Biological Rhythms, Drug Delivery, and Chronotherapeutics

  • Michael H. Smolensky
  • Ronald A. Siegel
  • Erhard Haus
  • Ramon Hermida
  • Francesco Portaluppi
Chapter
Part of the Advances in Delivery Science and Technology book series (ADST)

Abstract

Biological processes are highly structured in time as endogenously derived rhythms of short, intermediate, and long periods, with the circadian (24h) time structure most studied. Staging of key physiological and biochemical circadian rhythms gives rise to 24-h patterns in the exacerbation of chronic medical conditions, including arthritis, asthma, ulcer, and hypertension, plus manifestation of acute severe morbid and mortal events, such as myocardial infarction, stroke, and sudden cardiac death. Body rhythms may also significantly affect patient response to diagnostic tests and pharmacokinetics, pharmacodynamics, and toxicities of diverse classes of medications. This chapter reviews circadian and other period biological rhythm dependencies of the pathophysiology of disease and pharmacology of medications as the basis for chronotherapeutics and development of time-modulated drug-delivery systems.

Keywords

Migraine Docetaxel Indomethacin Triglyceride Verapamil 

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Copyright information

© Springer US 2012

Authors and Affiliations

  • Michael H. Smolensky
    • 1
  • Ronald A. Siegel
    • 2
    • 3
  • Erhard Haus
    • 4
    • 5
  • Ramon Hermida
    • 6
  • Francesco Portaluppi
    • 7
  1. 1.Department Biomedical EngineeringThe University of Texas at AustinAustinUSA
  2. 2.Departments of Pharmaceutics and Biomedical EngineeringUniversity of MinnesotaMinneapolisUSA
  3. 3.Department of Pharmaceutics WDH 9-177University of MinnesotaMinneapolisUSA
  4. 4.Department of Laboratory Medicine and PathologyUniversity of MinnesotaMinneapolisUSA
  5. 5.HealthPartners Medical Group, Regions HospitalSt. PaulUSA
  6. 6.Bioengineering & Chronobiology LaboratoriesUniversity of VigoVigoSpain
  7. 7.Department of Clinical and Experimental Medicine, Hypertension CenterUniversity Hospital S. Anna, University of FerraraFerraraItaly

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