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Etiopathology and neurobiology of obsessive-compulsive disorder: focus on biological rhythms and chronotherapy 强迫症的病因病理学和神经生物学:关注生物节律和时间疗法
Pub Date : 2016-05-20 DOI: 10.2147/CPT.S56453
R. Robillard, A. Boafo
terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). ChronoPhysiology and Therapy
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引用次数: 2
Biological rhythms and fertility: the hypothalamus–pituitary–ovary axis 生物节律与生育:下丘脑-垂体-卵巢轴
Pub Date : 2016-03-23 DOI: 10.2147/CPT.S84855
E. Toffol, O. Heikinheimo, T. Partonen
php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). ChronoPhysiology and Therapy 2016:6 15–27 ChronoPhysiology and Therapy Dovepress
并纳入知识共享署名-非商业(未移植,v3.0)许可证(http://creativecommons.org/licenses/by-nc/3.0/)。通过访问作品,您在此接受这些条款。允许非商业用途的工作,没有任何进一步的许可,从多芬医学出版社有限公司,只要工作适当署名。关于本作品的商业使用许可,请参阅本条款第4.2条和第5条(https://www.dovepress.com/terms.php)。时间生理学与治疗2016:6 15-27时间生理学与治疗
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引用次数: 3
Temporal tuning of daily rhythms helps advanced cancer patients and cancer survivors feel better, live better, and live longer 日常节律的时间调整有助于晚期癌症患者和癌症幸存者感觉更好,生活得更好,活得更长
Pub Date : 2016-01-08 DOI: 10.2147/CPT.S74070
W. Hrushesky, J. Grutsch, D. Huff, Linda Tavolacci, Thomas Kazlausky
There is now little doubt that disrupted day/night (circadian) time structures are involved in the initiation and promotion of neoplastic disease. It has been established that the incidence of breast cancer, colorectal cancer, and prostate cancer is increased as a result of nocturnal exposure to light and circadian function disruption and that cancer patient survival is diminished. So the question is: what public health measures can be implemented to minimize these health hazards? In addition, untreated cancer patients experience the symptom cluster of brief, interrupted, and poor nighttime sleep; depressed mood/anxiety; daytime fatigue/lethargy; and anorexia/early satiety/diminished taste sensation - each of which is virtually pathognomonic of a disrupted circadian temporal organization. Direct measurements of patients' activities and their timing and intensity using actigraphy reveal that untreated cancer patients experience severe deterioration in the robustness (amplitude) and day-to-day phase stability of their daily rest/ activity rhythms - and one of the most personal and socially destructive results of such circadian disorientation is unplanned, unwanted, and avoidable temporal isolation from family, friends, and society. Thus, therapeutic manipulation of the circadian clock is a powerful tool for improving cancer patients' quality of life (QOL), making life more worth living and perhaps prolonging higher quality survival. We herein take what we have learned to design and execute strategies shown to be beneficial and carefully measure cancer patient benefits. Outcome measures include indices that describe our ability to enhance/maintain circadian organization and orientation, diminish the above-mentioned symptoms, and improve QOL and survival prolongation. We herein implement a suite of noninvasive, riskless and costless, largely behavior-based circadian rhythm entrainment and disturbance avoidance techniques for widespread everyday use by cancer patients and survivors together with real-time actigraphic monitoring, continuous electronic feedback, and positive reinforcement of these simple temporal tuning interventions.
毫无疑问,昼夜(昼夜节律)时间结构的紊乱与肿瘤疾病的发生和促进有关。已经确定,乳腺癌、结直肠癌和前列腺癌的发病率增加是由于夜间暴露于光和昼夜节律功能破坏的结果,癌症患者的生存率降低。因此,问题是:可以采取哪些公共卫生措施来最大限度地减少这些健康危害?此外,未经治疗的癌症患者会经历短暂、中断和夜间睡眠不良的症状群;心情抑郁/焦虑;日间疲劳/嗜睡;还有厌食症/过早饱腹感/味觉减退——每一种都是昼夜节律紊乱的典型症状。使用活动仪直接测量患者的活动及其时间和强度表明,未经治疗的癌症患者在其日常休息/活动节律的稳健性(振幅)和日常阶段稳定性方面经历了严重的恶化-这种昼夜节律障碍的最具个人和社会破坏性的结果之一是与家人,朋友和社会的意外,不必要的和可避免的时间隔离。因此,对生物钟的治疗性操纵是改善癌症患者生活质量(QOL)的有力工具,使生活更有价值,并可能延长更高质量的生存期。在此,我们采用我们所学到的设计和执行显示有益的策略,并仔细衡量癌症患者的益处。结果测量包括描述我们增强/维持昼夜节律组织和方向的能力的指标,减少上述症状,改善生活质量和延长生存时间。我们在此实现了一套无创、无风险、无成本、主要基于行为的昼夜节律引导和干扰避免技术,用于癌症患者和幸存者的日常广泛使用,以及实时活动监测、连续电子反馈和这些简单的时间调节干预的积极强化。
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引用次数: 5
The role of melatonin in mood disorders 褪黑素在情绪障碍中的作用
Pub Date : 2015-11-11 DOI: 10.2147/CPT.S41761
D. D. Berardis, L. Orsolini, N. Serroni, G. Girinelli, F. Iasevoli, C. Tomasetti, M. Mazza, A. Valchera, M. Fornaro, Giampaolo Robert Perna, M. Piersanti, M. Nicola, M. Cavuto, G. Martinotti, M. Giannantonio
License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php ChronoPhysiology and Therapy 2015:5 65–75 ChronoPhysiology and Therapy Dovepress
许可证。许可的完整条款可在http://creativecommons.org/licenses/by-nc/3.0/上获得。允许非商业用途的工作,没有任何进一步的许可,从多芬医学出版社有限公司,只要工作适当署名。超出许可范围的许可由多芬医疗新闻有限公司管理。关于如何请求许可的信息可以在:http://www.dovepress.com/permissions.php chronphysiology and Therapy 2015:5 65-75 chronphysiology and Therapy Dovepress找到
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引用次数: 11
Nerve growth factor, brain-derived neurotrophic factor, and the chronobiology of mood: a new insight into the "neurotrophic hypothesis" 神经生长因子、脑源性神经营养因子与情绪的时间生物学:对“神经营养假说”的新认识
Pub Date : 2015-10-16 DOI: 10.2147/CPT.S54526
P. Tirassa, A. Quartini, A. Iannitelli
The light information pathways and their relationship with the body rhythms have generated a new insight into the neurobiology and the neurobehavioral sciences, as well as into the clinical approaches to human diseases associated with disruption of circadian cycles. Light-based strategies and/or drugs acting on the circadian rhythms have widely been used in psychiatric patients characterized by mood-related disorders, but the timing and dosage use of the various treatments, although based on international guidelines, are mainly dependent on the psychiatric experiences. Further, many efforts have been made to identify biomarkers able to disclose the circadian-related aspect of diseases, and therefore serve as diagnostic, prognostic, and therapeutic tools in clinic to assess the different mood- related symptoms, including pain, fatigue, sleep disturbance, loss of interest or pleasure, appetite, psychomotor changes, and cognitive impairments. Among the endogenous factors suggested to be involved in mood regulation, the neurotrophins, nerve growth factor, and brain-derived neurotrophic factor show anatomical and functional link with the circadian system and mediate some of light-induced effects in brain. In addition, in humans, both nerve growth factor and brain-derived neurotrophic factor have showed a daily rhythm, which correlate with the morningness-eveningness dimensions, and are influenced by light, suggesting their potential role as biomarkers for chronotypes and/or chronotherapy. The evidences of the relationship between the diverse mood-related disorders, with a specific focus on depression, and neurotrophins are reviewed and discussed herein in terms of their circadian significance, and potential translation into clinical practice.
光信息通路及其与身体节律的关系为神经生物学和神经行为科学以及与昼夜节律周期破坏相关的人类疾病的临床方法提供了新的见解。基于光的策略和/或作用于昼夜节律的药物已广泛用于以情绪相关障碍为特征的精神患者,但各种治疗的时间和剂量使用,尽管基于国际指南,主要取决于精神病学的经验。此外,人们已经做出了许多努力,以确定能够揭示疾病的昼夜节律相关方面的生物标志物,并因此在临床中作为诊断、预后和治疗工具,以评估不同的情绪相关症状,包括疼痛、疲劳、睡眠障碍、兴趣或愉悦感丧失、食欲、精神运动变化和认知障碍。在被认为参与情绪调节的内源性因子中,神经营养因子、神经生长因子和脑源性神经营养因子与昼夜节律系统具有解剖和功能上的联系,并介导了脑内的一些光诱导效应。此外,在人类中,神经生长因子和脑源性神经营养因子都显示出每日节律,这与早晚维度相关,并受到光线的影响,这表明它们作为生物钟和/或生物钟疗法的生物标志物的潜在作用。本文综述了各种情绪相关疾病(尤其是抑郁症)与神经营养因子之间关系的证据,并就其昼夜节律意义及其在临床实践中的潜在转化进行了讨论。
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引用次数: 11
Variations in the sleep–wake cycle from childhood to adulthood: chronobiological perspectives 从童年到成年的睡眠-觉醒周期的变化:时间生物学的观点
Pub Date : 2015-07-21 DOI: 10.2147/CPT.S41765
J. Carpenter, R. Robillard, I. Hickie
: Changes in the sleep–wake cycle across development from childhood to adulthood, typically involve a steady shortening of the sleep period and a delay of sleep phase, with a period of more rapid change across adolescence. Accompanying these changes is the maturation of neuroendocrine rhythms such as melatonin, cortisol, and pubertal hormones. These endogenous rhythms are closely associated with behavioral changes in rest and activity rhythms, although environmental factors such as light exposure and academic and social demands likely play an interactive role. Other behavioral aspects, such as physical activity and eating behaviors, are also associated with changes in sleep–wake rhythms, and may be mediational factors in the development of physical illnesses. The sleep–wake cycle and related factors are implicated in the development of mental illnesses. There are several potential avenues of future research that may be valuable in terms of improving interventions and treatments for both mental and physical illnesses.
从儿童期到成年期睡眠-觉醒周期的变化,通常包括睡眠时间的稳定缩短和睡眠阶段的延迟,在青春期变化更快。伴随这些变化的是神经内分泌节律的成熟,如褪黑激素、皮质醇和青春期激素。这些内源性节律与休息和活动节律的行为变化密切相关,尽管环境因素(如光照、学术和社会需求)可能起着互动作用。其他行为方面,如身体活动和饮食行为,也与睡眠-觉醒节律的变化有关,可能是身体疾病发展的中介因素。睡眠-觉醒周期及其相关因素与精神疾病的发展有关。未来的研究有几个潜在的途径,在改善精神和身体疾病的干预和治疗方面可能是有价值的。
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引用次数: 19
Development of hypertension – clinical impact of dysregulation of circadian rhythms and implications for treatment 高血压的发展-昼夜节律失调的临床影响及其治疗意义
Pub Date : 2015-06-26 DOI: 10.2147/CPT.S54342
K. Solocinski, M. Gumz
Blood pressure, like most physiological processes, exhibits a circadian pattern of variation. Disruption of the normal circadian rhythm of blood pressure is associated with end organ damage and increased risk of adverse cardiovascular outcomes. In this review, we discuss the role of the renin angiotensin aldosterone system and the molecular clock in main- taining circadian blood pressure patterns. We also consider disrupted circadian blood pressure rhythms and hypertension in distinct populations and the role of chronotherapy in the treatment
血压,像大多数生理过程一样,表现出昼夜变化的模式。正常血压昼夜节律的破坏与终末器官损伤和心血管不良结局的风险增加有关。在这篇综述中,我们讨论肾素血管紧张素醛固酮系统和分子钟在维持昼夜节律血压模式中的作用。我们还考虑了不同人群中打乱的昼夜血压节律和高血压,以及时间疗法在治疗中的作用
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引用次数: 0
Sleep electroencephalography as a biomarker in depression 睡眠脑电图作为抑郁症的生物标志物
Pub Date : 2015-04-29 DOI: 10.2147/CPT.S41760
A. Steiger, M. Pawlowski, M. Kimura
License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php ChronoPhysiology and Therapy 2015:5 15–25 ChronoPhysiology and Therapy Dovepress
许可证。许可的完整条款可在http://creativecommons.org/licenses/by-nc/3.0/上获得。允许非商业用途的工作,没有任何进一步的许可,从多芬医学出版社有限公司,只要工作适当署名。超出许可范围的许可由多芬医疗新闻有限公司管理。有关如何请求许可的信息可在以下网站找到:http://www.dovepress.com/permissions.php chronphysiology and Therapy 2015:5 15-25 chronphysiology and Therapy Dovepress
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引用次数: 15
Circadian rhythms and new options for novel anticancer therapies 昼夜节律和新型抗癌疗法的新选择
Pub Date : 2015-01-05 DOI: 10.2147/CPT.S54541
Uršula Prosenc Zmrzljak
The patterns of activity/sleep, eating/fasting, etc show that our lives are under the control of an internal clock. Cancer is a systemic disease that affects sleep, feeding, and metabo- lism. All these processes are regulated by the circadian clock on the one hand, but on the other hand, they can serve as signals to tighten up the patient's circadian clock by robust daily routine. Usually, anticancer treatments take place in hospitals, where the patient's daily rest/activity pattern is changed. However, it has been shown that oncology patients with a disturbed circadian clock have poorer survival outcomes. The administration of different anticancer therapies can disturb the circadian cycle, but many cases show that circadian rhythms in tumors are deregulated per se. This fact can be used to plan anticancer therapies in such a manner that they will be most effective in antitumor action, but least toxic for the surrounding healthy tissue. Metabolic pro- cesses are highly regulated to prevent waste of energy and to ensure sufficient detoxification; as a consequence, xenobiotic metabolism is under tight circadian control. This gives the rationale for planning the administration of anticancer therapies in a chronomodulated manner. We review some of the potentially useful clinical praxes of anticancer therapies and discuss different pos- sible approaches to be used in drug development and design in the future.
活动/睡眠、饮食/禁食等模式表明,我们的生活受到生物钟的控制。癌症是一种影响睡眠、饮食和新陈代谢的全身性疾病。所有这些过程一方面都受生物钟的调节,但另一方面,它们可以作为信号,通过强大的日常作息来收紧患者的生物钟。通常,抗癌治疗在医院进行,在那里病人的日常休息/活动模式被改变。然而,有研究表明,生物钟紊乱的肿瘤患者的生存结果较差。不同的抗癌疗法可以扰乱昼夜节律周期,但许多病例表明,肿瘤的昼夜节律本身是不受控制的。这一事实可用于规划抗癌治疗,使其在抗肿瘤方面最有效,但对周围健康组织的毒性最小。代谢过程受到高度调节,以防止能量浪费并确保足够的解毒;因此,外源代谢受到严格的昼夜节律控制。这为计划以时间调节的方式进行抗癌治疗提供了基本原理。我们回顾了一些潜在有用的抗癌治疗临床实践,并讨论了未来药物开发和设计中可能使用的不同方法。
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引用次数: 2
The relationship between circadian disruption and the development of metabolic syndrome and type 2 diabetes 昼夜节律紊乱与代谢综合征和2型糖尿病发展的关系
Pub Date : 2014-12-05 DOI: 10.2147/CPT.S44799
I. Karatsoreos
License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php ChronoPhysiology and Therapy 2014:4 137–145 ChronoPhysiology and Therapy Dovepress
许可证。许可的完整条款可在http://creativecommons.org/licenses/by-nc/3.0/上获得。允许非商业用途的工作,没有任何进一步的许可,从多芬医学出版社有限公司,只要工作适当署名。超出许可范围的许可由多芬医疗新闻有限公司管理。有关如何请求许可的信息可在以下网站找到:http://www.dovepress.com/permissions.php chronphysiology and Therapy 2014:4 137-145
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引用次数: 5
期刊
ChronoPhysiology and Therapy
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