By Jeff Norris
Older men who have a weak or irregular circadian rhythm guiding their daily cycles of rest and activity are more likely to later develop Parkinson’s disease, according to a new study by scientists at the UC San Francisco Weill Institute for Neurosciences' Department of Psychiatry who analyzed 11 years of data for nearly 3,000 independently living older men.
The scientists said their discovery of the link between circadian rhythms and Parkinson’s — a disease characterized by loss of control over movement, balance and other brain functions — suggests these circadian disruptions may reflect neurodegenerative disease processes already affecting the brain’s internal clock well before a Parkinson’s diagnosis, and that they could be considered an early warning sign of the disease.
“The strength of the circadian rhythm activity seems to have a really important effect on health and disease, particularly in aging. In this latest study we found that even small changes in circadian rhythm in older men were associated with a greater likelihood of getting Parkinson’s down the line,” said study senior author Kristine Yaffe, MD, the Roy and Marie Scola Endowed Chair and vice chair in the Department of Psychiatry, a professor of psychiatry, neurology, and epidemiology and biostatistics, and a member of the UCSF Memory and Aging Center.
The results — published June 15, 2020 in JAMA Neurology — merit follow-up, according to the study authors, to investigate whether physiological changes set off by disruptions in circadian rhythms might themselves be a trigger for neurodegeneration, and whether strengthening these rhythms could lower risk for developing Parkinson’s.
Parkinson’s is the second most common neurodegenerative disorder after Alzheimer’s disease. 500,000 individuals in the United States have been diagnosed with Parkinson’s disease, and many with the disease are undiagnosed, according to the National Institute of Neurological Disorders and Stroke. Most who have Parkinson’s are diagnosed after age 60. There are no drugs known to prevent the disease, but there are a growing number of treatments to relieve symptoms.
Among older adults, weakened or irregular circadian rhythms of rest and activity are common, according to study lead author Yue Leng, MD, PhD, an assistant professor of psychiatry at UCSF. Other conditions — constipation or deficits in the sense of smell — have also been associated with increased likelihood of developing Parkinson’s later on.
“Parkinson’s is a disease that probably takes decades to develop, and apart from changes in movement, earlier signs might be critical in understanding the disease and its mechanisms,” Leng said. “This is the first large, long-term study to find that disrupted circadian rhythms might be linked to Parkinson’s that emerges years later.”
Researchers probe brain’s 24-hour biological clock for neurodegenerative risks
The study, which enrolled 2,930 men with an average age of 76.3 when the research began, was part of the larger, population-based Osteoporotic Fractures in Men Study (MRoS), which began in 2000 and enrolled men at six medical centers nationwide. None of the participants in the subset of the MRoS cohort initially had Parkinson’s, and all were living in community-based settings (i.e. not in nursing homes). Their status for many health-related factors was assessed at the start, and they were monitored through follow-up visits and questionnaires.
As part of the study, researchers monitored circadian rhythms of rest and activity over three separate 24-hour periods by having participants wear an actigraph — a watch-like device that detects and records even slight wrist movements. The data collected from these devices were independently associated with the later development of Parkinson’s.
In a previous study, Leng and Yaffe identified an association between daytime napping and the later development of Parkinson’s. But the link between circadian rhythms and Parkinson’s is not just a matter or disrupted sleep, according to the new study. The association held true even after accounting for indicators of sleep disturbances — including loss of sleep; sleep inefficiency (time spent asleep after turning off the lights); leg movement during sleep; and the chronic, temporary cessation of breathing known as sleep apnea.
In drawing this conclusion, the researchers took into account numerous other variables collected as part of the MRoS study, including regional differences in study sites and participant demographics, education, baseline cognitive performance, chronic diseases, physical activity, symptoms of depression, body mass index, smoking, and use of benzodiazepines, alcohol, and caffeine.
Leng and Yaffe evaluated four parameters of participants’ rest–activity rhythms as measured by actigraph: amplitude, the difference between the period of greatest to least activity; mesor, the average activity; robustness, how well the measured cyclical rest–activity matched a regular curve similar to a cosine wave; and acrophase, a measure of advance or delay in the 24-hour cycle relative to the population average.
During follow-up, 78 of the 2,930 study participants were diagnosed with Parkinson’s. Those who scored lowest in actigraph amplitude, mesor or robustness had triple the risk of developing Parkinson’s compared to those who scored highest. The researchers did not find an association between acrophase and Parkinson’s risk.
Animal models of Parkinson’s have shown that cells controlling the brain’s circadian rhythm pacemaker often begin to degenerate even before cells in the part of the brain that are traditionally associated with Parkinson’s symptoms, suggesting that weakening of circadian rhythm may in some cases represent an early stage of disease.
Leng also does not rule out the possibility that disruptions in circadian rhythm, already known to cause metabolic changes and inflammation, might themselves contribute to neurodegenerative disease. Leng hopes to investigate whether weakened circadian rhythms trigger inflammation or the abnormal accumulation of proteins seen in affected brain tissue in both Parkinson’s and Alzheimer’s.
“These neurodegenerative diseases are not reversible,” she said. “But if research points to sleep or circadian problems being risk factors for neurodegeneration prior to traditional symptoms, then we may be able to use that information for early detection and diagnosis, or we might be able to intervene in ways that prevent development of neurodegenerative loss of function.”
Authors: Yue Leng, MD, PhD, and Kristine Yaffe, MD, of UCSF; Terri Blackwell, Peggy Cawthon, PhD, and Katie Stone, PhD, of the California Pacific Medical Center; and Sonia Ancoli-Israel, PhD, of UC San Diego.
Funding: The study was supported by the UCSF Weill Institute for Neurosciences and the U.S. National Institute on Aging (NIA), the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), the National Center for Advancing Translational Sciences (NCATS), the National Heart, Lung, and Blood Institute (NHLBI) and NIH Roadmap for Medical Research. For full funding details, see the published paper.
Disclosures: The authors declare no competing financial interests.
Read the paper
- JAMA Neurology: Association of Circadian Abnormalities in Older Adults With an Increased Risk of Developing Parkinson Disease
About UCSF Psychiatry
The UCSF Department of Psychiatry, UCSF Langley Porter Psychiatric Hospital, and the Langley Porter Psychiatric Institute are among the nation's foremost resources in the fields of child, adolescent, adult, and geriatric mental health. Together they constitute one of the largest departments in the UCSF School of Medicine and the UCSF Weill Institute for Neurosciences, with a mission focused on research (basic, translational, clinical), teaching, patient care, and public service.
UCSF Psychiatry conducts its clinical, educational and research efforts at a variety of locations in Northern California, including UCSF campuses at Parnassus Heights, Mission Bay and Laurel Heights, UCSF Medical Center, UCSF Benioff Children's Hospitals, Zuckerberg San Francisco General Hospital and Trauma Center, the San Francisco VA Health Care System, and UCSF Fresno.
About the UCSF Weill Institute for Neurosciences
The UCSF Weill Institute for Neurosciences, established by the extraordinary generosity of Joan and Sanford I. "Sandy" Weill, brings together world-class researchers with top-ranked physicians to solve some of the most complex challenges in the human brain.
The UCSF Weill Institute leverages UCSF’s unrivaled bench-to-bedside excellence in the neurosciences. It unites three UCSF departments—Neurology, Psychiatry, and Neurological Surgery—that are highly esteemed for both patient care and research, as well as the Neuroscience Graduate Program, a cross-disciplinary alliance of nearly 100 UCSF faculty members from 15 basic-science departments, as well as the UCSF Institute for Neurodegenerative Diseases, a multidisciplinary research center focused on finding effective treatments for Alzheimer’s disease, frontotemporal dementia, Parkinson’s disease, and other neurodegenerative disorders.
UC San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. It includes top-ranked graduate schools of dentistry, medicine, nursing and pharmacy; a graduate division with nationally renowned programs in basic, biomedical, translational and population sciences; and a preeminent biomedical research enterprise.
It also includes UCSF Health, which comprises three top-ranked hospitals—UCSF Medical Center and UCSF Benioff Children’s Hospitals in San Francisco and Oakland—as well as Langley Porter Psychiatric Hospital, UCSF Benioff Children’s Physicians, and the UCSF Faculty Practice. UCSF Health has affiliations with hospitals and health organizations throughout the Bay Area. UCSF faculty also provide all physician care at the public Zuckerberg San Francisco General Hospital and Trauma Center, and the San Francisco VA Medical Center. The UCSF Fresno Medical Education Program is a major branch of the University of California, San Francisco’s School of Medicine.