Stability, Precision, and Near-24-Hour Period of the Human Circadian Pacemaker

American Association for the Advancement of Science (AAAS) - Tập 284 Số 5423 - Trang 2177-2181 - 1999
Charles A. Czeisler1, Jeanne F. Duffy1, Theresa L. Shanahan1, Emery N. Brown2, Jude F. Mitchell1, David W. Rimmer1, Joseph M. Ronda1, Edward J. Silva1, James S. Allan1, Jonathan S. Emens1, Derk‐Jan Dijk1, Richard E. Kronauer3
1Circadian, Neuroendocrine, and Sleep Disorders Section, Division of Endocrinology, Department of Medicine, Harvard Medical School, Brigham and Women's Hospital, 221 Longwood Avenue, Boston, MA 02115, USA.
2Department of Anesthesia and Critical Care, Harvard Medical School, Massachusetts General Hospital, Boston, MA 02114, USA.
3Division of Engineering and Applied Sciences,#N#Harvard University Cambridge, MA 02138, USA

Tóm tắt

Regulation of circadian period in humans was thought to differ from that of other species, with the period of the activity rhythm reported to range from 13 to 65 hours (median 25.2 hours) and the period of the body temperature rhythm reported to average 25 hours in adulthood, and to shorten with age. However, those observations were based on studies of humans exposed to light levels sufficient to confound circadian period estimation. Precise estimation of the periods of the endogenous circadian rhythms of melatonin, core body temperature, and cortisol in healthy young and older individuals living in carefully controlled lighting conditions has now revealed that the intrinsic period of the human circadian pacemaker averages 24.18 hours in both age groups, with a tight distribution consistent with other species. These findings have important implications for understanding the pathophysiology of disrupted sleep in older people.

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Tài liệu tham khảo

D. P. King et al. Cell 89 641 (1997).

Z. S. Sun et al. ibid. 90 1003 (1997)

H. Tei et al. Nature 389 512 (1997);

10.1016/S0896-6273(00)80417-1

; N. Gekakis et al. Science 280 1564 (1998);

10.1016/S0896-6273(00)80492-4

10.1126/science.276.5313.763

; T. K. Darlington et al. ibid. 280 1599 (1998);

10.1128/MCB.17.7.3687

10.1016/S0092-8674(00)80473-0

; J. E. Rutila et al. ibid. 93 805 (1998);

10.1016/S0896-6273(00)80234-2

10.1126/science.280.5369.1548

10.1126/science.3413487

M. H. Vitaterna et al. ibid. 264 719 (1994).

10.1073/pnas.68.9.2112

Loros J. J., Denome S. A., Dunlap J. C., Science 243, 385 (1989);

Dunlap J. C., Annu. Rev. Physiol. 55, 683 (1993);

; T. Kondo et al. Science 266 1233 (1994);

Millar A. J., Carré I. A., Strayer C. A., Chua N.-H., Kay S. A., ibid. 267, 1161 (1995).

10.1126/science.156.3774.531

Pittendrigh C. S., Daan S., ibid. 186, 548 (1974);

Morin L. P., J. Biol. Rhythms 3, 237 (1988).

Weitzman E. D., Moline M. L., Czeisler C. A., Zimmerman J. C., Neurobiol. Aging 3, 299 (1982).

W. C. Dement et al. in The Biology of Aging C. E. Finch and E. L. Schneider Eds. (Van Nostrand Reinhold New York 1985) pp. 692–717;

Myers B. L., Badia P., Neurosci. Biobehav. Rev. 19, 553 (1995).

C. A. Czeisler et al. Science 233 667 (1986).

C. A. Czeisler et al. Lancet 340 933 (1992).

Aschoff J., Wever R., Naturwissenschaften 49, 337 (1962).

R. A. Wever The Circadian System of Man: Results of Experiments Under Temporal Isolation (Springer-Verlag New York 1979); Experientia 40 1226 (1984).

Campbell S. S., Dawson D., Zulley J., Sleep 16, 638 (1993).

Middleton B., Arendt J., Stone B. M., J. Sleep Res. 5, 69 (1996).

O. M. Buxton et al. Am. J. Physiol. 273 E536 (1997);

Leproult R., Van Reeth O., Byrne M. M., Sturis J., Van Cauter E., J. Biol. Rhythms 12, 245 (1997).

O. Van Reeth et al. Am. J. Physiol. 266 E964 (1994);

Eastman C. I., Hoese E. K., Youngstedt S. D., Liu L., Physiol. Behav. 58, 1287 (1995).

Mills J. N., J. Physiol. (London) 174, 217 (1964).

Boivin D. B., Duffy J. F., Kronauer R. E., Czeisler C. A., Nature 379, 540 (1996);

Boivin D. B., Czeisler C. A., Neuroreport 9, 779 (1998).

J. Waterhouse et al. Neurosci. Lett. 245 97 (1998).

Czeisler C. A., Allan J. S., Kronauer R. E., Sleep Res. 15, 266 (1986);

; in Sleep and Biological Rhythms: Basic Mechanisms and Applications to Psychiatry J. Montplaisir and R. Godbout Eds. (Oxford Univ. Press New York 1990) pp. 87–98.

N. Kleitman Sleep and Wakefulness (Univ. of Chicago Press Chicago 1939).

Duffy J. F., Dijk D.-J., Klerman E. B., Czeisler C. A., Am. J. Physiol. 275, R1478 (1998);

Dijk D.-J., Duffy J. F., Riel E., Shanahan T. L., Czeisler C. A., J. Physiol. (London) 516.2, 611 (1999) .

Subjects had no medical psychiatric or sleep disorders as determined by history physical examination electrocardiogram clinical laboratory screening tests psychological questionnaires interview with a clinical psychologist and for older subjects chest radiograph and diagnostic sleep recording. None reported regular night or rotating shift work within the prior 3 years or crossing more than one time zone within the prior 3 months. Urinary toxicological screening was used to verify that all subjects were drug-free at the time of study. The experimental procedures were reviewed and approved by the Human Research Committee at Brigham and Women's Hospital and each subject gave written informed consent (23).

Edgar D. M., Martin C. E., Dement W. C., J. Biol. Rhythms 6, 185 (1991);

Van Reeth O., Turek F. W., Nature 339, 49 (1989);

Janik D., Mrosovsky N., Physiol. Behav. 53, 431 (1993);

Mrosovsky N., Reebs S. G., Honrado G. I., Salmon P. A., Experientia 45, 696 (1989);

; E. Van Cauter et al. J. Biol. Rhythms 8 S99 (1993);

Amir S., Stewart J., Nature 379, 542 (1996).

E. B. Klerman et al. Am. J. Physiol. 43 R991 (1998).

Kronauer R. E., Fookson J. E., Strogatz S. H., Sleep Res. 15, 274 (1986).

R. E. Kronauer and C. A. Czeisler in Light and Biological Rhythms in Man L. Wetterberg Ed. (Pergamon Oxford 1993) pp. 217-236

C. A. Czeisler et al. Science 244 1328 (1989);

Klerman E. B., Dijk D.-J., Kronauer R. E., Czeisler C. A., Am. J. Physiol. 270, R271 (1996).

Gander P. H., Kronauer R. E., Czeisler C. A., Moore-Ede M. C., Am. J. Physiol. 247, R427 (1984).

Two young subjects (1111 and 1105) returned for a classical free-running study in which they self-selected their light-dark cycle (12 13) (Fig. 1 center panel). Two subjects (1111 and 1507) later returned for a 20-hour forced desynchrony protocol (Fig. 1 left panel). One of those subjects (1507) also returned for yet another forced desynchrony protocol with a 42.85-hour imposed day length. The ratio of scheduled bedtime to scheduled wake time was maintained at 1:2 for each forced desynchrony protocol.

Using the NOSA technique core-temperature data collected throughout the month-long experiment were modeled as a harmonic regression model with continuous first-order autoregressive [AR(1)] noise defined as yt=st+xt+vtwhere y t is the core-temperature measurement at time t s t is the circadian signal x t is the forced desynchrony component and v t is the AR(1) noise. We define st=μ+∑r=12Ar cos2πrtτ+Br sin2πrtτ xt=∑k=18Ck cos2πkt28+Dk sin2πkt28 vt=exp(−αΔ)vt−1+ɛt     where μ is mean temperature τ is the intrinsic period of the circadian pacemaker A r and B r are respectively the cosine and sine coefficients of the r th harmonic of the circadian signal C k and D k are respectively the cosine and sine coefficients of the k th harmonic of the forced desynchrony component Δ is the sampling interval α is the approximate time constant of the thermoregulatory system and the ε t 's are independent identically distributed Gaussian noise with zero mean and variance σ ε 2 . The variance of v t is σ v 2 = σ ε 2 [1 – exp(–2αΔ)] –1 . The choice of two harmonics to model the circadian component is based on Brown and Czeisler (32) whereas the choice of eight harmonics to model the forced desynchrony component was determined empirically. The model was fit to the data by an exact maximum likelihood method [R. H. Jones Longitudinal Data with Serial Correlation: A State-Space Approach (Chapman & Hall New York 1993); E. N. Brown and C. H. Schmid in Methods in Enzymology Numerical Computer Methods Part B L. Brand and M. L. Johnson Eds. (Academic Press Orlando FL 1994) pp. 171–181]. The standard deviation of the period estimate used to compute the 95% confidence intervals for τ was computed as στ= 6τ4 σv2 Δ[1−exp(−2αΔ)]π2T3∑r=12Σfr2(Ar2+Br2)1−2 exp(−αΔ)cos2πrΔτ+exp(−2αΔ)12where T is the study length [E. N. Brown V. Solo Y. Choe Z. Zhang Tech. Rep. 95-01 (Statistics Research Laboratory Department of Anesthesia and Critical Care Massachusetts General Hospital April 1996; revised November 1997)]. The hormone measurements have no thermoregulatory component; hence for their analyses we used the model in Eq. 2 with v t = ε t and the formula in Eq. 3 with α = ∞. For the free-running studies only core body temperature was sampled and the fitting did not include a forced period. NOSA can include periodic terms that may arise from nonlinear interactions between the basic periodic signals s t and x t . We have explored such additional terms and identified those that rise above the level of noise in the temperature data. However when these are included the effect on the average endogenous period reported here is minimal (<1 min) and not statistically significant. We therefore report the endogenous periods estimated without interaction periodicities which can be used to investigate related nonlinear processes that are beyond the scope of this report.

Brown E. N., Czeisler C. A., J. Biol. Rhythms 7, 177 (1992).

Shanahan T. L., Czeisler C. A., Sleep Res. 20A, 557 (1991);

; T. L. Shanahan thesis Harvard Medical School (1995).

Wyatt J. K., et al., Sleep Res. 26, 759 (1997);

Rimmer D. W., Dijk D. J., Wyatt J. K., Dinges D. F., Czeisler C. A., Med. Sci. Sports Exercise 30, 5 (1997).

Free-running subjects who self-selected the timing of their sleep-wake and light-dark schedule while living in an environment free of time cues chose sleep episode fractions averaging 29 to 33% (8 12 13 36 37 39) comparable to the sleep fraction imposed in the forced desynchrony reported herein.

10.1126/science.7434029

Zulley J., Wever R., Aschoff J., Pfluegers Arch. 391, 314 (1981).

This same mechanism by which free-running subjects exhibit a longer observed period than their actual intrinsic circadian period may underlie some clinical cases of non–24-hour sleep-wake schedule disorder in which subjects exhibit an average sleep-wake cycle duration of ≥25 hours even though their actual intrinsic circadian period may be much closer to 24 hours [

Emens J. S., Brotman D. J., Czeisler C. A., Sleep Res. 23, 256 (1994);

]. Thus their disorder may be behaviorally self-induced via self-selected exposure to artificial light rather than being the result of an aberrant intrinsic circadian period.

C. A. Czeisler thesis Stanford University (1978).

Morin L. P., Fitzgerald K. M., Zucker I., Science 196, 305 (1977);

Honma K.-I., Honma S., Hiroshige T., Jpn. J. Physiol. 35, 643 (1985);

Edgar D. M., Dement W. C., Am. J. Physiol. 261, R928 (1991) ;

Shiromani P. J., Overstreet D., Biol. Psychiatry 36, 622 (1994);

Kronauer R. E., Czeisler C. A., Pilato S. F., Moore-Ede M. C., Am. J. Physiol. 242, R3 (1982);

Gundel A., Spencer M. B., Chronobiol. Int. 9, 148 (1992).

Hiddinga A. E., Beersma D. G. M., van den Hoofdakker R. H., J. Sleep Res. 6, 156 (1997).

Zulley J., Campbell S. S., Hum. Neurobiol. 4, 123 (1985);

Mrosovsky N., Nature 319, 536 (1986).

We reanalyzed the body temperature data recorded during the first week of our 28-hour forced desynchrony protocol (1 beat cycle) and the first 5 days of the 20-hour forced desynchrony protocol [also 1 beat cycle and identical to the duration of the experiment in (41)]. Estimation of circadian period on this shortened data series increased the variance of our period estimate by a factor of more than 13 in the case of the 28-hour protocol and by a factor of more than 6 in the case of the 20-hour protocol as would be predicted by our statistical model in which the variance of the period estimate decreases as 1/ T 3 (31).

D. Minors et al. Chronobiol. Int. 13 179 (1996).

T. L. Kelly et al. J. Biol. Rhythms 14 190 (1999).

Sack R. L., Lewy A. J., Blood M. L., Keith L. D., Nakagawa H., J. Clin. Endocrinol. Metab. 75, 127 (1992);

Orth D. N., Besser G. M., King P. H., Nicholson W. E., Clin. Endocrinol. 10, 603 (1979);

Lockley S. W., et al., J. Clin. Endocrinol. Metab. 82, 3763 (1997).

A. Eskin in Biochronometry M. Menaker Ed. (National Academy of Sciences Washington DC 1971) pp. 55–80.

Davis F. C., Viswanathan N., Am. J. Physiol. 275, R960 (1998);

; J. F. Duffy thesis Northeastern University (1998).

Carskadon M. A., Labyak S. E., Acebo C., Seifer R., Neurosci. Lett. 260, 129 (1999).

We thank the subject volunteers; research technicians; senior research technicians A. Fergus K. Foote G. Jayne E. Martin and A. Ward; S. Driscoll and the staff of the General Clinical Research Center (GCRC) of Brigham and Women's Hospital; subject recruiters J. Daley J. Kao D. Margolis and R. McCarley; research assistants D. Chen and J. Whittemore Jr.; the Clinical Core Laboratory of the GCRC and Elias USA Inc. for hormonal assays; T. Ding for analytic software; W. Freitag for management of bioengineering systems; L. Rosenthal for illustrations; J. Zeitzer for comments; J. K. Wyatt for provision of comparative data; and G. H. Williams for overall support. Supported by the U.S. Public Health Service National Institute on Aging Award PO1-AG09975 (C.A.C.) National Institute of General Medical Sciences Award R01-GM53559 (E.N.B.) and NASA Cooperative Agreement NCC9-58 with the National Space Biomedical Research Institute. The studies were performed in a GCRC supported by MO1-RR02635. This paper is dedicated to the memory of Professor Jürgen Aschoff (1913–1998) who pioneered the modern science of circadian biology and established the first continuously operational laboratory shielded from external time cues to study human circadian physiology.