,
light
exposure,
improved
social
support,
scheduling,
properly
timed
administration
drugs
that
target
clocks.
Chrono-rehabilitation
warrants
clinical
testing
improving
quality
life
Proceedings of the Royal Society B Biological Sciences,
Год журнала:
2015,
Номер
282(1817), С. 20151453 - 20151453
Опубликована: Окт. 15, 2015
The
rhythm
of
life
on
earth
is
shaped
by
seasonal
changes
in
the
environment.
Plants
and
animals
show
profound
annual
cycles
physiology,
health,
morphology,
behaviour
demography
response
to
environmental
cues.
Seasonal
biology
impacts
ecosystems
agriculture,
with
consequences
for
humans
biodiversity.
Human
populations
robust
rhythms
health
well-being,
birth
month
can
have
lasting
effects
that
persist
throughout
life.
This
review
emphasizes
need
a
better
understanding
against
backdrop
its
rapidly
progressing
disruption
through
climate
change,
human
lifestyles
other
anthropogenic
impact.
Climate
change
modifying
which
numerous
organisms
adapted,
potential
industries
relating
food
security.
Disconcertingly,
under
artificial
conditions
eternal
summer
provide
most
extreme
example
disconnect
from
natural
seasons,
making
vulnerable
increased
morbidity
mortality.
In
this
review,
we
introduce
scenarios
disruption,
highlight
key
aspects
summarize
biomedical,
anthropological,
veterinary,
agricultural
perspectives
recent
evidence
desynchronization
between
factors
internal
rhythms.
Because
are
pervasive
across
biological
systems,
they
common
framework
trans-disciplinary
research.
Current Opinion in Oncology,
Год журнала:
2014,
Номер
27(1), С. 50 - 56
Опубликована: Ноя. 15, 2014
Purpose
of
review
The
interplay
between
circadian
rhythm
and
cancer
has
been
suggested
for
more
than
a
decade
based
on
the
observations
that
shift
work
incidence
are
linked.
Accumulating
evidence
implicates
clock
in
survival
proliferation
pathways.
At
molecular
level,
multiple
control
mechanisms
have
proposed
to
link
transcription
cell-cycle
tumorigenesis.
Recent
findings
gating
cell
cycle
subsequent
is
an
area
active
investigation.
Moreover,
transcriptional
system
intricately
regulated
at
epigenetic
level.
Interestingly,
landscape
level
histone
modifications,
DNA
methylation,
small
regulatory
RNAs
differentially
controlled
cells.
This
concept
raises
possibility
common
thread
linking
with
cancer,
though
little
scientific
known
date.
Summary
focuses
speculates
possible
connections
could
further
tumor
initiation
or
progression.
Journal of Biological Rhythms,
Год журнала:
2020,
Номер
36(1), С. 9 - 22
Опубликована: Ноя. 9, 2020
The
circadian
clock
controls
several
aspects
of
mammalian
physiology
and
orchestrates
the
daily
oscillations
biological
processes
behavior.
Our
rhythms
are
driven
by
an
endogenous
central
in
brain
that
synchronizes
with
clocks
peripheral
tissues,
thereby
regulating
our
immune
system
severity
infections.
These
affect
pharmacokinetics
efficacy
therapeutic
agents
vaccines.
core
regulatory
circuits
clock-regulated
host
pathways
provide
fertile
ground
to
identify
novel
antiviral
therapies.
An
increased
understanding
role
systems
play
virus
infection
response
will
inform
clinical
management
these
diseases.
This
review
provides
overview
experimental
evidence
reporting
on
interplay
between
viral
infections,
highlighting
importance
virus-clock
research.