METHOD AND APPARATUS FOR DETERMINING CIRCADIAN INPUT
20200222716 ยท 2020-07-16
Inventors
Cpc classification
A61B5/4848
HUMAN NECESSITIES
A61N2005/0642
HUMAN NECESSITIES
International classification
Abstract
A method and apparatus for determining the circadian input of a light source includes selecting a circadian input to be measured based on an action spectrum corresponding to a wavelength sensitivity of photoreceptors for a circadian regulation system, where the circadian input is configured to stimulate a retinaldehyde photopigment, and for measuring spectral intensity across the action spectrum to determine the circadian input of the light source.
Claims
1-23. (canceled)
24. An apparatus comprising: a light system configured to emit polychromatic light comprising an output spectrum in a visible region of an electromagnetic spectrum, the output spectrum comprising a spectral region having a band of wavelengths from 424 nanometers (nm) to 505 nm, and wherein a power distribution within the output spectrum is such that a power emitted within said spectral region is more than a power emitted in any other region of equal bandwidth in the output spectrum.
25. The apparatus of claim 24, wherein the power distribution within the output spectrum is such that the power emitted within said spectral region is more than a power emitted by the entire output spectrum outside the spectral region.
26. The apparatus of claim 24, further comprising a housing, wherein the light system is further configured to emit the polychromatic light from the housing.
27. The apparatus of claim 24, wherein the light system comprises a light source configured to emit light and at least one filtering component configured to filter the light emitted from the light source to produce the polychromatic light emitted from the light system.
28. The apparatus of claim 24, wherein the light system comprises a light source configured to emit light and a transparent composition configured to filter the light emitted from the light source to produce the polychromatic light emitted from the light system.
29. The apparatus of claim 24, wherein the light system comprises a light source configured to emit light and a translucent composition configured to filter the light emitted from the light source to produce the polychromatic light emitted from the light system.
30. The apparatus of claim 24, wherein the light system is further configured to allow a user to attenuate the power emitted within the spectral region to a level where the power emitted within said spectral region is no longer more than the power emitted in said any other region of equal bandwidth in the output spectrum.
31. The apparatus of claim 24, wherein the light system is further configured to allow a user to attenuate the power emitted within the spectral region more than the power emitted in said any other region of equal bandwidth is attenuated.
32. An apparatus, comprising: a light system configured to emit polychromatic light, the emitted polychromatic light comprising an output spectrum in the visible region of the electromagnetic spectrum, the output spectrum comprising a spectral region having a band of wavelengths from 435 nanometers (nm) to 488 nm, and wherein the light system is further configured to attenuate the spectral region more than any other region of equal bandwidth in the output spectrum.
33. The apparatus of claim 32, wherein the light system is further configured to attenuate the spectral region more than the entire output spectrum outside the spectral region.
34. The apparatus of claim 32, further comprising a housing, wherein the light system is further configured to emit the polychromatic light from the housing.
35. The apparatus of claim 32, wherein the light system comprises a transparent composition having at least one filtering component configured to attenuate the spectral region.
36. The apparatus of claim 32, wherein the light system comprises a translucent composition having at least one filtering component configured to attenuate the spectral region.
37. The apparatus of claim 32, wherein the light system is further configured such that the spectral region without attenuation is enhanced with respect to the said any other region.
38. The apparatus of claim 37, wherein the light system comprises at least one filtering element that allows a user to adjust the spectral region between the enhanced spectral region and the attenuated spectral region.
39. An apparatus, comprising: a light system configured to emit polychromatic light, the emitted polychromatic light comprising an output spectrum in the visible region of the electromagnetic spectrum, the output spectrum comprising a spectral region having a band of wavelengths from 425 nanometers (nm) to 505 nm, and wherein the light system is further configured to attenuate the spectral region more than any other region of equal bandwidth in the output spectrum.
40. The apparatus of claim 39, wherein the light system is further configured to attenuate the spectral region more than the entire output spectrum outside the spectral region.
41. The apparatus of claim 39, further comprising a housing, wherein the light system is further configured to emit the polychromatic light from the housing.
42. The apparatus of claim 39, wherein the light system comprises a transparent composition having at least one filtering component configured to attenuate the spectral region.
43. The apparatus of claim 39, wherein the light system comprises a translucent composition having at least one filtering component configured to attenuate the spectral region.
Description
BRIEF DESCRIPTION OF THE FIGURES
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DETAILED DESCRIPTION
[0045] The science of photobiology involves the study of how the infrared, visible and ultraviolet portions of the electromagnetic spectrum influence biological processes. There are two broad categories of light measurement techniques: radiometric and photometric. Each measurement technique has its merits and drawbacks relative to circadian regulation, neuroendocrine regulation and light therapy. Radiometry is based exclusively on the physical properties of lightits energy and wavelength. A radiometer measures the radiant power of a light source over a defined range of wavelengths. Radiometers can be configured to measure different bandwidths across the electromagnetic spectrum. The wavelengths within the designated bandwidth can be detected equally, or they can be filtered for differential sensitivity across the various wavelengths.
[0046] In contrast to radiometry, photometry is based on the selective responsiveness of the human visual system. A photometer is simply a radiometer that has filters added to the detector which shape the detector sensitivity to resemble the luminance (brightness) response of the human visual system. Thus, photometry is a special branch of radiometry. Between individual humans, there are substantial differences in visual responses. The average photopic and scotopic visual functions are defined with reference to the adaptive state of the rod and cone photoreceptors in the human retina. Radiometers can be filtered to detect only those relative proportions of wavelengths that comprise the photopic or scotopic visual response. Photometers will detect photopic lux or scotopic lux, respectively. Specifically defined, lux measures are measures of illuminancethe amount of light, or luminous flux, falling on a surface. One photopic lux is one lumen per square meter (1 m/m.sup.2). The new metering system is configured to measure a new lighting unit which could be called circadian lux as opposed to photopic lux or scotopic lux.
[0047] Most investigators have operated from the assumption that light therapy is mediated via a photoreceptive mechanism in the human eye as opposed to a photoreceptive mechanism in the skin or some other part of the body. The data of the present invention demonstrate that the photoreceptive mechanism for the circadian and neuroendocrine system or the photoreceptive mechanism that mediates light therapy is not identical to the photoreceptive system that mediates the sensory capacity of vision.
Subjects, Materials and Methods
Subjects
[0048] The healthy females (N=6) and males (N=10) in this study had a mean SEM age of 25.70.8 yrs, demonstrated normal color vision as measured by the Ishihara and Farnsworth Munsell D-100 tests (mean FM score: 64.211.5), had a stable sleeping pattern (mean wake-up time 7:30 AM12 min), and signed an approved IRB consent document before participating.
Light Exposure Protocol
[0049] Each experiment began at midnight when subjects entered a dimly lit room (10 lux). One drop of 0.5% Cyclopentolate HCI was placed in each eye to dilate the pupils, and blindfolds were placed over subjects' eyes. Subjects remained sitting upright in darkness for 120 min. While still blindfolded and just prior to 2:00 AM, a blood sample was taken by venipuncture. During light exposure, each subject's head rested in an ophthalmologic head holder facing a Ganzfeld apparatus that provided a concave, patternless, white reflecting surface encompassing the subject's entire visual field. The subjects were exposed to the light stimulus from 2:00 to 3:30 AM. During this 90 min exposure, subjects sat quietly, kept their eyes open and gazed at a fixed target dot in the center of the Ganzfeld dome. Subject compliance for keeping their eyes open and the subjects' pupil size were monitored by a miniature video camera. At 3:30 AM, a second blood sample was taken. Each subject was exposed to complete darkness from 2:00 to 3:30 AM on their control night and was tested with at least 6 days between each nighttime exposure. Plasma samples were assayed for melatonin by RIA. (Rollag, 1976). The minimum detection limit of the assay was 0.5-2.0 pg/mL. Control samples had 8% and 14% intra-assay coefficients of variation.
Light Production and Measurement
[0050] Experimental light stimuli were produced by xenon arc lamps (Photon Technology Intl, Inc., Princeton, N.J.) enclosed in a light-proof chamber and cooled by high-speed fans and water circulation. An exit beam of light from each source was directed by a parabolic reflector, and excess heat in this beam was reduced by a water filter. Monochromatic wavelengths (10-11 nm half-peak bandwidth) were produced by a grating monochromator and light irradiance was controlled by a manual diaphragm. The resulting light beam was directed into the top area of a Ganzfeld dome and reflected evenly off the walls into volunteers' eyes. The entire reflecting surface of the dome was coated with a white surface with a 95-99% reflectance efficiency over the 400 to 760 nm range. Routine measurement of the light irradiance (W/cm.sup.2) was done with a J16 Meter with a J6512 irradiance probe (Tektronix, Beaverton, Oreg.). Experimental light stimuli reflected from the Ganzfeld domes were measured at volunteers' eye level immediately before and after the 90 min exposure. Additional measures were taken each half hour of the exposure to insure stimulus stability and enable intensity readjustment. Subjects in the 505 nm series were exposed to intensities ranging from 0.011 to 97 W/cm.sup.2 (a 3 log unit photon density range of 10.sup.10 to 10.sup.13 photons/cm.sup.2).Subjects exposed to 555 nm received control or a 15 82 W/cm.sup.2 (4.210.sup.13 photons/cm.sup.2) exposure.
Statistics
[0051] Two-tailed, Students' t tests were used to assess significance of raw melatonin change from 2:00 to 3:30 AM. These data were then converted to % control-adjusted melatonin change scores as described elsewhere. (Gaddy, 1993). For the 505 nm data, sets of pre-exposure melatonin values and % control-adjusted melatonin change scores were analyzed with one-way, repeated measures ANOVA. Significant differences between groups were assessed with post-hoc Scheffe F-tests; alpha was set at 0.05. For the 505 nm mean % control-adjusted melatonin suppression data, the computer program Origin 6.0 (Microcal, Northampton, Mass.) was used to fit a fluence-response curve to a 4 parameter model as described elsewhere (Brainard, 19893), and to test for goodness-of-fit of the data by coefficient of correlation.
Results
[0052] The full 505 nm data complement, from raw melatonin values to a final fluence-response curve, is illustrated in
[0053] Subjects exposed to 555 nm received both control (0 W/cm.sup.2) and 15 W/cm.sup.2 (4.210.sup.13 photons/cm.sup.2) exposures. For the control and light exposure nights, the mean pre-exposure raw melatonin scores were 64.412.5 and 59.66.2, while the mean post-exposure scores were 62.610.5 and 49.16.0, respectively. The modest drop in melatonin over the 90 min 555 nm light exposure period was not statistically significant (t=1.69, df=7, P=0.14). For comparison of responses to 505 nm and 555 nm,
Discussion
[0054] The data presented here demonstrate that: 1) there is a clear fluence-response relationship between graded light intensities of 505 nm light and melatonin suppression, and 2) that 505 nm light is significantly stronger than 555 nm light for suppressing melatonin in healthy, human subjects. Previous studies with animals and humans have illustrated fluence-response relationships for melatonin suppression and circadian phase-shifting with exposure to monochromatic light (Podolin, 1987; Brainard, 1988; Nelson, 1991) as well as white light (Brainard, 1983; Boivin, 1996). A recent study on human subjects suggests that a four parameter curve is optimal for modeling light-induced melatonin suppression and circadian phase shifting. (Zeitzer, 1997). That contention matches earlier animal data (Brainard, 1983) as well as the 505 nm data reported here.
[0055] The demonstration that 505 nm light is more potent than 555 nm light for controlling melatonin has important basic science and clinical implications. In humans, it is well-established that higher levels of ocular illumination are required for stimulating the circadian system than for supporting vision. (Lewy, 1980, Nelson, 1991; Czeisler, 1986). Consequently, many investigators have considered the three cone photopic visual system to be responsible for stimulating circadian and neuroendocrine responses since this part of the visual system is responsive to bright daytime levels of illumination. Over the past 20 years most of the published literature on human circadian responses to light reports light levels in terms of illuminance (lux, lumens) which is a specific measure based on the traditional sensitivity curve of the photopic visual system. The peak wavelength sensitivity of that curve is 555 nm. (Rodieck, 1998). Indeed, some researchers have argued that their data support the notion that the visual cones are involved in circadian phase-shifting in humans. (Zeitzer, 1997). If melatonin regulation is mediated primarily by the three cone photopic visual system, then 555 nm light should be the most potent wavelength for regulating melatonin. The data here do not support this view. On the contrary, 505 nm is significantly stronger, photon for photon, than 555 nm in suppressing melatonin. The clinical implication of this result is that it is not optimum to use photometric values (lux) for quantifying light used therapeutically in patients with certain sleep disorders or circadian disruption due to shiftwork or intercontinental jet travel as is the current standard practice. (1995 Special Issue, J Bioi).
[0056] Ultimately, these studies open the door for redefining how light should be measured relative to the circadian system. The best circadian measurement system would match the action spectrum for human circadian regulation. That action spectrum would not only elucidate the relative circadian potencies of different wavelengths. but it should help identify the photoreceptor that initiates signals from the retina to the SCN.
[0057] In summary, monochromatic 505 nm light suppressed melatonin in a fluence-response manner, and is approximately four times stronger than a 555 nm stimulus at an equal photon dose for melatonin suppression. These data demonstrate that the three cone system that is believed to mediate human photopic vision is not the primary photoreceptor system to transduce light stimuli for melatonin regulation.
Action Spectra Study Design
[0058] Action spectra are determined by comparing the number of photons required for the same biological effect at different wavelengths (Lipson, 1994; Coohill, 1999). The melatonin suppression action spectrum described here was formed from fluence- response curves at 8 wavelengths between 440 nm and 600 nm. A within-subjects design was used for each fluence-response curve. For each wavelength studied, a set of 8 volunteers was exposed to a minimum of 8 different light irradiances on separate nights with at least 6 days between exposures. At the completion of that work, it was determined that a probe of sensitivity to monochromatic light below 440 nm was needed. Consequently, a group of 8 subjects was exposed to a single night of no light exposure and a single night of exposure to one irradiance of 420 nm light.
Subjects
[0059] Volunteers who were involved in shift work, planned long distance jet travel before or during the study period, or had irregular sleeping schedules were excluded from this study. The subject drop-out rate was 7.9%. The ethnic distribution of the 72 subjects who completed this study included 55 Caucasians, 9 Asians, 4 African Americans, 3 Hispanics and 1 individual of unknown ethnicity. Subjects who had a relatively stable daily sleeping pattern, passed a physical exam for general and ocular health, and signed an approved IRB consent document were accepted into this study. A total of 37 females and 35 males between 18-30 years old (mean SEM age=24.50.3) completed the study. The self-reported mean SE weekday wake-up time among subjects was 7:06 AM18 min. All subjects were normal on the Ishihara and Farnsworth Munsell D-100 tests for color vision (mean SEM FM score: 51.44.3).
Light Exposure Protocol for Action Spectra
[0060] Each experiment began at midnight when subjects entered a dimly lit room (10 lux or less). One drop of 0.5% Cyclopentolate HCI was placed in each eye to dilate the subjects' pupils and blindfolds were placed over their eyes. Subjects remained sitting upright for 120 minutes and listened to music on headphones or engaged in quiet conversation. While still blindfolded and just prior to 2:00 AM, a 10 ml blood sample was taken by venipuncture of the antecubital vein. Subjects' blindfolds were then removed and the subjects were exposed to the monochromatic light stimulus from 2:00 to 3:30 AM. During light exposure, each subject's head rested in an ophthalmologic head holder facing a ganzfeld apparatus that provided a concave, patternless reflecting surface encompassing each subject's entire visual field (see
Light Production and Measurement
[0061] As shown in
[0062] In action spectroscopy, it is critical that the measured light stimuli are representative of the stimuli which actually reach the photoreceptors that mediate the photobiological response. In studies on light regulation of the circadian system, factors which can modify the measured stimulus before it reaches the photoreceptors include head and eye motion, squinting and eye closure, pupillary reflexes, and light transduction through the ocular media (Caddy et al., 1993; Brainard et al., 1997). Most of these factors are controlled in the experimental technique described above. Concerning !light transmission through ocular media, the cornea and aqueous and vitreous humors normally transmit nearly 100% of visible wavelengths to the retina and do not change substantively as the eyes age (Boettner and Wolter, 1962). In contrast, the aging human lens develops pigmentation that attenuates the transmission of shorter visible wavelengths to the retina (Lerman, 1987; Brainard et al., 1997). In the present study, restricting the age of volunteers to 18-30 years controlled this factor. Measurements of mean transmittance of 36 postmortem human lenses in this age range showed relatively even transmission from 440 to 600 nm. In contrast, there was a mean 45% reduction in lens transmission at 420 nm compared to 460 nm (Brainard et al., 1997). Consequently, measured corneal light irradiances at 420 nm had to be adjusted to compensate for reduced stimulus transmission to the retina even in this relatively young study group.
Blood Samples and Melatonin Assay
[0063] Blood samples were collected in glass vacutainers which contained EDTA. Plasma was separated by refrigerated centrifugation, aliquoted into cryogenic vials and stored at 20 C. until assay. Melatonin concentrations were assayed by radioimmunoassay using antiserum described by Rollag and Niswender, (1976). Radiolabeled ligand was prepared by adding 10 82 l of a dioxane solution containing 1 mole 5-methoxytryptamine and 1 mole tri-N-butylamine to 250 Ci (0.1 nmole) dried Bolton-Hunter Reagent (New England Nuclear Corp., Boston, Mass.). The reaction was allowed to proceed for one hour before adding 50 l of aqueous sucrose (16 gm/ml electrophoresis buffer) and purifying product by disc gel electrophoresis. Duplicate aliquots of 200 l of each unknown and control sample were extracted into 2 ml of chloroform. The chloroform was removed in a SpeedVac centrifuge (Savant Instruments, Holbrook, N.Y.) and resuspended in 200 l of assay buffer (phosphate buffered saline, pH 7.4, containing 0.1% gelatin with 1.00 mg thimerosal/liter as a preservative). The extracts were washed twice with 3 ml of petroleum ether, then evaporated to dryness in a SpeedVac before being resuspended in 200 l of deionized water. Approximately 50,000 cpm of radiolabeled ligand and a 1:256,000 dilution of antiserum (R1055, 9/16/74) was added to each unknown and a triplicate 2-fold geometric series of standards ranging in concentration from 0.201 to 200 pg per 200 l assay buffer. The final assay volume of buffer in each tube was 400 l. At the end of the 48 hour incubation period, three ml of 95% ethanol (4 C.) was added to each assay tube and the bound radioactivity precipitated by centrifugation at 2000g for 30 minutes. The supernatant was decanted and radioactivity in the precipitate was quantified. The quantity of melatonin immunoreactivity in the samples was calculated with the use of a computer program (M. L. Jaffe and Associates, Silver Spring, Md.; see Davis et al., 1980). All solutions were maintained at 4 C. throughout the radioimmunoassay procedure. Assay results were not corrected for recovery (which has proven to be >95% in independent trials). The minimum detection limit of the assay is 0.5-2.0 pg/ml.
Statistics for Action Spectra
[0064] Two-tailed, paired Student's t tests were used to assess statistical significance of raw melatonin change from 2:00 to 3:30 AM. Percent melatonin change scores were determined by the following formula:
[0065] Percent melatonin change scores then were normalized to percent control-adjusted change scores by subtracting the control (no light) condition percent change scores for each subject from that same subject's light exposure score. This technique accounts for the normal individual rise or fall in plasma melatonin levels with respect to the light-induced changes (Gaddy et al. 1993; Brainard et al., 1997). For data from each wavelength, complete sets of pre-exposure melatonin values, percent melatonin change scores, and percent control-adjusted melatonin change scores were analyzed with one way, repeated-measures ANOVA. Significant differences between groups were assessed with post-hoc Scheffe F-tests with alpha set at 0.05. The group of single fluence-response curves (one for each wavelength) was fitted to a parametric model in which the melatonin response (Y) to a photon dose (X) is predicted by: the theoretical initial Y-response (0 dose) for the curve (A.sub.1); the theoretical final Y-response (infinite dose) for the curve (A.sub.2); the dose producing a response halfway between A.sub.1 and A.sub.2 (X.sub.50 or ED.sub.50; and the slope estimator (p) for the slope of the curve between A.sub.1 and A.sub.2. The equation is:
[0066] The computer program Origin 6.0 (Microcal, Northampton, Mass.) was used to fit the fluence-response curves to the data. From extensive experience in our laboratory, a saturating 90 minute light exposure produces a maximum mean percent control-adjusted plasma melatonin suppression ranging from 60 to 80% depending on the particular group of subjects being tested (Gaddy et al., 1993; Ruberg et al., 1996; Wang et al., 1999; Brainard et al., 2000; 2001). To form an analytical action spectrum, it is necessary to determine if all fluence-response curves can be fit to a univariant sigmoidal curve (Lipson, 1994; Coohill, 1991; 1999). To do this, sigmoid curves were fitted to the five fluence-response curves between 440 nm and 530 nm which reached a mean percent control-adjusted melatonin suppression of 60-80% by constraining the At factor (theoretical initial Y-response) to 0 since no light exposure should yield a 0% control-adjusted plasma melatonin suppression. From this set of curves, a mean A.sub.2 (theoretical final Y-response or infinite dose for the curve and a mean p (slope estimator) was calculated. Subsequently, all 8 data sets (including the data sets which did not reach saturation) were then fitted to sigmoid curves that constrained A.sub.2 and p to these means and constrained A.sub.1 to 0. Each calculated curve was tested for goodness-of-fit of the data by coefficient of correlation.
Melatonin Action Spectrum
[0067] This action spectrum was formed from the photon density which elicited the half-saturation constant (ED.sub.50) of the percent control-adjusted melatonin suppression for each of the 8 wavelengths. These half-saturation constants were derived from the 8 univariant fluence-response curves described above. The half-saturation constants were then normalized to the maximum response and plotted as relative sensitivity. The relative quantum sensitivity from each group of subjects was then graphically plotted (quanta/wavelength) to illustrate the resultant action spectra for melatonin suppression in humans. A predicted peak sensitivity for this action spectrum was determined by fitting a vitamin A.sub.1-retinaldehyde photopigment template to the data by a modification of the method described by MacNichol (1983). Specifically, the long wavelength limb of vitamin A.sub.1-based photopigments can be considered linear within the 10-90% sensitivity range when plotted on a frequency abscissa. To select the best fit vitamin A.sub.1 template, the normalized 10-90% long wavelength melatonin ED.sub.50 data were fitted to a series of vitamin A.sub.1-based templates within the 10-90% sensitivity range of the templates' long-wavelength limbs (Partridge and De Grip, 1991). Pearson correlation coefficients derived from fitting the melatonin data to the templates indicated the optimum fitting template.
Results of Action Spectra
Variations in Pupillary Dilation, Exposure Time and Melatonin Assay
[0068] Individuals vary slightly in their pupil size and response to mydriatic agents. MeanSD pupillary dilation was 7.190.88 mm for all 72 subjects across all nights of exposures. There were no significant pupil size changes during the light exposures. Similarly, there is a small degree of variability in exact light exposure durations due to slight experimental delays. Across 627 single-subject experiments, the meanSD exposure duration was 90.62.1 minutes. A total of 53 assays were run to quantify melatonin in plasma samples collected during this project. Coefficients of variation calculated from control samples assayed as 19.2 pg/ml and 90.0 pg/ml had 10.8% and 4.0% for intra-assay coefficients of variation, respectively. The inter-assay coefficients of variation were 13.5% and 10.2%.
Fluence-Response Data at 460 Nm
[0069] Since the predicted peak of the final action spectrum is 464 nm, the full data complement. from raw melatonin values to a final fluence-response curve for the nearby monochromatic stimulus at 460 nm, is illustrated in
[0070] For comparative purposes, all melatonin data were converted to plasma melatonin percent control-adjusted change scores. As illustrated in
[0071] The data from
[0072] As shown in
Fluence-Response Data for All 8 Wavelengths
[0073] As shown in
Melutonir Suppression Response to 420 Nm at a Single Intensity
[0074] Given the high sensitivity of subjects to short wavelength light as shown in
Action Spectrum for Melatonin Suppression
[0075] Action spectra ace determined by comparing the number of photons required for the same biological effect at different wavelengths (Smith, 1989; Coohill, 1999). For this experiment, the action spectrum was formed from the photon density which elicited the half-saturation constant (X.sub.50 or ED.sub.50) of the percent control-adjusted melatonin suppression for each of the eight wavelengths. The half-saturation constants were derived from the eight univariant fluence-response curves shown in
Comparison of Action Spectra
[0076] The action spectrum for the photoreceptor system which provides input to the pineal gland appears to be distinct from the action spectra for the classical human visual photoreceptor systems. To illustrate this, the maximal spectral absorbencies and long wavelength limbs of the human rod and cone photoreceptors that support vision (Stockman and Sharpe, 1999) are illustrated in
Discussion of Action Spectra
[0077] The action spectrum presented here is based on univariant fluence-response curves for melatonin suppression by eight monochromatic light wavelengths in healthy subjects. These data fit a vitamin A.sub.1 opsin template with 446-477 nm providing the strongest circadian input for melatonin regulation. These results suggest a novel photopigment in the human eye may be primarily responsible for melatonin regulation and may be distinct from the individual rod and cone photoreceptors for vision.
[0078] In developing a fluence-response curve, a complete within-subjects experimental design produces the most reliable results. When subjects are studied over a two to four month period, however, lack of stability in the subjects' circadian entrainment can introduce variability in light-induced melatonin suppression. This study accepted only volunteers who reported regular bed and wake times and their melatonin rhythms appeared to have been stable during the course of the study. As shown in the 2:00 AM melatonin values (
[0079] The data from each wavelength studied fit a univariant four parameter sigmoidal curve with a high coefficient of correlation. The univariance of these curves is consistent with, but does not prove, the hypothesis that melatonin suppression is modulated by a single photoreceptor type. Previous studios with animals and humans have illustrated similar fluence-response relationships for melatonin suppression and other circadian responses with monochromatic and broad spectrum light (Brainard et al., 1983; 1988; Podolin et al., 1987; Mcintyre et al., 1989; Nelson and Takahashi, 1991; Zeitzer al., 2000; Dkhissi-Benyahya et al., 2000). The initial attempts to define circadian and neuroendocrine responses to photons of different wavelength began with polychromatic action spectra which tested single irradiances of broader light bandwidths in various rodent species. These polychromatic action spectra were reasonably consistent in indicating that the spectral region between 450-550 nm provides the strongest stimulation of circadian and neuroendocrine responses in rodents (for review: Brainard et al., 1999). Analytic action spectra, based on sets of fluence-response curves at different monochromatic wavelengths, are superior for identifying photoreceptors that mediate photobiological responses (Lipson, 1994; Coohill, 1999).
[0080] There are four analytic action spectra on circadian and neuroendocrine regulation in hamsters, rats and mice (Takahashi et al. 1984; Bronstein et al., 1987; Provencio and Foster, 1995; Yoshimura and Ebihara, 1996). Data from these action spectra have been fitted to spectral sensitivity curves for retinal-based visual photopigments. This curve fitting is predicated on the assumption that a retinal-based molecule transduces light stimuli for circadian regulation, and allows the prediction of the shape of the photopigment absorption spectrum as well as its peak sensitivity (1 max). Across these studies which employed different circadian endpoints, the predicted 1 max ranges from 480-511 nm and is surrounded by a broad region of high sensitivity, From these results, different photopigments have been suggested to be responsible for circadian regulation, including rhodopsin, a rhodopsin-like molecule, a middle wavelength cone photopigment, or an ultraviolet cone photopigment.
[0081] It is commonly believed that the photopic, visual system has a peak wavelength sensitivity around 555 nm (Rodieck, 1998). Many investigators have hypothesized that the photopic visual system mediates circadian and neuroendocrine responses, since this part of the visual system is responsive to bright daytime levels of illumination. Previous data (Brainard et al., 2001) and those presented above do not support this view. The results clearly demonstrate that 555 nm is significantly weaker in suppressing melatonin compared to an equal photon density of 460 nm. Thus, the photopic system is not likely to be the primary input for circadian regulation. Demonstrating that the photopic visual system is not the principal phototransducer for melatonin regulation does not preclude it from having any role in circadian input. Indeed, recent studies suggest that visual cones may be involved in circadian regulation. Recordings from SCN neurons in rats indicate that the visual rods and cones provide input to cells of the rat SCN (Aggelopoulos and Meissl, 2000). Similarly, a human phase-shifting study suggests that, under some circumstances, the visual long wavelength-sensitive cone may also mediate circadian vision in humans (Zeitzer et al., 1997).
[0082] The data presented here do not support the view that any of the known visual photoreceptors provide the primary input for melatonin regulation.
[0083] The action spectrum presented here matches a vitamin A.sub.1-retinaldehyde photopigment template which supports the hypothesis that one of the new opsin photopigment candidates provides primary photic input for melatonin regulation in humans. The molecular identification of candidate opsin or non-opsin photoreceptors and their localization in the retina and/or neural components of the circadian system make them well-suited to act as circadian phototransducers.
[0084] Are the effects of light on melatonin suppression relevant to general circadian regulation? Studies have shown that hamsters have a higher intensity threshold for light-induced phase-shifts of wheel running rhythms than for melatonin suppression (Nelson and Takahashi, 1991). Recently, however, a study on humans showed that the 50% response sensitivity for circadian phase-shifting (119 lux) was only slightly higher than that for melatonin suppression (106 lux) with white light (Zeitzer et al., 2000). It is possible that there are separate photoreceptors for mediating circadian entrainment versus acute suppression of melatonin. It is reasonable, however, to conclude that a variety of non-visual effects of light such as melatonin suppression, entrainment of circadian rhythms, and possibly some clinical responses to light are mediated by a shared photoreceptor system.
[0085] In general, relatively high light illuminances ranging from 2,500 to 12,000 lux are used for treating winter depression, selected sleep disorders and circadian disruption (Wetterberg, 1993; Lam, 1998). Although these light levels are therapeutically effective, some patients complain that they produce, side effects of visual glare, visual fatigue, photophobia, ocular discomfort, and headache. Determining the action spectrum for circadian regulation can lead to improvements in light therapy. Total illuminances for treating a given disorder can be reduced as the wavelength emissions of the therapeutic equipment are optimized.
[0086] Modem industrialized societies employ light extensively in homes, schools, work places and public facilities to support visual performance, visual comfort, and aesthetic appreciation within the environment. Since light is also a powerful regulator of the human circadian system, future lighting strategies will need to provide illumination for human visual responses as well as homeostatic responses. The action spectrum presented here suggests that there are separate photoreceptors for visual and circadian responses to light in humans. Hence, new approaches to architectural lighting may be needed to optimally stimulate both the visual and circadian systems.
[0087] In conclusion, this study characterizes the wavelength sensitivity of the ocular photoreceptor system for regulating the human pineal gland by establishing an action spectrum for light-induced melatonin suppression. The results identify 446-477 nm portion of the spectrum as the most potent wavelengths providing circadian input for regulating melatonin secretion. These data suggest that the primary photoreceptor system for melatonin suppression is distinct from the rod and cone photoreceptors for vision. Finally, this action spectrum suggests that there is a novel retinaldehyde photopigment which mediates human circadian photoreception. These findings open the door for optimizing the utilization of light in both therapeutic and architectural applications.
Embodiments include: [0088] (a) A method of treating or preventing a light responsive disorder in a mammal, comprising administration of a therapeutically effective amount of light to said mammal, said light being generated by a light system, wherein said light system emits a balance of wavelengths to stimulate a circadian, photoneural, or neuroendocrine system of said mammal, said balance of wavelengths having a peak sensitivity ranging from 425-505 nm: optionally, wherein said light responsive disorder is at least one of the group of seasonal affective disorder (SAD), a sleep disorder, circadian disruption, eating disorders, menstrual cycle disorders, non-specific alerting or performance deficits, hormone-sensitive cancers, or cardiovascular disorders. [0089] (b) A method of treating a light responsive disorder in a mammal, comprising administration of a therapeutically effective amount of light to said mammal, said light being generated by a light system, wherein said light system excludes emission of a balance of wavelengths to stimulate a circadian, photoneural, or neuroendocrine system of said mammal, said balance of wavelengths having a peak sensitivity ranging from 425-505 nm: optionally, wherein said light responsive disorder is at least one of the group of seasonal affective disorder (SAD), a sleep disorder, circadian disruption, eating disorders, menstrual cycle disorders, non-specific alerting or performance deficits, hormone-sensitive cancers, or cardiovascular disorders. [0090] (c) A light system, comprising at least one light source, said light source emitting a balance of wavelengths to stimulate a mammalian circadian, photoneural, or neuroendocrine system, said balance of wavelengths having a peak sensitivity ranging from 425-505 nm. [0091] (d) A light system, comprising at least one light source, said light source excluding emission of a balance of wavelengths to stimulate a mammalian circadian, photoneural, or neuroendocrine system, said balance of wavelengths having a peak sensitivity ranging from 425-505 nm. [0092] (e) A transparent composition, comprising at least one light filtering component, said light filtering component specifically transmitting a balance of wavelengths for stimulating a mammalian circadian, photoneural, or neuroendocrine system, said balance of wavelengths having a peak transmittance ranging from 425-505 nm, [0093] (f) A translucent composition, comprising at least one light filtering component, said light filtering component specifically transmitting a balance of wavelengths for stimulating a mammalian circadian, photoneural, or neuroendocrine system, said balance of wavelengths having a peak transmittance ranging from 425-505 nm, [0094] (g) A transparent composition, comprising at least one light filtering component, said light filtering component specifically blocking a balance of wavelengths for stimulating a mammalian circadian, photoneural, or neuroendocrine system, said balance of wavelengths having a peak sensitivity ranging from 425-505 nm, [0095] (h) A translucent composition, comprising at least one light filtering component, said light filtering component specifically blocking a balance of wavelengths for stimulating a mammalian circadian, photoneural, or neuroendocrine system, said balance of wavelengths having a peak sensitivity ranging from 425-505 nm, [0096] (i) A method of treating a light responsive disorder in a mammal, comprising administration of a therapeutically effective amount of light to said mammal, said light being generated by a light system, wherein said light system comprises at least one light source and at least one transparent material component, said light source emitting light through said transparent material component, said transparent material component comprising at least one light filtering component, said light filtering component specifically transmitting a balance of wavelengths to stimulate a circadian, photoneural, or neuroendocrine system of said mammal, said balance of wavelengths having a peak sensitivity ranging from 425-505 nm: optionally, wherein said light responsive disorder is at least one of the group of seasonal affective disorder (SAD), a sleep disorder, circadian disruption, eating disorders, menstrual cycle disorders, non-specific alerting or performance deficits, hormone-sensitive cancers, or cardiovascular disorders. [0097] (j) A method of treating a light responsive disorder in a mammal, comprising administration of a therapeutically effective amount of light to said mammal, said light being generated by a light system, wherein said light system comprises at least one light source and at least one translucent material component, said light source emitting light through said translucent material component, said translucent material component comprising at least one light filtering component, said light filtering component specifically transmitting a balance of wavelengths to stimulate a circadian, photoneural, or neuroendocrine system of said mammal, said balance of wavelengths having a peak sensitivity ranging from 425-505 nm: optionally, wherein said light responsive disorder is at least one of the group of seasonal affective disorder (SAD), a sleep disorder, circadian disruption, eating disorders, menstrual cycle disorders, non-specific alerting or performance deficits, hormone-sensitive cancers, or cardiovascular disorders. [0098] (k) A method of treating a light responsive disorder in a mammal, comprising administration of a therapeutically effective amount of light to said mammal, said light being generated by a light system, wherein said light system comprises at least one light source and at least one transparent material component, said light source emitting light through said transparent material component, said transparent material component comprising at least one light filtering component, said light filtering component specifically blocking a balance of wavelengths to stimulate a circadian, photoneural, or neuroendocrine system of said mammal, said balance of wavelengths having a peak sensitivity ranging from 425-505 nm: optionally, wherein said light responsive disorder is at least one of the group of seasonal affective disorder (SAD), a sleep disorder, circadian disruption, eating disorders, menstrual cycle disorders, non-specific alerting or performance deficits, hormone-sensitive cancers, or cardiovascular disorders. [0099] (l) A method of treating a light responsive disorder in a mammal, comprising administration of a therapeutically effective amount of light to said mammal, said light being generated by a light system, wherein said light system comprises at least one light source and at least one translucent material component, said light source emitting light through said translucent material component, said translucent material component comprising at least one light filtering component, said light filtering component specifically blocking a balance of wavelengths to stimulate a circadian, photoneural, or neuroendocrine system of said mammal, said balance of wavelengths having a peak sensitivity ranging from 425-5055 nm: optionally, wherein said light responsive disorder is at least one of the group of seasonal affective disorder (SAD), a sleep disorder, circadian disruption, eating disorders, menstrual cycle disorders, non-specific alerting or performance deficits, hormone-sensitive cancers, or cardiovascular disorders. [0100] (m) A light meter system for quantifying light which stimulates a mammalian circadian, photoneural, or neuroendocrine system under normal conditions or which provides light therapy, said light meter system comprising at least one light metering device configured to match wavelength sensitivity of mammalian photoreceptors for circadian and neuroendocrine regulation, said wavelength having a peak sensitivity ranging from 425-505 nm.