Focan C, Cornélissen G, Halberg F
Centre Hospitalier Saint-Joseph-Espérance, Liège, Belgium.
In Vivo. 1995 Jul-Aug;9(4):401-6.
This note focuses attention upon infradians in mitotic activity of a murine sarcoma. Starting on day 8 after the inoculation of mice with a sarcoma, three different doses of cyclophosphamide, one dose at three different circadian times, were injected and tumor was sampled with serial independence, mostly at 12-hour intervals during the 4 ensuing days. A metachronanalysis of these heterogeneous data, collected for a different purpose with different doses and at different circadian times, reveals the presence of a circasemiseptan pattern (P < 0.05 by population-mean cosinor). Without a longitudinal replication, the result is described only as a pattern rather than as a (recurring) rhythm, characterizing malignant growth after treatment with cyclophosphamide. For cancer chronotherapy, the analyses serve to suggest the desirability to replace exclusive focus upon circadian aspects of drug timing and drug effect by a broader view that takes into account as much of the chronome as is practical. Among the different components of a chronome (i.e., the time structure of rhythms with different frequencies and trends in a given variable), the circasemiseptans (and circa-septans) are more readily accessible than infradians with even lower frequencies; they may also be pertinent to the scheduling of infusions covering several days, particularly those using drug administration devices, some of which are programmable. Since circaseptans and circasemiseptans may characterize the host as well as the tumor, infradian drug administration schedules could be sought that optimize both treatment efficacy and host tolerance.
本笔记聚焦于小鼠肉瘤有丝分裂活动中的亚日节律。在给小鼠接种肉瘤后的第8天开始,注射三种不同剂量的环磷酰胺,每种剂量在三个不同的昼夜节律时间注射一次,并且以系列独立的方式对肿瘤进行采样,主要在随后的4天内每隔12小时采样一次。对这些出于不同目的、使用不同剂量且在不同昼夜节律时间收集的异质性数据进行异时分析,揭示了一种约半周节律模式(总体均值余弦法分析,P < 0.05)。由于没有纵向重复实验,该结果仅被描述为一种模式,而非(反复出现的)节律,它表征了环磷酰胺治疗后的恶性生长情况。对于癌症时辰疗法而言,这些分析表明,应当以更宽泛的视角取代仅专注于药物给药时间和药物效应的昼夜节律方面,该视角应尽可能全面地考虑时辰生物学的各个方面。在时辰生物学的不同组成部分中(即给定变量中具有不同频率和趋势的节律的时间结构),约半周节律(和约一周节律)比频率更低难以察觉的亚日节律更容易被发现;它们也可能与持续数天的输液安排相关,特别是那些使用可编程序的给药装置的输液安排。由于约一周节律和约半周节律可能同时表征宿主和肿瘤的特征,因此可以寻求亚日给药方案,以优化治疗效果和宿主耐受性。