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Updated: Jan 21, 2026

Preparation of Herbal Medicine: Er-Xian Decoction and Er-Xian-containing Serum for In Vivo and In Vitro Experiments
Published on: May 31, 2017
Medicine in the Fourth Dimension
Christopher R Cederroth1, Urs Albrecht2, Joseph Bass3
1Experimental Audiology, Department of Physiology and Pharmacology, Karolinska Institutet, 171 77 Stockholm, Sweden.
Abstract:
The importance of circadian biology has rarely been considered in pre-clinical studies, and even more when translating to the bedside. Circadian biology is becoming a critical factor for improving drug efficacy and diminishing drug toxicity. Indeed, there is emerging evidence showing that some drugs are more effective at nighttime than daytime, whereas for others it is the opposite. This suggests that the biology of the target cell will determine how an organ will respond to a drug at a specific time of the day, thus modulating pharmacodynamics. Thus, it is now time that circadian factors become an integral part of translational research.
Insights
Circadian biology, the study of daily rhythms, is crucial for optimizing drug effectiveness and reducing side effects. Integrating these biological rhythms into research can improve patient outcomes.
Area of Science:
- Chronobiology
- Pharmacology
- Translational Medicine
Background:
- Circadian biology's role is often overlooked in pre-clinical research and clinical translation.
- Emerging evidence highlights circadian rhythms' impact on drug efficacy and toxicity.
Purpose of the Study:
- To emphasize the critical role of circadian biology in drug development and clinical application.
- To advocate for the integration of circadian factors into translational research.
Main Methods:
- Review of current pre-clinical and translational research.
- Analysis of emerging evidence on time-dependent drug effects.
Main Results:
- Drug efficacy and toxicity are significantly influenced by the time of administration.
- Target cell biology, governed by circadian rhythms, modulates organ response to drugs.
Conclusions:
- Circadian factors are essential for improving drug efficacy and reducing toxicity.
- Integrating circadian biology into translational research is necessary for optimizing therapeutic outcomes.
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