What therapeutic opportunities are afforded by increasing
our understanding of central and peripheral clocks? |
Daily fluctuations in the efficacy
and toxicity of drugs are thought to
reflect effects of the circadian clock
on disease severity, target organ sensitivity,
and the absorption, distribution,
metabolism, and excretion
(ADME) of drugs. A better understanding
of circadian clocks would
permit the timing of drug delivery
to be optimized in relation to these
factors and may lead to new therapeutic
strategies in which the timing
of the circadian clock in a selected
target organ or tumor is reset pharmacologically
in order to sensitize
the tissue to a subsequent medication.
Some existing drugs may have
unforeseen effects on physiology by
influencing the timing of circadian
clocks. Informative biomarkers
that monitor the phasing of circadian
rhythms in peripheral organs
in man are urgently required...
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