Surrey Sleep Research Centre, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
UK Dementia Research Institute, University of Surrey.
J Biol Rhythms. 2020 Oct;35(5):421-438. doi: 10.1177/0748730420940483. Epub 2020 Jul 23.
The temporal organization of molecular and physiological processes is driven by environmental and behavioral cycles as well as by self-sustained molecular circadian oscillators. Quantification of phase, amplitude, period, and disruption of circadian oscillators is essential for understanding their contribution to sleep-wake disorders, social jet lag, interindividual differences in entrainment, and the development of chrono-therapeutics. Traditionally, assessment of the human circadian system, and the output of the SCN in particular, has required collection of long time series of univariate markers such as melatonin or core body temperature. Data were collected in specialized laboratory protocols designed to control for environmental and behavioral influences on rhythmicity. These protocols are time-consuming, expensive, and not practical for assessing circadian status in patients or in participants in epidemiologic studies. Novel approaches for assessment of circadian parameters of the SCN or peripheral oscillators have been developed. They are based on machine learning or mathematical model-informed analyses of features extracted from 1 or a few samples of high-dimensional data, such as transcriptomes, metabolomes, long-term simultaneous recording of activity, light exposure, skin temperature, and heart rate or approaches. Here, we review whether these approaches successfully quantify parameters of central and peripheral circadian oscillators as indexed by gold standard markers. Although several approaches perform well under entrained conditions when sleep occurs at night, the methods either perform worse in other conditions such as shift work or they have not been assessed under any conditions other than entrainment and thus we do not yet know how robust they are. Novel approaches for the assessment of circadian parameters hold promise for circadian medicine, chrono-therapeutics, and chrono-epidemiology. There remains a need to validate these approaches against gold standard markers, in individuals of all sexes and ages, in patient populations, and, in particular, under conditions in which behavioral cycles are displaced.
分子和生理过程的时间组织受环境和行为周期以及自我维持的分子昼夜振荡器的驱动。量化昼夜振荡器的相位、幅度、周期和中断对于理解它们对睡眠-觉醒障碍、社会时差、个体间同步的差异以及chrono 治疗学的发展的贡献至关重要。传统上,评估人类昼夜系统,特别是 SCN 的输出,需要收集长时间的单变量标记物(如褪黑素或核心体温)的时间序列。数据是在专门设计的实验室方案中收集的,旨在控制环境和行为对节律性的影响。这些方案既耗时又昂贵,对于评估患者或流行病学研究参与者的昼夜状态并不实用。已经开发出了评估 SCN 或外周振荡器的昼夜参数的新方法。它们基于从 1 或几个高维数据样本(如转录组、代谢组、活动、光照暴露、皮肤温度和心率的长期同步记录)中提取的特征的机器学习或数学模型信息分析。在这里,我们评估了这些方法是否成功地量化了以黄金标准标记物为指标的中枢和外周昼夜振荡器的参数。尽管在夜间睡眠时,几种方法在受训练的条件下表现良好,但这些方法在其他条件下表现不佳,例如轮班工作,或者它们尚未在除受训练以外的任何条件下进行评估,因此我们还不知道它们的稳健性如何。评估昼夜参数的新方法为昼夜医学、chrono 治疗学和 chrono 流行病学提供了希望。仍然需要用黄金标准标记物来验证这些方法,包括所有性别和年龄的个体、患者群体,特别是在行为周期被打乱的情况下。