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Friday, August 9, 2013

Sunshine and Sad Hamsters

First off, I can't believe this blog is over three years old. Figured that out when I linked an old zinc post, because I completely missed the three year anniversary a few months ago. In any event over the past three years I have seen a greater acceptance of employing grain-free diet interventions along with avoiding processed food, and some more skepticism of the "vegetable oils are heart-healthy" meme.

For example, I missed the December 2011 of Prostaglandins, Leukotrienes, and Essential Fatty Acids (I must admit, not on my regular reading list), but there was an interesting back and forth over a study and a few letters to the editor that were pro modulating the omega3/6 ratio over dumping massive amounts of omega 6 into the diet and making up for that by supplementing with omega 3. The main gist of the editorials was that we don't really know what the heck we are doing when it comes to downstream regulation of omega 6 fatty acids and maybe we should be cautious about eating so much of it. It's nice to see lipid researchers admit that, though letters to the editor are all about some cranky academics espousing their objections to some of the status quo out there.*

Bastille--Pompeii

In addition, the University of Maryland is trying to put together a study to test gluten-free diets in schizophrenia, following on the interesting findings from the CATIE trial that showed folks with schizophrenia were so much more likely to have antibodies to wheat proteins than the general population. Worth a shout out.

But enough about nutrition for now. I really did intend to have more about other evolutionarily appropriate common sense interventions for mental health in this blog, and this week a study came out that fits the bill, at least for hamsters: Nocturnal Light Exposure Impairs Affective Responses in a Wavelength-Dependent Manner.

Flickr Creative Commons
In order to make sense of this study we have to know a little bit about the retina of the eye. Most people are aware that we have light receptor cells in the retina called rods and cones. There is a third set of light receptors in the retina as well called the photosensitive ganglion cells (otherwise known as the intrinsically photosensitive retinal ganglion cells, or ipRGCs), and these cells have the specific job of sending light information back to the suprachiasmatic nucleus in the brain, where circadian rhythms are controlled. The photopigment in these cells, melanopsin, is particularly excited by blue light, of wavelengths around 480 nm. That means that blue light, above other light, is the most likely to send the signal to the brain that it is daytime. Since blue light is nice and bright and makes for nice contrast with cheap LEDs, it is one of the colors of choice for computer screens, tablets, and smartphones. It's also one of the key wavelengths in light from compact fluorescent bulbs that are all the eco-rage nowadays. 

So, as we probably know by now, picking up that phone to send a tweet in the middle of the night is also telling your circadian rhythm part of the brain GOOD MORNING, which the suprachiasmatic nucleus finds confusing, in humans and in hamsters. The ipRGCs not only send signals to the hypothalamus to regulate sleep, appetite, fertility, etc., but also to the limbic areas of the brain, wherein lives anxiety and fear.

In the paper, hamsters were exposed to white, blue or red light (red does not activate the suprachiasmatic nucleus) or left in the dark at nighttime. It is important to know that hamsters are nocturnal, but behavioral changes have been observed in diurnal rodents as well when exposed to white or blue light after dark. The hamsters who were exposed to the white and blue lights seemed more depressed. And by depressed, they actually ate less sugar water than the dark and or red-light hamsters, and there seemed to be reduced neuroplasticity in the hippocampus of the white and blue-exposed hamsters, which is an ominous sign. A fully neuroplastic hippocampus is important to maintaining positive mood and being resilient to stress. Other rodents exposed to nighttime light had reduced performance in learning and memory tasks. Circadian disruption is bad news.

No after dinner iPad for you
But enough about rodents. In August's Current Biology, some scientists took 8 people camping in the Rocky Mountains in July (sign me up!). No computers, smartphones, or flashlights allowed, though campfires were de rigueur. In one week of monitoring the participants in their normal modern environments, they noticed that average melatonin onset occurred 2 hours before sleep start time, which was typically at 12:30am, and melatonin offset occurred after the natural average wake time of 8am. After a week of camping, melatonin onset occurred just after sunset, and bedtime and awake time was moved two hours earlier. While camping the folks also got a lot more bright natural light exposure than in their ordinary lives.

Morning light exposure and early rising are both used as treatments for depression, by the way.

The gist of the study: "Increased exposure to sunlight may help to reduce the physiological, cognitive, and health consequences of circadian disruption.


*describes my blog exactly. Except the "academic" part…

Thanks to Jamie, Victoria, Dallas, and Stephan for emails and or tweets alerting me to the above papers.

14 comments:

  1. What do you think of daytime UV-B lamp use in the office? I just bought one to combat my SAD/ stuck-in-a-dark-office-cube blues.

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    Replies
    1. There's a bit of literature on tanning and mood, but for seasonal mood disorders, the most studied lamp is the 10,000 lux white lamp (seen at places like alaskanorthernlights.com)

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    2. My Verilux HappyLight is only 6,000 lux. Will this help, or is it a "why bother"?

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  2. We're revolving not changing from one form to another.
    We are fearfully and wonderfully made.
    Now the computer wants to know if I'm a robot?

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  3. I'm curious about blue lights marketed for SAD as a replacement for actual sunlight- do you think they approximate the real thing? Living in a basement apartment I'm somewhat concerned about my lack of light exposure but moving is not going to be feasible for years.

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    Replies
    1. Studies of 3000 lux blue lights have been mixed. The 10,000 lux white lamps are pretty consistent and have efficacy rates similar to antidepressants or therapy for seasonal depression. They are also very helpful for normalizing circadian rhythms so you can sleep better if you use them in the morning hours. Part of it is the blue message to the ipRGCs but also the overall light message to the retina is important (ipRCGs, rods, and cones have some interconnections between them).

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  4. As much as I can, I try to stay with the natural lighting level of the time of day. When the sun sets, I use minimal lighting in the house. I also use that app you recommended for my computer illumination :-)

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  5. I used to read your (almost) daily blog entries. Since real life has taken over your online life, I've missed the mental workout. Most of your posts are over (sometimes WAY over) my head, but the more I read, the more I understand. Thanks for taking the time to keep this blog alive.

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  6. Ah, ha! It seems that when I take melatonin before bed and read on my iPad, at the dimmest setting, I still fall asleep okay. However, if I get up in the middle of the night for something (like a crying child, or needing to pee), if I take a peek at the iPad before getting back into bed my sleep is RUINED. I must be telling my body it's morning when I do that, even though it's for less than 5 minutes. Good to know! Since it hadn't seemed to interfere with my falling asleep, I was hesitant to really blame the iPad for the trouble getting back to sleep.

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  7. So why isn't CarbSane at this year's AHS?

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  8. Quick question: If I look at my phone screen in the winter when I wake in the morning before the actual sun comes out, can this help with 'sun' and light activation to the retina/suprachiasmatic nerve? Since I am not sure if I will be able to get a light box ($$$).

    If it has that much power as implied in your post, then this would be happy news for me if I used it 'correctly'. :)

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  9. P.S. I have a policy. I stop responding/looking at my phone about half hour to hour before I go to bed. VERY rarely do I look at it right before bed. I also mute it and do not hear/look at it at ANY time during the night aka when I'm sleeping. :) I do not understand how people use their phone during the night. I have left my volume on by accident before and if I for some reason was not in deep sleep I would hear someone txt and/or call wrong number: but I do not look at it. Waste of time at 3 am in the morning. LOL

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  10. Hi Emily, I think something you may overlooked about Zinc and its therapeutic potential in the treatment of psychiatric disorders is the fact that it inhibits the enzyme, glycogen synthase kinase 3 (GSK-3) (which thing it appears to do significantly more potently than ol' Lithium) which is involved in things like gene expression and the mammalian target of rapamycin (mTOR).(1) Furthermore it has been determined that the rapid and robust antidepressant effects of ketamine are dependent on its ability to inhibit of GSK-3 and hence induce the mTOR pathway. (2)

    Reference List:
    1. Eldar-Finkelman H, Martinez A. GSK-3 Inhibitors: Preclinical and Clinical Focus on CNS. Front Mol Neurosci [Internet]. 2011 Oct 31 [cited 2013 Aug 21];4. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3204427/
    2. Beurel E, Song L, Jope R. Inhibition of glycogen synthase kinase-3 is necessary for the rapid antidepressant effect of ketamine in mice. Mol Psychiatry [Internet]. 2011 Nov [cited 2013 Aug 21];16(11):1068–70. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3200424/

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  11. Great post Emily! I was particularly interested in the gluten study with schizophrenics. I saw on a old post on how Schizophrenics were treated through fasting. Do you know of any studies of fasting done with people with Bipolar disorder? What is your take on it? Also is there a supplement you would recommend for preventing mania as an adjunct to medication?
    Thank you.

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