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Circadian Rhythms

Biological rhythms govern the ebb and flow of life on planet Earth. Animals have an internal timekeeping mechanism that precisely regulates 24-hour rhythms of body function and behavior and synchronizes them to the day/night cycle. Circadian pacemakers trigger behavioral and physiological processes that dictate our daily rhythms. Despite the importance of the circadian clock to all aspects of our physiology and behavior, the opportunity to probe the human circadian clock only recently became possible with the recognition of Mendelian circadian variants in people (familial advanced sleep phase syndrome, FASPS). We have now cloned several genes and identified mutations causing FASPS. Study of these genes and the proteins they encode and engineering of the human mutations into mouse models are allowing study of this fascinating phenotype and yielding novel insights into circadian regulation in humans. Ultimately, such work will allow us to understand the similarities and differences between the human clock and those of model organisms. In addition, recent studies have also linked disruption of the circadian clock with numerous ailments, including cancer, cardiovascular diseases, asthma, and learning disorders. Thus, studying the molecular mechanism of human circadian rhythmicity will have an enormous impact on our understanding of human health and disease. It should also lead to new strategies for pharmacological manipulation of the human clock to improve the treatment of jet lag, various clock-related sleep and psychiatric disorders, and other human diseases. (Ptacek, LJ; Jones, CR; Fu, YF. Cold Spring Harbor Symposium Quant Biol. 2007;72:273-7)

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Familial Advanced Sleep Phase Syndrome

Familial Advanced Sleep Phase Syndrome is a circadian rhythm disorder in which sleep onset occurs in early evening and, as a consequence, wakefulness occurs in early morning.

Our Research

We have isolated one gene called hPer2 that causes FASPS when it occurs in a variant (mutant) form. Other genes that are transmitted in an autosomal dominant fashion are known to cause FASPS in laboratory animals. We have shown that not all families with FASPS have the hPer2 mutation. Therefore, mutations in other genes must also be responsible for FASPS. Investigating sporadic cases of FASPS will be valuable in identifying new mutations.

 

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Familial Delayed Sleep Phase Syndrome

FDSPS individuals experience a delay of their sleep cycle so that they fall asleep late in the night and wake late in the morning or afternoon.  FDSPS is also thought to be heritable, but so far very little is known about the genetic basis of FDSPS. This sleep disorder is relatively common in adolescents and often seems to resolve with age, but other individuals are affected by this condition all of their lives.  While it has been difficult to fully determine the sociocultural factors that influence this sleep pattern in adolescents, it may have a strong biological basis.

 

Our Research

 

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Familial Natural Short Sleepers

Familial Natural Short Sleepers have a behavioral trait in which they have a lifelong tendency to sleep only 4 – 6 hours per night. These individuals awaken refreshed and energetic and experience this short sleep pattern even when they are on vacation and relatively free of obligations.

Our Research

We have identified a mutation in a transcriptional repressor (hDEC2-P384R) that is associated with a human short sleep phenotype. Activity profiles and sleep recordings of transgenic mice carrying this mutation showed increased vigilance time and less sleep time than control mice in a zeitgeber time and sleep deprivation-dependent manner. These mice represent a model of human sleep homeostasis that provides an opportunity to probe the effect of sleep on human physical and mental health.

 

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Advanced Sleep Phase syndrome of Aging

Advanced Sleep Phase of Aging is a profound problem for the elderly population. In fact, one third of the population over 65 years of age experience a change in their sleep cycle when they fall asleep at earlier and earlier times and then wake up early in the morning. The cause of this condition is not known but it appears in association with the normal aging process. We hypothesize that age-related changes in gene expression (rather than gene mutations) are one possible cause of the shortened sleep time for the elderly.

 

Our Research

We're currently testing the hypothesis that transcriptional repression of a gene (hPer2) as a stochastic process with aging causes the phenotype of earlier sleep wake times in humans.

 

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Participate in a Research Study

We are currently enrolling participants affected by FASPS, FDSPS, and FNSS into our circadian studies.

As an initial screening process, you will be asked to fill out a set of questionnaires. These questionnaires are used to help our clinical sleep doctor assess your sleep patterns and account for factors affecting the quality of your sleep. Once you return the questionnaire and your eligibility is confirmed, a short sleep interview over the phone will be scheduled to find out more about your sleeping patterns. Participants will then sign consent forms detailing the study objectives, UCSF health privacy policy, and procedures and donate either a blood or saliva sample for DNA extraction.  We may also request clinical files or other medical records.

We would truly appreciate hearing from you if you feel you have FASPS, FDSPS, or FNSS and are interested in participating in our studies.

Please refer to our Contact Page for more instructions.

We are currently not enrolling participants affected by ASPS of Aging. We may open enrollment in the future. If you would like to be contacted in the future for our circadian studies, please contact our clinical coordinators with your information. Please refer to the Contact Page for more information.

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Publications

1. Modeling of a Human Circadian Mutation Yields Insights into Clock Regulation by PER2;  Cell 128, 59-70, January 12, 2007

2. Familial advanced sleep-phase syndrome: A short-period circadian rhythm variant in humans; Nature Medicine, Vol 5, No 9, 1062-65, September 1999

3. Functional consequences of a CKIδ mutation causing familial advanced sleep phase syndrome; Nature, Vol 434, 640-44, 31 March 2005

4. An hPer2 Phosphorylation Site Mutation in Familial Advanced Sleep Phase Syndrome; Science, Vol 291, 1040-43, 9 February 2001

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Other Sleep Resources

For more information, please visit the following sites:

National Center on Sleep Disorders Research

Sleep Information for Patients and the General Public

National Sleep Foundation

American Sleep Association

MedlinePlus: Sleep Disorders

National Society of Genetic Counselors

 

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UCSF - Department of Neurology, MC 2922Fu & Ptáček Laboratories 1550 Fourth St., Room 548San Francisco, CA 94158-2324USAtel: +1.415.502.5614fax:  +1.415.502.5641