Association between melanopsin gene polymorphism (I394T) and pupillary light reflex is dependent on light wavelength
© Lee et al.; licensee BioMed Central Ltd. 2013
Received: 27 May 2013
Accepted: 30 September 2013
Published: 12 October 2013
Our aim was to determine the association between melanopsin gene polymorphism and pupillary light reflex under diverse photic conditions, including different intensities and wavelengths.
A total of 195 visually corrected subjects volunteered for investigation of the melanopsin gene of single nucleotide polymorphism (SNP) of rs1079610 (I394T). The genotype groups were TT (n = 126), TC (n = 55), and CC (n = 8), and 75 of the subjects, including subjects with TT (n = 34), TC (n = 33), and CC (n = 8) participated in our experiment. Three monochromatic lights with peak wavelengths of 465 nm (blue), 536 nm (green), and 632 nm (red) were prepared, and each light was projected to the subjects with five intensities, 12, 13, 14, 14.5 and 15 log photons/(cm2 s), for one minute. The pupil size of the left eye was measured under each light condition after a 1-minute adaptation.
The pupils of the TC + CC genotypes (n = 38) were significantly smaller than those of the TT genotype (n = 31) under a blue (463 nm) light condition with 15 log photons/(cm2 s) (P < 0.05). In contrast, there were no significant differences under green (536 nm) and red (632 nm) light conditions. Conversely, relative pupil constrictions of the TC + CC genotypes were greater than those of the TT genotype under both blue and green conditions with high intensities (14.5 and 15 log photons/(cm2 s)). In contrast, there were no significant differences between genotype groups in pupil size and relative pupilloconstriction under the red light conditions.
Our findings suggest that the melanopsin gene polymorphism (I394T) functionally interacts with pupillary light reflex, depending on light intensity and, particularly, wavelength, and that under a light condition fulfilling both high intensity and short wavelength, the pupillary light response of subjects with the C allele (TC + CC) is more sensitive to light than that of subjects with the TT genotype.
KeywordsGenotype Human Intrinsically photosensitive retinal ganglion cells Melanopsin gene (OPN4) Non-image-forming responses Pupillary light reflex Single nucleotide polymorphism Steady-state pupil response Monochromatic light
In mammals, a small subset of retinal ganglion cells express the photopigment melanopsin, and they are intrinsically photosensitive (hence, intrinsically photosensitive retinal ganglion cells, ipRGCs) [1–3]. Parallel studies have been carried out to identify the functional roles of melanopsin or ipRGCs using transgenic mice, such as mice lacking rods or cones [4, 5] and mice lacking melanopsin [6, 7]. We now know that ipRGCs transmit photic irradiance information to the suprachiasmatic nuclei, intergeniculate leaflet, and olivary pretectal nucleus through the retinohypothalamic tract [8, 9] and that they play important roles in non-image-forming responses, including circadian photoentrainment [6, 10], pupillary light reflex (PLR) [11, 12], and other behavioral and physiological functions [13–15].
In human beings, there are large inter-individual phenotypic variations in the non-image-forming effects of light [16–18]. For instance, it is known that dark- and light-adapted pupil sizes in normal healthy subjects have large inter-individual differences [17, 19, 20]. What causes these inter-individual variations? According to the database of the International HapMap Project, in human beings, there are some genetic variations in the melanopsin (OPN4) gene. Higuchi et al.  attempted to demonstrate the functional differences of OPN4 gene polymorphism (I394T) by measuring steady-state pupil response during exposure to light, and they revealed that there is a functional connection between OPN4 gene polymorphism and pupillary light response. However, the spectral sensitivity of melanopsin was not considered in their study. Melanopsin is a vitamin A-based opsin, and all of the opsin and vitamin A-based photoreceptors have characteristic spectral sensitivities . Parallel studies have shown the peak sensitivity of melanopsin in other mammals to be around 480 nm [23, 24], unlike rods (λmax 498 nm) and short, medium, and long-wavelength cones (λmax 420, 534, and 563 nm) , and consistent with human melanopsin λmax[11, 26]. Thus, we hypothesized, first, that functional differences of the OPN4 gene polymorphism in PLR would be apparent at a short-wavelength light but not at a long-wavelength light related to M- and L-cone excitation and, second, that these differences depend on light intensity, as suggested by our previous study . Hence, the aim of this study was to determine whether OPN4 gene polymorphism in a young Japanese population is associated with steady-state pupil size during exposure to light of various wavelengths and intensities.
Prior to the experiment, 195 Japanese university students were gathered to investigate OPN4 gene polymorphism. This recruitment was totally different from that in our previous study . All subjects had normal color vision, as tested by the Ishihara color vision test. Scalp hairs were used to extract genomic DNA samples, to genotype the single nucleotide polymorphism (SNP) of rs1079610 (I394T) located in the coding region. Genomic DNA was extracted from a hair using a DNA Extractor FM Kit (Wako Pure Chemical Industries, Ltd., Osaka, Japan). The genotype groups were classified as TT, TC, or CC, and the numbers of subjects in those groups were 126, 55, and 8, respectively (six being undetermined). The T and C allele frequencies of I394T were 81.2% and 18.8%, respectively. Genotype frequency of I394T was consistent with the Hardy-Weinberg equilibrium (χ2 = 0.40, ns). Subjects gave written informed consent for participation in the study, which was approved by the ethical committee of Kyushu University and the ethics committee of the National Center of Neurology and Psychiatry.
Seventy-five subjects, including subjects with TT (n = 34, 16 men and 18 women; 20.79 ± 2.0 years old), subjects with TC (n = 33, 16 men and 17 women; 21.03 ± 2.3 years old), and subjects with CC (n = 8, one man and seven women; 21.33 ± 1.7 years old) volunteered for the study and participated in all of the experiments. Exclusion criteria included medication or drug consumption and shift work.
Illuminance (lux) and irradiance (μW/cm 2 ) levels of each light condition
Intensity log photons/(cm2s)
The blue, green, and red stimuli were presented in separate sessions, consisting of five intensities. Dark adaptation (20 minutes) preceded each run, and test stimuli were presented in the dark for one minute in stages from low-intensity to strong-intensity. Pupil diameter was measured in the left eye using an EMR-8 eye-tracking system with an infrared camera (Nac Image Technology, Inc., Japan). After adaptation to each test stimulus, the steady-state pupil size was measured two or three times for 5 seconds with a sample rate of 60 Hz. Test stimuli were maintained during the measurements. The head of each subject was fastened to a chin rest during the measurements.
It is suggested that PLR is modulated by an endogenous circadian clock (24 hours) . To minimize these circadian effects on PLR, experiments were performed during the daytime between 10 am and 5 pm and the time of each run was counterbalanced between OPN4 genotypes.
Six subjects (TT = 3, TC = 2, CC = 1) were excluded, owing to outlier or unstable data. Hence, data from a total of 69 subjects (TT = 31, TC + CC = 38) were used for statistical analysis. In our comparison between genotype groups (TT, TC, and CC), we treated TC and CC as one group, since our previous study showed that pupillary light responses of subjects who were homozygous (TT genotype) were significantly different from those of subjects who were heterozygous (TC genotype) and homozygous (CC genotype) and that there was no significant difference between TC and CC genotypes in PLR . Thus, we focused on determining what differences are caused by the C allele and verifying the reproducibility of results of our previous study.
The steady-state pupil data in all experimental conditions were analyzed using a repeated-measures three-way analysis of variance (ANOVA) (IBM© SPSS© version 21) with genotype (TT, TC + CC) as between-subject factor and light conditions (color and intensity) as independent variables. Bonferroni post-hoc comparisons were conducted when main effects or interactions were present. Also, comparisons of pupil responses in all experimental conditions between the two genotype groups were performed using a two-sided, independent-sample Student’s t test. A P value less than 0.05 was considered statistically significant.
OPN4 polymorphism and pupil size
OPN4 polymorphism and relative pupil constriction
The aim of this study was to determine the functional differences of the OPN4 polymorphism (I394T) in PLR by addressing the relationship with light intensity and particularly light wavelength. First of all, it is important to confirm that the pupillary responses to the test stimuli were driven by ipRGCs. Several studies have demonstrated that the spectral characteristics of human ipRGCs have λmax = 480 nm [11, 26, 28–30]. It has also been reported that melanopsin, included in ipRGCs, is the primary photopigment in driving pupillary response to high-irradiance light [31, 32]. Consistent with those findings, our results showed that pupil sizes became smaller as the wavelength of light became closer to blue light (465 nm) and that pupil sizes decreased continuously with increasing intensity in both blue and green conditions. In contrast, there was no notable change in pupil size under red light conditions of 13 to 15 log photons/(cm2 s), indicating that ipRGCs were not triggered by red conditions. Hence, the experimental data obtained in the present study are considered to be a result of the excitement of ipRGCs.
In the comparison of pupil sizes between genotypes, a significant difference between TT and TC + CC genotypes was found solely under the blue light condition of 15 log photons/(cm2 s), and the pupil size of TC + CC genotypes was smaller than that of the TT genotype. Similarly, in our previous study, we found that OPN4 gene I394T differences in PLR were apparent under a high-illuminance light condition . The results of the present study, obtained using a new sample population, strongly support the results of our previous study. A notable result, however, is that a pupil size difference between the genotype groups only appeared under blue light. This seems to be a consequence of the spectral sensitivity of ipRGCs showing a peak at a short wavelength, as mentioned. Given that an association between genotypes and pupil size was found under a condition satisfying high intensity and short wavelength, our findings strongly suggest a causal relationship between I394T and PLR.
Moreover, significant differences between genotypes in relative pupillary constriction were found not only under blue light of high intensity, but also under green light of high intensity. Action spectra of ipRGCs  and results of several studies [33, 34] have shown that green regions of light are effective for driving melanopsin, although melanopsin excitement is greater under blue than green light exposure. In this respect, our findings indicate that the melanopsin sensitivity of the TC + CC genotype was larger than that of the TT genotype when melanopsin was strongly stimulated.
It is notable that under the red light conditions, there was no significant difference between genotype groups in pupil size and pupil constriction, regardless of photic intensity. This is consistent with our hypothesis and supports our findings for genotype differences in PLR, because the red lights (λpeak 632 nm) used in our study were expected to be correlated with activation of M- and L- cones (λmax 534 and 563 nm) , not melanopsin. In support of this, human beings lacking the outer retina (i.e., blind but with normal melanopsin) were barely able or unable to detect long-wave light [32, 35]. Hence, we predicted that there would be no significant differences between genotypes under the red light conditions.
Interestingly, there are geographic or ethnic differences in allele frequency of I394T. According to the International HapMap Project, C allele frequencies of I394T are 34.2% in Europeans, 27.8% in Chinese, 17% in Japanese, and 14.2% in Nigerians. It is not clear what caused these allele frequency differences, but it is obvious that the C allele frequency in Europeans is larger than that in people living in lower-latitude regions. Given that I394T genotype groups with the C allele were more sensitive to high-intensity lights than were the TT genotype group in this study, it would be interesting to determine whether the C allele is associated with biological adaptation in a photic environment. In addition, there is evidence to suggest ethnic differences in seasonal affective disorder , which is assumed to be increased as a result of the short photoperiod in winter . Roecklein et al.  showed that an SNP of the melanopsin gene (P10L) was associated with prevalence of seasonal affective disorder. Although this study indicates a functional connection between OPN4 gene polymorphism and a non-image-forming process, there was not sufficient physiological evidence. In future work, the functional differences between OPN4 gene polymorphisms, including I394T and P10L, should be examined with other ethnic groups.
In terms of a selection of experimental photic stimuli for exciting melanopsin, there are ongoing debatable problems. For instance, our results showed that genotype differences in pupil size did not always appear under high-intensity lights. There are some claims that established photometric measures are inappropriate for quantifying effective light exposure for melanopsin , and a new measurement named ‘melanopic illuminance’ (m-lux) has been suggested to predict the sensitivity of melanopsin to lights [39, 40]. Measurement of melanopic illuminance might be helpful to explain our findings in this study or our future work more precisely.
We used steady-state pupil response in this study, but there is an efficient method to assess ipRGC-driven pupil photoresponses called the post-illumination pupillary response (PIPR) [11, 41]. This is a response after light offset, which means it is unknown whether PIPR represents the ipRGC-driven pupillary response to continuous light exposure, namely a real light environment, that we focused on in this study.
We determined an association between PLR and OPN4 genotype groups in this study, indicating that the melanopsin sensitivity could be different, depending on the genotype of I394T. However, we still do not know the functional differences of the OPN4 polymorphism (I394T) in other non-image-forming processing and how much the genotype differences in PLR could influence other irradiance responses. For example, ipRGCs also interact with light-induced melatonin suppression in human beings [42, 43], and it has been reported that pupil size is correlated with melatonin suppression . Further, human circadian phase could be shifted by exposure to high-intensity light and short-wavelength light [44, 45], suggesting involvement of ipRGCs in human sleep-wake patterns. In addition, researchers in the field of physiological anthropology, which concerns human environmental adaptation, have revealed the influence of light on human physiological responses [46–49]. To validate our findings, it is necessary to determine the relationship between I394T and such physiological responses.
In conclusion, human melanopsin gene polymorphism I394T functionally interacts with PLR depending on light intensity and, particularly, wavelength. Our findings suggest that, under a light condition that strongly excites melanopsin (high intensity and short wavelength), the pupillary light response of C allele subjects (TC + CC) is more sensitive to light than TT subjects. Further, we found that green light of high intensity, even though it activates melanopsin less than blue light, is also effective in eliciting a functional OPN4 genetic difference in PLR.
Analysis of variance
Iintrinsically photosensitive retinal ganglion cells
Post-illumination pupillary response
Pupillary light reflex
Single nucleotide polymorphism.
This study was supported in part by JSPS KAKENHI (24370102) and a part of this study is the result of “Understanding of Molecular and Environmental Bases for Brain Health” carried out under the Strategic Research Program for Brain Sciences by the Ministry of Education, Culture, Sports, Science and Technology of Japan. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
We would like to thank Takeshi NISHI at Kyushu University, Kaoru INAMI at Fukuoka Women’s University and especially Mie KATO at National Center of Neurology and Psychiatry for technical assistance in genetic analysis.
- Provencio I, Jiang G, De Grip WJ, Hayes WP, Rollag MD: Melanopsin: an opsin in melanophores, brain, and eye. Proc Natl Acad Sci USA. 1998, 95: 340-345. 10.1073/pnas.95.1.340.PubMed CentralView ArticlePubMedGoogle Scholar
- Berson DM, Dunn FA, Takao M: Phototransduction by retinal ganglion cells that set the circadian clock. Science. 2002, 295: 1070-1073. 10.1126/science.1067262.View ArticlePubMedGoogle Scholar
- Hattar S, Liao HW, Takao M, Berson DM, Yau KW: Melanopsin-containing retinal ganglion cells: architecture, projections, and intrinsic photosensitivity. Science. 2002, 295: 1065-1070. 10.1126/science.1069609.PubMed CentralView ArticlePubMedGoogle Scholar
- Provencio I, Cooper HM, Foster RG: Retinal projections in mice with inherited retinal degeneration: implications for circadian photoentrainment. J Comp Neurol. 1998, 395: 417-439. 10.1002/(SICI)1096-9861(19980615)395:4<417::AID-CNE1>3.0.CO;2-4.View ArticlePubMedGoogle Scholar
- Lucas RJ, Freedman MS, Munoz M, Garcia-Fernandez JM, Foster RG: Regulation of the mammalian pineal by non-rod, non-cone, ocular photoreceptors. Science. 1999, 284: 505-507. 10.1126/science.284.5413.505.View ArticlePubMedGoogle Scholar
- Panda S, Sato TK, Castrucci AM, Rollag MD, DeGrip WJ, Hogenesch JB, Provencio I, Kay SA: Melanopsin (Opn4) requirement for normal light-induced circadian phase shifting. Science. 2002, 298: 2213-2216. 10.1126/science.1076848.View ArticlePubMedGoogle Scholar
- Lucas RJ, Hattar S, Takao M, Berson DM, Foster RG, Yau KW: Diminished pupillary light reflex at high irradiances in melanopsin-knockout mice. Science. 2003, 299: 245-247. 10.1126/science.1077293.View ArticlePubMedGoogle Scholar
- Gooley JJ, Lu J, Fischer D, Saper CB: A broad role for melanopsin in nonvisual photoreception. J Neurosci. 2003, 23: 7093-7106.PubMedGoogle Scholar
- Hattar S, Kumar M, Park A, Tong P, Tung J, Yau KW, Berson DM: Central projections of melanopsin-expressing retinal ganglion cells in the mouse. J Comp Neurol. 2006, 497: 326-349. 10.1002/cne.20970.PubMed CentralView ArticlePubMedGoogle Scholar
- Ruby NF, Brennan TJ, Xie X, Cao V, Franken P, Heller HC, O’Hara BF: Role of melanopsin in circadian responses to light. Science. 2002, 298: 2211-2213. 10.1126/science.1076701.View ArticlePubMedGoogle Scholar
- Gamlin PD, McDougal DH, Pokorny J, Smith VC, Yau KW, Dacey DM: Human and macaque pupil responses driven by melanopsin-containing retinal ganglion cells. Vision Res. 2007, 47: 946-954. 10.1016/j.visres.2006.12.015.PubMed CentralView ArticlePubMedGoogle Scholar
- Tsujimura S, Ukai K, Ohama D, Nuruki A, Yunokuchi K: Contribution of human melanopsin retinal ganglion cells to steady-state pupil responses. Proc Biol Sci. 2010, 277: 2485-2492. 10.1098/rspb.2010.0330.PubMed CentralView ArticlePubMedGoogle Scholar
- Lockley SW, Evans EE, Scheer FA, Brainard GC, Czeisler CA, Aeschbach D: Short-wavelength sensitivity for the direct effects of light on alertness, vigilance, and the waking electroencephalogram in humans. Sleep. 2006, 29: 161-168.PubMedGoogle Scholar
- Lupi D, Oster H, Thompson S, Foster RG: The acute light-induction of sleep is mediated by OPN4-based photoreception. Nat Neurosci. 2008, 11: 1068-1073. 10.1038/nn.2179.View ArticlePubMedGoogle Scholar
- Brown TM, Tsujimura S, Allen AE, Wynne J, Bedford R, Vickery G, Vugler A, Lucas RJ: Melanopsin-based brightness discrimination in mice and humans. Curr Biol. 2012, 22: 1134-1141. 10.1016/j.cub.2012.04.039.PubMed CentralView ArticlePubMedGoogle Scholar
- Ruger M, Gordijn MC, Beersma DG, De Vries B, Daan S: Weak relationships between suppression of melatonin and suppression of sleepiness/fatigue in response to light exposure. J Sleep Res. 2005, 14: 221-227. 10.1111/j.1365-2869.2005.00452.x.View ArticlePubMedGoogle Scholar
- Higuchi S, Ishibashi K, Aritake S, Enomoto M, Hida A, Tamura M, Kozaki T, Motohashi Y, Mishima K: Inter-individual difference in pupil size correlates to suppression of melatonin by exposure to light. Neurosci Lett. 2008, 440: 23-26. 10.1016/j.neulet.2008.05.037.View ArticlePubMedGoogle Scholar
- Santhi N, Thorne HC, van der Veen DR, Johnsen S, Mills SL, Hommes V, Schlangen LJ, Archer SN, Dijk DJ: The spectral composition of evening light and individual differences in the suppression of melatonin and delay of sleep in humans. J Pineal Res. 2012, 53: 47-59. 10.1111/j.1600-079X.2011.00970.x.View ArticlePubMedGoogle Scholar
- Winn B, Whitaker D, Elliott DB, Phillips NJ: Factors affecting light-adapted pupil size in normal human subjects. Invest Ophthalmol Vis Sci. 1994, 35: 1132-1137.PubMedGoogle Scholar
- Yu M, Kautz MA, Thomas ML, Johnson D, Hotchkiss ER, Russo MB: Operational implications of varying ambient light levels and time-of-day effects on saccadic velocity and pupillary light reflex. Ophthalmic Physiol Opt. 2007, 27: 130-141. 10.1111/j.1475-1313.2006.00450.x.View ArticlePubMedGoogle Scholar
- Higuchi S, Hida A, Tsujimura S, Mishima K, Yasukouchi A, Lee SI, Kinjyo Y, Miyahira M: Melanopsin gene polymorphism I394T is associated with pupillary light responses in a dose-dependent manner. Plos One. 2013, 8: e60310-10.1371/journal.pone.0060310.PubMed CentralView ArticlePubMedGoogle Scholar
- Hankins MW, Peirson SN, Foster RG: Melanopsin: an exciting photopigment. Trends Neurosci. 2008, 31: 27-36. 10.1016/j.tins.2007.11.002.View ArticlePubMedGoogle Scholar
- Hattar S, Lucas RJ, Mrosovsky N, Thompson S, Douglas RH, Hankins MW, Lem J, Biel M, Hofmann F, Foster RG, Yau KW: Melanopsin and rod-cone photoreceptive systems account for all major accessory visual functions in mice. Nature. 2003, 424: 76-81.PubMed CentralView ArticlePubMedGoogle Scholar
- Dacey DM, Liao HW, Peterson BB, Robinson FR, Smith VC, Pokorny J, Yau KW, Gamlin PD: Melanopsin-expressing ganglion cells in primate retina signal colour and irradiance and project to the LGN. Nature. 2005, 433: 749-754. 10.1038/nature03387.View ArticlePubMedGoogle Scholar
- Bowmaker JK, Dartnall HJ: Visual pigments of rods and cones in a human retina. J Physiol. 1980, 298: 501-511.PubMed CentralView ArticlePubMedGoogle Scholar
- Brainard GC, Hanifin JP, Greeson JM, Byrne B, Glickman G, Gerner E, Rollag MD: Action spectrum for melatonin regulation in humans: evidence for a novel circadian photoreceptor. J Neurosci. 2001, 21: 6405-6412.PubMedGoogle Scholar
- Munch M, Leon L, Crippa SV, Kawasaki A: Circadian and wake-dependent effects on the pupil light reflex in response to narrow-bandwidth light pulses. Invest Ophthalmol Vis Sci. 2012, 53: 4546-4555. 10.1167/iovs.12-9494.View ArticlePubMedGoogle Scholar
- Thapan K, Arendt J, Skene DJ: An action spectrum for melatonin suppression: evidence for a novel non-rod, non-cone photoreceptor system in humans. J Physiol. 2001, 535: 261-267. 10.1111/j.1469-7793.2001.t01-1-00261.x.PubMed CentralView ArticlePubMedGoogle Scholar
- Hankins MW, Lucas RJ: The primary visual pathway in humans is regulated according to long-term light exposure through the action of a nonclassical photopigment. Curr Biol. 2002, 12: 191-198. 10.1016/S0960-9822(02)00659-0.View ArticlePubMedGoogle Scholar
- Mure LS, Cornut PL, Rieux C, Drouyer E, Denis P, Gronfier C, Cooper HM: Melanopsin bistability: a fly’s eye technology in the human retina. Plos One. 2009, 4: e5991-10.1371/journal.pone.0005991.PubMed CentralView ArticlePubMedGoogle Scholar
- Lucas RJ, Douglas RH, Foster RG: Characterization of an ocular photopigment capable of driving pupillary constriction in mice. Nat Neurosci. 2001, 4: 621-626. 10.1038/88443.View ArticlePubMedGoogle Scholar
- Gooley JJ, Ho Mien I, St Hilaire MA, Yeo SC, Chua EC, van Reen E, Hanley CJ, Hull JT, Czeisler CA, Lockley SW: Melanopsin and rod-cone photoreceptors play different roles in mediating pupillary light responses during exposure to continuous light in humans. J Neurosci. 2012, 32: 14242-14253. 10.1523/JNEUROSCI.1321-12.2012.PubMed CentralView ArticlePubMedGoogle Scholar
- Daneault V, Vandewalle G, Hebert M, Teikari P, Mure LS, Doyon J, Gronfier C, Cooper HM, Dumont M, Carrier J: Does pupil constriction under blue and green monochromatic light exposure change with age?. J Biol Rhythm. 2012, 27: 257-264. 10.1177/0748730412441172.View ArticleGoogle Scholar
- West KE, Jablonski MR, Warfield B, Cecil KS, James M, Ayers MA, Maida J, Bowen C, Sliney DH, Rollag MD, Hanifin JP, Brainard GC: Blue light from light-emitting diodes elicits a dose-dependent suppression of melatonin in humans. J Appl Physiol. 2011, 110: 619-626. 10.1152/japplphysiol.01413.2009.View ArticlePubMedGoogle Scholar
- Zaidi FH, Hull JT, Peirson SN, Wulff K, Aeschbach D, Gooley JJ, Brainard GC, Gregory-Evans K, Rizzo JF, Czeisler CA, Foster RG, Moseley MJ, Lockley SW: Short-wavelength light sensitivity of circadian, pupillary, and visual awareness in humans lacking an outer retina. Curr Biol. 2007, 17: 2122-2128. 10.1016/j.cub.2007.11.034.PubMed CentralView ArticlePubMedGoogle Scholar
- Goel N, Terman M, Terman JS: Depressive symptomatology differentiates subgroups of patients with seasonal affective disorder. Depress Anxiety. 2002, 15: 34-41. 10.1002/da.1083.View ArticlePubMedGoogle Scholar
- Rosenthal NE, Sack DA, Gillin JC, Lewy AJ, Goodwin FK, Davenport Y, Mueller PS, Newsome DA, Wehr TA: Seasonal affective-disorder - a description of the syndrome and preliminary findings with light therapy. Arch Gen Psychiatry. 1984, 41: 72-80. 10.1001/archpsyc.1984.01790120076010.View ArticlePubMedGoogle Scholar
- Roecklein KA, Rohan KJ, Duncan WC, Rollag MD, Rosenthal NE, Lipsky RH, Provencio I: A missense variant (P10L) of the melanopsin (OPN4) gene in seasonal affective disorder. J Affect Disord. 2009, 114: 279-285. 10.1016/j.jad.2008.08.005.PubMed CentralView ArticlePubMedGoogle Scholar
- Enezi J, Revell V, Brown T, Wynne J, Schlangen L, Lucas R: A ‘melanopic’ spectral efficiency function predicts the sensitivity of melanopsin photoreceptors to polychromatic lights. J Biol Rhythms. 2011, 26: 314-323. 10.1177/0748730411409719.View ArticlePubMedGoogle Scholar
- Brown TM, Allen AE, al-Enezi J, Wynne J, Schlangen L, Hommes V, Lucas RJ: The melanopic sensitivity function accounts for melanopsin-driven responses in mice under diverse lighting conditions. Plos One. 2013, 8: e53583-10.1371/journal.pone.0053583.PubMed CentralView ArticlePubMedGoogle Scholar
- Kankipati L, Girkin CA, Gamlin PD: Post-illumination pupil response in subjects without ocular disease. Invest Ophth Vis Sci. 2010, 51: 2764-2769. 10.1167/iovs.09-4717.View ArticleGoogle Scholar
- Brainard GC, Hanifin JP, Rollag MD, Greeson J, Byrne B, Glickman G, Gerner E, Sanford B: Human melatonin regulation is not mediated by the three cone photopic visual system. J Clin Endocrinol Metab. 2001, 86: 433-436. 10.1210/jc.86.1.433.View ArticlePubMedGoogle Scholar
- Cajochen C, Munch M, Kobialka S, Krauchi K, Steiner R, Oelhafen P, Orgul S, Wirz-Justice A: High sensitivity of human melatonin, alertness, thermoregulation, and heart rate to short wavelength light. J Clin Endocrinol Metab. 2005, 90: 1311-1316.View ArticlePubMedGoogle Scholar
- Ruger M, St Hilaire MA, Brainard GC, Khalsa SB, Kronauer RE, Czeisler CA, Lockley SW: Human phase response curve to a single 6.5 h pulse of short-wavelength light. J Physiol. 2013, 591: 353-363. 10.1113/jphysiol.2012.239046.PubMed CentralView ArticlePubMedGoogle Scholar
- St Hilaire MA, Gooley JJ, Khalsa SB, Kronauer RE, Czeisler CA, Lockley SW: Human phase response curve to a 1 h pulse of bright white light. J Physiol. 2012, 590: 3035-3045. 10.1113/jphysiol.2012.227892.PubMed CentralView ArticlePubMedGoogle Scholar
- Katsuura T, Ochiai Y, Senoo T, Lee S, Takahashi Y, Shimomura Y: Effects of blue pulsed light on human physiological functions and subjective evaluation. J Physiol Anthropol. 2012, 31: 23-10.1186/1880-6805-31-23.PubMed CentralView ArticlePubMedGoogle Scholar
- Higuchi S, Fukuda T, Kozaki T, Takahashi M, Miura N: Effectiveness of a red-visor cap for preventing light-induced melatonin suppression during simulated night work. J Physiol Anthropol. 2011, 30: 251-258. 10.2114/jpa2.30.251.View ArticlePubMedGoogle Scholar
- Crowley SK, Youngstedt SD: Efficacy of light therapy for perinatal depression: a review. J Physiol Anthropol. 2012, 31: 15-10.1186/1880-6805-31-15.PubMed CentralView ArticlePubMedGoogle Scholar
- Fukuda Y, Higuchi S, Yasukouchi A, Morita T: Distinct responses of cones and melanopsin-expressing retinal ganglion cells in the human electroretinogram. J Physiol Anthropol. 2012, 31: 20-10.1186/1880-6805-31-20.PubMed CentralView ArticlePubMedGoogle Scholar
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