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On Light As An Alerting Stimulus at Night: Acta Neurobiol Exp 2007, 67: 171 178
On Light As An Alerting Stimulus at Night: Acta Neurobiol Exp 2007, 67: 171 178
(~10 Hz) than those exposed to the same photon densi- Table I
ties of a 555-nm monochromatic light.
Although previous studies have shown that blue light Lighting conditions used in the experiment
can have alerting effects in humans at night, no study
has established a functional relationship between differ- Illuminance Irradiance Photon density
ent levels of blue light exposure and alertness. More at cornea (lx) at cornea at cornea
importantly and more generally, none of the studies to (W/m2) (photons/cm2/s)
date have tested a priori predictions of the effectiveness
of different light stimuli for modulating levels of noc- 5 0.05 1.2 × 1013
10 0.1 2.4 × 1013
turnal alertness. The ability to make quantitative predic-
20 0.2 4.8 × 1013
tions of the effectiveness of different light stimuli for
40 0.4 9.6 × 1013
stimulating alertness is important because a quantitative
understanding of this functional relationship could then strated pronounced color blindness and, as determined
be used to help design comfortable, cost-effective light- later, highly unusual EEG patterns. His data were
ing systems for night-shift applications where perform- excluded from subsequent analyses. Therefore, data
ance is very important. One approach to the problem from seven subjects, four males (2054 years, median =
would be to present different light spectra at different 34.5) and three females (2641 years, median = 30),
irradiances and determine the spectral and absolute sen- were used in all analyses.
sitivities of light-induced nocturnal alertness. Another, Four arrays of blue light emitting diodes (lmax=470
more elegant way, would be to determine if the model of nm) (iCove, Color Kinetics) mounted inside the front
circadian phototransduction developed by Rea and col- face of light-integrating boxes delivered diffuse blue
leagues (2005) could be used to predict the impact of illumination ranging from 5 to 40 lx (0.05 to 0.4 W/m2)
light on alertness at night because it already incorporates at the subjects corneas (see Table I for the light levels),
spectral and absolute sensitivities to light as a stimulus as measured with a calibrated and well-characterized
for circadian regulation. This more parsimonious illuminance meter (Model P30SC0, LMT) and a labora-
approach to the problem would, at the very least, justify tory grade sprectro-radiometer.
a much more extensive study of the absolute and spec- The boxes, placed on small tables 0.76 m above the
tral sensitivities of nocturnal alertness to light. In this floor, measured 0.6 × 0.6 × 0.6 m. The inside of the
paper then, we set out to determine if the model of cir- boxes were painted matte white. A chin rest was
cadian phototransduction developed by Rea and others clamped to the bottom of a square 0.45 m × 0.45 m aper-
(2005) could be used to quantitatively characterize the ture cut into the front of the box so that the subjects
photic stimulus for light-induced nocturnal alertness. head position remained fixed during the exposure ses-
sions. A 0.3 m × 0.3 m aperture was cut in the back of
METHODS the box so that a numerical verification task (Rea 1981)
could be presented to subjects on a display monitor dur-
Eight subjects participated in the study, which ran ing the exposure sessions. A red filter (Roscolux #32,
from 00:00 to 08:30 on two nights (four subjects per Rosco) was placed over the monitor screen throughout
night). Before accepting subjects for the experiment, the experiment to minimize circadian stimulation by the
they were screened for sleep habits according to their light emitted from the computer screen. The vertical
responses on the Munich ChronoType Questionnaire illuminance from the filtered computer screen alone was
(Roenneberg et al. 2003); subjects that were extremely 0.8 lx at the eye.
early (before 6:00) or late risers (after 10:00) were From 00:00 to 00:50, subjects were fitted with elec-
excluded from selection. Selected subjects were asked to trodes (Ag-AgCl) placed on the scalp according to the
avoid sleeping and to refrain from caffeine intake after International 10-20 system (American Electro-
10:00 the day of the study. Upon arrival to the laborato- encephalographic Society 1991) at locations Pz/Oz, O1
ry, subjects signed an informed consent form approved and O2, and referenced to electrodes attached to the ear-
by Rensselaer's Institutional Review Board, and also lobes (A1, A2). The EEG recording system (Active
performed the Ishihara (1993) test for color blindness as Two, BioSemi) used a sampling rate of 1.024 Hz. Data
well as a visual acuity test. One male subject demon- were preprocessed using a digital, finite impulse
174 M.G. Figueiro et al.
response (FIR) bandpass filter of order 2.000 with low processing) with eyes open or closed were then com-
and high cutoff frequencies of 1 and 40 Hz, respective- bined to form 1-min epochs for each channel and each
ly, followed by an out-of-bounds (± 30 mV threshold) subject.
test to reject epochs that were contaminated by muscle
or eye-movement artifacts. RESULTS
Following every 50-min exposure to one of the blue
light conditions, EEG measurements were taken while Figure 1 shows the average power density values in
the subject was looking at a mark on the back wall of the the alpha region (8 to 12 Hz) when the eyes were open
integrating box. Measurement periods lasted 6 min and and when they were closed following 50 min. exposures
followed the procedures used for the alpha attenuation to each of the four blue light levels for each subject and
test (AAT) (Alloway et al. 1997, Hagiwara et al. 1997, measurement channel. Figure 2 shows the AAC values
Stampi et al. 1995). This test uses the alpha attenuation calculated from the means of the ratios of alpha power
coefficient (AAC), defined as the ratio of mean total with eyes closed (for 1 min) and open (for 1 min) for
alpha power (8 to 12 Hz) recorded while the subjects' each pair of 1-min epochs (Stampi et al. 1995). (It
eyes are closed to mean total alpha power recorded should be noted that because the distribution of alpha
while subjects' eyes are open. An increase in AAC indi- power values was asymmetrical, the ratios of the aver-
cates a higher alertness level. EEG data were obtained age eyes-closed and -open values in Figure 1 are not
during three cycles of 1-min periods of eyes open and equal to the mean AAC values in Fig. 2). AAC increased
1-min periods of eyes closed over a 6-min period. monotonically with blue light levels from 5 lx to 40 lx.
Following administration of the AAT, subjects reported A one-way analysis of variance (ANOVA) revealed a
their subjective alertness using a modified version of the nearly-significant (P=0.06) main effect of illuminance
drowsy/alert question on the Norris (1971) mood scale, for AAC. Limited pairwise comparisons (McGuigan
scored using a seven-point scale (3 = drowsy, 1997) between the 5-lx and other conditions using one-
+3 = alert) rather than the continuous rating scale origi- tailed Students t-tests revealed statistically significant
nally used by Norris. differences in AAC between 5 and 20 lx (P<0.01) and
Subjects were exposed to all four blue light levels in between 5 and 40 lx (P<0.01). We do not believe that
one night. The blue light exposure levels were counter- these statistically significant results are an artifact of the
balanced across four different subjects on both nights of improper counterbalancing because for the two sets of
the experiment. Alternating between the four blue light data lost at 5 lx, one subject was presented this light
exposures, subjects were seated for one hour in a room level first, while the other saw it last.
dimly and diffusely illuminated (15 to 50 lx at the Figure 3 shows the mean subjective ratings for the
cornea) with a 3.500 K compact fluorescent lamp (one drowsy/alert question on the Norris mood scale for
uplight fixture with two PLC/26W/35/4P, Philips
lamps). Subjects were never permitted to sleep during
the experimental session. Due to technical problems, it
was not possible to collect data from one subject during
the 5 lx condition. The elimination of all the data for one
subject and the data at 5 lx for another subject affected
the counterbalancing of the experimental design.
However, as will be discussed later, this probably had
little effect on the results.
Spectral analyses of the EEG data were conducted by
dividing preprocessed time series data into 5-s-long
epochs with 0% overlap. A Blackman window was
applied to each epoch and then fast Fourier transforms
(FFT) to compute spectral power density. The resulting Fig. 1. Mean power density values (± SEM) for each subject
spectral power density was then re-sampled to a 0.5-Hz and measurement channel in the alpha region (8 to 12 Hz)
spectral resolution. The 5-s-long epochs for each 1-min when the eyes were open and when they were closed follow-
measurement period (up to 12, following out-of-bounds ing 50 min exposures to each of the four blue light levels
On light as an alerting stimulus at night 175
Fig. 2. Mean AAC values (± SEM) for each light level, calcu- Fig. 3. Mean subjective alertness ratings (± SEM) using the
lated from the mean of ratios of the alpha power with eyes modified Norris (1971) mood scale for each light level
closed to eyes open, for each pair of 1-min measurement epochs
Fig. 4. Predictions of nocturnal melatonin suppression (solid line and shaded area representing 95% confidence intervals for
predictions, left ordinate) (Figueiro et al. 2006b) and measured AAC values ± SEM (triangles, right ordinate) for each light
level used in the present study. It should be noted that no additional transformation of abscissa values were necessary to com-
pare melatonin suppression with AAC values for this experiment.
each lighting condition. A one-way ANOVA did not would be expected if these two measures shared the
reveal a statistically significant effect of light level on same underlying phototransduction mechanism.
subjective ratings, but the ratings were highly (r2=0.95) Of particular importance, the functional relationships
and significantly (P<0.05) correlated with the AAC val- between light and objective and subjective measures of
ues across illuminance. Thus, the functional relationship nocturnal alertness both show a strong convergence with
between light exposure and subjective measure of alert- predictions of nocturnal melatonin suppression (Fig. 4).
ness converges with the functional relationship between As described previously (Figueiro et al. 2006b), those
light exposure and objective measure of alertness, as predictions were obtained by combining a four-parameter
176 M.G. Figueiro et al.
logistic function from Zeitzer and coauthors (2000), brain that govern arousal and alertness. The majority
representing light-induced nocturnal melatonin sup- of the SCN output are, however, directed toward the
pression from threshold to saturation, with the subparaventricular zone (SPZ) and the DMH.
amount of circadian light stimulus calculated from Lesions to the ventral SPZ disrupt circadian rhythms
the model of circadian phototransduction by Rea and of sleep and wakefulness. Lesions to the DMH,
colleagues (2005). It should be stressed that for this which also receives input from the SPZ and is one of
analysis we did not make any post-hoc transforma- the major sources of input to the VLPO and orexin
tions to the circadian stimulus (CS) values from the neurons, also diminishes circadian rhythms of sleep
model. This analysis therefore supports the inference and wakefulness. In fact, animals with DMH lesions
that both the spectral and absolute sensitivities for sleep about one hour more each day and have less
nocturnal melatonin suppression are homologous activity. It seems like the DMH is needed for con-
with the spectral and absolute sensitivities for light- veying SCN information to the sleep/wake regulato-
induced nocturnal alertness. Although nocturnal ry system.
melatonin suppression and light-induced nocturnal Although the SCN clearly have input to the pineal
alertness are undoubtedly separate neural phenomena gland and melatonin production through a separate
with their own biophysical processes, they do both pathway than the circadian control of sleep, the very
share a common neural relay site, the SCN (Saper et strong positive correlation between nocturnal mela-
al. 2005), and, based upon this analysis, common tonin suppression and AAC to the same blue-light
phototransduction mechanisms in the retina. In other stimulus is consistent with the findings from Saper
words, light for nocturnal melatonin suppression and colleagues that the SCN play a role in both
appears to have the same functional characteristics as effects.
light for nocturnal alertness. Importantly, these results strongly suggest that the
model of circadian phototransduction developed by
DISCUSSION Rea and colleagues can be used to accurately charac-
terize the photic stimulus for light-induced nocturnal
The present results extend those from recent alertness for any light level and any spectrum. As
investigations of alertness following blue light expo- mentioned above, this suggestion is based upon the
sure (Cajochen et al. 2005, Lockley et al. 2006) by convergence of recent neuroanatomical studies
demonstrating that there is a monotonic dose (Saper et al. 2005) with the extremely tight correla-
response relationship between blue light exposures tions between subjective and objective measures of
and alertness, measured both objectively (AAC) and alertness and predictions of nocturnal melatonin sup-
subjectively (Norris Scale). pression shown here (Fig. 4).
As shown in Fig. 4, a very strong positive correla-
tion (r 2=0.998) between the four AAC values CONCLUSION
obtained in this study and predicted levels of noctur-
nal melatonin suppression following approximately The results presented here do not prove causality
1-h exposures to light was found, suggesting an SCN but do suggest that the SCN affect both objective and
participation in light-induced nocturnal alertness. subjective measures of alertness. Certainly it is
Saper and others (2005) have shown that the efferent important to extend this modest study of light-
pathways from the SCN to the hypothalamus driving induced nocturnal alertness by testing a wider range
alertness and sleep suppression are anatomically dis- of photic stimuli, but it now appears increasingly
tinct from the pathway leading to the pineal gland likely that the phototransduction mechanisms in the
responsible for melatonin synthesis. They have retina providing input to the SCN for nocturnal mela-
shown that the SCN have some projections to the tonin suppression are the same as those providing
ventrolateral preoptic nucleus (VLPO), which pro- input to light-induced nocturnal alertness. And
motes sleep or the orexin neurons, which promotes whereas it might be premature to offer specific rec-
alertness. Orexins are produced in the lateral hypo- ommendations for using light to improve alertness at
thalamus and are important in promoting and sus- night, the path toward lighting specifications now
taining wakefulness by projecting to areas in the appears much clearer.
On light as an alerting stimulus at night 177
Thapan K, Arendt J, Skene DJ (2001) An action spectrum for Wright HR, Lack LC, Kennaway DJ (2004) Differential
melatonin suppression: evidence for a novel non-rod, non-cone effects of light wavelength in phase advancing the mela-
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Warman VL, Dijk DJ, Warman GR, Arendt J, Skene DJ Zeitzer JM, Dijk DJ, Kronauer R, Brown E, Czeisler C
(2003) Phase advancing human circadian rhythms with (2000) Sensitivity of the human circadian pacemaker to
short wavelength light. Neurosci Lett 342: 3740. nocturnal light: melatonin phase resetting and suppres-
Wright HR, Lack LC (2001) Effect of light wavelength on sion. J Physiol 526: 695702.
suppression and phase delay of the melatonin rhythm.
Chronobiol Int 18: 801808. Received 25 May 2007, accepted 25 June 2007