晚期癌症患者的循环节律障碍:一个范围审查
Craig Gouldthorpe1,2, Jenny Power2,3, Andrew Davies1,2,3
1School of Medicine, Trinity College Dublin, Dublin, Ireland.
Frontiers in oncology
|October 13, 2023
概括
患有晚期癌症的患者经常经历昼夜节律的破坏,影响他们的生活质量和生存. 对这些生物节奏的标准化研究对于更好的患者结果至关重要.
科学领域:
- 时间生物学 时间生物学
- 在瘤学瘤学.
- 睡眠医学 睡眠医学
背景情况:
- 循环节律,即24小时内发生的生物过程,对健康至关重要.
- 在癌症患者中观察到昼夜节律的干扰,并与较差的结果有关.
- 了解晚期癌症中的这些干扰对于改善患者护理至关重要.
研究的目的:
- 审查关于昼夜节律模式,疾病及其在晚期癌症中的关联的研究.
- 确定该领域当前的研究和报告实践.
- 突出对症状负担,生活质量和生存的影响.
主要方法:
- 一篇涉及高级或转移性癌症的成年患者的98篇文章的范围审查.
- 对昼夜节律的客观测量包括身体活动 (动图,多睡眠图) 和生物标志物 (皮质醇,黑激素).
- 两个独立的作者进行了选,全文审查,数据提取和检查.
主要成果:
- 常见的昼夜节律障碍在晚期癌症患者中很普遍.
- 这些疾病显著影响症状负担,生活质量和生存率.
- 最有风险的特定患者群体仍未确定.
结论:
- 昼夜节律失调是晚期癌症的一个重要问题,影响了多个患者的结果.
- 研究和报告实践的异质性使文献复杂化.
- 标准化方法对于解决差异和指导未来研究改善昼夜节律至关重要.
相关概念视频
Circadian Rhythms and Gene Regulation
4.1K
The biological clock is involved in many aspects of regulating complex physiology in all animals. It was in 1935 when German zoologists, Hans Kalmus and Erwin Bünning, discovered the existence of circadian rhythm in Drosophila melanogaster. However, the internal molecular mechanisms behind the circadian clock remained a mystery until 1984, when Jeffrey C. Hall, Michael Rosbash, and Michael W. Young discovered the expression of the Per gene oscillating over a 24-hour cycle. In subsequent...
4.1K
Chronopharmacokinetics: Circadian Rhythms and Influence on Drug Response
69
Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
The time of drug administration is an important factor to consider, as it can influence the toxic dose of a drug. For example, a study conducted by Prins et al. in 1997 examined the effects of the timing of...
69
Management of Insomnia
262
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
262
Positive Regulator Molecules
5.5K
Mitotic cell division results in daughter cells that exactly resemble the parent cell. However, errors in the DNA replication or distribution of genetic material may lead to genetic mutations that may be passed down to every new cell formed from the resulting abnormal cell. Propagation of such mutant cells is restricted through checkpoint mechanisms present at different stages of the cell cycle. These checkpoints involve regulator molecules that either promote or demote cell cycle events.
5.5K
Cancer
48.6K
Cancers arise due to mutations in genes involved in the regulation of cell division, which leads to unrestricted cell proliferation. Modern science and medicine have made great strides in the understanding and treatment of cancer, including eradicating cancer in some patients. However, there is still no cure for cancer. This is largely due to the fact that cancer is a large group of many diseases.
48.6K
Sleep-Wake Cycles
1.4K
Sleep is an essential physiological process vital to maintaining overall well-being. The reticular activating system (RAS), a network of neurons in the brainstem, regulates wakefulness and sleep. While it may seem passive, sleep consists of distinct cycles, each with its unique characteristics and functions. Two key sleep phases are non-rapid eye movement (NREM) and rapid eye movement (REM).
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
NREM Sleep
NREM sleep comprises four progressive stages that seamlessly merge:
1.4K


