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褪黑素抑制并不会自动改变困意、警觉性、感觉处理或睡眠。

Melatonin suppression does not automatically alter sleepiness, vigilance, sensory processing, or sleep.

机构信息

Centre for Chronobiology, Psychiatric Hospital of the University of Basel, Basel, Switzerland (institution, where the work was performed).

Transfaculty Research Platform Molecular and Cognitive Neurosciences, University of Basel, Basel, Switzerland.

出版信息

Sleep. 2022 Nov 9;45(11). doi: 10.1093/sleep/zsac199.

Abstract

Presleep exposure to short-wavelength light suppresses melatonin and decreases sleepiness with activating effects extending to sleep. This has mainly been attributed to melanopic effects, but mechanistic insights are missing. Thus, we investigated whether two light conditions only differing in the melanopic effects (123 vs. 59 lx melanopic EDI) differentially affect sleep besides melatonin. Additionally, we studied whether the light differentially modulates sensory processing during wakefulness and sleep. Twenty-nine healthy volunteers (18-30 years, 15 women) were exposed to two metameric light conditions (high- vs. low-melanopic, ≈60 photopic lx) for 1 h ending 50 min prior to habitual bed time. This was followed by an 8-h sleep opportunity with polysomnography. Objective sleep measurements were complemented by self-report. Salivary melatonin, subjective sleepiness, and behavioral vigilance were sampled at regular intervals. Sensory processing was evaluated during light exposure and sleep on the basis of neural responses related to violations of expectations in an oddball paradigm. We observed suppression of melatonin by ≈14% in the high- compared to the low-melanopic condition. However, conditions did not differentially affect sleep, sleep quality, sleepiness, or vigilance. A neural mismatch response was evident during all sleep stages, but not differentially modulated by light. Suppression of melatonin by light targeting the melanopic system does not automatically translate to acutely altered levels of vigilance or sleepiness or to changes in sleep, sleep quality, or basic sensory processing. Given contradicting earlier findings and the retinal anatomy, this may suggest that an interaction between melanopsin and cone-rod signals needs to be considered. Clinical Trial Registry: German Clinical Trials Register, DRKS00023602, https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00023602.

摘要

睡前暴露于短波长光会抑制褪黑素并降低困倦感,其激活作用会延伸至睡眠中。这主要归因于光致变色效应,但目前缺乏机制方面的见解。因此,我们研究了两种仅在光致变色效应方面存在差异的光照条件(123 与 59 lx 光致变色 EDI)除了褪黑素以外,是否会对睡眠产生不同影响。此外,我们还研究了光照是否会在清醒和睡眠期间对感觉处理产生不同的影响。29 名健康志愿者(18-30 岁,15 名女性)接受了两种同色异谱光条件(高光比和低光比,约 60 光瞳 lx)的照射,持续 1 小时,在习惯的上床时间前 50 分钟结束。随后,志愿者获得 8 小时的睡眠机会,并进行多导睡眠图监测。客观的睡眠测量结果与自我报告相结合。定期采集唾液褪黑素、主观困倦感和行为警觉度样本。在光照暴露和睡眠期间,根据在意外范式中违反预期的神经反应评估感觉处理。与低光比条件相比,高光比条件下褪黑素的抑制约为 14%。然而,两种条件并没有对睡眠、睡眠质量、困倦感或警觉度产生不同影响。在所有睡眠阶段都存在神经失匹配反应,但光照没有对其产生不同调节作用。针对黑素体系统的光照抑制褪黑素并不会自动转化为警觉度或困倦感的急性改变,也不会改变睡眠、睡眠质量或基本感觉处理。鉴于早期存在相互矛盾的发现和视网膜解剖结构,这可能表明需要考虑黑视素与视锥-视杆信号之间的相互作用。临床试验注册:德国临床试验注册处,DRKS00023602,https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00023602。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/44b7/9644120/1547051387ab/zsac199f0006.jpg

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