
The influence of Circadian Rhythm on Cancers
- 1 Amity Global Institute, Singapore, Singapore
* Author to whom correspondence should be addressed.
Abstract
Circadian rhythms, which are intrinsic 24-hour biological cycles, regulate essential physiological processes that significantly impact health and are intricately associated with cancer development. Modern lifestyle disruptions can disturb circadian rhythms, affecting key tumorigenesis pathways like cell cycle regulation, DNA damage response, and metabolic processes. Core circadian proteins BMAL1 and CLOCK significantly influence cancer progression. Specifically, BMAL1 has been shown to activate oncogenic signaling pathways. Chronotherapy is a novel treatment that synchronizes the delivery of treatment with circadian biology. It shows outstanding promise in enhancing cancer treatment efficacy while reducing side effects. Clinical trials indicate that optimal temporal administration of chemotherapeutic and immunotherapeutic agents can significantly reduce drug toxicity and improve treatment outcomes. Despite implementation challenges, recent technological advances and deeper circadian insights are enabling personalized treatment development. This study highlights the therapeutic potential of synchronizing cancer therapies with circadian rhythms to improve outcomes.
Keywords
Cancer, Circadian clocks, Circadian rhythms, Chronotherapy
[1]. Libretexts. (n.d.). 15.2: What Are Circadian Rhythms? - Social Sci LibreTexts. https://socialsci.libretexts.org/Bookshelves/Psychology/Biological_Psychology/Behavioral_Neuroscience_(OpenStax)/15%3A_Biological_Rhythms_and_Sleep/15.02%3A_What_Are_Circadian_Rhythms
[2]. Herzog ED, Hermanstyne T, Smyllie NJ, Hastings MH. Regulating the Suprachiasmatic Nucleus (SCN) Circadian Clockwork: Interplay between Cell-Autonomous and Circuit-Level Mechanisms. Cold Spring Harb Perspect Biol. 2017 Jan 3;9(1):a027706. doi: 10.1101/cshperspect.a027706. PMID: 28049647; PMCID: PMC5204321.
[3]. Ma MA, Morrison EH. Neuroanatomy, Nucleus Suprachiasmatic. 2023 Jul 24. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 31536270.
[4]. Huang C, Zhang C, Cao Y, Li J, Bi F. Major roles of the circadian clock in cancer. Cancer Biol Med. 2023 Jan 12;20(1):1–24. doi: 10.20892/j.issn.2095-3941.2022.0474. PMID: 36647780; PMCID: PMC9843445.
[5]. Roth JR, Varshney S, de Moraes RCM, Melkani GC. Circadian-mediated regulation of cardiometabolic disorders and aging with time-restricted feeding. Obesity (Silver Spring). 2023 Feb;31 Suppl 1(Suppl 1):40-49. doi: 10.1002/oby.23664. Epub 2023 Jan 9. PMID: 36623845; PMCID: PMC10089654.
[6]. Munteanu C, Turti S, Achim L, Muresan R, Souca M, Prifti E, Mârza SM, Papuc I. The Relationship between Circadian Rhythm and Cancer Disease. Int J Mol Sci. 2024 May 28;25(11):5846. doi: 10.3390/ijms25115846. PMID: 38892035; PMCID: PMC11172077.
[7]. Dang CV. c-Myc target genes involved in cell growth, apoptosis, and metabolism. Mol Cell Biol. 1999 Jan;19(1):1-11. doi: 10.1128/MCB.19.1.1. PMID: 9858526; PMCID: PMC83860.
[8]. Dang CV. MYC, metabolism, cell growth, and tumorigenesis. Cold Spring Harb Perspect Med. 2013 Aug 1;3(8):a014217. doi: 10.1101/cshperspect.a014217. PMID: 23906881; PMCID: PMC3721271.
[9]. Vallée A, Lecarpentier Y, Vallée JN. Curcumin: a therapeutic strategy in cancers by inhibiting the canonical WNT/β-catenin pathway. J Exp Clin Cancer Res. 2019 Jul 22;38(1):323. doi: 10.1186/s13046-019-1320-y. PMID: 31331376; PMCID: PMC6647277.
[10]. El-Tanani M, Rabbani SA, Ali AA, Alfaouri IGA, Al Nsairat H, Al-Ani IH, Aljabali AA, Rizzo M, Patoulias D, Khan MA, Parvez S, El-Tanani Y. Circadian rhythms and cancer: implications for timing in therapy. Discov Oncol. 2024 Dec 18;15(1):767. doi: 10.1007/s12672-024-01643-4. PMID: 39692981; PMCID: PMC11655929
[11]. Sulli G, Lam MTY, Panda S. Interplay between Circadian Clock and Cancer: New Frontiers for Cancer Treatment. Trends Cancer. 2019 Aug;5(8):475-494. doi: 10.1016/j.trecan.2019.07.002. Epub 2019 Aug 3. PMID: 31421905; PMCID: PMC7120250.
[12]. Morgan MN, Dvuchbabny S, Martinez CA, Kerr B, Cistulli PA, Cook KM. The Cancer Clock Is (Not) Ticking: Links between Circadian Rhythms and Cancer. Clocks Sleep. 2019 Sep 20;1(4):435-458. doi: 10.3390/clockssleep1040034. PMID: 33089179; PMCID: PMC7445810.
[13]. Pérez-Villa A, Echeverría-Garcés G, Ramos-Medina MJ, Prathap L, Martínez-López M, Ramírez-Sánchez D, García-Cárdenas JM, Armendáriz-Castillo I, Guerrero S, Paz C, López-Cortés A. Integrated multi-omics analysis reveals the molecular interplay between circadian clocks and cancer pathogenesis. Sci Rep. 2023 Aug 30;13(1):14198. doi: 10.1038/s41598-023-39401-1. PMID: 37648722; PMCID: PMC10469199.
[14]. Rashed N, Liu W, Zhou X, Bode AM, Luo X. The role of circadian gene CLOCK in cancer. Biochim Biophys Acta Mol Cell Res. 2024 Oct;1871(7):119782. doi: 10.1016/j.bbamcr.2024.119782. Epub 2024 Jun 12. PMID: 38871225.
[15]. Keerthana CK, Rayginia TP, Shifana SC, Anto NP, Kalimuthu K, Isakov N, Anto RJ. The role of AMPK in cancer metabolism and its impact on the immunomodulation of the tumor microenvironment. Front Immunol. 2023 Feb 15;14:1114582. doi: 10.3389/fimmu.2023.1114582. PMID: 36875093; PMCID: PMC9975160.
[16]. Fagiani F, Di Marino D, Romagnoli A, Travelli C, Voltan D, Di Cesare Mannelli L, Racchi M, Govoni S, Lanni C. Molecular regulations of circadian rhythm and implications for physiology and diseases. Signal Transduct Target Ther. 2022 Feb 8;7(1):41. doi: 10.1038/s41392-022-00899-y. PMID: 35136018; PMCID: PMC8825842.
[17]. Schernhammer ES, Schulmeister K. Melatonin and cancer risk: does light at night compromise physiologic cancer protection by lowering serum melatonin levels? Br J Cancer. 2004 Mar 8;90(5):941-3. doi: 10.1038/sj.bjc.6601626. PMID: 14997186; PMCID: PMC2409637.
[18]. Amiama-Roig A, Verdugo-Sivianes EM, Carnero A, Blanco JR. Chronotherapy: Circadian Rhythms and Their Influence in Cancer Therapy. Cancers (Basel). 2022 Oct 17;14(20):5071. doi: 10.3390/cancers14205071. PMID: 36291855; PMCID: PMC9599830.
[19]. Zhao C, Meng X, Li Y, Liu L, He Q, Jiang J, Chen Y, Li X, Li Y, Tang Y, Zhou D, Zhou J, Jin F. Circadian clock gene BMAL1 inhibits the proliferation and tumor-formation ability of nasopharyngeal carcinoma cells and increases the sensitivity of radiotherapy. Chronobiol Int. 2022 Oct;39(10):1340-1351. doi: 10.1080/07420528.2022.2105708. Epub 2022 Jul 28. PMID: 35903031.
[20]. Lee Y. Roles of circadian clocks in cancer pathogenesis and treatment. Exp Mol Med. 2021 Oct;53(10):1529-1538. doi: 10.1038/s12276-021-00681-0. Epub 2021 Oct 7. PMID: 34615982; PMCID: PMC8568965.
Cite this article
Liu,Y. (2025). The influence of Circadian Rhythm on Cancers. Theoretical and Natural Science,112,54-60.
Data availability
The datasets used and/or analyzed during the current study will be available from the authors upon reasonable request.
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