It is proposed to investigate the circadian stage dependency of the toxicities, biologic activities and anticancer activities of recombinant human Tumor Necrosis Factor (rhTNF) and Interleukin 2 (rhIL-2) in the Balb/c mouse with and without an implanted Meth-A sarcoma. We have found preliminarily that the circadian time and season of tumor inoculation affect both tumor take rate and natural killer cell activity. We have also found that the timing of tumor resection within the fertility cycle affects the frequency of subsequent metastatic tumor spread and that the fertility cycle affects the level of immunocyte NK activity. Therefore, the effects of female fertility cycle stage and season at time of study will also be quantified. The biological effects of most, if not all, trophic hormones are dependent to some extent upon the temporal patterning of their release or administra- tion. Fertility depends upon the pulsatility of FSH and LH delivery from the pituitary to the ovary and testis. Cortisol release depends intimately upon both the high frequency pulsing and the circadian patterning of ACTH delivery from the pituitary to the adrenal glands. IL-1 is a centrally positioned cytokine having synergistic activities with TNF and interactive or stimulatory effects upon several other cytokines and growth factors. Glucocorticoids (which are exquisitely circadian rhythmic) modulate the dynamics of IL-1 gene transcription rate, messenger RNA stability and resultant translation rate and IL-1 cellular release rate, as well as TNF- induced cytotoxicity. IL-1, in turn, modulates glucocorticoid receptor binding, decreases available binding sites and reduces steroid-associated enzyme induction. These steroid/cytokine interactions suggest that chronobiologic investigation of cytokine toxicity and anticancer efficacy may be important. The toxic and therapeutic anticancer effects of many cytotoxic xenobiotic anticancer agents depend upon their circadian timing. Reproducible peak- trough circadian differences in toxicity and anticancer activity usually range between 50% and 250%. Preliminary data on tumor necrosis factor indicate that the circadian stage dependent differences in toxic/therapeut- ic ratio may be of substantially higher magnitude for cytokines. Specific hypotheses to be addressed by the proposed research include: 1) Endogenous, reproducible, nontrivial and quantifiable circadian rhythms ( which are reproducibly modulated by both the fertility cycle and season) characterize (murine and human) normal biology; 2) Population synchrony, gauged by reference to sleep-wake schedules and physiologic circadian marker rhythms, may be used to extrapolate phase relationships appropriate- ly from individual and species to species; 3) Endogenous activity of natural immunologic defense networks have rhythmic circadian, fertility cycle and seasonal variation; 4) The hypophyseal-adrenal network is an important circadian coordinator of cellular immune networks; 5) These networks have rhythmic circadian, fertility cycle and seasonal variation in their ability to be stimulated; 6) The circadian timing of TNF reproducibly affects its toxicity and its antitumor efficacy; 7) The circadian timing of IL-2 reproducibly affects its toxicity and its antitumor efficacy.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA050749-02
Application #
3195410
Study Section
Special Emphasis Panel (SRC (50))
Project Start
1990-07-06
Project End
1993-06-30
Budget Start
1991-09-09
Budget End
1992-06-30
Support Year
2
Fiscal Year
1991
Total Cost
Indirect Cost
Name
Albany Medical College
Department
Type
Schools of Medicine
DUNS #
City
Albany
State
NY
Country
United States
Zip Code
12208
Oh, Eun-Young; Wood, Patricia A; Yang, Xiaoming et al. (2009) Discovery of candidate genes and pathways that may help explain fertility cycle stage dependent post-resection breast cancer outcome. Breast Cancer Res Treat 118:345-59
Wood, Patricia A; Bove, Kathleen; You, Shaojin et al. (2005) Cancer growth and spread are saltatory and phase-locked to the reproductive cycle through mediators of angiogenesis. Mol Cancer Ther 4:1065-75
Bove, Kathleen; Lincoln, David W; Wood, Patricia A et al. (2002) Fertility cycle influence on surgical breast cancer cure. Breast Cancer Res Treat 75:65-72
Kobayashi, Minoru; Wood, Patricia A; Hrushesky, William J M (2002) Circadian chemotherapy for gynecological and genitourinary cancers. Chronobiol Int 19:237-51
Bjarnason, G A; Jordan, R C; Wood, P A et al. (2001) Circadian expression of clock genes in human oral mucosa and skin: association with specific cell-cycle phases. Am J Pathol 158:1793-801
Lincoln 2nd, D W; Hrushesky, W J; Wood, P A (2000) Circadian organization of thymidylate synthase activity in normal tissues: a possible basis for 5-fluorouracil chronotherapeutic advantage. Int J Cancer 88:479-85
Hrushesky, W J; Vyzula, R; Wood, P A (1999) Fertility maintenance and 5-fluorouracil timing within the mammalian fertility cycle. Reprod Toxicol 13:413-20
Wood, P A; Hrushesky, W J; Klevecz, R (1998) Distinct circadian time structures characterize myeloid and erythroid progenitor and multipotential cell clonogenicity as well as marrow precursor proliferation dynamics. Exp Hematol 26:523-33
Hrushesky, W J (1996) Menstrual cycle timing of breast cancer resection. Recent Results Cancer Res 140:27-40
Hrushesky, W J (1995) Cancer chronotherapy: is there a right time in the day to treat? J Infus Chemother 5:38-43

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