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Circadian clock in thyroid cancer: Effects and mechanisms. 生理时钟在甲状腺癌中的作用和机制。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-11-17 DOI: 10.1080/07420528.2025.2586692
Min Li, Chao Jia, Xianqiang Yu

The circadian clock, an endogenous timekeeping system governed by core genes such as BMAL1, CLOCK, PER, and CRY, regulates physiological processes critical to thyroid function. Disruption of circadian rhythms (resulting, for example, from shift work and/or exposure to artificial light at night) has emerged as a significant risk factor for thyroid carcinogenesis. This review elucidates the dual role of circadian rhythms in maintaining thyroid homeostasis and their mechanistic contributions to cancer initiation, progression, and therapy resistance. We highlight molecular pathways linking clock dysregulation to oncogenic signaling, immune evasion, and metabolic reprogramming, while proposing chronotherapy as a novel precision oncology strategy.

生物钟是一种内源性计时系统,由BMAL1、clock、PER和CRY等核心基因控制,调节对甲状腺功能至关重要的生理过程。昼夜节律的破坏(例如,由于轮班工作和/或夜间暴露于人造光)已成为甲状腺癌发生的一个重要危险因素。这篇综述阐明了昼夜节律在维持甲状腺稳态中的双重作用,以及它们在癌症发生、进展和治疗抵抗中的机制贡献。我们强调将时钟失调与致癌信号、免疫逃避和代谢重编程联系起来的分子途径,同时提出时间疗法作为一种新的精确肿瘤学策略。
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引用次数: 0
Relationship between circadian and social rhythms regulation, chronotype, COMT, CLOCK, GSK3-ß gene polymorphisms and response to valproate treatment in remitted bipolar subjects. 缓解型双相患者的昼夜节律和社会节律调节、时型、COMT、CLOCK、GSK3-ß基因多态性与丙戊酸治疗反应的关系
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-12 DOI: 10.1080/07420528.2025.2597961
Muge Ulusoy Altinoklu, Bora Baskak, Işık Batuhan Çakmak, Kenan Can Tok, Halit Sinan Suzen

Disruption of social and circadian rhythms (SCRs) is linked to the pathophysiology and course of bipolar disorder (BD). Valproate response in BD is variable and may be influenced by SCRs and genetic polymorphisms. This study investigated the relationship of valproate response with COMT (rs4680), CLOCK (rs1801260), GSK3-ß (rs334558) polymorphisms, SCRs, and chronotype. Ninety-four subjects with BD in remission and under valproate treatment were enrolled. Rhythm was evaluated with the Social Rhythm Metric-5 (SRM-5), the Biological Rhythm Interview for Assessment in Neuropsychiatry (BRIAN), and the Morningness Eveningness Questionnaire. Valproate response was measured with the Alda Scale. Genotyping was detected using PCR-RFLP, and serum valproate levels were measured 12 h after the last dose. In GSK3-ß, the C/T genotype showed lower partial response rate (p = 0.02), and C allele was present in all evening chronotypes (p = 0.06). In COMT, A allele carriers had greater deviation in first social interaction (p = 0.04), and the A/A genotype had higher complete response rates than the A/G (p = 0.03). In CLOCK, C allele carriers had a later age of onset (p = 0.01), fewer previous depressive (p = 0.05) and manic/hypomanic (p = 0.02) episodes, lower BRIAN total (p = 0.01) and social subscale scores (p = 0.01), and lower SRM-5 weekly mood swing score (MSS) (p = 0.03). All evening chronotypes were non-C allele carriers (p = 0.06). Valproate response was predicted by a model including duration of illness, HDRS total score, number of previous manic/hypomanic episodes, SRM-5 weekly MSS, duration of valproate exposure, and presence of the A allele in COMT polymorphism (R2 = 0.31, p < 0.001). These results highlight the value of integrating genetic and SCRs factors into personalized BD treatment.

社会节律和昼夜节律(SCRs)的破坏与双相情感障碍(BD)的病理生理和病程有关。BD患者的丙戊酸反应是可变的,可能受到scr和遗传多态性的影响。本研究探讨了丙戊酸盐应答与COMT (rs4680)、CLOCK (rs1801260)、GSK3-ß (rs334558)多态性、scr和时型的关系。94名接受丙戊酸治疗的缓解期双相障碍患者入组。节律采用社会节律量表-5 (SRM-5)、神经精神病学生物节律评估访谈(BRIAN)和早晚性问卷进行评估。用Alda量表测定丙戊酸盐反应。用PCR-RFLP检测基因分型,最后一次给药后12 h测定血清丙戊酸水平。在GSK3-ß中,C/T基因型表现出较低的部分应答率(p = 0.02), C等位基因存在于所有晚时型中(p = 0.06)。在COMT中,A等位基因携带者的首次社会交往偏差较大(p = 0.04), A/A基因型的完全缓解率高于A/G基因型(p = 0.03)。在CLOCK组中,C等位基因携带者发病年龄较晚(p = 0.01),既往抑郁(p = 0.05)和躁狂/轻躁(p = 0.02)发作次数较少,BRIAN总分(p = 0.01)和社会分量表得分(p = 0.01)较低,SRM-5每周情绪波动得分(MSS)较低(p = 0.03)。所有晚时型均为非c等位基因携带者(p = 0.06)。丙戊酸反应的预测模型包括病程、HDRS总分、既往躁狂/轻躁发作次数、SRM-5周MSS、丙戊酸暴露持续时间和COMT多态性中a等位基因的存在(R2 = 0.31, p。这些结果突出了将遗传和SCRs因素整合到个性化双相障碍治疗中的价值。
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引用次数: 0
Current knowledge of lunar synchronized spawning in fish. 鱼类在月球同步产卵的最新知识。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-09 DOI: 10.1080/07420528.2025.2591924
Kodai Fukunaga, Akihiro Takemura

Many organisms are sensitive to lunar cycle-related changes, such as tidal fluctuations and variations in moonlight intensity. Marine organisms must synchronize their behavior to the underwater environment, which is more complex and variable than terrestrial habitats. Lunar-synchronized spawning refers to the monthly spawning cycle triggered by changes in phase of the moon and is especially common among temperate and tropical marine species. Corals, marine worms, and fish are well-known examples of organisms that spawn synchronously with lunar phases to improve fertilization success. Research over the past decade has provided insights into lunar-synchronized spawning, and studies of families such as Siganidae and Serranidae have begun to elucidate the underlying mechanisms in fish. Field investigations, particularly in tropical and subtropical waters, have shown that many species spawn during periods of the new or full moon. Species-specific spawning times may be determined genetically, with long-term environmental adaptation influenced by physicochemical and ecological factors. Even within the same species, spawning moon phases can vary by location. As lunar-synchronized spawning is regulated by moonlight cues, these geographical differences are likely driven by genetic variation in photoresponsiveness. Physiological experiments have further suggested that nocturnal light plays a role in both gonadal development and the timing of spawning in fish. Fish have been hypothesized to be able to predict moon phases for spawning by detecting temporal changes in moonlight intensity associated with the lunar cycle.

许多生物对月亮周期相关的变化很敏感,比如潮汐波动和月光强度的变化。海洋生物必须使它们的行为与水下环境同步,水下环境比陆地栖息地更加复杂和多变。月相同步产卵是指由月相变化引发的每月产卵周期,在温带和热带海洋物种中尤为常见。众所周知,珊瑚、海洋蠕虫和鱼类都是与月相同步产卵以提高受精成功率的生物。过去十年的研究提供了对月球同步产卵的见解,对Siganidae和Serranidae等家族的研究已经开始阐明鱼类的潜在机制。实地调查,特别是在热带和亚热带水域,表明许多物种在新月或满月期间产卵。物种特有的产卵时间可能是遗传决定的,长期的环境适应受物理化学和生态因素的影响。即使在同一物种中,产卵月相也会因地点而异。由于与月球同步的产卵受月光的影响,这些地理差异可能是由光响应性的遗传变异驱动的。生理学实验进一步表明,夜间光线对鱼类的性腺发育和产卵时间都有影响。据推测,鱼类能够通过探测与月亮周期相关的月光强度的时间变化来预测月相的产卵时间。
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引用次数: 0
Sleep duration impact on sleep quality, mood, and fitness in elite athletes with a natural menstrual cycle or hormonal contraceptive use. 自然月经周期或使用激素避孕药的优秀运动员睡眠时间对睡眠质量、情绪和健康的影响。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-04 DOI: 10.1080/07420528.2025.2594720
Farwa Baber, Tom Chassard, Nolwenn Badier, Alice Lafitte, Marine Dupuit, Guillaume Saulière, Emma Debaud, Jean-François Toussaint, Juliana Antero

Little is known about the relationship between sleep quality and quantity associated with mood, fitness, and menstrual cycle status in elite athletes. This longitudinal prospective cohort study explores these relationships in a French cohort of elite athletes in preparation for the Olympic Games. Self-reported sleep patterns, quality, mood, fitness and menstrual cycles were monitored daily via smartphone applications from February 2021 to February 2024, involving 108 athletes and 13 852 observations. Generalized Estimating Equations were used to evaluate associations between these variables across three menstrual cycle status groups (i.e regular, irregular, or under hormonal contraception). Sleep duration significantly correlated with self-reported sleep quality (β = 0.179), fitness (β = 0.241), and mood (β = 0.097) across all menstrual cycle status groups. Sleeping less than 8 h led to below-average scores in these parameters. Late bedtimes, especially after 11 PM for athletes with irregular cycles and after midnight for all groups, negatively impacted sleep quality, fitness, and mood. Athletes using hormonal contraception reported slightly longer sleep durations than those with regular (p < 0.04) or irregular cycles (p < 0.02). Despite individual variations, the cohort's average sleep duration (8.5 ± 1.2 h) aligned with recommended guidelines. Sleep patterns significantly influence mood and fitness similarly among elite athletes with a regular or irregular menstrual cycle or under hormonal contraception. Further studies are needed to clarify the role of hormonal status in sleep and its long-term implications for athlete health.

在优秀运动员中,睡眠质量和睡眠量与情绪、健康和月经周期状态之间的关系知之甚少。这项纵向前瞻性队列研究探讨了法国精英运动员在准备奥运会队列中的这些关系。从2021年2月到2024年2月,研究人员每天通过智能手机应用程序监测自我报告的睡眠模式、质量、情绪、健康和月经周期,涉及108名运动员和13852名观察者。使用广义估计方程来评估三个月经周期状态组(即规律、不规则或激素避孕)中这些变量之间的关联。在所有月经周期状态组中,睡眠时间与自我报告的睡眠质量(β = 0.179)、健康(β = 0.241)和情绪(β = 0.097)显著相关。睡眠少于8小时导致这些参数的得分低于平均水平。睡眠时间过晚,特别是对于周期不规律的运动员来说,晚上11点以后和所有人群的午夜以后,都会对睡眠质量、健康和情绪产生负面影响。据报道,使用激素避孕的运动员睡眠时间比那些使用常规避孕方法的运动员稍长
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引用次数: 0
Plasma and ocular melatonin rhythms in Amazonian fish. 亚马逊河鱼类血浆和眼部褪黑激素节律。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-05 DOI: 10.1080/07420528.2025.2596771
Ana Caroliny Cerdeira Lopes, José António Oliver Hernandez, Thaís Billalba Carvalho, Jaydione Luiz Marcon, Luisa María Vera, José Fernando Lopez-Olmeda, Francisco Javier Sánchez-Vázquez, Bruno Olivetti de Mattos

         The daily melatonin rhythms and the effect of light pulse on this hormone were evaluated for Amazonian fish, Astronotus ocellatus and Brycon amazonicus. In experiment 1, fish were exposed to a 12h light:12h dark, and blood was sampled every 4h. In experiment 2, a light pulse was provided in the middle of the dark period for 1h. Melatonin peaked in the middle of the dark period in both species, and both showed an inverted ocular rhythm. The light pulse reduced plasma melatonin to daytime levels, while ocular melatonin remained unchanged. Thus, photic stimulation can be used as a physiological time cue.

研究了亚马逊鱼、天文学家和亚马逊Brycon amazonicus的褪黑素昼夜节律及光脉冲对褪黑素的影响。在实验1中,鱼暴露在12h的光照下:12h的黑暗中,每4h采样一次血液。在实验2中,在暗周期中间提供光脉冲,持续1h。两种动物的褪黑素在黑暗期的中间达到峰值,而且两种动物的眼部节律都是相反的。光脉冲将血浆褪黑素降低到白天的水平,而眼部褪黑素保持不变。因此,光刺激可以作为生理时间线索。
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引用次数: 0
Meal timing and ghrelin: A chrononutritional perspective on weight regulation potential. 进餐时间和胃饥饿素:从时间营养角度看体重调节潜力。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2026-02-01 DOI: 10.1080/07420528.2026.2624753
Fathiyyatul Khaira, Delmi Sulastri

Ghrelin is a peptide hormone that plays a central role in short-term appetite regulation and energy balance. Its secretion is not only influenced by nutritional status but also shaped by circadian rhythms and habitual eating patterns. Ghrelin levels typically rise during fasting and decrease after meals, but they also follow a daily rhythm, peaking during the night and reaching their lowest levels in the morning. Human studies suggest that consistent meal schedules may entrain ghrelin secretion, with anticipatory rises occurring before habitual mealtimes. Experimental interventions show that morning-loaded eating patterns, compared to evening-loaded ones, lead to stronger postprandial ghrelin suppression, enhanced satiety hormone responses, and greater weight loss, even with similar caloric intake. In contrast, delayed or misaligned eating, such as during night-shift work, is associated with elevated ghrelin levels at biologically inappropriate times and increased hunger. Some studies have also highlighted the leptin-to-ghrelin ratio as a useful marker of appetite regulation and metabolic risk, particularly in overweight individuals. Together, these findings support the idea that the timing of food intake modulates ghrelin dynamics and influences metabolic outcomes. Meal timing, when aligned with endogenous biological rhythms, may therefore serve as a practical target for chrononutritional strategies aimed at improving appetite control and weight regulation.

胃饥饿素是一种肽激素,在短期食欲调节和能量平衡中起核心作用。它的分泌不仅受营养状况的影响,还受昼夜节律和习惯性饮食模式的影响。胃饥饿素水平通常在禁食期间上升,饭后下降,但它们也遵循日常节奏,在夜间达到峰值,在早上达到最低水平。人类研究表明,一致的进餐时间表可能会促进胃饥饿素的分泌,在习惯的进餐时间之前,胃饥饿素的分泌会预期上升。实验干预表明,与晚上进食模式相比,早上进食模式会导致更强的餐后胃促生长素抑制,增强饱腹激素反应,以及更大的体重减轻,即使卡路里摄入量相似。相比之下,进食延迟或不协调,例如在夜班工作期间,会导致生长素水平在生物学上不合适的时间升高,并增加饥饿感。一些研究还强调,瘦素与胃饥饿素的比率是食欲调节和代谢风险的有用标志,特别是在超重个体中。总之,这些发现支持了食物摄入时间调节胃饥饿素动态并影响代谢结果的观点。进餐时间,当与内源性生物节律一致时,可以作为旨在改善食欲控制和体重调节的时间营养策略的实际目标。
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引用次数: 0
Oscillating in darkness: Circadian rhythms of cave-dwelling scorpions. 在黑暗中振荡:穴居蝎子的昼夜节律。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-04 DOI: 10.1080/07420528.2025.2596773
Priscila Emanuela de Souza, Rodrigo Lopes Ferreira

Circadian rhythms, typically synchronized with light-dark cycles, regulate key biological processes in surface organisms. In caves, however, the absence of light may disrupt these rhythms or promote alternative temporal patterns. We examined locomotor activity in two cave-dwelling scorpions with contrasting degrees of subterranean adaptation: Troglorhopalurus translucidus (troglobitic) and Troglorhopalurus lacrau (troglophilic). Activity was monitored under constant darkness (DD), light-dark (LD), and constant light (LL). Both species retained circadian rhythmicity, but with distinct responses: T. translucidus and T. lacrau exhibited diurnal activity under LD and changes in period under DD and LL. These findings demonstrate that circadian regulation persists in cave-adapted scorpions, but its expression is shaped by evolutionary pressures, highlighting the plasticity of biological clocks in light-deprived environments.

昼夜节律通常与明暗周期同步,调节着表层生物的关键生物过程。然而,在洞穴中,没有光线可能会破坏这些节律或促进其他时间模式。我们研究了两种穴居蝎子的运动活动,它们具有不同程度的地下适应:Troglorhopalurus translucidus(穴居动物)和Troglorhopalurus lacrau(穴居动物)。在恒定黑暗(DD)、光暗(LD)和恒定光照(LL)下监测活性。两种植物均保持了昼夜节律性,但有不同的响应:在光照条件下,透光田鼠和长尾田鼠表现出昼夜活动,在光照条件下和光照条件下表现出周期变化。这些发现表明,在洞穴适应的蝎子中,昼夜节律调节仍然存在,但其表达受到进化压力的影响,突出了生物钟在光照不足环境中的可塑性。
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引用次数: 0
The effect of circadian rhythmicity on lower extremity strength and balance in female athletes. 生理节律性对女运动员下肢力量和平衡的影响。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-05 DOI: 10.1080/07420528.2025.2597962
Burcu Aktaş, Esra Korkmaz Salkılıç, Berna Anıl, Enes Akdemir, Soner Akgün, Ali Kerim Yılmaz

The aim of this study was to investigate the effect of circadian rhythmicity (CR) on lower extremity strength and balance performance in 22 female athletes (19-24 y). Participants underwent isokinetic knee strength, Single Leg Hop Tests (SLHT), Y Balance Test (YBT), and isokinetic static/dynamic balance tests. All measurements were randomized and performed at 9:00, 14:00, and 19:00 to assess CR variation. In total, 3 angular strength, 5 jump, and 2 balance tests were analyzed. When comparing results across time zones, body temperature, isokinetic 60°/sec extension (Ext) strength, and several bipedal static balance parameters Forward-Backward Standard Deviation (SBFD), Average Forward-Backward Speed (AFBS), and Ellipse Area (EA)) showed statistical significance (p>0.05). No significant differences were found in other isokinetic strength tests, all SLHTs, Y balance, or dynamic balance tests (p>0.05). Significant CR effects on lower extremity strength were observed only in the 60 sec extension, with overall strength peaking at 14:00. Strength asymmetry remained similar across time points. These findings suggest that time-sensitive performance parameters like strength and static balance are influenced by CR, while balance and coordination parameters appear more stable. Accordingly, scheduling strength-based training during midday hours may optimize performance by leveraging CR-related variations.

本研究的目的是探讨昼夜节律(CR)对22名19-24岁女运动员下肢力量和平衡表现的影响。参与者进行了等速膝关节力量、单腿跳跃测试(SLHT)、Y平衡测试(YBT)和等速静态/动态平衡测试。所有测量都是随机的,分别在9:00、14:00和19:00进行,以评估CR的变化。总共分析了3个角强度,5个跳跃和2个平衡测试。当跨时区比较结果时,体温、60°/秒等速伸展(Ext)强度和几个两足静态平衡参数前向后退标准差(SBFD)、平均前向后退速度(AFBS)和椭圆面积(EA)具有统计学意义(p>0.05)。其他等速强度试验、所有SLHTs、Y平衡或动平衡试验均无显著差异(p < 0.05)。仅在伸展60秒时观察到CR对下肢强度的显著影响,整体强度在14:00达到峰值。强度不对称在不同时间点保持相似。这些结果表明,强度和静态平衡等对时间敏感的性能参数受到CR的影响,而平衡和协调参数则更加稳定。因此,在中午时间安排力量训练可以通过利用cr相关的变化来优化性能。
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引用次数: 0
Fatigue in the ferry industry and its relation to roster patterns, schedules, and job roles. 渡轮行业的疲劳及其与花名册模式、时间表和工作角色的关系。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-15 DOI: 10.1080/07420528.2025.2599353
Anna Sjörs Dahlman, Christer Ahlström, Wendy Jones, Sally Maynard, Adam Asmal, Ashleigh Filtness

Fatigue is a known contributor to maritime accidents, with roster patterns, shift schedules, and job roles identified as key risk factors in long-distance shipping. This exploratory study investigates whether similar patterns exist in ferry operations. Sixty-three UK ferry workers participated in a field study involving at least 2 weeks of on-duty data collection. Participants wore activity monitors and completed sleep diaries and 9-point scale ratings of sleepiness (KSS), stress, and workload. The sample included four roster types, three work schedules, and six job roles; 52% slept onboard, while others returned home between shifts. Sleepiness on duty (KSS ≥ 7) was reported in 27% of shifts. The shortest sleep was observed in participants working 12-h split shifts and 8 weeks on/4 weeks off rosters. However, the greatest number of shifts with KSS ≥ 7 were found in workers on 2 weeks on/2 weeks off and 1 week on/1 week off rosters. Bridge crew reported the most stress, and service crew the highest workload. Sleep location (onboard vs. home) did not significantly affect outcomes. Fatigue was widespread across roles and schedules, suggesting that mitigation strategies should target the entire workforce. Split shifts should be avoided, and current regulations are insufficient to manage fatigue effectively.

众所周知,疲劳是导致海上事故的一个因素,班组模式、轮班安排和工作角色被确定为长途航运的关键风险因素。这项探索性研究调查了渡轮运营中是否存在类似的模式。63名英国渡轮工人参加了一项实地研究,其中包括至少两周的值班数据收集。参与者佩戴活动监测器,完成睡眠日记和9分制困倦(KSS)、压力和工作量评分。样本包括四种花名册类型、三种工作时间表和六种工作角色;52%的人在船上睡觉,而其他人则在换班之间回家。27%的班次报告上班时嗜睡(KSS≥7)。睡眠时间最短的是那些12小时轮班和8周轮班/4周休息的参与者。然而,KSS≥7的班次最多的是2周上班/2周休假和1周上班/1周休假的工人。桥梁机组人员的压力最大,服务机组人员的工作量最大。睡眠地点(船上与家中)对结果没有显著影响。疲劳在各个角色和时间表中都很普遍,这表明缓解战略应针对全体员工。应该避免分班,目前的规定不足以有效地管理疲劳。
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引用次数: 0
Aripiprazole advances delayed sleep-wake rhythm in methamphetamine-treated mice. 阿立哌唑延缓了甲基苯丙胺治疗小鼠的睡眠-觉醒节律。
IF 1.7 4区 医学 Q2 BIOLOGY Pub Date : 2026-02-01 Epub Date: 2026-02-02 DOI: 10.1080/07420528.2025.2591925
Kohei Kozuka, Ryo Egami, Tian Xiang Gao, Masahiro Ohsawa, Jun Tomita, Kazuhiko Kume

Circadian rhythm sleep-wake disorders (CRSWD) are characterized by misalignment between the sleep-wake rhythm and the environmental day-night cycle, leading to disturbances in daily life. Melatonin and light therapy targeting circadian rhythms are generally used, but with limited efficacy. Recent studies have revealed that one-third or more of CRSWD patients with abnormal sleep-wake rhythm have normal melatonin rhythm, indicating the possible involvement of internal desynchronization, where circadian rhythm and sleep-wake rhythm dissociate. Aripiprazole (APZ) is a dopamine D2/D3 receptor partial agonist and has recently been shown effective to CRSWD. In this study, we explored the potential of APZ in treating mouse model of CRSWD. We use male C57/Black6 mice and first demonstrated APZ administered to the mice with normal sleep-wake rhythm increased sleep during the rest period and also increased wakefulness during the next active period. We next found APZ administered to the chronic methamphetamine (MAP)-treated mice with CRSWD like sleep phenotype synchronized their sleep-wake rhythm to the light-dark cycle. This entrainment was also accompanied by changes in sleep architecture. These findings brought insights into the mechanism how APZ acts on patients with CRSWD, especially with internal desynchronization.

昼夜节律性睡眠-觉醒障碍(CRSWD)的特征是睡眠-觉醒节律与环境昼夜周期不一致,导致日常生活受到干扰。褪黑激素和针对昼夜节律的光疗通常被使用,但效果有限。近期研究发现,三分之一以上的睡眠-觉醒节律异常的CRSWD患者褪黑激素节律正常,提示可能涉及内部去同步,昼夜节律与睡眠-觉醒节律分离。阿立哌唑(APZ)是一种多巴胺D2/D3受体部分激动剂,最近被证明对CRSWD有效。在本研究中,我们探讨了APZ治疗小鼠CRSWD模型的潜力。我们以雄性C57/Black6小鼠为研究对象,首次证明了APZ对睡眠-觉醒节律正常的小鼠在休息期间睡眠增加,在下一个活动期间清醒也增加。接下来,我们发现APZ给慢性甲基苯丙胺(MAP)处理过的CRSWD样睡眠表型的小鼠,使它们的睡眠-觉醒节律与光-暗周期同步。这种娱乐还伴随着睡眠结构的变化。这些发现为APZ如何作用于CRSWD患者,特别是内部不同步患者的机制提供了见解。
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