Abstract
Mismatch between the external time and the internal circadian time causes loss of circadian organization and is frequently linked to cancer. This chapter describes the role of the molecular circadian clock in the incidence and progression of cancer. The first section will present the strong association between disrupted clock gene expression in either the host or the tumor tissue with cancer progression. Furthermore, it will be evaluated whether timed clock gene expression is a relevant factor for tumor development. Possible processes that are regulated by the circadian clock and may trigger tumor growth during circadian disruption will be summarized in the second section. The last section will highlight the importance of circadian timing for the development of effective cancer therapies.
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Key Questions of Interest and Suggested Readings
Key Questions of Interest and Suggested Readings
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Is circadian clock disruption the cause of cancerogenesis or does cancer induce circadian clock disruption? Hints exist to support both hypotheses, but further studies are required to address this key question.
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How could circadian clock disruption enhance tumor growth? Dysregulation of the cell cycle by altered expression of cell cycle regulators such as WEE1 or c-MYC in circadian clock mutant mice affects the speed of the cell cycle and thus may regulate cancer progression [19, 38].
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What tumor-intrinsic mechanism could downregulate clock genes? Possible factors are DNA methylation [43], ubiquitination [57], or histone modifications [59].
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How can we take advantage of the link between the circadian clock and cancer? Improving circadian rhythms in the host and tumor tissue may reduce cancer progression [35, 36]. Cancer chronotherapy [63] uses the circadian time to treat cancer most effectively.
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Kiessling, S., Cermakian, N. (2017). Clock Genes and Cancer. In: Kumar, V. (eds) Biological Timekeeping: Clocks, Rhythms and Behaviour. Springer, New Delhi. https://doi.org/10.1007/978-81-322-3688-7_23
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