Timing affects medication

Timing is an important but often ignored factor in drug effectiveness, scientists say.

A body-clock "atlas" mapping the 24-hour activity patterns of thousands of genes has been created by scientists.

The five-year-project is expected to provide important clues about the way drug effects may be influenced by timing - for instance, taking medicine in the morning or at night.

The research showed that most best-selling medicinal drugs target proteins made by genes whose activity changes daily.

Timing is an important but often ignored factor in drug effectiveness, the scientists point out.

Dr Michael Hughes, a member of the team from the University of Missouri-St Louis in the US, said: "The genome is under much more clock control than we once thought.

"Since only a few organs were studied previously, we were only looking under the lamp-post. Now we have the most comprehensive survey to date."

The research, conducted on mice, showed that 43 per cent of all protein-coding genes were subject to "circadian rhythms", or 24-hour body clock cycles.

The liver was the most rhythmic of the 12 organs studied, having more clock-like genes than any other.

Many clock genes peaked in activity during the "rush hours" of transcription - the process by which the genetic code is transcribed to allow protein production - preceding dawn and dusk.

Of the 100 top-selling drugs, 56 targeted genes with circadian patterns of activity.

This was also true of 119 of the World Health Organisation's list of 250 "essential" medicines.

"Most of these drug targets were not known to be clock-regulated," said co-author Professor John Hogenesch, from the University of Pennsylvania.

"Many metabolising enzymes and transporters are too. Because this isn't appreciated, few of these drugs have been evaluated for time-of-day dependent efficacy, metabolism, or toxicity.

"Now we know which drug targets are under clock control and where and when they cycle in the body. This provides an opportunity for prospective chronotherapy."

The research is published in the journal Proceedings of the National Academy of Sciences.


Share

2 min read

Published

Updated



Share this with family and friends


Get SBS News daily and direct to your Inbox

Sign up now for the latest news from Australia and around the world direct to your inbox.

By subscribing, you agree to SBS’s terms of service and privacy policy including receiving email updates from SBS.

Download our apps
SBS News
SBS Audio
SBS On Demand

Listen to our podcasts
An overview of the day's top stories from SBS News
Interviews and feature reports from SBS News
Your daily ten minute finance and business news wrap with SBS Finance Editor Ricardo Gonçalves.
A daily five minute news wrap for English learners and people with disability
Get the latest with our News podcasts on your favourite podcast apps.

Watch on SBS
SBS World News

SBS World News

Take a global view with Australia's most comprehensive world news service
Watch the latest news videos from Australia and across the world