The onset of nighttime melatonin production, as measured by gas chromatography - negative chemical ionization mass spectrometry, is a potentially important """"""""biological marker"""""""" for 24-hour (circadian) and seasonal rhythms and the hypothalamic effects of light on these rhythms. The purpose of this project is to assess the timing of circadian rhythms and the effects of light in normal human subjects, using the timing (phase) of the nighttime increase in melatonin production as a maker for circadian phase position. The timing of the first REM period and the core body temperature circadian rhythm will also be examined. After determination of baseline circadian phase position, dynamic (phasic) responses to light will be studied by measuring the change in phase position of these markers after shifting the times of """"""""dawn"""""""" and """"""""dusk"""""""" using bright artificial light. Light sensitivity will also be assessed by measuring the decrease in melatonin levels during exposure to bright light in the middle of the night. Subjects will also be studied throughout the year to examine seasonal rhythms in light sensitivity, circadian phase position, and the pattern and amplitude of melatonin production. In addition to normal subjects, patients (suspected of having abnormal biological rhythms) with endogenous depression and """"""""winter depression"""""""" will be studied. These studies are among the first to evaluate the effects of bright light on biological rhythms in humans and may lead to improved diagnosis and treatment of certain types of sleep and mood disorders.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Project (R01)
Project #
5R01MH040161-02
Application #
3378188
Study Section
(PCBB)
Project Start
1984-12-01
Project End
1987-11-30
Budget Start
1985-12-01
Budget End
1986-11-30
Support Year
2
Fiscal Year
1986
Total Cost
Indirect Cost
Name
Oregon Health and Science University
Department
Type
Schools of Medicine
DUNS #
009584210
City
Portland
State
OR
Country
United States
Zip Code
97239
Lewy, A J; Bauer, V K; Cutler, N L et al. (1998) Morning vs evening light treatment of patients with winter depression. Arch Gen Psychiatry 55:890-6
Lewy, A J; Bauer, V K; Cutler, N L et al. (1998) Melatonin treatment of winter depression: a pilot study. Psychiatry Res 77:57-61
Lewy, A J; Bauer, V K; Ahmed, S et al. (1998) The human phase response curve (PRC) to melatonin is about 12 hours out of phase with the PRC to light. Chronobiol Int 15:71-83
Lewy, A J; Sack, R L (1997) Exogenous melatonin's phase-shifting effects on the endogenous melatonin profile in sighted humans: a brief review and critique of the literature. J Biol Rhythms 12:588-94
Lewy, A J; Ahmed, S; Sack, R L (1996) Phase shifting the human circadian clock using melatonin. Behav Brain Res 73:131-4
Lewy, A J; Sack, R L (1996) The role of melatonin and light in the human circadian system. Prog Brain Res 111:205-16
Lewy, A J; Sack, R L; Blood, M L et al. (1995) Melatonin marks circadian phase position and resets the endogenous circadian pacemaker in humans. Ciba Found Symp 183:303-17;discussion 317-21
Sack, R L; Blood, M L; Lewy, A J (1992) Melatonin rhythms in night shift workers. Sleep 15:434-41
Lewy, A J; Ahmed, S; Jackson, J M et al. (1992) Melatonin shifts human circadian rhythms according to a phase-response curve. Chronobiol Int 9:380-92
Sack, R L; Lewy, A J; Blood, M L et al. (1992) Circadian rhythm abnormalities in totally blind people: incidence and clinical significance. J Clin Endocrinol Metab 75:127-34

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