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. 2021 Oct 7;53(10):1529–1538. doi: 10.1038/s12276-021-00681-0

Fig. 3. Chronodisruptive factors and chronotherapeutic interventions in cancer pathogenesis and treatment.

Fig. 3

Circadian clocks reciprocally interact with multiple pathways involved in cellular homeostasis and metabolism. Circadian rhythm disruptions caused by genetic, environmental, and pathological risk factors promote cancer onset and progression characterized by cancer hallmarks. Conversely, several types of chronotherapeutic interventions can enhance or restore circadian rhythms to reduce cancer pathogenesis and improve the response to anticancer treatment. MBL morning bright light, MEL melatonin, GCs glucocorticoids, CR caloric restriction, IF intermittent fasting.