Reinberg Alain, Ashkenazi Israel
Unité de Chronobiologie, Fondation Adolphe de Rothschild, Paris, France; Department of Human Genetics and Molecular Medicine, School of Medicine, Tel Aviv University, Ramat Aviv, Israel.
Dialogues Clin Neurosci. 2003 Dec;5(4):327-42. doi: 10.31887/DCNS.2003.5.4/areinberg.
Biological rhythms and their temporal organization are adaptive phenomena to periodic changes in environmental factors linked to the earth's rotation on its axis and around the sun. Experimental data from the plant and animal kingdoms have led to many models and concepts related to biological clocks that help describe and understand the mechanisms of these changes. Many of the prevailing concepts apply to all organisms, but most of the experimental data are insufficient to explain the dynamics of human biological clocks. This review presents phenomena thai are mainly characteristic ofand unique to - human chronobiology, and which cannot be fully explained by concepts and models drawn from laboratory experiments. We deal with the functional advantages of the human temporal organization and the problem of desynchronization, with special reference to the period (τ) of the circadian rhythm and its interindividual and intraindividual variability. We describe the differences between right- and left-hand rhythms suggesting the existence of different biological clocks in the right and left cortices, Desynchronization of rhythms is rather frequent (one example is night shift workers). In some individuals, desynchronization causes no clinical symptoms and we propose the concept of "allochronism" to designate a variant of the human temporal organization with no pathological implications. We restrict the term "dyschronism" to changes or alterations in temporal organization associated with a set of symptoms similar to those observed in subjects intolerant to shift work, eg, persisting fatigue and mood and sleep alterations. Many diseases involve chronic deprivation of sleep at night and constitute conditions mimicking thai of night shift workers who are intolerant to desynchronization. We also present a genetic model (the dian-circadian model) to explain interindividual differences in the period of biological rhythms in certain conditions.
生物节律及其时间组织是与地球绕轴自转和绕太阳公转相关的环境因素周期性变化的适应性现象。来自植物界和动物界的实验数据催生了许多与生物钟相关的模型和概念,有助于描述和理解这些变化的机制。许多流行的概念适用于所有生物体,但大多数实验数据不足以解释人类生物钟的动态变化。本综述介绍了主要属于人类时间生物学且独具特色的现象,这些现象无法用实验室实验得出的概念和模型完全解释。我们探讨了人类时间组织的功能优势以及不同步问题,特别提及昼夜节律的周期(τ)及其个体间和个体内的变异性。我们描述了左右手节律之间的差异,这表明左右脑皮层存在不同的生物钟。节律不同步相当常见(例如夜班工作者)。在一些个体中,不同步不会引起临床症状,我们提出“异时性”概念来指代一种无病理意义的人类时间组织变体。我们将“节律失调”一词限定为与一组类似于在不能耐受轮班工作的受试者中观察到的症状相关的时间组织变化,例如持续疲劳、情绪和睡眠改变。许多疾病涉及夜间慢性睡眠剥夺,构成了类似于不能耐受不同步的夜班工作者的情况。我们还提出了一个遗传模型(双昼夜模型)来解释在某些条件下生物节律周期的个体间差异。