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人类受试者对单个明亮光脉冲的相位响应曲线。

A phase response curve to single bright light pulses in human subjects.

作者信息

Khalsa Sat Bir S, Jewett Megan E, Cajochen Christian, Czeisler Charles A

机构信息

Division of Sleep Medicine, Department of Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.

出版信息

J Physiol. 2003 Jun 15;549(Pt 3):945-52. doi: 10.1113/jphysiol.2003.040477. Epub 2003 Apr 25.

Abstract

The circadian pacemaker is differentially sensitive to the resetting effects of retinal light exposure, depending upon the circadian phase at which the light exposure occurs. Previously reported human phase response curves (PRCs) to single bright light exposures have employed small sample sizes, and were often based on relatively imprecise estimates of circadian phase and phase resetting. In the present study, 21 healthy, entrained subjects underwent pre- and post-stimulus constant routines (CRs) in dim light (approximately 2-7 lx) with maintained wakefulness in a semi-recumbent posture. The 6.7 h bright light exposure stimulus consisted of alternating 6 min fixed gaze (approximately 10 000 lx) and free gaze (approximately 5000-9000 lx) exposures. Light exposures were scheduled across the circadian cycle in different subjects so as to derive a PRC. Plasma melatonin was used to determine the phase of the onset, offset, and midpoint of the melatonin profiles during the CRs. Phase shifts were calculated as the difference in phase between the pre- and post-stimulus CRs. The resultant PRC of the midpoint of the melatonin rhythm revealed a characteristic type 1 PRC with a significant peak-to-trough amplitude of 5.02 h. Phase delays occurred when the light stimulus was centred prior to the critical phase at the core body temperature minimum, phase advances occurred when the light stimulus was centred after the critical phase, and no phase shift occurred at the critical phase. During the subjective day, no prolonged 'dead zone' of photic insensitivity was apparent. Phase shifts derived using the melatonin onsets showed larger magnitudes than those derived from the melatonin offsets. These data provide a comprehensive characterization of the human PRC under highly controlled laboratory conditions.

摘要

昼夜节律起搏器对视网膜光暴露的重置效应具有不同的敏感性,这取决于光暴露发生时的昼夜节律阶段。先前报道的人类对单次强光暴露的相位反应曲线(PRC)样本量较小,并且通常基于对昼夜节律相位和相位重置的相对不精确估计。在本研究中,21名健康的、已同步化的受试者在昏暗灯光(约2 - 7勒克斯)下进行刺激前和刺激后的持续常规程序(CRs),以半卧位姿势保持清醒。6.7小时的强光暴露刺激包括交替进行6分钟的固定注视(约10000勒克斯)和自由注视(约5000 - 9000勒克斯)暴露。在不同受试者的昼夜节律周期内安排光暴露,以得出PRC。使用血浆褪黑素确定CRs期间褪黑素谱的起始、结束和中点的相位。相位变化计算为刺激前和刺激后CRs之间的相位差。褪黑素节律中点的所得PRC显示出特征性的1型PRC,峰谷幅度为5.02小时。当光刺激在核心体温最低的关键相位之前居中时发生相位延迟,当光刺激在关键相位之后居中时发生相位提前,在关键相位没有发生相位变化。在主观白天,没有明显的长时间光不敏感“死区”。使用褪黑素起始点得出的相位变化幅度大于使用褪黑素结束点得出的幅度。这些数据在高度受控的实验室条件下提供了人类PRC的全面特征。

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