Král' A
Ustav patologickej fyziológie LFUK v Bratislave, Slovakia.
Bratisl Lek Listy. 1994 Jul;95(7):295-303.
In the presented article we try to find a synthesis of the current knowledge on circadian rhythms. We pick up the most prominent oscillations in human physiology and review the current knowledge of their regulation. Circadian oscillations in the parameters of internal environment are driven by the pineal gland. A biochemical pathway in the pineal transforms tryptophan through serotonin to the final product--the indolamine melatonin. Its plasma level is high at night and low during the day. Melatonin, easily penetrating through biological barriers, thus carries phase of day information to all peripheral tissues. Light exposure of retina alters (via neural pathways connecting retina to pineal gland) the amount of serotonin metabolized to melatonin. This physiological mechanism of adjustment of the endogenous clock to the solar day can be altered in some circumstances, leading to pathologic symptoms. The best known diseases caused by breakdown in circadian regulation are seasonal affective disorders and jet-lag syndrome. (Fig. 2, Ref. 71.)
在本文中,我们试图综合当前关于昼夜节律的知识。我们选取了人体生理学中最显著的振荡,并回顾了其调节的现有知识。内环境参数的昼夜振荡由松果体驱动。松果体中的一条生化途径将色氨酸通过血清素转化为最终产物——吲哚胺褪黑素。其血浆水平在夜间较高,白天较低。褪黑素易于穿透生物屏障,从而将白天的相位信息传递到所有外周组织。视网膜受光照射会(通过连接视网膜和松果体的神经通路)改变代谢为褪黑素的血清素量。这种将生物钟调整到太阳日的生理机制在某些情况下可能会改变,从而导致病理症状。由昼夜节律调节紊乱引起的最著名疾病是季节性情感障碍和时差综合征。(图2,参考文献71。)