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The Potential Impact of Time of Day on Cancer Treatment Efficacy

Mature woman suffering from cancer

According to a recent paper by a Swiss research institute, various processes in the body are regulated by a 24-hour circadian rhythm, and it is suggested that the “timing” is also a crucial factor in cancer treatment.

The study analyzed various published data to examine the relationship between “timing” and cancer. The researchers found that cancer cells control the development, progression, and metastasis of cancer by generating proteins at different times of the day, and the timing may also affect the accuracy of cancer diagnosis (biopsy and CTC testing) and treatment outcomes.

For example, breast cancer tends to metastasize at night, while prostate cancer tends to metastasize during the day. In terms of treatment, melanoma patients who took immunotherapy drugs before 4:30 PM had nearly double the survival rate compared to those who took it after that time.

Additionally, in therapies targeting the cancer-specific enzyme CYP1B1, it is essential to administer them during the morning to evening when CYP1B1 is activated. There are still many unknowns regarding the relationship between time and cancer, but it may become an important consideration in cancer treatments, including intravenous therapy and nutritional therapy, in the future.

 Munenori Matsuzawa

 

References:
Diamantopoulou Z. et al. A new time dimension in the fight against metastasis. Trends in Cell Biology, 2023

プロフィール

松澤 宗範
松澤 宗範青山メディカルクリニック 院長
近畿大学医学部卒業。慶應義塾大学病院形成外科入局し、佐野厚生総合病院形成外科へ。その後、横浜市立市民病院形成外科として務める。埼玉医科総合医療センター形成外科・美容外科を経て、銀座美容外科クリニック新宿院院長として従事する。その後、青山メディカルクリニック開設し、今に至る。

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