You Shaojin, Wood Patricia A, Xiong Yin, Kobayashi Minoru, Du-Quiton Jovelyn, Hrushesky William J M
Medical Chronobiology Laboratory, Dorn Research Institute, WJB Dorn VA Medical Center and the School of Medicine, University of South Carolina, Columbia, SC 29209, USA.
Breast Cancer Res Treat. 2005 May;91(1):47-60. doi: 10.1007/s10549-004-6603-z.
Circadian coordination in mammals is accomplished, in part, by coordinate, rhythmic expression of a series of circadian clock genes in the central clock within the suprachiasmatic nuclei (SCN) of the hypothalamus. These same genes are also rhythmically expressed each day within each peripheral tissue.
We measured tumor size, tumor cell cyclin E protein, tumor cell mitotic index, and circadian clock gene expression in liver and tumor cells at six equispaced times of day in individual mice of a 12-h light, 12-h dark schedule.
We demonstrate that C3HFeJ/HeB mice with transplanted syngeneic mammary tumor maintain largely normal circadian sleep/activity patterns, and that the rate of tumor growth is highly rhythmic during each day. Two daily 2.5-fold peaks in cancer cell cyclin E protein, a marker of DNA synthesis, are followed by two daily up-to-3-fold peaks in cancer cell mitosis (one minor, and one major peak). These peaks are, in turn, followed by two prominent daily peaks in tumor growth rate occurring during mid-sleep and the second, during mid-activity. These data indicate that all therapeutic targets relevant to tumor growth and tumor cell proliferation are ordered in tumor cells within each day. The daily expression patterns of the circadian clock genes Bmal1, mPer1, and mPer2, remain normally circadian coordinated in the livers of these tumor bearing mice. Bmal1 gene expression remains circadian rhythmic in cancer cells, although damped in amplitude, with a similar circadian pattern to that in normal hepatocytes. However, tumor cell mPer1 and mPer2 gene expression patterns fail to maintain statistically significant daily rhythms.
We conclude that, if core circadian clock gene expression is essential to gate tumor cell proliferation within each day, then there may be substantial redundancy in this timing system. Alternatively, the daily ordering of tumor cell clock gene expression may not be essential to the daily gating of cancer cell DNA synthesis, mitosis and growth. This would indicate that host central SCN-mediated neuro-humoro-behavioral controls and/or daily light-induced changes in melatonin or peripherally-induced rhythms such as those resulting from feeding, may be adequate for the daily coordination of cancer cell expression of proliferation related therapeutic targets.
哺乳动物的昼夜节律协调部分是通过下丘脑视交叉上核(SCN)内中央时钟中一系列昼夜节律时钟基因的协调、节律性表达来实现的。这些相同的基因在每个外周组织中每天也有节律性表达。
我们在12小时光照、12小时黑暗周期的个体小鼠一天中六个等间隔时间测量了肝脏和肿瘤细胞中的肿瘤大小、肿瘤细胞周期蛋白E蛋白、肿瘤细胞有丝分裂指数以及昼夜节律时钟基因表达。
我们证明,移植了同基因乳腺肿瘤的C3HFeJ/HeB小鼠在很大程度上保持正常的昼夜睡眠/活动模式,并且肿瘤生长速度在每天中具有高度节律性。癌细胞周期蛋白E蛋白(DNA合成的标志物)每天出现两个2.5倍的峰值,随后是癌细胞有丝分裂每天高达3倍的两个峰值(一个较小,一个较大峰值)。这些峰值反过来又伴随着肿瘤生长速度在睡眠中期出现的两个显著的每日峰值,以及在活动中期出现的第二个峰值。这些数据表明,与肿瘤生长和肿瘤细胞增殖相关的所有治疗靶点在每天的肿瘤细胞中都是有序的。昼夜节律时钟基因Bmal1、mPer1和mPer2的每日表达模式在这些荷瘤小鼠的肝脏中仍保持正常的昼夜协调。Bmal1基因表达在癌细胞中仍保持昼夜节律,尽管振幅有所减弱,其昼夜模式与正常肝细胞相似。然而,肿瘤细胞mPer1和mPer2基因表达模式未能维持具有统计学意义的每日节律。
我们得出结论,如果核心昼夜节律时钟基因表达对于每天控制肿瘤细胞增殖至关重要,那么这个计时系统可能存在大量冗余。或者,肿瘤细胞时钟基因表达的每日排序对于癌细胞DNA合成、有丝分裂和生长的每日控制可能并非必不可少。这表明宿主中央SCN介导的神经-体液-行为控制和/或每日光照诱导的褪黑素变化或外周诱导的节律(如进食引起的节律)可能足以实现与增殖相关的治疗靶点癌细胞表达的每日协调。