circadian rhythm

昼夜节律
  • 文章类型: Journal Article
    大多数生物拥有三种生物振荡器,生物钟,细胞周期,和氧化还原节律,它们是自主的,但相互作用。然而,它们的相互作用和自主性是否对生物体有益尚不清楚。这里,我们建模了一个耦合振荡器系统,其中每个振荡器影响其他振荡器的相位。我们发现,多种类型的偶联可以防止M期细胞中的高H2O2水平。因此,我们假设在M期H2O2敏感性较高,并发现适度的耦合通过在三个节律之间产生适当的相位关系来减少由于氧化应激引起的细胞损伤。而强耦合通过增加平均H2O2水平并破坏细胞周期而导致细胞损伤升高。此外,多细胞模型表明,细胞之间的相位变化赋予与环境同步的灵活性,以牺牲对最佳环境的适应性为代价。因此,振荡器之间的自主性和同步性对于协调它们的相位关系以最小化氧化应激是重要的,和联轴器根据环境来平衡它们。
    Most organisms possess three biological oscillators, circadian clock, cell cycle, and redox rhythm, which are autonomous but interact each other. However, whether their interactions and autonomy are beneficial for organisms remains unclear. Here, we modeled a coupled oscillator system where each oscillator affected the phase of the other oscillators. We found that multiple types of coupling prevent a high H2O2 level in cells at M phase. Consequently, we hypothesized a high H2O2 sensitivity at the M phase and found that moderate coupling reduced cell damage due to oxidative stress by generating appropriate phase relationships between three rhythms, whereas strong coupling resulted in an elevated cell damage by increasing the average H2O2 level and disrupted the cell cycle. Furthermore, the multicellularity model revealed that phase variations among cells confer flexibility in synchronization with environments at the expense of adaptability to the optimal environment. Thus, both autonomy and synchrony among the oscillators are important for coordinating their phase relationships to minimize oxidative stress, and couplings balance them depending on environments.
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  • 文章类型: Journal Article
    本文回顾了近交和转基因小鼠品系在破译哺乳动物褪黑激素能和昼夜节律系统中的作用。它集中在松果体器官作为褪黑激素工厂和褪黑激素能系统的两个主要目标,视交叉上核(SCN)和垂体结节(PT)。哺乳动物松果体细胞与真正的松果体和视网膜光感受器具有相同的分子特征,每天晚上合成并分泌褪黑激素到血液和脑脊液中。值得注意的是,神经元样连接存在于深松果体细胞和棘/前盖区之间,提示松果体-脑直接交流。啮齿动物中褪黑激素生物合成的控制涉及转录调节,包括CREB的磷酸化和mPer1的上调。在SCN中,褪黑素作用于MT1和MT2受体。褪黑素是不需要保持SCN分子时钟的节奏,但是它对光的昼夜节律同步有明显的影响,通过作用于MT2受体,促进昼夜节律系统的重新夹带,以使SCN分子时钟的水平分阶段提高,并在昼夜节律系统中起稳定作用,这从运动活动记录中可以看出。虽然SCN中的效果很微妙,褪黑素对PT功能至关重要。通过MT1受体,它驱动PT固有的分子时钟以及控制季节性节律的逆行和顺行输出途径。尽管近交系和转基因小鼠不表现出季节性繁殖,如果动物是褪黑激素熟练的,则来自PT的途径是完全完整的。因此,只有褪黑激素丰富的菌株适合研究昼夜节律和褪黑激素能系统。
    This contribution reviews the role of inbred and transgenic mouse strains for deciphering the mammalian melatoninergic and circadian system. It focusses on the pineal organ as melatonin factory and two major targets of the melatoninergic system, the suprachiasmatic nuclei (SCN) and the hypophysial pars tuberalis (PT). Mammalian pinealocytes sharing molecular characteristics with true pineal and retinal photoreceptors synthesize and secrete melatonin into the blood and cerebrospinal fluid night by night. Notably, neuron-like connections exist between the deep pinealocytes and the habenular/pretectal region suggesting direct pineal-brain communication. Control of melatonin biosynthesis in rodents involves transcriptional regulation including phosphorylation of CREB and upregulation of mPer1. In the SCN, melatonin acts upon MT1 and MT2 receptors. Melatonin is not necessary to maintain the rhythm of the SCN molecular clockwork, but it has distinct effects on the synchronization of the circadian rhythm by light, facilitates re-entrainment of the circadian system to phase advances in the level of the SCN molecular clockwork by acting upon MT2 receptors and plays a stabilizing role in the circadian system as evidenced from locomotor activity recordings. While the effects in the SCN are subtle, melatonin is essential for PT functions. Via the MT1 receptor it drives the PT-intrinsic molecular clockwork and the retrograde and anterograde output pathways controlling seasonal rhythmicity. Although inbred and transgenic mice do not show seasonal reproduction, the pathways from the PT are fully intact if the animals are melatonin proficient. Thus, only melatonin-proficient strains are suited to investigate the circadian and melatoninergic systems.
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  • 文章类型: Journal Article
    背景:尽管昼夜节律对生活的各个方面都有公认的影响,对实验动物的行为测试通常忽略了与它们的自然活动模式的一致性。本研究旨在评估昼夜节律变化对结果的影响,有效性,以及大鼠不同行为测试的可靠性。
    方法:三种行为测试,明暗箱试验(LDB),评估焦虑相关行为和运动活动;掩埋颗粒测试(BPT),揭示嗅觉能力和动机问题;以及蔗糖偏好测试(SPT),研究无意义的反应,用于涵盖雄性Sprague-Dawley大鼠的多个白天依赖性行为方面。
    结果:我们的发现强调了不同的昼夜节律对运动活动的影响,探索性行为,嗅觉敏锐度,动机,和享乐主义反应。值得注意的是,焦虑行为不受白天条件的影响.此外,发现数据差异降低与受试者活跃期的行为测试相关。
    结论:这项研究表明,对所研究的几乎所有参数都有广泛的昼夜节律影响,加上活动阶段数据变异性的显著降低。强调将实验时间与大鼠的自然活动模式对齐的重要性,我们的结果表明,在动物活动阶段进行测试不仅可以提高测试灵敏度,减少压力,并提供更具代表性的数据,但也有助于伦理动物研究(3R)和提高测试相关性。这个,反过来,提高行为研究中实验结果的可靠性和有效性,促进动物福利。
    BACKGROUND: Despite the acknowledged impact of circadian rhythms on various aspects of life, behavioural tests with laboratory animals often overlook alignment with their natural activity patterns. This study aims to evaluate the influence of circadian variations on the results, validity, and reliability of different behavioural tests in rats.
    METHODS: Three behavioural tests, the Light-Dark Box Test (LDB), assessing anxiety-related behaviour and locomotor activity; the Buried Pellet Test (BPT), revealing olfactory abilities and motivation issues; and the Sucrose Preference Test (SPT), studying the anhedonic response, were employed to encompass multiple daytime-dependent behavioural aspects in male Sprague-Dawley rats.
    RESULTS: Our findings underscore distinct circadian effects on locomotor activity, exploratory behaviour, olfactory acuity, motivation, and hedonic response. Notably, anxious behaviour remained unaffected by daytime conditions. Furthermore, decreased data variance was found to be correlated with conducting behavioural tests during the subjects\' active phase.
    CONCLUSIONS: This study demonstrates extensive circadian influences on nearly all parameters investigated, coupled with a significant reduction in data variability during the active phase. Emphasising the importance of aligning experimental timing with rats\' natural activity patterns, our results suggest that conducting tests during the active phase of the animals not only refines test sensitivity , reduces stress, and provides more representative data, but also contributes to ethical animal research (3 R) and improves test relevance. This, in turn, enhances the reliability and validity of experimental outcomes in behavioural research and promotes animal welfare.
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  • 文章类型: Journal Article
    背景:昼夜节律紊乱是接受康复治疗的卒中后患者普遍关注的问题,并可能对其功能结局产生负面影响。
    目的:我们的研究旨在揭示中风后康复患者特有的独特模式和干扰,并确定与非脑部相关病变的住院对照相比,特定休息-活动节律指标的潜在差异。如脊髓损伤患者。
    方法:我们使用可穿戴式肌动描记器从25名中风后患者(n=9,36%女性;中位年龄56,IQR46-71)和25名年龄和性别匹配的住院对照参与者(n=15,60%女性;中位年龄57,IQR46.5-68.5)获得了7天的记录。为了评估昼夜节律,我们使用非参数方法来计算关键的休息-活动节律指标-相对振幅,每日稳定,和每日变异性。相对振幅,量化休息-活动节律振幅,同时考虑每日变化和不平衡振幅,计算为最活跃的10个连续小时和最不活跃的5个连续小时之间的差与这10个和5个连续小时之和的比率。我们还检查了休息-活动节律指标和谵妄筛查工具之间的临床相关性,例如4A测试和Barthel指数,评估谵妄和日常生活活动。
    结果:与对照组相比,中风患者的5小时最不活跃值更高(中位数为4.29,IQR为2.88-6.49,中位数为1.84,IQR为0.67-4.34;P=.008)。最活跃的10小时值显示两组之间没有显着差异(卒中组:中位数38.92,IQR14.60-40.87;对照组:中位数31.18,IQR18.02-46.84;P=.93)。与对照组相比,中风组的相对振幅较低(中位数为0.74,IQR为0.57-0.85,中位数为0.88,IQR为0.71-0.96;P=.009)。进一步分析显示,两组之间的其他休息活动节律指标没有显着差异。在中风患者中,4A测试分数与相对振幅呈负相关(ρ=-0.41;P=0.045)。在所有参与者中,Barthel指数得分与每日稳定性(ρ=0.34;P=.02)和最活跃的10小时值(ρ=0.42;P=.002)之间出现正相关。
    结论:本研究强调了昼夜节律紊乱在卒中后康复中的相关性,并提供了对作为数字生物标志物的休息-活动节律指标的潜在诊断和预后意义的见解。
    BACKGROUND: Circadian rhythm disruptions are a common concern for poststroke patients undergoing rehabilitation and might negatively impact their functional outcomes.
    OBJECTIVE: Our research aimed to uncover unique patterns and disruptions specific to poststroke rehabilitation patients and identify potential differences in specific rest-activity rhythm indicators when compared to inpatient controls with non-brain-related lesions, such as patients with spinal cord injuries.
    METHODS: We obtained a 7-day recording with a wearable actigraphy device from 25 poststroke patients (n=9, 36% women; median age 56, IQR 46-71) and 25 age- and gender-matched inpatient control participants (n=15, 60% women; median age 57, IQR 46.5-68.5). To assess circadian rhythm, we used a nonparametric method to calculate key rest-activity rhythm indicators-relative amplitude, interdaily stability, and intradaily variability. Relative amplitude, quantifying rest-activity rhythm amplitude while considering daily variations and unbalanced amplitudes, was calculated as the ratio of the difference between the most active 10 continuous hours and the least active 5 continuous hours to the sum of these 10 and 5 continuous hours. We also examined the clinical correlations between rest-activity rhythm indicators and delirium screening tools, such as the 4 A\'s Test and the Barthel Index, which assess delirium and activities of daily living.
    RESULTS: Patients who had a stroke had higher least active 5-hour values compared to the control group (median 4.29, IQR 2.88-6.49 vs median 1.84, IQR 0.67-4.34; P=.008). The most active 10-hour values showed no significant differences between the groups (stroke group: median 38.92, IQR 14.60-40.87; control group: median 31.18, IQR 18.02-46.84; P=.93). The stroke group presented a lower relative amplitude compared to the control group (median 0.74, IQR 0.57-0.85 vs median 0.88, IQR 0.71-0.96; P=.009). Further analysis revealed no significant differences in other rest-activity rhythm metrics between the two groups. Among the patients who had a stroke, a negative correlation was observed between the 4 A\'s Test scores and relative amplitude (ρ=-0.41; P=.045). Across all participants, positive correlations emerged between the Barthel Index scores and both interdaily stability (ρ=0.34; P=.02) and the most active 10-hour value (ρ=0.42; P=.002).
    CONCLUSIONS: This study highlights the relevance of circadian rhythm disruptions in poststroke rehabilitation and provides insights into potential diagnostic and prognostic implications for rest-activity rhythm indicators as digital biomarkers.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    对急性脑梗死(ACI)伴睡眠呼吸障碍(SDB)患者昼夜节律和睡眠状态的研究有限。本研究旨在为脑卒中相关SDB患者的个体化诊治提供科学依据。SC-500睡眠监测器用于连续监测1367名ACI患者5天。根据呼吸暂停低通气指数(AHI),患者分为非SDB组(正常)和SDB组(轻度,中度,严重,波动)。通过心率监测计算每日稳定性(IS)和每日变异性(IV),和睡眠状态及其相关性进行了分析。与非SDB组相比,伴有SDB的中度至重度ACI患者表现出IS降低,增加IV,和睡眠碎片。总睡眠时间(TST)差异有统计学意义,快速眼动延迟(REML),睡眠效率(SE),非快速眼动阶段1-2(NREM阶段1-2),非快速眼动阶段3-4(NREM阶段3-4),非快速眼动比例(NREM%),睡眠发作后醒来(WASO),SDB组和非SDB组之间的觉醒次数(NOA)(P<0.05)。AHI与IS呈强负相关,与IV呈强正相关。AHI与睡眠潜伏期(SL)呈正相关,REML,NREM阶段1-2,NREM%,快速眼动比例(REM%),WASO,下床时间(TOB),和NOA,与TST呈负相关,SE,NREM阶段3-4,和快速眼动(REM),均有统计学意义(P<0.05)。有和没有SDB的患者之间的简易精神状态检查(MMSE)存在显着统计学差异,在温和的,中度,严重,波动组(P<0.05)。伴有SDB的中度至重度ACI患者更有可能经历昼夜节律和睡眠状态的变化,进而影响认知功能。
    在线版本包含补充材料,可在10.1007/s41105-024-00516-1获得。
    There is limited research on the circadian rhythm and sleep state in patients with acute cerebral infarction (ACI) accompanied by sleep-breathing disorders (SDB). This study aims to provide a scientific basis for individualized diagnosis and treatment for stroke-related SDB patients. The SC-500 sleep monitor was used to continuously monitor 1367 ACI patients over 5 days. Based on the apnea-hypopnea index (AHI), patients were divided into non-SDB group (normal) and SDB group (mild, moderate, severe, fluctuating). Interdaily stability (IS) and intradaily variability (IV) were calculated through heart rate monitoring, and sleep states and their correlations were analyzed. Compared to the non-SDB group, patients with moderate-to-severe ACI accompanied by SDB showed decreased IS, increased IV, and sleep fragmentation. Significant statistical differences were observed in total sleep time (TST), rapid eye movement latency (REML), sleep efficiency (SE), non-rapid eye movement stages 1-2 (NREM stages1-2), non-rapid eye movement stages 3-4 (NREM stages 3-4), proportion of non-rapid eye movement (NREM%), wake after sleep onset (WASO), and number of awakenings (NOA) between the SDB group and the non-SDB group (P < 0.05). AHI showed a strong negative correlation with IS and a strong positive correlation with IV. AHI was positively correlated with sleep latency (SL), REML, NREM stages1-2, NREM%, proportion of rapid eye movement (REM%), WASO, time out of bed (TOB), and NOA, and negatively correlated with TST, SE, NREM stages 3-4, and rapid eye movement (REM), all with statistical significance (P < 0.05). There were significant statistical differences in the Mini-Mental State Examination (MMSE) between patients with and without SDB, and among mild, moderate, severe, and fluctuating groups (P < 0.05). Patients with moderate-to-severe ACI accompanied by SDB are more likely to experience changes in circadian rhythm and sleep states, which in turn affect cognitive functions.
    UNASSIGNED: The online version contains supplementary material available at 10.1007/s41105-024-00516-1.
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  • 文章类型: Journal Article
    睡眠对每个生物体都至关重要。人类大约三分之一的时间都在睡觉。睡眠已经被广泛研究,以及睡眠在心理上的作用,心理,身体健康是最好的。大脑在觉醒和睡眠之间的节奏被称为昼夜节律,主要受褪黑激素和松果体控制。这种节律的不平衡会对健康造成破坏性影响。临睡前的剧烈锻炼会干扰入睡。用餐时间和组成可以显著影响睡眠质量。建议避免大餐,咖啡因,睡前酒精。接近就寝时间的大量饮食会导致睡眠不良和荷尔蒙中断。通过遵循本文中列举的这些准则,个人可以改善睡眠质量和整体健康。睡眠周期,尤其是快速眼动睡眠,对身心健康有深远的影响。坚持推荐的睡眠习惯可增强身体恢复,强化免疫系统,并维持代谢平衡。与昼夜节律相一致的睡眠卫生对于疾病预防和福祉至关重要。医疗保健专业人员应优先考虑患者护理和公共卫生的睡眠优化策略。
    Sleep is essential for every living organism. Humans spend about one-third of their lives sleeping. Sleep has been studied extensively, and the role of sleep in psychological, mental, and physical well-being is established to be the best. The rhythm of the brain between wakefulness and sleep is called the circadian rhythm, which is mainly controlled by melatonin and the pineal gland. The imbalance of this rhythm can lead to devastating effects on health. Vigorous workouts close to bedtime can interfere with falling asleep. Meal timing and composition can significantly affect sleep quality. It is advised to avoid large meals, caffeine, and alcohol before bedtime. Heavy meals close to bedtime can lead to poor sleep and hormone disruption. By following these guidelines enumerated in the article, individuals can improve sleep quality and overall health. Sleep cycles, especially rapid eye movement sleep, have a profound influence on mental and physical health. Adhering to recommended sleep practices enhances bodily restoration, fortifies the immune system, and upholds metabolic equilibrium. Sleep hygiene aligned with circadian rhythms is crucial for disease prevention and well-being. Healthcare professionals should prioritize sleep optimization strategies for patient care and public health.
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  • 文章类型: Journal Article
    背景:昼夜节律会影响认知表现,早的时间型在早晨达到高峰,晚的时间型在晚上达到高峰。尚不清楚认知干预是否容易受到这种同步效应的影响,并且可以在一天中的某些时间进行优化。
    目的:一项初步研究,测试在与时间型同步的一天中的时间交付时,认知偏见修饰(CBM)对面部情绪处理的有效性是否得到改善。
    方法:173名具有早期或晚期时间型的健康年轻成年人(18-25岁)在早上(06:00小时至10:00小时)或晚上(18:00小时至22:00小时)完成一次CBM在线训练。
    结果:适度的证据表明,参与者在同步完成CBM训练时(晚上为晚期时间型,早期时间型的早晨)与异步(晚期时间型的早晨,对于早期类型的晚上)条件,控制训练前的平衡点,睡眠质量和负面影响。还存在一组×条件相互作用,其中晚期时间型在同步和异步条件下更快,更有效地学习。
    结论:初步证据表明同步效应适用于这种心理干预。根据时间类型定制CBM训练的交付时间可以优化其有效性。这对于那些不太能够适应非最佳时间的晚型尤其重要。可能是因为他们经历了更多的社会时差。
    结论:在对早期和晚期型进行治疗时,考虑CBM训练的实施时机。这可能会推广到其他心理干预,并与在线干预相关,其中时间可以灵活。
    BACKGROUND: Circadian rhythms influence cognitive performance which peaks in the morning for early chronotypes and evening for late chronotypes. It is unknown whether cognitive interventions are susceptible to such synchrony effects and could be optimised at certain times-of-day.
    OBJECTIVE: A pilot study testing whether the effectiveness of cognitive bias modification (CBM) for facial emotion processing was improved when delivered at a time-of-day that was synchronised to chronotype.
    METHODS: 173 healthy young adults (aged 18-25) with an early or late chronotype completed one online session of CBM training in either the morning (06:00 hours to 10:00 hours) or evening (18:00 hours to 22:00 hours).
    RESULTS: Moderate evidence that participants learnt better (higher post-training balance point) when they completed CBM training in the synchronous (evening for late chronotypes, morning for early chronotypes) compared with asynchronous (morning for late chronotypes, evening for early chronotypes) condition, controlling for pre-training balance point, sleep quality and negative affect. There was also a group×condition interaction where late chronotypes learnt faster and more effectively in synchronous versus asynchronous conditions.
    CONCLUSIONS: Preliminary evidence that synchrony effects apply to this psychological intervention. Tailoring the delivery timing of CBM training to chronotype may optimise its effectiveness. This may be particularly important for late chronotypes who were less able to adapt to non-optimal times-of-day, possibly because they experience more social jetlag.
    CONCLUSIONS: To consider delivery timing of CBM training when administering to early and late chronotypes. This may generalise to other psychological interventions and be relevant for online interventions where the timing can be flexible.
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  • 文章类型: Journal Article
    增强的血压变异性已成为预测不良心血管结局的量。在显示增加夜间的内在和外在因素的范围中,昼夜节律,短期,和长期的血压变化,阻塞性睡眠呼吸暂停的存在和严重程度已成为最普遍和最有效的疾病之一。阻塞性睡眠呼吸暂停会急剧改变交感神经和副交感神经紧张之间的正常夜间平衡,放大夜间血压振荡,并引起持续的自主神经后效,具有放大短期和闭会期间血压变化的能力。这篇简短评论的目的是综合目前对阻塞性睡眠呼吸暂停之间潜在相互关系的理解,它引起的急性和持续的自主神经紊乱,在睡眠过程中血压波动,夜间浸渍状态,和日常血压变异性以及这些扰动对心血管风险的影响。
    Augmented blood pressure variability has emerged as a quantity predictive of adverse cardiovascular outcomes. Among the range of intrinsic and extrinsic factors shown to increase night-time, circadian, short-term, and long-term blood pressure variations, the presence and severity of obstructive sleep apnea have emerged as one of the most prevalent and potent. Obstructive sleep apnea alters acutely the normal nocturnal equilibrium between sympathetic and parasympathetic tone, magnifying nocturnal blood pressure oscillations, and induces sustained autonomic aftereffects with the capacity to amplify short-term and intersessional blood pressure variabilities. The object of this brief review is to synthesize the current understanding of the potential interrelations between obstructive sleep apnea, the acute and sustained autonomic disturbances that it elicits, and beat-to-beat blood pressure fluctuation during sleep, nocturnal dipping status, and day-to-day blood pressure variability and the consequences of these perturbations for cardiovascular risk.
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  • 文章类型: Journal Article
    手机成瘾(MPA)极大地影响了生物钟和睡眠质量,并正在成为一种行为障碍。唾液微生物群与昼夜节律有关,我们先前的研究揭示了患有睡眠障碍(MPASD)的MPA受试者中心律失常的唾液代谢产物。此外,针灸有积极作用。然而,目前尚不清楚MPASD患者的唾液微生物群及针灸的修复作用。
    探讨MPASD患者唾液菌群和针灸恢复的昼夜节律特征。
    MPASD患者和健康志愿者通过手机成瘾倾向量表(MPATS)和匹兹堡睡眠质量指数(PSQI)招募。唾液样本每4小时收集一次,共72小时。唾液取样后,6名MPDSD受试者(M组)接受针灸治疗(T组),和随后的唾液采样进行后处理。最后,所有样本均进行了16SrRNA基因测序和生物信息学分析。
    在MPDSD患者中观察到MPATS和PSQI评分显着增加(p<0.01),但针刺干预后这些评分下降(p<0.001)。与健康对照组相比,MPASD患者唾液微生物群的多样性和结构被显著破坏.在所有组中检测到具有昼夜节律的六个属,包括Sulfurovum,肽链球菌,卟啉单胞菌和普雷沃氏菌。健康人有五个属昼夜节律,其中Rothia和Lautropia属的节律在MPASD患者中消失,但在针刺干预后有效恢复。
    这项工作揭示了MPASD患者的唾液微生物节律异常,和针灸,作为一种潜在的干预,可以有效缓解这种不断上升的行为流行病。
    UNASSIGNED: Mobile phone addiction (MPA) greatly affects the biological clock and sleep quality and is emerging as a behavioral disorder. The saliva microbiota has been linked to circadian rhythms, and our previous research revealed dysrhythmic saliva metabolites in MPA subjects with sleep disorders (MPASD). In addition, acupuncture had positive effects. However, the dysbiotic saliva microbiota in MPASD patients and the restorative effects of acupuncture are unclear.
    UNASSIGNED: To probe the circadian dysrhythmic characteristics of the saliva microbiota and acupunctural restoration in MPASD patients.
    UNASSIGNED: MPASD patients and healthy volunteers were recruited by the Mobile Phone Addiction Tendency Scale (MPATS) and the Pittsburgh Sleep Quality Index (PSQI). Saliva samples were collected every 4 h for 72 h. After saliva sampling, six MPDSD subjects (group M) were acupuncturally treated (group T), and subsequent saliva sampling was conducted posttreatment. Finally, all the samples were subjected to 16S rRNA gene sequencing and bioinformatic analysis.
    UNASSIGNED: Significantly increased MPATS and PSQI scores were observed in MPDSD patients (p< 0.01), but these scores decreased (p<0.001) after acupuncture intervention. Compared with those in healthy controls, the diversity and structure of the saliva microbiota in MPASD patients were markedly disrupted. Six genera with circadian rhythms were detected in all groups, including Sulfurovum, Peptostreptococcus, Porphyromonas and Prevotella. There were five genera with circadian rhythmicity in healthy people, of which the rhythmicities of the genera Rothia and Lautropia disappeared in MPASD patients but effectively resumed after acupuncture intervention.
    UNASSIGNED: This work revealed dysrhythmic salivary microbes in MPASD patients, and acupuncture, as a potential intervention, could be effective in mitigating this ever-rising behavioral epidemic.
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