Skip to main content
Log in

Circadian rhythm and seasonal dependence in the toxicological response of mice to Epirubicin

  • Preclinical Studies
  • Published:
Investigational New Drugs Aims and scope Submit manuscript

Summary

Compared to doxorubicin, equimolar epirubicin toxicity is reduced by about 50% by the epimerization of a hydrogen and hydroxyl group at the 4′ position of the anthracycline sugar moeity. The circadian timing of doxorubicin administration markedly affects its lethal and sub-lethal bone marrow and gut toxicities in mice, as well as the severity of its clinical toxicity. We tested whether the timing of administration of equitoxic epirubicin doses similarly affected the toxicological response in female CD2F1 mice. A large and highly reproducible effect of the circadian stage of administration was documented with best drug tolerance occurring during the first half of the daily rest (light) span of the animals. In addition to this circadian rhythm, a significant seasonal effect was found with significantly fewer deaths occurring after epirubicin was given in the Summer, as compared to the Winter. Safest circadian timing for epirubicin is statistically significantly earlier in the day than for doxorubicin, while their seasonal patterns are quite similar.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Carter SK: Adriamycin: a review. J Natl Cancer Inst 1975, 55:1265–1267

    Google Scholar 

  2. Blum RH, Carter SK: Adriamycin, a new anticancer drug with significant clinical activity. Ann Intern Med 80:249–259, 1974

    Google Scholar 

  3. Lefrak EA, Pitha J, Rosenheim S, Gottlieb JA: A clinicopathologic analysis of Adriamycin cardiotoxicity. Cancer 32:302–314, 1973

    Google Scholar 

  4. Von Hoff DD, Layard MW, Basa P, Davis H, Von Hoff AL, Rozencweig M, Muggia FM: Risk factors for doxorubicin-induced congestive heart failure. Ann Intern Med 91:710–717, 1979

    Google Scholar 

  5. Sothern RB, Nelson WL, Halberg F: A circadian rhythm in susceptibility of mice to the anti-tumor drug, Adriamycin. In: Proc. XII Intl. Conf. Intl. Soc. Chronobiology, Washington, DC, II Ponte, Milan, 1977, pp. 433–438

    Google Scholar 

  6. Sothern RB, Halberg F, Hrushesky WJ, Doe RP: Circadian optimization of cis-diamminedichloroplatinum and adriamycin combination therapy of an immunocytoma gauged by complete remission or cure. Clin Res 26:712A, 1978

    Google Scholar 

  7. Good RA, Sothern RB, Stoney PJ, Simpson H, Halberg E, Halberg F: Circadian stage dependence of adriamyc-ininduced tumor regression and recurrence rates in immunocytoma-bearing LOU rats. Chronobiologia 4:174, 1977

    Google Scholar 

  8. Haus E, Halberg F, Scheving LE, Cardoso SS, Kühl JFW, Sothern R, Shiotsuka RN, Hwang DS, Pauly JE: Increased tolerance of leukemic mice to arabinosyl cytosine given on schedule adjusted to circadian system. Science 177:80–82, 1972

    Google Scholar 

  9. Scheving LE, Cardoso SS, Pauly JE, Halberg F, Haus E: Variation in susceptibility of mice to the carcinostatic agent arabinosyl cytosine. In: Chronobiology, L.E. Scheving, F. Halberg, J.E. Pauly, Eds., Igaku Shoin Ltd., Tokyo, 1974, pp. 213–217

    Google Scholar 

  10. Scheving LE: Chronobiological aspects of comparative experimental chemotherapy of neoplasma. In: Neoplasms-Comparative Pathology of Growth in Animals, Plants and Man. H.E. Kaiser, Ed., Williams and Wilkins, Baltimore, 1981, pp. 317–332

    Google Scholar 

  11. Halberg F, Haus E, Cardoso SS, Scheving LE, Kühl JFW, Shiotsuka R, Rosene G, Pauly JE, Runge W, Spalding JF, Lee JK, Good RA: Toward a chronotherapy of neoplasia. Experientia 29:909–934, 1973

    Google Scholar 

  12. Levi F, Halberg F, Nesbit M, Haus E, Levine H: Chronooncology. In: Neoplasms — Comparative Pathology of Growth in Animals, Plants and Man, H.E. Kaiser, Ed., Williams and Wilkins, Baltimore, 1981, pp. 267–316

    Google Scholar 

  13. Legha SS, Benjamin RS, Mackay B, Ewer M, Wallace S, Valdvivieso M, Rasmussen SL, Blumenschein GR, Freireich E: Reduction of doxorubicin cardiotoxicity by prolonged continuous intravenous infusion. Ann Intern Med 96:133–139, 1982

    Google Scholar 

  14. Garnick MB, Wiess GR, Steel GD Jr, Israel M, Schade D, Sack MJ, Frei E III: Clinical evaluation of long-term continuous infusion doxorubicin. Cancer Treat Rep 67:133–142, 1983

    Google Scholar 

  15. Lokich J, Bothe A, Zipoli T, Green R, Sonneborn H, Paul S, Philips D: Constant infusion schedule for Adriamycin: a phase I–II clinical trial of a 30-day schedule by ambulatory pump delivery system. J Clin Oncol 1:24–28, 1983

    Google Scholar 

  16. Benjamin RS, Chowla SP, Hortobagyi GN, Ewer MS, Mackay B, Legha SS, Carrasco H, Wallace S: Continuous-infusion adriamycin. In: Clinical Applications of Continuous Infusion Chemotherapy and Concomitant Radiation Therapy, C.J. Rosenthal and M. Rotman, Eds., Plenum Press, New York, 1986, pp. 19–26

    Google Scholar 

  17. Chlebowski RT, Paroly WS, Pugh RP, Hueser J, Jacobs EM, Pajak TF, Bateman JR: Adriamycin given as a weekly schedule without a loading course: clinically effective with reduced incidence of cardiotoxicity. Cancer Treat Rep 64:47–51, 1980

    Google Scholar 

  18. Torti FM, Bristow MR, Howes AE, Aston D, Stockdale FE, Carter SK, Kohler M, Brown BW, Billingham ME: Reduced cardiotoxicity of doxorubicin delivered on a weekly schedule. Ann Intern Med 99:745–749, 1983

    Google Scholar 

  19. Weiss AJ: Studies on cardiotoxicity and antitumor effect of doxorubicin administered weekly. Cancer Treat Symposia 3:91–94, 1984

    Google Scholar 

  20. Hrushesky WJM: Chemotherapy timing: an important variable in toxicity and response. In: Toxicity of Chemotherapy, M.C. Perry and J.W. Yarbro, Eds., Grune and Stratton, Inc., New York, 1984, pp. 449–477

    Google Scholar 

  21. Hrushesky WJM: Circadian timing of cancer chemotherapy. Science 228:73–75, 1985

    CAS  PubMed  Google Scholar 

  22. Hrushesky WJM: Circadian scheduling of chemotherapy increases ovarian patient survival and cancer responses significantly. Proc ASCO 6:120, 1987

    Google Scholar 

  23. Levi F, Bailleul F, Chevelle C, Benavides M, Misset JL, Le Saunier F, Despax R, Ribaud P, Machover D, Jasmin C, Regensberg C, Reinberg A, Mathe G: Chronotherapy of ovarian cancer with 4′ tetrahydropyranyl adriamycin (THP) and cisdichlorodiammine platinum (CDDP). Proc ASCO 6:119, 1987

    Google Scholar 

  24. Benavides M, Levi F, Bailleui F, Chevelle C, Misset JL, Le Saunier F, Despax R, Ribaud P, Machover D, Jasmin C, Regensberg C, Reinberg A, Mathe G: Chronotherapy of ovarian cancer with 4′ tetrahydropyranyl adriamycin (THP) and cisdichlorodiammine platinum (CDDP). A phase I–II trial. Satellite Symp Proc ECCO 4:43, 1987

    Google Scholar 

  25. Sothern RB, Halberg F, Good RA, Simpson HW, Grage TB: Difference in timing of circadian susceptibility rhythm in murine tolerance of chemically related antimalignant antibiotics: Adriamycin and Daunomycin. In: Chronopharmacology and Chronotherapeutics, C.A. Walker, C.M. Winget, K.F.A. Soliman, Eds., Florida A&M University Foundation, Tallahassee, Florida, 1981, pp. 247–256

    Google Scholar 

  26. Halberg F, Johnson EA, Nelson W, Runge W, Sothern R: Autorhythmometry — procedures for physiologic self-measurements and their analysis. Physiol Teacher 1:1–11, 1972

    Google Scholar 

  27. Hrushesky WJM: Bone marrow suppression from doxorubicin and cis-diamminedichloroplatinum is substantially dependent upon both circadian and circannual stages of administration. Ann New York Acad Sci 397:293–295, 1982

    Google Scholar 

  28. Laerum OD, Aardal NP: Chronobiological aspects of bone marrow and blood cells. Prog Clin Biol Res 59:87–97, 1981

    Google Scholar 

  29. Scheving LE, Burns ER, Pauly JE, Tsai TH: Circadian variation in cell division of the mouse alimentary tract, bone marrow, and corneal epithelium, and its possible implication in cell kinetics and cancer chemotherapy. Anat Rec 191:479–485, 1978

    Google Scholar 

  30. Haus E, Lakatua DJ, Sackett-Lundeen L, White M: Circannual variation of intestinal cell proliferation in BDF1 male mice on three lighting regimens. Chronobiol Intl 1:185–194, 1984

    Google Scholar 

  31. Hrushesky WJM, Olshefski R, Wood P, Meshnick S, Eaton JW: Modifying intracellular redox balance: an approach to improving therapeutic index. Lancet i:565–567, 1985

    Google Scholar 

  32. Sinha BK, Trush MA, Kennedy KA, Mimnaugh EG: Enzymatic activation and binding of Adriamycin to nuclear DNA. Cancer Res 44:2892–2896, 1984

    Google Scholar 

  33. Pearlman LF, Chuang RY, Israel M, Simpkins H: Interaction of three second generation anthracyclines with polynucleotides, RNA, DNA, and nucleosomes. Cancer Res 46:341–346, 1986

    Google Scholar 

  34. Hill BT, Whelan RDH: A comparison of the lethal and kinetic effects of doxorubicin and 4′-epi-doxorubicin in vitro. Tumori 68:29–37, 1982

    Google Scholar 

  35. Arcamone F, Penco S, Vigenvani A, Redaelli S, Franchi S, Di Marco A, Casazza AM, Dasdia T, Formelli F, Necco A, Soranzo C: Synthesis and antitumor properties of new glycosides of daunomycinone and adriamycinone. J Med Chem 18:703–707, 1975

    Google Scholar 

  36. Cassinelli G, Configliacchi E, Penco S, Rivola G, Arcamone F, Pacciarini A, Ferrari L: Separation, characterization, and analysis of Epirubicin (4′-epi-doxorubicin) and its metabolites from human urine. Drug Metab Dispos 12:506–510, 1984

    Google Scholar 

  37. Weenen H, Van Maanen JMS, de Planque MM: Metabolism of 4′-modified analogs of doxorubicin. Unique glucuronidation pathway for 4′-epidoxorubicin. Eur J Cancer Clin Oncol 20:919–927, 1984

    Google Scholar 

  38. Broggini M, Colombo T, Martini A, Donelli MG: Studies on the comparative distribution and biliary excretion of doxorubicin and 4′-epi-doxorubicin in mice and rats. Cancer Treat Rep 64:897–904, 1980

    Google Scholar 

  39. Weenen H, Lankelma J, Penders PGM, McVie JG, Ten Bokkel Huinink WW, de Planque MM, Pinedo HM: Pharmacokinetics of 4′-epi-doxorubicin in man. Invest New Drugs 1:59–64, 1983

    Google Scholar 

  40. von Roemeling R, Mormont MC, Walker K, Olshefski R, Langevin T, Rabatin J, Wick M, Hrushesky W: Cancer control depends upon the circadian shape of continuous FUDR infusion. Proc AACR 28:293, 1987

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Mormont, M.C., von Roemeling, R., Sothern, R.B. et al. Circadian rhythm and seasonal dependence in the toxicological response of mice to Epirubicin. Invest New Drugs 6, 273–283 (1988). https://doi.org/10.1007/BF00173645

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00173645

Key words

Navigation