Molecular aspects of circadian pharmacology and relevance for cancer chronotherapy
Open accessAbstract
The circadian timing system (CTS) controls various biological functions in mammals including xenobiotic metabolism and detoxification, immune functions, cell cycle events, apoptosis and angiogenesis. Although the importance of the CTS is well known in the pharmacology of drugs, it is less appreciated at the clinical level. Genome-wide studies highlighted that the majority of drug target genes are controlled by CTS. This suggests that chronotherapeutic approaches should be taken for many drugs to enhance their effectiveness. Currently chronotherapeutic approaches are successfully applied in the treatment of different types of cancers. The chronotherapy approach has improved the tolerability and antitumor efficacy of anticancer drugs both in experimental animals and in cancer patients. Thus, chronobiological studies have been of importance in determining the most appropriate time of administration of anticancer agents to minimize their side effects or toxicity and enhance treatment efficacy, so as to optimize the therapeutic ratio. This review focuses on the underlying mechanisms of the circadian pharmacology i.e., chronopharmacokinetics and chronopharmacodynamics of anticancer agents with the molecular aspects, and provides an overview of chronotherapy in cancer and some of the recent advances in the development of chronopharmaceutics.
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Host xenobiotic metabolism is influenced by circadian rhythms.
“Host xenobiotic metabolism is influenced by circadian rhythms (Ozturk et al., 2017)”
From Gut reactions: Breaking down xenobiotic–microbiome interactions (2019) · cites this paper as Ozturk et al., 2017
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Gut reactions: Breaking down xenobiotic–microbiome interactions
Clarke, G., Sandhu, K. V., Griffin, B. T., Dinan, T. G., Cryan, J. F., & Hyland, N. P. (2019) · Pharmacological Reviews · doi:10.1124/pr.118.015768 · Cited by 319 · see citing works
- Authors
- Ozturk, N., Ozturk, D., Kavakli, I. H., & Okyar, A.
- Affiliations
- Department of Pharmacology, Faculty of Pharmacy, Istanbul University, TR-34116 Beyazit-Istanbul, Turkey
- Departments of Molecular Biology and Genetics and Chemical and Biological Engineering, Koc University, TR-34450 Sariyer-Istanbul, Turkey
- Istanbul University (TR)
- Corresponding author
- Okyar, Alper
- ORCID
- Okyar, Alper
- Venue
- International Journal of Molecular Sciences
- Publisher
- MDPI AG
- Published
- 2017-10-17
- Volume
- 18
- Issue
- 10
- Pages
- 2168
- ISSN
- 1422-0067 (ISSN-L)
- PMC
- PMC5666849
- OpenAlex
- W2766968224
- Cited by
- 106
- References
- 197
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 16 · 2023: 15 · 2022: 12 · 2021: 14 · 2020: 15 · 2019: 9 · 2018: 6 · 2017: 1
- FWCI
- 1.03
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Molecular Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Digital Collections portal (Koç University) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Health Sciences › Medicine › Oncology › Cancer-related Molecular Pathways
- Keywords
- circadian clock, chronotherapy, cancer chronotherapy, chronopharmacokinetics, anticancer agents, circadian gene expression, drug target genes, drug toxicity, therapeutic window
- MeSH terms
- Animals, Antineoplastic Agents, Circadian Rhythm, Humans, Neoplasms, Drug Delivery Systems, Drug Chronotherapy, Circadian Clocks, Drug-Related Side Effects and Adverse Reactions
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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