“The biological clock, also known as the circadian clock, ticks in virtually every cell of the body,” explains Prof. Angela Relógio. “It regulates the timing of many cellular and molecular mechanisms, such as cell division or metabolic processes, and plays a vital role in maintaining human health. If the circadian rhythm is disrupted, diseases can develop including sleep disorders, depression, diabetes, neurodegenerative diseases, obesity and cancer.”
Personal rhythm influences health and well-being
Prof. Relógio directs the Circadian Medicine and Systems Biology Group at Charité’s Molecular Cancer Research Center and Institute for Theoretical Biologyas well as the Institute for Systems Medicine at the MSH Medical School Hamburg. In addition to having a background in physical-technological engineering, she also has a doctorate in cell and molecular biology. This rare combination enables her to develop and lead the TimeTeller project. “Circadian rhythms and thus the timing of molecular processes differ from person to person,” she reports. “Knowing your personal circadian rhythm and adjusting activities like sleep, exercise and medication intake accordingly can improve your general health and well-being. In cancer patients, for example, we suspect that we could optimize treatment efficacy and reduce side effects by adjusting the timing of medical treatment to the individual patient’s circadian rhythm. This could improve patients’ quality of life during treatment, while also lowering costs for healthcare systems.”
But how do you read the circadian clock? “We know that every cell in the human body regularly increases and decreases the activity of many genes,” explains Prof. Relógio. “For example, the genes that control cell division or metabolism are more or less active during certain parts of the 24-hour cycle. Since we assume that all cells in the body work synchronously, we can infer the internal circadian clock by analyzing gene activity in cells in the saliva.”
Clock in cells in the saliva ticks individually and synchronously with other cells’ clocks
So, Prof. Relógio and her team of scientists determined the activity of at least two genes in cells from saliva samples, collected from subjects at different times of the day, using mRNA: the more mRNA-molecules are present, the more frequently the gene was transcribed.
“We then developed a mathematical model that uses the gene activities to calculate when is the best time to exercise, sleep or take medicine,” reports Prof. Relógio. For example, the scientists were able to successfully predict the optimal time for athletes to train. They also worked with cancer patients, calculating when drugs should best be administered to cause cancer cells to die while minimizing the side effects on healthy cells.
Technology to be validated in clinical trials
“So far, we have retrospectively tested our technology in order to find out whether it could have predicted the observed effects,” explains Prof. Relógio. “But currently we are involved in different clinical trials to validate our method further. Our goal is to help physicians choose the best time for treatment and to help healthy people adjust their daily activities to their internal clock in order to get or stay healthy.”
TimeTeller recently secured its next round of funding through the InnoRampUp program of the Hamburg Investment and Development Bank (IFB Hamburg), and is currently in discussions to establish collaborations with a number of pharmaceutical companies. In March 2023, the partners spun TimeTeller GmbH out of Charité.
Translational ecosystem of Charité, BIH and Stiftung Charité provides support
The Berlin Institute of Health at Charité (BIH), Charité – Universitätsmedizin Berlin and Stiftung Charité have helped move the TimeTeller project forward through a range of translational tools. Inventors 4 Health (I4H), a pilot program for Charité scientists with entrepreneurial ambitions funded by Stiftung Charité and run by SPARK-BIH, supported Prof. Relógio in 2019 in further developing the idea into TimeTeller. Starting in 2020, as part of the BIH Digital Health Accelerator (DHA) program from Charité BIH Innovation (CBI), the team focused on developing the medical tool, including its technological, business, regulatory, and market access aspects, and preparing for the launch of the spin-off company.
Successful translation of research results
“The successful transfer of Prof. Relógio’s research results into a company is a tangible example of the potential that can be unleashed by translational medicine,” says Prof. Christopher Baum, Chair of the BIH Board of Directors and Charité’s Chief Translational Research Officer. “This requires well-designed partnerships, in this case with Stiftung Charité, and appropriate tools such as the I4H pilot and our DHA program to support motivated and committed innovators.”
“We are extremely pleased for the TimeTeller team,” say Tim Huse and Dorothée Marie-Louise Döpfer of the BIH’s DHA program. “Their vision, perseverance, and commitment to improving patients’ health and quality of life have really impressed us. We wish the team all the very best and success, and look forward to following their progress.”