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昼夜节律紊乱:我们到底是什么意思?

Circadian disruption: What do we actually mean?

机构信息

Department of Integrative Physiology, University of Colorado Boulder, Boulder, Colorado.

出版信息

Eur J Neurosci. 2020 Jan;51(1):531-550. doi: 10.1111/ejn.14255. Epub 2018 Dec 5.


DOI:10.1111/ejn.14255
PMID:30402904
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6504624/
Abstract

The circadian system regulates physiology and behavior. Acute challenges to the system, such as those experienced when traveling across time zones, will eventually result in re-synchronization to local environmental time cues, but this re-synchronization is oftentimes accompanied by adverse short-term consequences. When such challenges are experienced chronically, adaptation may not be achieved, as for example in the case of rotating night shift workers. The transient and chronic disturbance of the circadian system is most frequently referred to as "circadian disruption", but many other terms have been proposed and used to refer to similar situations. It is now beyond doubt that the circadian system contributes to health and disease, emphasizing the need for clear terminology when describing challenges to the circadian system and their consequences. The goal of this review is to provide an overview of the terms used to describe disruption of the circadian system, discuss proposed quantifications of disruption in experimental and observational settings with a focus on human research, and highlight limitations and challenges of currently available tools. For circadian research to advance as a translational science, clear, operationalizable, and scalable quantifications of circadian disruption are key, as they will enable improved assessment and reproducibility of results, ideally ranging from mechanistic settings, including animal research, to large-scale randomized clinical trials.

摘要

生物钟系统调节生理和行为。当人们跨越时区旅行时,会经历急性生物钟挑战,最终会重新同步到当地环境时间线索,但这种重新同步常常伴随着短期的不良后果。当这种挑战长期存在时,适应可能无法实现,例如对于轮班的夜班工人。生物钟系统的短暂和慢性干扰通常被称为“生物钟紊乱”,但已经提出并使用了许多其他术语来指代类似的情况。毫无疑问,生物钟系统与健康和疾病有关,这强调了在描述对生物钟系统的挑战及其后果时需要使用明确的术语。本综述的目的是提供描述生物钟系统紊乱的术语概述,讨论在实验和观察环境中提出的紊乱量化方法,重点是人类研究,并强调当前可用工具的局限性和挑战。为了使生物钟研究作为转化科学取得进展,明确、可操作和可扩展的生物钟紊乱量化方法是关键,因为它们将能够改善对结果的评估和重现性,理想情况下从包括动物研究的机制设置到大规模随机临床试验。

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本文引用的文献

[1]
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Eur J Neurosci. 2020-1

[2]
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Proc Natl Acad Sci U S A. 2018-9-10

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Cell. 2018-8-30

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Chronobiol Int. 2018-6-6

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Epidemiology. 2018-9

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