Kim Soon Ho, Goh Segun, Han Kyungreem, Kim Jong Won, Choi MooYoung
Department of Physics and Center for Theoretical Physics, Seoul National University, Gwanak-ro 1, Seoul, 08826, Korea.
Institut für Theoretische Physik II - Soft Matter, Heinrich-Heine- Universität Düsseldorf, Düsseldorf, D-40225, Germany.
Theor Biol Med Model. 2018 May 9;15(1):5. doi: 10.1186/s12976-018-0077-x.
While the effects of light as a zeitgeber are well known, the way the effects are modulated by features of the sleep-wake system still remains to be studied in detail.
A mathematical model for disturbance and recovery of the human circadian system is presented. The model combines a circadian oscillator and a sleep-wake switch that includes the effects of orexin. By means of simulations, we characterize the period-locking zone of the model, where a stable 24-hour circadian rhythm exists, and the occurrence of circadian disruption due to both insufficient light and imbalance in orexin. We also investigate how daily bright light treatments of short duration can recover the normal circadian rhythm.
It is found that the system exhibits continuous phase advance/delay at lower/higher orexin levels. Bright light treatment simulations disclose two optimal time windows, corresponding to morning and evening light treatments. Among the two, the morning light treatment is found effective in a wider range of parameter values, with shorter recovery time.
This approach offers a systematic way to determine the conditions under which circadian disruption occurs, and to evaluate the effects of light treatment. In particular, it could potentially offer a way to optimize light treatments for patients with circadian disruption, e.g., sleep and mood disorders, in clinical settings.
虽然光作为一种授时因子的作用已广为人知,但睡眠-觉醒系统的特征对其作用的调节方式仍有待详细研究。
提出了一种人类昼夜节律系统干扰与恢复的数学模型。该模型结合了一个昼夜节律振荡器和一个包含食欲素作用的睡眠-觉醒开关。通过模拟,我们刻画了模型的锁相区,即存在稳定的24小时昼夜节律的区域,以及由于光照不足和食欲素失衡导致的昼夜节律紊乱的发生情况。我们还研究了短时间的每日强光治疗如何恢复正常的昼夜节律。
发现该系统在较低/较高食欲素水平下表现出连续的相位提前/延迟。强光治疗模拟揭示了两个最佳时间窗口,分别对应早晨和傍晚的光照治疗。其中,早晨光照治疗在更广泛的参数值范围内有效,恢复时间更短。
这种方法提供了一种系统的方式来确定昼夜节律紊乱发生的条件,并评估光照治疗的效果。特别是,它有可能为临床环境中昼夜节律紊乱患者(如睡眠和情绪障碍患者)优化光照治疗提供一种方法。