How Plants Adapt to the Photoperiod

Plants are extremely sensitive to changes in their environment, particularly variations in photoperiod or day length. Photoperiodism refers to a plant's capacity to detect variations in day length and make use of this knowledge to control key developmental processes including flowering, growth, and dormancy. Through a process known as photoperiodism, plants can detect and react to variations in the number of daylight hours, or photoperiod. The physiological response of plants to the length of day or night is known as photoperiodism. The plant uses this physiological response to time-critical developmental events like flowering. In this essay, I will cover the current understanding of how plants respond to photoperiod and the molecular mechanisms underpinning this response. Three groups of plants' photoperiodic responses can be distinguished: short-day plants (SDPs), long-day plants (LDPs), and day-neutral plants (DNPs). Whereas LDPs bloom when the length of the day exceeds the crucial threshold, SDPs do so only when it is shorter than the critical threshold. Conversely, DNPs do not have a crucial day duration and can bloom at any day length. Many genes and biochemical processes control how a plant responds to the photoperiod. The creation and movement of the hormone florigen, which starts blooming in response to photoperiodic signals, is a crucial regulating mechanism. On the other hand, a class of photoreceptors known as phytochromes is involved in the biochemical mechanisms driving photoperiodic responses in plants. The perception of light's duration, quality, and amount is caused by phytochromes. The red-light-absorbing Pr form and the far-red-light-absorbing Pfr form are the two interconvertible states in which they can exist. The ratio of Pr to Pfr is altered by the duration of light exposure and is utilizes by plants to assess day length. Exposure to light in SDPs causes the expression of the CONSTANS (CO) gene, and the CO protein causes the expression of the FLOWERING LOCUS T (FT), a gene that encourages flowering. By exposing LDPs to light, a different gene called GI (GIGANTEA) is induced rather than CO, which is normally expressed. The FT gene's expression is encouraged by GI's interaction with the protein ZEITLUPE (ZTL), which also encourages flowering. In addition to these essential elements, several proteins and signalling pathways are also involved in photoperiodic responses in plants. For instance, to optimise the response to variations in day length, the photoperiodic pathway interacts with the circadian clock, which controls numerous physiological processes in plants. In some species, the hormone gibberellin (GA) also aids in the promotion of flowering. One essential adaptation that enables plants to synchronize their developmental processes with seasonal changes is their capacity to react to variations in day length. Phytochromes play a key role in how plants perceive the day in the complex network of proteins and signalling channels that make up the molecular mechanisms behind photoperiodic responses in plants. There is still much to learn about the diversity and complexity of the photoperiodic response across several plant groupings, even if much is known about it in particular species.

Targeting the blood-brain barrier to delay aging-accompanied neurological diseases by modulating gut microbiota, circadian rhythms, and their interplays

The blood-brain barrier (BBB) impairment plays a crucial role in the pathological processes of aging-accompanied neurological diseases (AAND). Meanwhile, circadian rhythms disruption and gut microbiota dysbiosis are associated with increased morbidity of neurological diseases in the accelerated aging population. Importantly, circadian rhythms disruption and gut microbiota dysbiosis are also known to induce the generation of toxic metabolites and pro-inflammatory cytokines, resulting in disruption of BBB integrity. Collectively, this provides a new perspective for exploring the relationship among circadian rhythms, gut microbes, and the BBB in aging-accompanied neurological diseases. In this review, we focus on recent advances in the interplay between circadian rhythm disturbances and gut microbiota dysbiosis, and their potential roles in the BBB disruption that occurs in AAND. Based on existing literature, we discuss and propose potential mechanisms underlying BBB damage induced by dysregulated circadian rhythms and gut microbiota, which would serve as the basis for developing potential interventions to protect the BBB in the aging population through targeting the BBB by exploiting its links with gut microbiota and circadian rhythms for treating AAND.

Correlation between insomnia and job performance in shift nurses / Монголын Анагаах Ухаан

@#Sleep and wakefulness are physiological processes in our lives that are regulated by circadian rhythms. The level of melatonin, the "sleep hormone", increases with the onset of darkness, and its production slows down in the morning. Exposure to artificial light at night disrupts our circadian rhythm and the processes it controls. Shift work is when an individual works from 9 am to 5 pm. But the night shift refers to the time when a group of workers who work at night in factories and enterprises work in the evening or at night, especially from 4 p.m. to 8 a.m. according to a regular schedule. One in five people in industrialized countries work night shifts, and studies in America and Europe show that between 15 and 30% of adult workers have some form of shift work. Between 10% and 30% of shift workers meet the diagnosis of shift work disorder (SWD). 5-10% of shift workers experience severe shift insomnia and sleepiness. At least ¾ of shift workers suffer from insomnia. Excessive sleepiness usually occurs during shifts (mainly at night) and is associated with impaired cognitive ability due to the need for sleep and reduced alertness, and decreased alertness reduces performance. Job performance is influenced by many workplace environmental factors, including workload, coworker relationships, stress levels, and extended hours. A nurse specialist provides nursing care by monitoring and evaluating 24 hours a day, and by working night shifts, the circadian system of sleep is disturbed, causing sleep problems and insomnia. When examining how night shift work affects nurses' ability to concentrate, the decline in concentration (33.3%) was twice as high as that of day shift nurses (16.7%). found that shift nurses who worked the night shift had higher rates of insomnia and chronic fatigue compared to nurses who stopped working the night shift. Lack of sleep manifests as a decline in cognitive functions such as attention, decision making, and reaction time. These cognitive and functional declines can negatively affect quality of life and lead to impaired job performance. An Australian study by Winwood et al found that fatigue associated with night shifts increases the risk of human error and injury, and negatively affects the quality of patient care. Lack of sleep significantly affects nurses' alertness, concentration, and job performance. This review article discusses the relation between shift work-related sleep and job performance based on international research findings.

Adaptation and validation of the Mood Rhythm Instrument for use in Brazilian adolescents

Objective: Adapt and validate the Mood Rhythm Instrument (MRhI), a self-reported questionnaire that assesses self-perceived rhythmicity of mood-related symptoms in adults, into a version that assesses and evaluates perceived mood-related symptoms in adolescents (MRhI-Y). Methods: Adaptation of the Brazilian Portuguese version of the MRhI for an adolescent population followed three steps: review by consultants, analysis by experts, and pilot testing through a visual analogue scale (VAS). The final questionnaire (MRhI-Y) was applied to 171 adolescents aged 12-17 years. Internal consistency was calculated using Cronbach's alpha and McDonald's omega. The psychometric properties of the MRhI-Y were evaluated using exploratory factor analysis (EFA). Results: The MRhI-Y was designed to use wording more appropriate for adolescents than that of the MRhI. Expert agreement about item quality ranged between 82 and 100%. Adolescents' VAS ratings indicated good comprehension of the items. Cronbach's alpha and McDonalds' omega coefficients were 0.71 and 0.74. The EFA resulted in a three-factor solution (affective, cognitive, and somatic). Younger adolescents (ages 12 to 13) reported lower rhythmicity scores than older groups (ages 14 to 15 and 16 to 17), even controlling for chronotype. Conclusions: The Brazilian Portuguese version of the MRhI-Y presented adequate comprehension by adolescents and good internal consistency. The MRhI-Y is a promising tool to improve our understanding of the underlying characteristics of mood fluctuation in adolescence.

Roles of the Circadian Clock in Ovarian Physiology and Pathology / 中国生物化学与分子生物学报

The circadian rhythm of mammals is a physiological phenomena that is about 24 hours produced by genetically encoded molecular clocks, making the physiological process of the body coordinated with the changes of the external environment, and it is a manifestation of adaptation to the environment. In mammals, reproductive physiology is regulated by the circadian clock. The expression of circadian clock genes has been observed in each tissue of the hypothalamic-pituitary-ovarian (HPO) axis, and the biological clock at all levels coordinates and synchronizes with each other to maintain normal reproductive behavior. The production, maintenance, and regulation of circadian rhythms depend on a chain of transcription-translation feedback loops (TTLs), which determine the cycle and amplitude of gene expression in each tissue of the HPO axis. The circadian clock of the ovary is regulated by theneuroendocrine regulation of suprachiasmatic nucleus of the hypothalamus, but it is autonomous. Circadian rhythm disruption caused by environmental factors can seriously impair female fertility and lead to a range of related ovarian diseases. In addition, the circadian clock is also closely related to ovarianaging. Based on existing research, this paper focuses on the mechanism of the circadian clock in ovarian follicular development, ovulation and steroid generation, as well as the latest research progress on the relationship between the circadian clock and ovarian aging. In addition, several common ovarian diseases with decreased fertility due to circadian clock disorders are described.

At the crossroads of epilepsy and sleep: some issues / Na encruzilhada da epilepsia e do sono: algumas questões

There is a close association between sleep and epilepsy, and this literature review aims to raise issues regarding sleep time control, circadian and ultradian rhythms, epilepsy and its interaction with sleep and circadian rhythm, epilepsy and sleep disorders, and finally epilepsy management and medications. It is mentioned that sleep may provide a hypersynchronous state, as occurs in non-rapid eye movement sleep (NREM), and hyperexcitability, in cyclic alternating pattern (CAP), allowing more frequent interictal epileptiform abnormalities and seizures. In some epilepsy syndromes, seizures occur broadly / or entirely during sleep or on awakening, mainly in childhood, and maybe exacerbated in adults during the sleep or sleep-deprived, and there are the so-called Sleep-related epilepsies that are divided as sleep-associated, sleep-accentuated and arousal/awakening related. Sleep quality may be reduced in patients with epilepsy also due to nocturnal seizures or concomitant sleep disorders. Sleep disorders are common in patients with epilepsy and treatment of them mainly sleep-disordered breathing may improve seizure control. Besides, some parasomnias may mimic seizures, and also they can adversely affect the quality and quantity of sleep whereas antiepileptic therapy can have a negative or positive effect on sleep. Nocturnal epileptic seizures may be challenging to discern from parasomnias, in particular NREM parasomnias such as night terrors, sleepwalking and confusional arousals.

Há uma estreita associação entre sono e epilepsia, e esta revisão de literatura tem como objetivo levantar questões relacionadas ao controle do tempo do sono, ritmos circadianos e ultradianos, epilepsia e sua interação com sono e ritmo circadiano, epilepsia e transtornos do sono e, finalmente, o tratamento e medicamentos para epilepsia. Menciona-se que o sono pode proporcionar um estado hipersincrônico, como ocorre no sono "non-rapid eye movement" (NREM), e hiperexcitabilidade, no "cyclic alternating pattern" (CAP), permitindo anormalidades epileptiformes interictais e crises epilépticas mais frequentes. Em algumas síndromes epilépticas, as crises ocorrem ampla / ou inteiramente durante o sono ou despertar, principalmente na infância, e podem ser exacerbadas em adultos durante o sono ou privação de sono, e as chamadas epilepsias relacionadas ao sono se dividem em sono associadas, sono acentuadas e relacionadas com o despertar. A qualidade do sono pode ser reduzida em pacientes com epilepsia também devido a crises epilépticas noturnas ou transtornos do sono concomitantes. Esses são comuns em pacientes com epilepsia e o seu tratamento, principalmente dos transtornos respiratórios do sono, pode melhorar o controle das crises epilépticas. Além disso, algumas parassonias podem mimetizar crises epilépticas, e também elas podem afetar adversamente a qualidade e a quantidade do sono, enquanto a terapia antiepiléptica pode ter um efeito negativo ou positivo sobre o sono. Pode ser difícil discernir as crises epilépticas noturnas das parassonias, em particular das parassonias NREM, como terrores noturnos, crises de sonambulismo e despertares confusionais.

The role of circadian rhythms in individuals with attention deficit hyperactivity disorder and obesity: A narrative review / El papel de los ritmos circadianos en personas con trastorno por déficit de atención con hiperactividad y obesidad: Una revisión narrativa

Abstract Background A relationship between attention deficit hyperactivity disorder (ADHD) and obesity has been consistently documented. Obesity and metabolic syndrome have been associated with misalignment between daily activities and circadian rhythm. ADHD patients have a high prevalence of delayed sleep phase syndrome, which is a circadian rhythm disorder. Understanding this relationship is important for the evaluation of obese population at risk. Objective The aim of this narrative review was to summarize the information updated until 2019 about the role of circadian rhythms in obese ADHD individuals. Method A search was performed in MEDLINE, EMBASE, and Google Scholar database. The terms ADHD, obesity, circadian rhythm, sleep disorders, adolescent, adult, Adolesc, circadian, attention deficit hyperactivity disorder, and child were combined with logical functions. Results A total of 132 articles were reviewed. Evidence showed that ADHD subjects have an increased risk to present obesity and circadian rhythms disorders. Some possible pathways for this relationship have been hypothesized including obesity as a risk factor, an underpinned common biological dysfunction, and behavioral and cognitive features of individuals with ADHD. As most of the articles are methodologically cross-sectional, it is not possible to establish causative associations. Discussion and conclusion This review points out the importance of early recognizing and treating circadian rhythms disorders and obesity in ADHD patients. Future studies must be carried out with a longitudinal design to establish the effect of each comorbidity in the treatment of individuals with ADHD.

Resumen Antecedentes La relación entre el trastorno por déficit de atención con hiperactividad (TDAH) y la obesidad se ha documentado consistentemente. Por otro lado, el síndrome metabólico y la obesidad se han asociado con un desfase del ritmo circadiano. En poblaciones clínicas con TDAH se han encontrado una alta prevalencia del trastorno de fase de sueño retrasada, el cual es un trastorno del ritmo circadiano. Entender la relación entre estos padecimientos es importante para evaluar la población en riesgo de obesidad. Objetivo Resumir la información actualizada hasta 2019 sobre el rol del ritmo circadiano en individuos obesos con TDAH. Método Se realizó una búsqueda de artículos en las bases de datos MEDLINE, EMBASE y Google Scholar. Los términos TDAH, obesidad, ritmos circadianos, trastornos del sueño, adolescentes, adultos y niños se combinaron con operadores lógicos. Resultados Se revisaron un total de 132 artículos. La evidencia demostró que los sujetos con TDAH tienen un alto riesgo de sufrir obesidad y ritmos circadianos alterados. Existen algunas hipótesis para establecer esta relación, incluyendo la obesidad como factor de riesgo para TDAH, la disfunción biológica común entre estos trastornos y las características conductuales y cognitivas de los individuos con TDAH. Sin embargo, como la mayoría de los artículos son transversales, no es posible establecer una asociación causal. Discusión y conclusión Esta revisión señala la importancia del reconocimiento temprano y tratamiento de los trastornos del ritmo circadiano y obesidad en pacientes con TDAH. Estudios futuros deben realizarse de manera longitudinal para establecer el efecto de estas comorbilidades en el tratamiento de los individuos con TDAH.

Causas y efectos en la falta de sueño en niños hospitalizados / Causes and effects of lack of sleep in hospitalized children

El sueño es una función vital en la que transcurre un tercio de nuestras vidas. Su restricción puede provocar trastornos físicos y psíquicos a corto y largo plazo.La internación hospitalaria, sin tener en cuenta la enfermedad que la originó, no favorece un sueño reparador y suficiente. Los factores que interfieren son externos (luz, ruidos) e internos (procedimientos, fármacos, cuidados).La Unidad de Cuidados Intensivos es el lugar con mayor dificultad para la conciliación y el mantenimiento del sueño. Se suma la gravedad de la enfermedad y las características de su estructura y funcionamiento.El deterioro de la cantidad o calidad del sueño podría desencadenar un cuadro de confusión mental agudo que, con frecuencia, afecta a los niños internados, reconocido como delirium. Promover, en el medio institucional, un trabajo conjunto de todos los estamentos para proteger el sueño dentro de lo posible es una tarea por realizar.

Sleep is a key function that takes up one third of our lives. Sleep deprivation may lead to physical and psychological disorders in the short and long term.Hospitalization, regardless of its cause, does not favor good enough and restorative sleep. It is affected by both external (light, noise) and internal (procedures, drugs, care) factors.The intensive care unit is the place where falling asleep and maintaining sleep is more difficult. This is in addition to disease severity and the characteristics of its structure and functioning.A poor sleep quantity or quality may trigger an acute confusional state, which often affects hospitalized children, known as delirium. Promoting a joint effort among all sectors of the hospital setting targeted at protecting sleep as much as possible is the required task.

Wound healing of corneal epithelium in mice affected by reversed circadian rhythms / 中华实验眼科杂志

Objective To observe the effect of reversed circadian rhythms on wound healing of mouse corneal epithelium.Methods Ninety male C57BL/6 mice were divided into LD group (12 hours light/12 hours dark) and DL group (12 hours dark/12 hours light) by random number table,and then were placed in circadian rhythm box for 12 days.The circular area was scarped and marked as 2 mm diameter area in the center of the mouse's cornea with a golf-like knife.The dynamics of epithelial healing in the wound area were observed under microscope by fluorescein staining and hematoxylin-eosin staining.Besides,being marked antibodies of anti-Ly6G-FITC,anti-γδT-PE and DAPl,dynamic changes of the dividing cells,neutrophils and γδT cells were also investigated for every 6 hours until 42 hours.All mice were treated in accordance with the Association for Research in Vision and Ophthalmology's Statement for the Use of Animals in Ophthalmology and Vision Research and the guidelines of the Animal Experimental Committee at Jinan University (JN-A-2002-01).Results In LD group,percentage of corneal epithelial defective area were (100.000 ± 0.000) ％,(37.677 ± 5.243) ％,(14.959 ± 1.739) ％ and (0.000 ± 0.000) ％ after wounding 0 hour,6,12,18 and 24 hours.In DL group,percentage of the corneal epithelial defective area were (100.000±0.000) ％,(10.967 ± 1.065 ％) ％,(1.985 ±0.106) ％ and (0.000±0.000) ％ after wounding 0 hour,6,12,18 and 24 hours.The healing rate in DL group was higher than that in LD group,with a significant difference between them (P＜0.05).As with the uninjured corneal,thickness of corneal epithelium was (33.983 ± 1.074)μm in DL group and (33.993±0.904)μm LD group,with no statistically significant difference between them (P＞0.05).After 24 hours,thickness of corneal epithelium in DL group was (19.473 ±0.856) μm,and was more than that in LD group [(17.485±0.718)μm],with a significant difference between them (P＜0.05).Paraffin section of wounded corneal epithelium after 24 hours by hematoxylin and eosin staining showed that corneal epithelium cells arranged loosely and disorderly and were in irregular shape in both groups.The epithelium were mainly basal cells in LD group,while epithelium included basal cell and a few pinacocytes in DL group.After corneal epithelium wounded,the number of cell division,neutrophils and corneal limbus γδT cells in two groups were statistically significant difference,respectively(P＜0.05).Conclusions Reversed circadian rhythms can significantly regulate the wound healing of corneal epithelium.

Progress of relation between melatonin and epilepsy / 中华实用儿科临床杂志

Epilepsy is a common disease of the central nervous system.Previous studies have shown that it is associated with circadian rhythm,however,the exact mechanism of action is still unknown.Currently,it has been proved by a lot of evidences that the secretion of melatonin is regulated by circadian rhythm,as well as the expression level of melatonin can feedback and regulate circadian rhythm.The relationship between melatonin and epilepsy is closely related.Its anticonvulsive effect has been proved in a number of basic experiments.Simultaneously the serum concentration of melatonin in epileptic patients is significantly lower than that in general population.The frequency of seizure in the epileptic model mice are significantly reduced,after preconditioning with melatonin.However,the anticonvulsant effect of melatonin in the related clinical trims is not clear.This article mainly introduces the current research progress of the relatiomhip between mehtonin and epilepsy,and summarizes the related experimental results and the mechanism of action.

Progress of relation between melatonin and epilepsy / 中华实用儿科临床杂志

Epilepsy is a common disease of the central nervous system.Previous studies have shown that it is associated with circadian rhythm, however, the exact mechanism of action is still unknown.Currently, it has been proved by a lot of evidences that the secretion of melatonin is regulated by circadian rhythm, as well as the expression level of melatonin can feedback and regulate circadian rhythm.The relationship between melatonin and epilepsy is closely rela-ted.Its anticonvulsive effect has been proved in a number of basic experiments.Simultaneously the serum concentration of melatonin in epileptic patients is significantly lower than that in general population.The frequency of seizure in the epileptic model mice are significantly reduced, after preconditioning with melatonin.However, the anticonvulsant effect of melatonin in the related clinical trials is not clear.This article mainly introduces the current research progress of the relationship between melatonin and epilepsy, and summarizes the related experimental results and the mechanism of action.

Síndrome de jet lag o cambio de zonas de tiempo / The jet lag syndrome or time-zone changes

Resumen Nuestro planeta, así como la vida que en él se desarrolla, se encuentra en constante movimiento. Los ritmos geofísicos influyen en la actividad de los organismos, de tal manera que los seres vivos han desarrollado mecanismos adaptativos para poder responder a las variaciones diarias del medio ambiente. El sistema circadiano es el responsable de responder a estas variaciones cíclicas ambientales. Cuando se modifican las señales ambientales, como en un viaje que implica atravesar varias zonas horarias, se ocasionan cambios fisiológicos que han llevado a buscar estrategias para contrarrestar los síntomas que se presentan; estas estrategias incluyen el ejercicio programado, la exposición a la luz brillante, la melatonina y la alimentación programada.

Abstract Our planet and the life that develops in it are in constant movement, therefore, the geophysical rhythms influence the activity of organisms, in such a way that living beings have developed adaptative mechanims in order to respond to the daily variations of the environment. The circadian system is responsible for responding to these cyclical environmental variations. When the environmental signals are modified, like for instance, on a trip that involves crossing several time zones, physiological changes occur. This results in searching for possible strategies to counteract the symptomatology. These strategies include scheduled exercise, exposure to a bright light, melatonin and scheduled meals.

Regulación circadiana, patrón horario de alimentación y sueño: Enfoque en el problema de obesidad / Circadian rhythms, eating patterns, and sleep: A focus on obesity

RESUMEN El reloj biológico determina la mantención de los ritmos circadianos en mamíferos, un tipo particular de ritmos biológicos de duración cercana a 24 horas. Existe una estrecha relación entre el funcionamiento del sistema circadiano, la alimentación y la regulación metabólica, lo que actualmente constituye un área de intensa investigación. En particular, la alteración de la ritmicidad circadiana a partir de modificaciones genéticas, conductuales o dietarias, lleva a trastornos comportamentales, ganancia de peso excesiva y alteraciones metabólicas. Algunos factores que contribuyen a la alteración o desajuste circadiano incluyen el jet-lag, el trabajo por turnos horarios, la desorganización temporal y restricción de sueño, y desorden del patrón horario de alimentación. Este trabajo resume la evidencia acerca de la influencia de los ritmos circadianos en procesos relacionados con la alimentación y las consecuencias metabólicas de su alteración. Se hace énfasis en las consecuencias de la alteración de los ritmos de alimentación-ayuno y de sueño-vigilia, y su relación con la ganancia de peso excesiva, la obesidad y trastornos metabólicos asociados, condiciones altamente prevalentes en sociedades occidentalizadas.

ABSTRACT In mammals, the biological clock is driven by circadian rhythms, a particular type of biological rhythm that last about 24 hours. There is a close relationship between the functioning of the circadian system, eating and metabolic regulation, which is currently an area of intense research. Alteration of circadian rhythmicity from genetic, behavioral or dietary modifications, leads to behavioral and metabolic disorders, and excessive weight gain. Factors that contribute to circadian disruption include, among others, jet lag, shift work, mistimed and restricted sleep, and irregular eating patterns. This review summarizes the evidence regarding the influence of circadian rhythms on eating processes and the metabolic consequences of circadian disruption. Special focus is on the consequences of disruption of regular eating-fasting and sleep-wake rhythms, and relationships with excessive weight gain, obesity and obesity-related metabolic disorders that are highly prevalent in westernized societies.

Bright Light Therapy in the Morning or at Mid-Day in the Treatment of Non-Seasonal Bipolar Depressive Episodes (LuBi): Study Protocol for a Dose Research Phase I / II Trial

OBJECTIVE: This study protocol aims to determine, using a rigorous approach in patients with bipolar disorder (BD) and non-seasonal major depressive episode (MDE), the characteristics of bright light therapy (BLT) administration (duration, escalation, morning and mid-day exposures) depending on the tolerance (hypomanic symptoms). METHODS: Patients with BD I or II and treated by a mood stabilizer are eligible. After 1 week of placebo, patients are randomized between either morning or mid-day exposure for 10 weeks of active BLT with glasses using a dose escalation at 7.5, 10, 15, 30 and 45 minutes/day. A further follow-up visit is planned 6 months after inclusion. Patients will be included by cohorts of 3, with at least 3 days of delay between them, and 1 week between cohorts. If none meet a dose limiting toxicity (DLT; i.e hypomanic symptoms), the initiation dose of the next cohort will be increased. If one patient meet a DLT, an additionnal cohort will start at the same dose. If 2 or 3 patients meet a DLT, from the same cohort or from two cohorts at the same dose initiation, the maximum tolerated dose is defined. This dose escalation will also take into account DLTs observed during the intra-subject escalation on previous cohorts, with a “Target Ceiling Dose” defined if 2 DLTs occured at a dose. DISCUSSION: Using an innovative and more ergonomic device in the form of glasses, this study aims to better codify the use of BLT in BD to ensure a good initiation and tolerance. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT03396744.

Spanish translation of the mood rhythm instrument: a novel approach to mood evaluation

Introduction: The Mood Rhythm Instrument (MRI) is a questionnaire developed to assess the circadian rhythm of mood-related behaviors. The aim of this study was to translate this instrument from Brazilian Portuguese into Spanish. Methods: The translation process consisted of forward translation, adjustment, back translation, back translation review and harmonization. Results: Comparing the initial Spanish translation and the final Spanish version, there were no semantic differences and the items were not changed. Conclusions: The Spanish version of the MRI is ready to be tested in a Spanish population. In the future, assessing and comparing mood-related behaviors in transcultural studies will be possible(AU)

Effects of voluntary wheel running exercise on depressive-like behavior and circadian rhythmic alterations of neuroendocrine induced by chronic unpredictable mild stress in rats / 中国病理生理杂志

AIM:To investigate the effect of 8-week middle intensity voluntary wheeling exercise on the de-pressive-like behavior and the circadian rhythmic alterations of plasma hormone and peptide induced by chronic unpredicta -ble mild stress (CUMS) in rats.METHODS: Male Sprague-Dawley rats (n =90) were randomly divided into model group, model+exercise group and control group .Rats in model+exercise group received 8-week voluntary wheel running exercise plus CUMS procedure during the last 3 weeks at the same time .Exploratory locomotor activity was assessed by open field test, the anxiety-like behavior was measured by elevated plus-maze test, and lack of pleasure was detected by su-crose preference test.Blood samples were collected at each of 6 time points (ZT1, 5, 9, 13, 17 and 21 on the 2nd day af-ter behavior testing ) .Plasma concentrations of corticosterone ( CORT) , melatonin ( MT) and vasoactive intestinal peptide ( VIP) were detected by ELISA .The plasma concentration of adrenocorticotropic hormone ( ACTH) was measured by ra-dioimmunoassay .The circadian rhythm changes of serum CORT , MT, VIP and ACTH concentrations in each group were compared by cosinor analysis .RESULTS:Compared with control group , locomotor activity , weight gain and sucrose con-sumption in model group were significantly reduced ( P<0.01 ) .The values of the percentage of open-arm time ( OT%) and open arm entries ( OE%) were obviously lower in model group than those in control group ( P<0.01 ) .Eight-week voluntary wheel running exercise may improve the above depression behavior caused by CUMS .The rats in model group showed an obvious disorder in circadian rhythm of plasma ACTH and CORT , including phase advance and decrease in am-plitude.There also showed a markedly blunted circadian rhythm and decreased level of plasma MT in model rats compared to control rats.VIP expression was significantly higher than that in control group with 24 h rhythm, but the amplitude was significantly lower than that in control group , peak phase also delayed for 6 h.Eight-week exercise significantly ameliorated the abnormal expression and the disturbance secretion rhythm of ACTH , CORT, MT and VIP in plasma .CONCLUSION:Eight-week voluntary wheeling exercise ameliorates CUMS-induced depressive-like behaviors probably by rescuing the dis-turbed circadian rhythms and abnormal secretion of these neuroendocrine factors .

Effects of voluntary wheel running exercise on depressive-like behavior and circadian rhythmic alterations of neuroendocrine induced by chronic unpredictable mild stress in rats / 中国病理生理杂志

AIM:To investigate the effect of 8-week middle intensity voluntary wheeling exercise on the de-pressive-like behavior and the circadian rhythmic alterations of plasma hormone and peptide induced by chronic unpredicta -ble mild stress (CUMS) in rats.METHODS: Male Sprague-Dawley rats (n =90) were randomly divided into model group, model+exercise group and control group .Rats in model+exercise group received 8-week voluntary wheel running exercise plus CUMS procedure during the last 3 weeks at the same time .Exploratory locomotor activity was assessed by open field test, the anxiety-like behavior was measured by elevated plus-maze test, and lack of pleasure was detected by su-crose preference test.Blood samples were collected at each of 6 time points (ZT1, 5, 9, 13, 17 and 21 on the 2nd day af-ter behavior testing ) .Plasma concentrations of corticosterone ( CORT) , melatonin ( MT) and vasoactive intestinal peptide ( VIP) were detected by ELISA .The plasma concentration of adrenocorticotropic hormone ( ACTH) was measured by ra-dioimmunoassay .The circadian rhythm changes of serum CORT , MT, VIP and ACTH concentrations in each group were compared by cosinor analysis .RESULTS:Compared with control group , locomotor activity , weight gain and sucrose con-sumption in model group were significantly reduced ( P<0.01 ) .The values of the percentage of open-arm time ( OT%) and open arm entries ( OE%) were obviously lower in model group than those in control group ( P<0.01 ) .Eight-week voluntary wheel running exercise may improve the above depression behavior caused by CUMS .The rats in model group showed an obvious disorder in circadian rhythm of plasma ACTH and CORT , including phase advance and decrease in am-plitude.There also showed a markedly blunted circadian rhythm and decreased level of plasma MT in model rats compared to control rats.VIP expression was significantly higher than that in control group with 24 h rhythm, but the amplitude was significantly lower than that in control group , peak phase also delayed for 6 h.Eight-week exercise significantly ameliorated the abnormal expression and the disturbance secretion rhythm of ACTH , CORT, MT and VIP in plasma .CONCLUSION:Eight-week voluntary wheeling exercise ameliorates CUMS-induced depressive-like behaviors probably by rescuing the dis-turbed circadian rhythms and abnormal secretion of these neuroendocrine factors .

Risk Factors of Insomnia after Cerebral Middle Artery Infarction / 中国康复理论与实践

Objective To explore the type of circadian rhythms and risk factors for post-stroke insomnia. Methods From January, 2012 to June, 2014, the patients with cerebral middle artery infarction were divided into insomnia group (n=25) and control group (n=25). The general characterizations of the patients were collected. They were assessed with Morning and Evening Questionnaire (MEQ), Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Epworth Sleepiness Scale (ESS) and Fatigue Severity Scale (FSS). Results The MEQ score was lower in the insomnia group than in the control group (t=2.676, P11) of National Institutes of Health Stroke Scale (NIHSS) was the independent risk foctor for post- stroke insomnia (OR=1.463, 95% CI=1.112- 1.925). The scores of ESS, PSQI, ISI and FSS were higher in the insomnia group than in the control group (t>5.609, P<0.001). The scores of ESS (r=0.334, P<0.05), FSS (r=0.535, P<0.01), PSQI (r=0.461, P=0.001) and ISI (r=0.504, P<0.01) were positively correlated with the NIHSS score. Conclusion The patients with post-stroke insomnia impair in circadian rhythms. High NIHSS score is the independent risk factor for post-stroke insom-nia.

Physiological links of circadian clock and biological clock of aging

Circadian rhythms orchestrate biochemical and physiological processes in living organisms to respond the day/night cycle. In mammals, nearly all cells hold self-sustained circadian clocks meanwhile couple the intrinsic rhythms to systemic changes in a hierarchical manner. The suprachiasmatic nucleus (SCN) of the hypothalamus functions as the master pacemaker to initiate daily synchronization according to the photoperiod, in turn determines the phase of peripheral cellular clocks through a variety of signaling relays, including endocrine rhythms and metabolic cycles. With aging, circadian desynchrony occurs at the expense of peripheral metabolic pathologies and central neurodegenerative disorders with sleep symptoms, and genetic ablation of circadian genes in model organisms resembled the aging-related features. Notably, a number of studies have linked longevity nutrient sensing pathways in modulating circadian clocks. Therapeutic strategies that bridge the nutrient sensing pathways and circadian clock might be rational designs to defy aging.

Activity/rest rhythm of depressed adolescents undergoing therapy: case studies / Ritmo de atividade e repouso em adolescentes deprimidos durante terapia: estudos de caso

Abstract Introduction: Disorders of circadian rhythms have been reported in studies of both depressed children and of depressed adolescents. The aim of this study was to evaluate whether there is a relationship between the 24-hour spectral power (24h SP) of the activity/rest rhythm and the clinical course of depression in adolescents. Methods: Six 14 to 17-year-old adolescents were recruited for the study. They were all suffering from major depressive disorder, according to the Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) criteria, as identified by the Schedule for Affective Disorders and Schizophrenia for School Aged Children: Present and Lifetime Version (K-SADS-PL). Depressive symptoms were assessed using the Children's Depression Rating Scale - Revised (CDRS-R) and clinical evaluations. Locomotor activity was monitored over a period of 13 consecutive weeks. Activity was measured for 10-minute periods using wrist-worn activity monitors. All patients were prescribed sertraline from after the first week up until the end of the study. Results: We found a relationship between high CDRS values and low 24-hour spectral power. Conclusions: The 24h SP of the activity/rest rhythm correlated significantly (negatively) with the clinical ratings of depression.

Resumo Introdução: Distúrbios do ritmo circadiano têm sido relatados em estudos com crianças e adolescentes deprimidos. O objetivo deste estudo foi avaliar se existe relação entre a potência espectral de 24 horas do ritmo de atividade e repouso e sintomas clínicos de depressão em adolescentes. Métodos: Seis adolescentes com idade entre 14 e 17 anos foram recrutados para o estudo. Eles foram diagnosticados com depressão maior de acordo com os critérios do Manual Diagnóstico e Estatístico de Transtornos Mentais, 4ª edição (DSM-IV), identificados utilizando-se o instrumento Schedule for Affective Disorders and Schizophrenia for School Aged Children: Present and Lifetime Version (K-SADS-PL). Os sintomas depressivos foram avaliados pelo questionário Children's Depression Rating Scale - Revised (CDRS-R) e por avaliações clínicas. A atividade motora foi monitorada por um período de 13 semanas consecutivas e registrada a cada 10 minutos utilizando-se monitores de atividades usados no pulso. Todos os pacientes utilizaram o antidepressivo sertralina começando após a primeira semana até o final do estudo. Resultados: Foi observada uma relação entre escores altos no CDRS-R e valores baixos de potência espectral de 24 horas no ritmo de atividade e repouso. Conclusão: A potência espectral de 24 horas do ritmo de atividade e repouso apresentou uma correlação significativa (negativa) com os sintomas clínicos de depressão.