了解夜班工作者中昼夜调节失调和心脏病之间的机制性相互联系:行为干预的治疗作用
Jad Bou Serhal1, Mohammad Fayyad-Kazan2, Colette S Kabrita3,4
1Faculty of Arts and Sciences, Department of Psychology, American University of Beirut (AUB), Beirut, Lebanon.
Sleep & breathing = Schlaf & Atmung
|February 18, 2025
概括
轮班工作扰乱昼夜节律,增加心血管疾病 (CVD) 的风险,特别是在老年人中. 本文审查了生物节律中断与心脏健康之间的分子联系,重点关注时钟基因和心脏生物标志物.
科学领域:
- 心血管生理学和时间生物学.
- 昼夜干扰和心脏病的分子机制.
背景情况:
- 轮班和夜班工作与心血管疾病 (CVD) 发病率和死亡率的增加有关,特别是在老年工人中.
- 异常工作时间表的循环失调会破坏调节心血管功能的神经内分泌通路,可能导致心肌损伤.
研究的目的:
- 审查将破坏生物节奏与心脏健康联系起来的分子机制.
- 调查核心时钟基因 (如BMAL1) 和心脏生物标志物 (如素I (cTnI)) 在轮班工作相关心血管疾病中的作用.
主要方法:
- 文献审查评估分子机制.
- 专注于蛋白质组和转录组中断.
- 检查中心和心肌振荡器.
主要成果:
- 循环节错位会导致认知能力下降,代谢功能障碍和免疫功能障碍,所有这些都会增加心血管疾病的风险.
- BMAL1功能障碍与高血压,心律失常和心肌损伤有关.
- 睡眠中断会影响时钟基因表达,影响心脏功能和心脏生物标志物.
结论:
- 循环节错位带来了显著的心血管疾病风险,特别是在老年轮班工人中.
- 需要对老年轮班工的时钟基因和心脏生物标志物表达进行进一步的研究.
- 诸如慢性治疗和光疗等行为干预措施可以减轻风险,需要进一步研究.
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