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The right timing could make cancer treatments work better

The right timing could make cancer treatments work better

  • Cancer treatments may be more effective when administered at the right time, based on an individual’s internal clock.
  • The human body operates on a complex internal schedule governed by circadian rhythms, which control essential bodily functions like sleep-wake cycles and hormone production.
  • Disruptions to these internal clocks can increase vulnerability to diseases, including cancer, and may be exploited for therapeutic purposes.
  • Research led by Johns Hopkins University professor Chi Van Dang has revealed critical insights into cancer metabolism and the genetic changes that transform healthy cells into malignant ones.
  • Federal support for research on circadian biology and its role in medicine is crucial for opening up new avenues for cancer treatment and improving outcomes for patients.

A woman holds a clock in front of her face in front an orange background.

In a new Q&A, an expert explains how cancer treatments based on our internal clock could improve outcomes.

Every cell in the human body operates on an intricate internal schedule, governed by circadian rhythms that synchronize our biological processes with the 24-hour cycle of day and night. Coordinated by a master clock in the brain called the suprachiasmatic nucleus, these cellular clocks control essential bodily functions including sleep-wake cycles, hormone production, immune function, and metabolism.

When these internal clocks are disrupted, the consequences can be profound, potentially increasing our vulnerability to diseases including cancer.

Chi Van Dang, a professor of cancer medicine at Johns Hopkins University and CEO and scientific director of the Ludwig Institute for Cancer Research, is at the forefront of research exploring the connection between circadian biology and cancer: how the circadian clock affects tumor biology, and how these clocks can be exploited and even manipulated for therapeutic purposes.

Dang has dedicated his career to understanding the molecular mechanisms driving cancer development and progression. He has spent decades investigating how cancer cells hijack normal cellular processes to fuel their uncontrolled growth. With support from the National Institutes of Health, his work has revealed critical insights into cancer metabolism and the genetic changes that transform healthy cells into malignant ones.

Dang’s interest in circadian cancer biology began with a molecular discovery while studying the MYC oncogene, a cancer-driving gene that acts as a switch, altering metabolic pathways in cancer cells. Dang found that MYC proteins bind to the same DNA sequence to regulate gene expression as circadian clock proteins.

“This overlap sparked a key question for me: Could these two systems be interconnected?” Dang says. “It is incredibly fascinating to learn how many things are actually controlled by our circadian clocks, but we didn’t realize it. Everyone is talking about fighting cancer and developing new treatments, but most people typically don’t factor in our circadian rhythm. There’s so much more to be discovered.”

Dang says federal support has allowed him follow new leads in the fight against cancer.

“My NIH-funded work over the years has led to industry efforts in creating medicines targeting metabolism for the treatment of cancer,” Dang says.

“Ongoing federal research support is crucial for opening up new research avenues and hopes for new cures. Our current work on how the circadian clock and diet affect cancer immunotherapy responses should provide key insights that will improve outcomes for cancer patients.”

Here, Dang explains the connection between the body’s internal clock and cancer, why the timing of medical interventions could be as crucial as the treatment itself, and what health care providers, researchers, and the general public need to know about circadian biology’s role in medicine:

The post The right timing could make cancer treatments work better appeared first on Futurity.

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Q. What is the role of circadian rhythms in the human body?
A. Circadian rhythms govern our biological processes and synchronize them with the 24-hour cycle of day and night, controlling essential bodily functions such as sleep-wake cycles, hormone production, immune function, and metabolism.

Q. How does the internal clock affect cancer vulnerability?
A. When the internal clocks are disrupted, it can increase our vulnerability to diseases, including cancer, potentially making us more susceptible to developing cancer.

Q. Who is Chi Van Dang and what is his role in cancer research?
A. Chi Van Dang is a professor of cancer medicine at Johns Hopkins University and CEO and scientific director of the Ludwig Institute for Cancer Research, dedicated to understanding the molecular mechanisms driving cancer development and progression.

Q. What sparked Dr. Dang’s interest in circadian cancer biology?
A. A molecular discovery while studying the MYC oncogene, which showed that MYC proteins bind to the same DNA sequence as circadian clock proteins, sparking a key question about the potential connection between these two systems.

Q. Can the circadian clock be exploited and manipulated for therapeutic purposes?
A. Yes, Dr. Dang’s research suggests that the circadian clock can be used to develop new treatments for cancer, including medicines targeting metabolism for cancer treatment.

Q. How has federal support impacted Dr. Dang’s work on cancer research?
A. Federal support has allowed him to follow new leads in the fight against cancer and explore new avenues of research, leading to industry efforts in creating medicines targeting metabolism for cancer treatment.

Q. What is the connection between diet and cancer immunotherapy responses according to Dr. Dang’s ongoing research?
A. His ongoing federal research supports exploring how the circadian clock and diet affect cancer immunotherapy responses, which could provide key insights that improve outcomes for cancer patients.

Q. Why is timing crucial in cancer treatments?
A. The timing of medical interventions could be as crucial as the treatment itself, with disruptions to internal clocks potentially affecting treatment efficacy.

Q. What does Dr. Dang hope to achieve through his research on circadian biology and cancer?
A. He hopes that his work will provide key insights that improve outcomes for cancer patients and lead to new treatments and cures for this devastating disease.

Q. How has Dr. Dang’s work impacted the field of cancer medicine?
A. His dedication to understanding the molecular mechanisms driving cancer development and progression, as well as his research on circadian biology and cancer, have led to critical insights into cancer metabolism and genetic changes that transform healthy cells into malignant ones.