Sleep and Circadian Rhythms in Humans
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During the past 50 years, converging evidence reveals that the fundamental properties of the human circadian system are shared in common with those of other organisms. Concurrent data from multiple physiological rhythms in humans revealed that under some conditions, rhythms oscillated at different periods within the same individuals and led to the conclusion 30 years ago that the human circadian system was composed of multiple oscillators organized hierarchically; this inference has recently been confirmed using molecular techniques in species ranging from unicellular marine organisms to mammals. Although humans were once thought to be insensitive to the resetting effects of light, light is now recognized as the principal circadian synchronizer in humans, capable of eliciting weak (Type 1) or strong (Type 0) resetting, depending on stimulus strength and timing. Realization that circadian photoreception could be maintained in the absence of sight was first recognized in blind humans, as was the property of adaptation of the sensitivity of circadian photoreception to prior light history. In sighted humans, the intrinsic circadian period is very tightly distributed around approximately 24.2 hours and exhibits aftereffects of prior entrainment. Phase angle of entrainment is dependent on circadian period, at least in young adults. Circadian pacemakers in humans drive daily variations in many physiologic and behavioral variables, including circadian rhythms in alertness and sleep propensity. Under entrained conditions, these rhythms interact with homeostatic regulation of the sleep/wake cycle to determine the ability to sustain vigilance during the day and to sleep at night. Quantitative understanding of the fundamental properties of the multioscillator circadian system in humans and their interaction with sleep/wake homeostasis has many applications to health and disease, including the development of treatments for circadian rhythm and sleep disorders.
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The expression of circadian rhythms seems to be most obvious in the rhythmicity of sleep and neurobehavioral performance in humans.
“The expression of circadian rhythms nevertheless seems to be most obvious in the rhythmicity of sleep and neurobehavioral performance in humans 40.”
From The inner clock-Blue light sets the human rhythm (2019) · cites this paper as [40]
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The Human Circadian Timing System and Sleep–Wake Regulation
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Effects of Sleep Inertia on Cognition
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Self-citationDynamic resetting of the human circadian pacemaker by intermittent bright light
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Self-citationVisual and circadian responses to light in aged retinally degenerate mice
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Self-citationPhotic Resetting of the Human Circadian Pacemaker in the Absence of Conscious Vision
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Self-citationDaytime melatonin administration enhances sleepiness and theta/alpha activity in the waking EEG
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Self-citationThe effects of sleep inertia on decision‐making performance
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Research on sleep, circadian rhythms and aging: Applications to manned spaceflight
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Self-citationDisturbed Sleep While Being On-Call: An EEG Study of Ships' Engineers
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Self-citationSleep Inertia: Best Time Not to Wake Up?
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When Policy Meets Physiology: The Challenge of Reducing Resident Work Hours
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Resetting the Melatonin Rhythm with Light in Humans
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Self-citationPhotopic transduction implicated in human circadian entrainment
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Self-citationHuman Circadian Physiology and Sleep-Wake Regulation
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Self-citationPhysiological effects of light on the human circadian pacemaker
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Self-citationSuppressing Drosophila Circadian Rhythm with Dim Light
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Effective Implementation of Work-Hour Limits and Systemic Improvements
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Self-citationSleep and waking in a time-free environment
Webb, W. B., & Agnew, H. W. (1974) · NASA Technical Reports Server (NASA) · Cited by 53 · see citing works
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The Gordon Wilson Lecture: work hours, sleep and patient safety in residency training.
Czeisler, C. A. (2006) · Europe PMC (PubMed Central) · Cited by 33 · see citing works
Self-citationUnderstanding the Use of Light to Control the Circadian Pacemaker in Humans
Kronauer, R. E., & Czeisler, C. A. (1993) · Elsevier eBooks · doi:10.1016/b978-0-08-042279-4.50019-4 · Cited by 32 · see citing works
Self-citationRevised Limit Cycle Oscillator Model of Human Circadian Pacemaker
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Phase-resetting a mosquito circadian oscillator
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Corkscrews and singularities in fruitflies - Resetting behavior of the circadian eclosion rhythm.
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Circadian Systems in Man and Their Implications
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Task Performance after Awakenings from Different Stages of Sleep
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Disorders of Sleep and Circadian Rhythms
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Biomathematical Modeling Workshop, May 18-21, 1999
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Self-citationImpact of a sleep length on the 24-hour leptin profile
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Quantifying consequences of chronic sleep restriction.
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N-electron train effect on the enhancement of persistent current
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The inner clock-Blue light sets the human rhythm
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The human circadian system adapts to prior photic history
Chang, A., Scheer, F. A. J. L., & Czeisler, C. A. (2011) · The Journal of Physiology · doi:10.1113/jphysiol.2010.201194 · Cited by 263 · see citing works
Self-citationGenetic basis of chronotype in humans: insights from three landmark GWAS
Kalmbach, D. A., Schneider, L. D., Cheung, J., Bertrand, S. J., Kariharan, T., Pack, A. I., & Gehrman, P. R. (2017) · Sleep · doi:10.1093/sleep/zsw048 · Cited by 243 · see citing works
Sleep in America: role of racial/ethnic differences
Adenekan, B., Pandey, A., McKenzie, S., Zizi, F., Casimir, G. J., & Jean-Louis, G. (2013) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2012.07.002 · Cited by 197 · see citing works
Dijk, D.-J., Duffy, J. F., Silva, E. J., Shanahan, T. L., Boivin, D. B., & Czeisler, C. A. (2012) · PLoS ONE · doi:10.1371/journal.pone.0030037 · Cited by 170 · see citing works
Self-citationCan light make us bright? Effects of light on cognition and sleep
Chellappa, S. L., Gordijn, M. C. M., & Cajochen, C. (2011) · Progress in brain research · doi:10.1016/b978-0-444-53817-8.00007-4 · Cited by 157 · see citing works
The etiology of delayed sleep phase disorder
Micic, G., Lovato, N., Gradisar, M., Ferguson, S. A., Burgess, H. J., & Lack, L. C. (2016) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2015.06.004 · Cited by 84 · see citing works
What keeps us awake?–the role of clocks and hourglasses, light, and melatonin
Cajochen, C., Chellappa, S., & Schmidt, C. (2010) · International review of neurobiology · doi:10.1016/s0074-7742(10)93003-1 · Cited by 73 · see citing works
Smarr, B. L., & Schirmer, A. E. (2018) · Scientific Reports · doi:10.1038/s41598-018-23044-8 · Cited by 72 · see citing works
Circadian rhythm and cardiovascular disease
Shaw, E., & Tofler, G. H. (2009) · Current Atherosclerosis Reports · doi:10.1007/s11883-009-0044-4 · Cited by 55 · see citing works
The bright and dark side of blue-enriched light on sleep and activity in older adults.
Barroggi Constantino, D., Lederle, K. A., Middleton, B., Revell, V. L., Sletten, T. L., Williams, P., Skene, D. J., & van der Veen, D. R. (2025) · GeroScience · doi:10.1007/s11357-025-01506-y · Cited by 9 · see citing works
Sleep Medicine - Asleep or Awake?
(2024) · doi:10.5772/intechopen.104201 · Cited by 5 · see citing works
Crouse, J. J., Loblay, V., Jorm, A., Wong, T. R., de Haan, Z., Gorban, C., Shin, M., Tonini, E., Aiken, C., Alloy, L. B., et al. (2026) · Bipolar Disorders · doi:10.1111/bdi.70141 · Cited by 3 · see citing works
- Authors
- Czeisler, C. A., & Gooley, J. J.
- Affiliations
- Brigham and Women's Hospital (US)
- Venue
- Cold Spring Harbor Symposia on Quantitative Biology
- Publisher
- Cold Spring Harbor Laboratory
- Published
- 2007-01
- Volume
- 72
- Issue
- 1
- Pages
- 579-597
- ISSN
- 0091-7451 (ISSN-L)
- OpenAlex
- W2008671752
- Cited by
- 425
- References
- 196
- Citations by year
- 2026: 32 · 2025: 35 · 2024: 23 · 2023: 24 · 2022: 31 · 2021: 34 · 2020: 22 · 2019: 41 · 2018: 22 · 2017: 22 · 2016: 15 · 2015: 17 · 2014: 29 · 2013: 19 · 2012: 14
- Type
- posted content
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Cold Spring Harbor Symposia on Quantitative Biology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Aeronautics and Space Administration
- National Space Biomedical Research Institute
- Strong
- University of Oxford
- National Institutes of Health
- National Institute of Mental Health
- National Center for Research Resources
- Air Force Office of Scientific Research
- Topics
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Keywords
- circadian rhythm, sleep, circadian system, circadian clock, light entrainment, circadian photoreception, circadian period, sleep homeostasis, alertness, circadian rhythm sleep disorders, circadian pacemaker
- MeSH terms
- Automobile Driving, Circadian Rhythm, Homeostasis, Humans, Melatonin, Sleep, Sleep Wake Disorders, Sleep Stages, Wakefulness, Work Schedule Tolerance, Photoperiod, Photobiology
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