Effects of everolimus on circadian gene expression and cell fate in synchronized Caco-2 cells

Dilek Ozturk Civelek1, Beyza Goncu2, Sadullah Goncu3

  • 1Istanbul University-Cerrahpasa, Faculty of Pharmacy, Department of Pharmacology, Istanbul, Turkiye; Bezmialem Vakif University, Faculty of Pharmacy, Department of Pharmacology, Istanbul, Turkiye.

Experimental Cell Research
|November 14, 2025
PubMed
Abstract

Insights

Everolimus, an mTOR inhibitor, impacts circadian gene expression and shows time-dependent effects on cell viability and apoptosis in colorectal cancer cells. This suggests circadian timing may enhance mTOR-targeted therapies.

Area of Science:

  • Chronobiology
  • Cancer Biology
  • Pharmacology

Background:

  • Circadian rhythms are crucial for cell proliferation and metabolism, and their disruption is linked to colorectal cancer (CRC).
  • The mechanistic target of rapamycin (mTOR) signaling pathway interacts with the circadian clock, but its inhibition's effects on clock gene dynamics in intestinal models are not fully understood.

Purpose of the Study:

  • To investigate the impact of everolimus, an mTOR inhibitor, on circadian gene expression, cell viability, apoptosis, and cell cycle progression.
  • To analyze these effects in synchronized Caco-2 cells, considering cell confluency and circadian time (CT).

Main Methods:

  • Caco-2 cells were synchronized and sampled across multiple circadian times (CT6-CT60).
  • Gene expression of BMAL1, PER2, and mTOR was measured using qRT-PCR.
  • Cell viability, apoptosis, and cell cycle were assessed using the Muse™ Cell Analyzer after everolimus treatment.

Main Results:

  • Everolimus (50 μM) significantly reduced cell viability and increased apoptosis in a time-dependent manner, with greatest effects at CT6 and CT18.
  • Drug sensitivity was modulated by circadian timing, with increased apoptosis observed at CT6.
  • Everolimus altered BMAL1 and PER2 expression rhythms and reduced mTOR expression, particularly when baseline mTOR levels were highest.

Conclusions:

  • Everolimus influences circadian gene expression and exhibits time-dependent antiproliferative and pro-apoptotic effects in Caco-2 cells.
  • These findings highlight the potential of leveraging circadian timing to optimize mTOR-targeted therapies for colorectal cancer.

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