Circadian timing in cancer treatment: the biological foundation for an integrative approach
Open accessAbstract
Despite the many innovations that have occurred in cancer treatment, the age-specific mortality for most adult tumors has remained stable during the past 30 years. There have been clinically significant improvements in the outcomes of young and middle-aged patients, yet the vast majority of cancer patients are more than 50 years of age, among whom we observe few improvements in clinical outcomes. Clearly, many of today's cytotoxic agents have been shown to be effective in-vitro and in animal model systems; however, few have proved efficacious in dramatically improving survival outcomes in adult cancer. There is now increasing evidence to suggest that the administration of cytotoxic agents, at the appropriate circadian phase, can significantly increase the therapeutic index of current cancer therapies.
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Night-shift workers have a higher risk of developing cancer and poorer cancer prognosis.
“Epidemiological studies have revealed that individuals who work night-shifts are at higher risk for developing cancer (Hansen, 2001; Kloog et al., 2009; Megdal et al., 2005; Schernhammer et al., 2006; Schernhammer et al., 2001; Viswanathan et al., 2007) or display poorer cancer prognosis (Lis et al., 2003).”
From Circadian Rhythm Disruption Promotes Lung Tumorigenesis (2016) · cites this paper as Lis et al., 2003
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- Authors
- Lis, C. G., Grutsch, J. F., Wood, P., You, M., Rich, I., & Hrushesky, W. J. M.
- Affiliations
- Cancer Treatment Centers of America (US)
- Venue
- Integrative Cancer Therapies
- Publisher
- SAGE Publications
- Published
- 2003-06
- Volume
- 2
- Issue
- 2
- Pages
- 105-111
- ISSN
- 1534-7354 (ISSN-L)
- 1552-695X
- OpenAlex
- W2074945663
- Cited by
- 48
- References
- 36
- Citations by year
- 2022: 3 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 3 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 3 · 2013: 3 · 2012: 2
- FWCI
- 1.31
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Integrative Cancer Therapies (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Health Sciences › Medicine › Psychiatry and Mental health › Cancer, Stress, Anesthesia, and Immune Response
- Health Sciences › Medicine › Physiology › Dietary Effects on Health
- Keywords
- circadian rhythm, circadian timing, cancer therapy, cytotoxic drugs, timing of drug administration, therapeutic index, integrative oncology
- MeSH terms
- Adult, Age Factors, Aged, Antineoplastic Combined Chemotherapy Protocols, Circadian Rhythm, Clinical Trials as Topic, Drug Interactions, Female, Humans, Male, Middle Aged, Neoplasms, Risk Factors, Sensitivity and Specificity, Time Factors, Survival Analysis, Treatment Outcome, Risk Assessment, Chronotherapy
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