The deliberate adjustment of the timing of an organism’s internal biological clock, or circadian rhythm, relative to the external 24-hour cycle, often employed to mitigate the effects of jet lag, shift work, or to correct a pathologically delayed or advanced sleep-wake phase disorder. This clinical technique involves strategically timed exposure to powerful environmental cues, known as zeitgebers, such as light, melatonin, and food intake. The goal is to synchronize the central suprachiasmatic nucleus (SCN) and peripheral clocks with the desired schedule.
Origin
This specialized term is a core concept within chronobiology, stemming from decades of research into the oscillatory nature of biological systems. The ‘phase’ refers to a specific point in the cycle, and ‘shifting’ describes the intentional movement of that cycle’s timing. Clinical interest in phase shifting intensified with the recognition of circadian misalignment as a major contributor to metabolic and hormonal dysfunction.
Mechanism
The primary mechanism involves the influence of light on the retinohypothalamic tract, which projects directly to the SCN, the master clock. Exposure to bright light early in the biological day causes a phase advance, while exposure late in the biological day causes a phase delay. Melatonin administration acts as a ‘dark signal,’ facilitating a phase advance when taken in the late afternoon or early evening. The precise timing of these cues resets the molecular clock genes, such as Period and Cryptochrome, throughout the body.
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