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A review for the impacts of circadian disturbance on urological cancers 昼夜节律紊乱对泌尿系统肿瘤影响的研究进展
IF 1.1 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2023-12-05 DOI: 10.1007/s41105-023-00500-1
Tao Li, Yiting Jiang, Yunjin Bai, Kehua Jiang, Guangshi Du, Peng Chen, Chao Luo, Lei Li, Jun Qiao, Jun Shen

Circadian rhythm is an internal timing system and harmonizes a variety of cellular, behavioral, and physiological processes to daily environment. Circadian disturbance caused by altered life style or disrupted sleep patterns inevitably contributes to various disorders. As the rapidly increased cancer occurrences and subsequent tremendous financial burdens, more researches focus on reducing the morbidity rather than treating it. Recently, many epidemiologic studies demonstrated that circadian disturbance was tightly related to the occurrence and development of cancers. For urinary system, numerous clinical researches observed the incidence and progress of prostate cancer were influenced by nightshift work, sleep duration, chronotypes, light exposure, and meal timing, this was also proved by many genetic and fundamental findings. Although the epidemiological studies regarding the relationship between circadian disturbance and kidney/bladder cancers were relative limited, some basic researches still claimed circadian disruption was closely correlated to these two cancers. The role of circadian chemotherapy on cancers of prostate, kidney, and bladder were also explored, however, it has not been regularly recommended considering the limited evidence and poor standard protocols. Finally, the researches for the impacts of circadian disturbance on cancers of adrenal gland, penis, testis were not found at present. In general, a better understanding the relationship between circadian disturbance and urological cancers might help to provide more scientific work schedules and rational lifestyles which finally saving health resource by reducing urological tumorigenesis, however, the underlying mechanisms are complex which need further exploration.

昼夜节律是一种内在的定时系统,它协调了各种细胞、行为和生理过程与日常环境的关系。由于生活方式的改变或睡眠模式的中断而引起的昼夜节律紊乱不可避免地会导致各种疾病。随着癌症发病率的迅速增加和随之而来的巨大经济负担,更多的研究集中在降低发病率而不是治疗癌症上。近年来,许多流行病学研究表明,昼夜节律紊乱与癌症的发生发展密切相关。对于泌尿系统,大量临床研究发现前列腺癌的发病和进展受夜班工作、睡眠时间、睡眠类型、光照和进餐时间的影响,许多遗传学和基础研究也证实了这一点。尽管关于昼夜节律紊乱与肾癌/膀胱癌之间关系的流行病学研究相对较少,但一些基础研究仍认为昼夜节律紊乱与这两种癌症密切相关。也探讨了昼夜化疗在前列腺癌、肾癌和膀胱癌中的作用,然而,考虑到证据有限和标准方案不佳,它尚未被定期推荐。最后,关于昼夜节律紊乱对肾上腺癌、阴茎癌、睾丸癌影响的研究目前尚未见。总之,更好地了解昼夜节律紊乱与泌尿系统肿瘤的关系,有助于提供更科学的工作安排和合理的生活方式,从而减少泌尿系统肿瘤的发生,从而节省健康资源,但其潜在的机制是复杂的,需要进一步探索。
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引用次数: 0
Link between insomnia, cognitive impairment and stroke 失眠、认知障碍和中风之间的联系
4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2023-11-10 DOI: 10.1007/s41105-023-00501-0
Keisuke Suzuki
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引用次数: 0
Alterations in Per2, Bcl2 gene expression, and oxidative status in aged rats liver after light pulse at night 夜间光脉冲对老龄大鼠肝脏Per2、Bcl2基因表达及氧化状态的影响
4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2023-11-05 DOI: 10.1007/s41105-023-00495-9
Rehab E. El-Hennamy, Heba A. Elmasry
Abstract The aging process is characterized by circadian rhythm disruption, in physiology and behavior, which could result from weak entrainment. Light is the most potent cue that entrains the central circadian clock, which in turn synchronizes peripheral clocks in animal tissues. Period 2 (Per2 ) is one of the clock genes that respond to light. Moreover, oxidative stress could entrain the clock. Therefore, the present work aimed to investigate the role of light when applied late at night on the Per2 , B cell lymphoma 2 ( Bcl2 ) gene expression, and oxidative status in aged rats. Aged rats were divided into a control group and a group exposed to a 30-min light pulse applied daily during the subjective night at 5 am (ZT 22) for 4 weeks. Per2 and Bcl2 gene expression were quantified in liver tissue. To evaluate oxidative status, Glutathione (GSH), nitric oxide (NO), and malondialdehyde (MDA) were estimated. The light pulse reduced the expression levels of Per2 and Bcl2 mRNA. Although it diminished the levels of malondialdehyde (MDA), nitric oxide (NO) levels were elevated and the glutathione (GSH) levels were declined. In conclusion, the light pulse late at night abolished Per2 mRNA circadian rhythm and reduced its expression in the liver of the aged rat. Similarly, it diminished the anti-apoptotic gene expression, Bcl2 . Moreover, it might attenuate oxidative stress through the reduction in MDA levels.
衰老过程的特征是生理和行为上的昼夜节律中断,这可能是由弱夹带引起的。光是携带中央生物钟的最有力的线索,而中央生物钟反过来又与动物组织中的外围时钟同步。周期2 (Per2)是对光线有反应的时钟基因之一。此外,氧化应激可能会使生物钟紊乱。因此,本研究旨在探讨夜间光照对老龄大鼠Per2、B细胞淋巴瘤2 (Bcl2)基因表达和氧化状态的影响。老龄大鼠分为对照组和实验组,每天在主观夜间5点(zt22)接受30分钟光脉冲照射,持续4周。测定肝组织中Per2和Bcl2基因的表达。为了评估氧化状态,评估谷胱甘肽(GSH)、一氧化氮(NO)和丙二醛(MDA)。光脉冲降低了Per2和Bcl2 mRNA的表达水平。虽然它降低了丙二醛(MDA)水平,但一氧化氮(NO)水平升高,谷胱甘肽(GSH)水平下降。综上所述,夜间光脉冲可改变老龄大鼠肝脏中Per2 mRNA的昼夜节律,降低其表达。同样,它降低了抗凋亡基因Bcl2的表达。此外,它可能通过降低MDA水平来减轻氧化应激。
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引用次数: 0
Restless legs syndrome, periodic limb movements of sleep, and subclinical cardiovascular disease 不宁腿综合征,睡眠周期性肢体运动,亚临床心血管疾病
4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2023-11-02 DOI: 10.1007/s41105-023-00497-7
Kevin J. Hochstrasser, Steven C. Rogers, Arshed Quyyumi, Dayna Johnson, Victoria Pak, Amit J. Shah, David B. Rye, Lynn Marie Trotti
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引用次数: 0
The effect of chronotypes on follow-up outcomes of patients with substance use disorder 时间类型对物质使用障碍患者随访结果的影响
4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2023-10-31 DOI: 10.1007/s41105-023-00496-8
Ozlem Akcay Ciner, Ali Savas Cilli, Ahmet Bulent Yazici, Hasan Bakay, Şakir Gica
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引用次数: 0
Iris color and day–night changes in the sympathovagal ratio 虹膜颜色与交感迷走神经比值的昼夜变化
4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2023-10-31 DOI: 10.1007/s41105-023-00492-y
Şahbender Koç, Aslı Enzel Koç
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引用次数: 0
Effect of physical activity on sleep problems in sedentary adults: a scoping systematic review 体育活动对久坐成人睡眠问题的影响:一项范围系统综述
4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2023-10-28 DOI: 10.1007/s41105-023-00494-w
Anushree Rai, Mosab Aldabbas, Zubia Veqar
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引用次数: 0
A case presentation of paroxysmal hypnogenic dyskinesia: clinical features and management 阵发性催眠性运动障碍1例:临床特点及处理
4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2023-10-27 DOI: 10.1007/s41105-023-00499-5
Selahattin Ayas
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引用次数: 0
Estimating dim light melatonin onset time in children using delta changes in melatonin 利用褪黑素δ变化估计儿童暗光褪黑素起效时间
4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2023-10-07 DOI: 10.1007/s41105-023-00493-x
Taisuke Eto, Shingo Kitamura, Akiko Shikano, Kosuke Tanabe, Shigekazu Higuchi, Shingo Noi
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引用次数: 0
The circadian activity rhythms for elderly inpatients with stroke or motor diseases in a rehabilitation facility and its relationship to physical activity level 康复机构老年卒中或运动疾病住院患者的生理活动节律及其与身体活动水平的关系
4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2023-09-29 DOI: 10.1007/s41105-023-00488-8
Yuki Nakagawa, Kazue Noda, Yosuke Inoue
Abstract Disturbances in the circadian activity rhythms (CARs) of inpatients in rehabilitation facilities delay the recovery of physical and mental functions. The purpose of this study is to elucidate the circadian activity rhythms of hospitalized patients in a rehabilitation facilitie using the synthetic periodic regression analysis, and investigate the relationship between their physical activity levels and CARs.An observational study was conducted. A group of thirty-four inpatients participated in the study by wearing wrist-type activity monitors to measure metabolic equivalents (METs). Using synthetic periodic regression analysis, the CARs were analyzed based on the amount of physical activity throughout the day, and the exercise intensity classification of their physical activity was assessed. In the CARs of the inpatients, the mean physical activity level was 1.23 ± 0.09 METs. The maximum amount was 1.36 ± 0.15 METs. The range was 0.30 ± 0.15 METs. The maximum phase time was 11:48 ± 2:31 h. The longer the duration of physical activity over 1.6 METs, the higher the mean, maximum and range of the CARs. Physical activities with a METs level of 1.6 or higher might have an impact on the mean, maximum, and range of circadian activity rhythms in hospitalized patients.
摘要康复机构住院患者的生理活动节律紊乱会延缓其身心功能的恢复。本研究的目的是利用综合周期回归分析阐明康复机构住院患者的昼夜活动节律,并探讨其身体活动水平与car之间的关系。进行了一项观察性研究。34名住院病人参加了这项研究,他们戴着手腕式活动监测器来测量代谢当量(METs)。采用综合周期回归分析方法,对CARs进行基于全天体力活动量的分析,并对其体力活动的运动强度分类进行评估。住院患者car的平均体力活动水平为1.23±0.09 METs。最大值为1.36±0.15 METs。范围为0.30±0.15 METs。最大相位时间为11:48±2:31 h。在1.6 METs以上的运动时间越长,CARs的平均值、最大值和范围越高。METs水平为1.6或更高的体育活动可能对住院患者的昼夜活动节律的平均值、最大值和范围产生影响。
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Sleep and Biological Rhythms
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