circadian disruption

昼夜节律中断
  • 文章类型: Journal Article
    时间型反映了24小时内的早晚偏好。重要数据表明,晚上类型(ET)和早上类型(MT)在行为上存在有意义的差异,人格特质,健康,和幸福。这项研究探讨了时间型之间的相互作用,睡眠,个性,254名大学生(平均年龄23.79±1.85)。使用在线问卷,参与者提供了人口统计信息并完成了评估,包括晨曦问卷(MEQ),匹兹堡睡眠质量指数(PSQI)五大库存的缩短版本(BFI-10),和生活满意度统一标准。结果显示,时间型与生活满意度和睡眠质量之间存在显着关联,与MT相比,ET表现出较差的结果。此外,时间型与随和和和尽责相关,后来的时间型与这些人格特质的得分降低有关。在调解分析中揭示了这项研究的关键发现,其中发现睡眠质量介导了时间型与生活满意度之间的关系。调解分析强调睡眠质量是将时间型与生活满意度联系起来的关键过程。研究结果强调了在旨在提高生活满意度和整体幸福感的干预措施中解决睡眠质量的重要性。总的来说,我们的结果为时间型之间的复杂关系提供了有价值的见解,个性,睡眠质量,主观幸福感。
    Chronotype reflects the morningness-eveningness preference over a 24 h period. Significant data indicate meaningful differences between evening types (ETs) and morning types (MTs) in behavior, personality traits, health, and well-being. This study explores the interactions between chronotype, sleep, personality, and life satisfaction among 254 undergraduate college students (mean age 23.79 ± 1.85). Using online questionnaires, the participants provided demographic information and completed assessments, including the Morningness-Eveningness Questionnaire (MEQ), the Pittsburg Sleep Quality Index (PSQI), a shortened version of the Big Five Inventory (BFI-10), and a life satisfaction uniscale measure. The results revealed a significant association between chronotype and both life satisfaction and sleep quality, where ETs exhibited poorer outcomes compared to MTs. Additionally, the chronotype correlated with agreeableness and conscientiousness, with later chronotypes linked to reduced scores in these personality traits. A key finding in this study was revealed in a mediation analysis in which sleep quality was found to mediate the relationship between chronotype and life satisfaction. The mediation analysis highlighted sleep quality as a crucial process connecting chronotype to life satisfaction. The findings emphasize the importance of addressing sleep quality in interventions aimed at enhancing life satisfaction and overall well-being among ETs. Overall, our results provide valuable insights into the intricate relationships between chronotype, personality, sleep quality, and subjective well-being.
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  • 文章类型: Journal Article
    目的:昼夜节律紊乱促进体重增加和健康不良。性别在超重/肥胖个体的行为昼夜节律与健康结果之间的关系中起作用的程度尚不清楚。我们调查了超重/肥胖的女性和男性的昼夜节律排列与心脏代谢健康标记之间的性别特异性关联。
    方法:30名超重/肥胖的志愿者(15名女性;BMI≥25.1kg/m2)接受了夜间实验室内的昏暗褪黑激素发作(DLMO)评估,通过双能X射线吸收法测量身体成分,和一份禁食的血液样本.昼夜节律排列被确定为DLMO和7天平均睡眠开始之间的时间差(相位角),参与者根据中值相位角划分分为窄/宽相位角组。由于已知性别之间代谢标记的差异,根据性别将参与者细分为窄相角组和宽相角组.
    结果:窄相位角组的男性具有较高的android/gynoid体脂分布,甘油三酯,代谢综合征风险评分,虽然女性的整体体脂百分比较高,葡萄糖,和静息心率(所有p<0.04)。此外,男性的相位角较窄与android/gynoid体脂呈负相关(r=-0.53,p=0.04),而与体脂(r=-0.62,p=0.01)和心率(r=-0.73,p<0.01)呈负相关。
    结论:昼夜节律紊乱不仅可能促进体重增加的轨迹,而且可能以性别依赖的方式对已经超重/肥胖的人造成负面的健康后果。这些数据可能对超重/肥胖成年人的性别特异性睡眠和昼夜节律干预的临床效用有影响。
    OBJECTIVE: Circadian disruption promotes weight gain and poor health. The extent to which sex plays a role in the relationship between the circadian timing of behaviors and health outcomes in individuals with overweight/obesity is unclear. We investigated the sex-specific associations between circadian alignment and cardiometabolic health markers in females and males with overweight/obesity.
    METHODS: Thirty volunteers with overweight/obesity (15 female; BMI≥25.1kg/m2) underwent an evening in-laboratory assessment for dim-light melatonin onset (DLMO), body composition via dual energy x-ray absorptiometry, and a fasted blood sample. Circadian alignment was determined as the time difference between DLMO and average sleep onset over 7-days (phase angle), with participants categorized into narrow/wide phase angle groups based on median phase angle split. Due to known differences in metabolic markers between sexes, participants were subdivided based on sex into narrow and wide phase angle groups.
    RESULTS: Males in the narrow phase angle group had higher android/gynoid body fat distribution, triglycerides, and Metabolic Syndrome risk scores, while females had higher overall body fat percentage, glucose, and resting heart rates (all p<0.04). Furthermore, a narrower phase angle in males was negatively associated with android/gynoid body fat (r=-0.53, p=0.04) and negatively associated with body fat (r=-0.62, p=0.01) and heart rate (r=-0.73, p<0.01) in females.
    CONCLUSIONS: Circadian disruption may not only promote a trajectory of weight gain but could also contribute to negative health consequences in a sex-dependent manner in those already with overweight/obesity. These data may have implications for clinical utility in sex-specific sleep and circadian interventions for adults with overweight/obesity.
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  • 文章类型: Journal Article
    时序型可能会影响轮班工作引起的昼夜节律中断的耐受性。这项研究检查了时间型之间的关联,自我报告的睡眠时间,shift类型首选项,护士的睡眠问题,并研究时间型随时间的稳定性。该研究包括37,731名荷兰女护士,他们完成了基线(2011年)和随访问卷(2017年)。提供轮班工作信息(例如,工作历史,shift类型首选项[仅在2017年收集]),和睡眠特征(例如,时间型,免费工作期间的首选睡眠-觉醒时间[仅在2017年收集],根据医疗结果研究-睡眠问题指数II[MOS-SPI-II]),以及工作日之间的睡眠问题。使用(年龄调整)线性回归检查了时间型和睡眠时间之间的关联。使用有序逻辑和泊松回归检查了时间型和转变型偏好与睡眠问题(MOS-SPI-II>30)之间的关联。分别。有了后来的时间类型,睡眠中期时间增加(明确的晚上vs.中间类型[参考]:β=55分钟,95%置信区间[95%CI]:54-55),夜间偏好增加1分的优势比(OR)(2.68;95%CI:2.48-2.90)和夜班增加(OR2.20;95%CI:2.03-2.38),而日间(OR0.17;95%CI:0.16-0.18)和晨班(OR0.22;95%CI:0.21-0.24)的几率降低。中间型与较少的睡眠问题相关(中位数MOS-SPI-II=27.2,p<0.01),与确定的早晨(28.9)和晚上(31.7)相比。这项研究表明,时间型与无工作时期的睡眠-觉醒时间有关,shift类型首选项,和护士的睡眠问题。因此,关于轮班工作引起的昼夜节律中断与健康结果的关联的未来研究应考虑将时间型作为效应调节剂。
    Chronotype may affect tolerance for circadian disruption induced by shift work. This study examines the association between chronotype, self-reported sleep timing, shift type preference, and sleep problems among nurses, and studies chronotype stability over time. The study included 37,731 Dutch female nurses who completed a baseline (2011) and follow-up questionnaire (2017), with information on shift work (e.g., job history, shift type preference [collected in 2017 only]), and sleep characteristics (e.g., chronotype, preferred sleep-wake time in a work-free period [collected in 2017 only], and sleep problems between working days according to Medical Outcomes Study-Sleep Problem Index II [MOS-SPI-II]). The association between chronotype and sleep timing was examined using (age-adjusted) linear regression. Associations between chronotype and shift type preference and sleep problems (MOS-SPI-II >30) were examined using ordered logistic and Poisson regression, respectively. With later chronotype, midsleep time increased (definite evening vs. intermediate types [reference]: β = 55 min, 95% confidence interval [95% CI]: 54-55), the odds ratio (OR) for 1-point increase in preference for night (2.68; 95% CI: 2.48-2.90) and evening shifts increased (OR 2.20; 95% CI: 2.03-2.38), while the odds for day (OR 0.17; 95% CI: 0.16-0.18) and morning shifts (OR 0.22; 95% CI: 0.21-0.24) decreased. Intermediate chronotype was associated with fewer sleep problems (median MOS-SPI-II = 27.2, p < 0.01), compared with definite morning (28.9) and evening types (31.7). This study shows that chronotype is associated with sleep-wake times in a work-free period, shift type preference, and sleep problems in nurses. Future studies on the association of shift work-induced circadian disruption and health outcomes should therefore consider chronotype as effect-modifier.
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  • 文章类型: Journal Article
    这篇综述深入研究了生物钟与生理过程之间的复杂关系,强调它们在维持体内平衡方面的关键作用。由互锁的时钟基因编排,昼夜节律计时系统调节基本过程,如睡眠-觉醒周期,能量代谢,免疫功能,和细胞增殖。下丘脑视交叉上核的中心振荡器与明暗周期同步,而外周组织时钟受到诸如进食时间等线索的影响。昼夜节律中断,与夜班工作等现代生活方式有关,与不良健康结果相关,包括代谢综合征,心血管疾病,感染,和癌症。我们探讨了生物钟基因的分子机制及其对代谢紊乱和癌症发病机制的影响。昼夜节律紊乱和内分泌肿瘤之间的特定关联,跨越乳房,卵巢,睾丸,前列腺,甲状腺,垂体,和肾上腺癌,被突出显示。轮班工作与乳腺癌风险增加有关,PER基因影响肿瘤进展和耐药性。CLOCK基因表达与卵巢癌顺铂耐药相关,而衰老和间歇性禁食等因素会影响前列腺癌。我们的评论强调了昼夜节律和癌症之间复杂的相互作用,涉及细胞周期的调节,DNA修复,新陈代谢,免疫功能,和肿瘤微环境。我们提倡将生物定时整合到个性化医疗保健的临床考虑中,提出理解这些联系可能会导致新的治疗方法。证据支持以昼夜节律为中心的疗法,尤其是时间疗法,用于治疗内分泌肿瘤。我们的评论呼吁进一步研究以揭示生物钟与癌症之间的详细联系,为靶向治疗提供必要的见解。我们强调了公共卫生干预措施对减轻与生活方式相关的昼夜节律干扰的重要性,并强调了昼夜节律在疾病机制和治疗干预中的关键作用。
    This review delved into the intricate relationship between circadian clocks and physiological processes, emphasizing their critical role in maintaining homeostasis. Orchestrated by interlocked clock genes, the circadian timekeeping system regulates fundamental processes like the sleep-wake cycle, energy metabolism, immune function, and cell proliferation. The central oscillator in the hypothalamic suprachiasmatic nucleus synchronizes with light-dark cycles, while peripheral tissue clocks are influenced by cues such as feeding times. Circadian disruption, linked to modern lifestyle factors like night shift work, correlates with adverse health outcomes, including metabolic syndrome, cardiovascular diseases, infections, and cancer. We explored the molecular mechanisms of circadian clock genes and their impact on metabolic disorders and cancer pathogenesis. Specific associations between circadian disruption and endocrine tumors, spanning breast, ovarian, testicular, prostate, thyroid, pituitary, and adrenal gland cancers, are highlighted. Shift work is associated with increased breast cancer risk, with PER genes influencing tumor progression and drug resistance. CLOCK gene expression correlates with cisplatin resistance in ovarian cancer, while factors like aging and intermittent fasting affect prostate cancer. Our review underscored the intricate interplay between circadian rhythms and cancer, involving the regulation of the cell cycle, DNA repair, metabolism, immune function, and the tumor microenvironment. We advocated for integrating biological timing into clinical considerations for personalized healthcare, proposing that understanding these connections could lead to novel therapeutic approaches. Evidence supports circadian rhythm-focused therapies, particularly chronotherapy, for treating endocrine tumors. Our review called for further research to uncover detailed connections between circadian clocks and cancer, providing essential insights for targeted treatments. We emphasized the importance of public health interventions to mitigate lifestyle-related circadian disruptions and underscored the critical role of circadian rhythms in disease mechanisms and therapeutic interventions.
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  • 文章类型: Journal Article
    夜晚的光线会扰乱昼夜节律,昼夜节律紊乱是2型糖尿病的危险因素。个人光照是否预测糖尿病风险尚未在大型前瞻性队列中得到证实。因此,我们评估了个人光暴露模式是否可以预测英国生物银行参与者发生2型糖尿病的风险。使用1300万小时的光传感器数据。
    参与者(N=84,790,年龄(M±SD)=62.3±7.9岁,58%的女性)佩戴光传感器一周,记录白天和黑夜的光线暴露。根据每周的光数据对昼夜节律振幅和相位进行建模。记录了2型糖尿病的发生率(1997例;7.9±1.2年的随访;在光跟踪之前排除糖尿病病例)。2型糖尿病的风险被评估为白天和黑夜的功能,昼夜节律阶段,和昼夜节律幅度,调整年龄,性别,种族,社会经济和生活方式因素,和多基因风险。
    与黑夜(0-50百分位数)的人相比,在更亮的夜间光线暴露百分位数中,糖尿病风险逐渐升高(50-70:多变量校正HR=1.29[1.14-1.46];70-90:1.39[1.24-1.57];90-100:1.53[1.32-1.77]).在模拟昼夜节律振幅较低的人群中,糖尿病风险较高(aHR=1.07[1.03-1.10]/SD),并具有早或晚昼夜节律阶段(aHR范围:1.06-1.26)。夜光和多基因风险独立预测更高的糖尿病风险。夜晚明亮和黑暗的人之间的糖尿病风险差异与遗传风险低和中等的人之间的差异相似。
    暴露于更亮的夜光下的人患2型糖尿病的风险更高,以及暴露于可能破坏昼夜节律的光线模式的人。晚上避光可能是一个简单且具有成本效益的建议,可以降低患糖尿病的风险。即使是那些遗传风险很高的人。
    澳大利亚政府研究培训计划。
    UNASSIGNED: Light at night disrupts circadian rhythms, and circadian disruption is a risk factor for type 2 diabetes. Whether personal light exposure predicts diabetes risk has not been demonstrated in a large prospective cohort. We therefore assessed whether personal light exposure patterns predicted risk of incident type 2 diabetes in UK Biobank participants, using ∼13 million hours of light sensor data.
    UNASSIGNED: Participants (N = 84,790, age (M ± SD) = 62.3 ± 7.9 years, 58% female) wore light sensors for one week, recording day and night light exposure. Circadian amplitude and phase were modeled from weekly light data. Incident type 2 diabetes was recorded (1997 cases; 7.9 ± 1.2 years follow-up; excluding diabetes cases prior to light-tracking). Risk of incident type 2 diabetes was assessed as a function of day and night light, circadian phase, and circadian amplitude, adjusting for age, sex, ethnicity, socioeconomic and lifestyle factors, and polygenic risk.
    UNASSIGNED: Compared to people with dark nights (0-50th percentiles), diabetes risk was incrementally higher across brighter night light exposure percentiles (50-70th: multivariable-adjusted HR = 1.29 [1.14-1.46]; 70-90th: 1.39 [1.24-1.57]; and 90-100th: 1.53 [1.32-1.77]). Diabetes risk was higher in people with lower modeled circadian amplitude (aHR = 1.07 [1.03-1.10] per SD), and with early or late circadian phase (aHR range: 1.06-1.26). Night light and polygenic risk independently predicted higher diabetes risk. The difference in diabetes risk between people with bright and dark nights was similar to the difference between people with low and moderate genetic risk.
    UNASSIGNED: Type 2 diabetes risk was higher in people exposed to brighter night light, and in people exposed to light patterns that may disrupt circadian rhythms. Avoidance of light at night could be a simple and cost-effective recommendation that mitigates risk of diabetes, even in those with high genetic risk.
    UNASSIGNED: Australian Government Research Training Program.
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  • 文章类型: Journal Article
    维持适当的昼夜节律对于协调哺乳动物的生物学功能至关重要。本研究以Bmal1基因敲除(KO)小鼠为模型,调查了每日心律失常的影响,旨在理解行为和动机的含义。通过采用基于熵散度的新数学分析,我们确定了由完全不存在BMAL1引起的小鼠复杂活动模式的破坏,并量化了活动振荡复杂性的差异。运动活动的变化与昼夜节律基因表达模式的紊乱相吻合。此外,我们发现了一个失调的基因表达谱,特别是在像腹侧纹状体这样的脑核中,影响与奖励和动机相关的基因。进一步的调查显示,心律失常小鼠表现出更高的食物和水奖励动机,表明昼夜节律中断和奖励系统之间的联系。这项研究揭示了昼夜节律时钟改变如何影响调节奖励系统的基因表达,反过来,会导致寻求自然奖励的行为和动机发生变化。总之,本研究有助于我们理解奖励处理是如何在昼夜节律机制的调节下进行的。
    Maintaining proper circadian rhythms is essential for coordinating biological functions in mammals. This study investigates the effects of daily arrhythmicity using Bmal1-knockout (KO) mice as a model, aiming to understand behavioural and motivational implications. By employing a new mathematical analysis based on entropy divergence, we identified disrupted intricate activity patterns in mice derived by the complete absence of BMAL1 and quantified the difference regarding the activity oscillation\'s complexity. Changes in locomotor activity coincided with disturbances in circadian gene expression patterns. Additionally, we found a dysregulated gene expression profile particularly in brain nuclei like the ventral striatum, impacting genes related to reward and motivation. Further investigation revealed that arrhythmic mice exhibited heightened motivation for food and water rewards, indicating a link between circadian disruptions and the reward system. This research sheds light on how circadian clock alterations impact the gene expression regulating the reward system and how this, in turn, can lead to altered seeking behaviour and motivation for natural rewards. In summary, the present study contributes to our understanding of how reward processing is under the regulation of circadian clock machinery.
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  • 文章类型: Journal Article
    昼夜节律在大约24小时的周期内调节生理过程,它们的破坏与各种疾病有关。炎症可能扰乱昼夜节律,尽管这些相互作用尚不清楚。这项研究检查了腹膜内注射脂多糖(LPS)引起的全身性炎症是否可以改变中枢和外周昼夜节律和昼夜神经免疫动力学。将小鼠随机分为两组:盐水对照组和LPS组。测定下丘脑昼夜节律基因和炎症因子的昼夜表达,海马体,还有肝脏.还评估了小胶质细胞的昼夜动态行为。我们的结果表明,LPS扰乱了下丘脑的昼夜节律基因振荡,海马体,还有肝脏.此外,LPS诱导的全身性炎症可引发神经炎症并扰乱海马小胶质细胞的昼夜动态行为。这些发现揭示了炎症和昼夜节律紊乱之间的复杂联系,强调它们在神经退行性疾病中的重要性。
    Circadian rhythms regulate physiological processes in approximately 24 h cycles, and their disruption is associated with various diseases. Inflammation may perturb circadian rhythms, though these interactions remain unclear. This study examined whether systemic inflammation induced by an intraperitoneal injection of lipopolysaccharide (LPS) could alter central and peripheral circadian rhythms and diurnal neuroimmune dynamics. Mice were randomly assigned to two groups: the saline control group and the LPS group. The diurnal expression of circadian clock genes and inflammatory cytokines were measured in the hypothalamus, hippocampus, and liver. Diurnal dynamic behaviors of microglia were also assessed. Our results revealed that the LPS perturbed circadian gene oscillations in the hypothalamus, hippocampus, and liver. Furthermore, systemic inflammation induced by the LPS could trigger neuroinflammation and perturb the diurnal dynamic behavior of microglia in the hippocampus. These findings shed light on the intricate link between inflammation and circadian disruption, underscoring their significance in relation to neurodegenerative diseases.
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  • 文章类型: Journal Article
    葡萄糖代谢受昼夜节律干扰的影响。晚餐-就寝时间间隔(DBI)是一个可访问的指标,以反映晚餐时间和昼夜节律之间的对齐。我们旨在研究DBI与2型糖尿病(T2DM)的相关性。
    7676名来自河南农村队列的成年受试者。收集了他们的人口统计信息,包括晚餐时间和就寝时间。收集空腹静脉血样品用于生化测定。采用广义线性回归模型分析DBI的影响因素。此外,结合有限三次样条模型的逻辑回归用于评估DBI和T2DM之间的关联。
    多元线性回归模型结果显示,年龄(β:-0.018,95%CI:-0.021,-0.015)与DBI呈负相关。女性(β:0.311,95%CI:0.229,0.393),初中教育(β:0.246,95%CI:0.187,0.306),高中以上学历(β:0.346,95%CI:0.259,0.433),平均月收入1000-1999人民币(0.102,95%CI:0.032,0.171),月平均收入≥2000元(β:0.164,95%CI:0.076,0.251),中等体力活动(β:0.134,95%CI:0.071,0.197),当前吸烟者(β:0.214,95%CI:0.118,0.309),目前饮酒者(β:0.099,95%CI:0.008,0.190)与DBI呈正相关。此外,DBI与T2DM显著相关(校正OR:0.910,95CI:0.845~0.979,P=0.012)。DBI长于3h与T2DM风险降低相关(校正OR:0.773,95CI:0.648-0.921,P=0.004)。
    大于3小时的DBI有利于T2DM的预防。需要进一步调查以验证该协会。
    UNASSIGNED: Glucose metabolism is impacted by circadian disruption. Dinner-bedtime interval (DBI) was an accessible indicator to reflect the alignment between dinner time and circadian clock. We aimed to investigate the association of DBI with type 2 diabetes mellitus (T2DM).
    UNASSIGNED: 7676 adult subjects from the Henan Rural Cohort were included. Their demographic information including dinner time and bedtime was collected. Fasting venous blood samples were collected for biochemical determinations. Generalized linear regression model was used to analyze the factors influencing DBI. Furthermore, logistic regression incorporated with restricted cubic spline model was applied to evaluate the association between DBI and T2DM.
    UNASSIGNED: The results of multiple linear regression model showed that age (β: -0.018, 95% CI: -0.021, -0.015) was negatively correlated with DBI. Female (β: 0.311, 95% CI: 0.229, 0.393), junior high school education (β: 0.246, 95% CI: 0.187, 0.306), high school education or above (β: 0.346, 95% CI: 0.259, 0.433), average monthly income with 1000-1999 CNY(0.102, 95% CI: 0.032, 0.171), average monthly income ≥ 2000 CNY (β: 0.164, 95% CI: 0.076, 0.251), moderate physical activity (β: 0.134, 95% CI: 0.071, 0.197), current smokers (β: 0.214, 95% CI: 0.118, 0.309), current drinkers (β: 0.099, 95% CI: 0.008, 0.190) were positively correlated with DBI. Furthermore, DBI was significantly associated with T2DM (adjusted OR: 0.910, 95%CI: 0.845-0.979, P = 0.012). DBI longer than 3 h was associated with decreased risk of T2DM (adjusted OR: 0.773, 95%CI: 0.648-0.921, P = 0.004).
    UNASSIGNED: DBI larger than 3 h is beneficial to T2DM prevention. Further investigation is required to verify the association.
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  • 文章类型: Journal Article
    创伤性脑损伤(TBI)严重影响睡眠,心情,和疲劳,阻碍日常运作和恢复。本系统综述评估了早晨较短波长照明在可见(蓝色)范围内以及广谱或富蓝色亮白光暴露在减轻TBI患者中的这些挑战中的功效。通过电子数据库搜索到2023年5月,评估睡眠的研究,昼夜节律,困倦,心情,并且确定了暴露于可见(蓝色)范围内的早晨较短波长照明和广谱或富蓝色亮白光的TBI患者的疲劳结局。涉及309名参与者的7项研究符合纳入标准。结果表明,轻度TBI患者的睡眠时间一致进步,除了改善总睡眠时间,心情,两种类型的光线照射都能减少困倦,特别是在轻度TBI病例中。值得注意的是,两项研究表明,仅在暴露于光线后的严重TBI病例中,疲劳就会减轻。尽管有希望的发现,证据仍然有限,强调需要采用标准化方案进行未来研究,以确认光疗法对TBI恢复的潜在价值并优化其益处。
    Traumatic brain injury (TBI) profoundly affects sleep, mood, and fatigue, impeding daily functioning and recovery. This systematic review evaluates the efficacy of morning shorter wavelength lighting in the visible (blue) range and broad-spectrum or blue-enriched bright white light exposure in mitigating these challenges among TBI patients. Through electronic database searches up to May 2023, studies assessing sleep, circadian rhythm, sleepiness, mood, and fatigue outcomes in TBI patients exposed to morning shorter wavelength lighting in the visible (blue) range and broad-spectrum or blue-enriched bright white light were identified. Seven studies involving 309 participants met the inclusion criteria. Results indicated consistent advancement in sleep timing among individuals with mild TBI, alongside improvements in total sleep time, mood, and reduced sleepiness with both types of light exposure, particularly in mild TBI cases. Notably, two studies demonstrated alleviation of fatigue exclusively in severe TBI cases following light exposure. Despite promising findings, evidence remains limited, emphasizing the need for future research with standardized protocols to confirm the potential and optimize the benefits of light therapy for TBI recovery.
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  • 文章类型: Journal Article
    昼夜节律的干扰,如轮班工作,时差,已逐渐成为全球性的健康问题,并与各种代谢紊乱密切相关。昼夜节律中断对慢性肾脏病(CKD)肾损伤的影响和机制尚不清楚。这里,我们评估了环境光破坏对CKD小鼠慢性肾损伤进展的影响.通过使用两种异常光照模型来诱导昼夜节律中断,我们发现每周光/暗循环逆转(LDDL)引起的昼夜节律中断显着加剧了肾功能障碍,加速肾损伤,并促进5/6肾切除和单侧输尿管梗阻(UUO)小鼠的肾纤维化。机械上,RNA-seq分析显示LDDL条件CKD肾脏中显著的免疫和代谢紊乱。始终如一,LDDL攻击的CKD小鼠肾脏组织中ATP含量降低,ROS产生增加.非靶向代谢组学揭示了受LDDL影响的肾脏中脂质的显着积累。值得注意的是,β-NMN的水平,NAD+途径的关键中间体,被发现特别减少。此外,我们证明β-NMN和褪黑素的给药可以显著挽救光破坏相关的肾功能不全.总之,环境昼夜节律中断可能通过促进炎症反应和干扰代谢稳态而加剧慢性肾损伤.β-NMN和褪黑激素治疗可能是预防和治疗与光破坏相关的CKD的有希望的方法。
    Circadian disruption such as shift work, jet lag, has gradually become a global health issue and is closely associated with various metabolic disorders. The influence and mechanism of circadian disruption on renal injury in chronic kidney disease (CKD) remains inadequately understood. Here, we evaluated the impact of environmental light disruption on the progression of chronic renal injury in CKD mice. By using two abnormal light exposure models to induce circadian disruption, we found that circadian disruption induced by weekly light/dark cycle reversal (LDDL) significantly exacerbated renal dysfunction, accelerated renal injury, and promoted renal fibrosis in mice with 5/6 nephrectomy and unilateral ureteral obstruction (UUO). Mechanistically, RNA-seq analysis revealed significant immune and metabolic disorder in the LDDL-conditioned CKD kidneys. Consistently, renal content of ATP was decreased and ROS production was increased in the kidney tissues of the LDDL-challenged CKD mice. Untargeted metabolomics revealed a significant buildup of lipids in the kidney affected by LDDL. Notably, the level of β-NMN, a crucial intermediate in the NAD+ pathway, was found to be particularly reduced. Moreover, we demonstrated that both β-NMN and melatonin administration could significantly rescue the light-disruption associated kidney dysfunction. In conclusion, environmental circadian disruption may exacerbate chronic kidney injury by facilitating inflammatory responses and disturbing metabolic homeostasis. β-NMN and melatonin treatments may hold potential as promising approaches for preventing and treating light-disruption associated CKD.
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