Biological Effects of Architectural Lighting and Their Associated Energy Utilization

Melatonin-depleted blood from premenopausal women exposed to light at night stimulates growth of human breast cancer xenografts in nude rats

The increased breast cancer risk in female night shift workers has been postulated to result from the suppression of pineal melatonin production by exposure to light at night. Exposure of rats bearing rat hepatomas or human breast cancer xenografts to increasing intensities of white fluorescent light during each 12-hour dark phase (0-345 microW/cm2) resulted in a dose-dependent suppression of nocturnal melatonin blood levels and a stimulation of tumor growth and linoleic acid uptake/metabolism to the mitogenic molecule 13-hydroxyoctadecadienoic acid. Venous blood samples were collected from healthy, premenopausal female volunteers during either the daytime, nighttime, or nighttime following 90 minutes of ocular bright, white fluorescent light exposure at 580 microW/cm2 (i.e., 2,800 lx). Compared with tumors perfused with daytime-collected melatonin-deficient blood, human breast cancer xenografts and rat hepatomas perfused in situ, with nocturnal, physiologically melatonin-rich blood collected during the night, exhibited markedly suppressed proliferative activity and linoleic acid uptake/metabolism. Tumors perfused with melatonin-deficient blood collected following ocular exposure to light at night exhibited the daytime pattern of high tumor proliferative activity. These results are the first to show that the tumor growth response to exposure to light during darkness is intensity dependent and that the human nocturnal, circadian melatonin signal not only inhibits human breast cancer growth but that this effect is extinguished by short-term ocular exposure to bright, white light at night. These mechanistic studies are the first to provide a rational biological explanation for the increased breast cancer risk in female night shift workers.

The effect of polarized versus nonpolarized light on melatonin regulation in humans

The aim of this study was to compare the effects of polarized light versus nonpolarized light on melatonin secretion in healthy, humans (mean age, 25 years; N = 6). On separate evenings, each subject was exposed to four different light intensities (20, 40, 80 and 3200 lx) of both polarized and nonpolarized light, as well as to a control, dark exposure. Each evening experiment consisted of a 120 min dark exposure (0000-0200 h) followed by a 90 min light exposure (0200-0330 h). Subjects' pupils were dilated prior to exposures. Blood samples were drawn at the start and end of each light-exposure period and later assayed for melatonin by radioimmunoassay. When compared to control exposures, both polarized and nonpolarized light elicited significant suppression of plasma melatonin at each illuminance (P < 0.03 to P < 0.0001), There were no significant differences between the effects of polarized light and nonpolarized light at any illuminance. The two light stimuli modalities demonstrated very similar fluence-response relationships between illuminance and melatonin suppression. Thus, the human pineal gland is responsive to ocular exposure with polarized light in a dose-dependent manner similar to that of nonpolarized light, although no significant differences were detected between polarized and nonpolarized light on melatonin regulation.

Physiological effects of sudden change in illuminance during dark-adapted state

To derive an optimal illuminance of nighttime illumination, we conducted an experiment with 7 healthy young individuals and 7 healthy elderly individuals as subjects. After 20 minutes of adaptation to darkness, subjects were exposed to illumination under 5 conditions comprising 0.5 lx, 1 lx, 3 lx, 10 lx, or 30 lx vertical illuminance of the facial region, and heart rate variability (HRV) and electroencephalogram (EEG) were measured, and discomfort was evaluated by subjective report. Results of LF/(LF + HF) (LF = low frequency, HF = high frequency) demonstrated a V-shaped trend for the young groups beginning during exposure and ending post exposure, with 3 lx conditions representing the minimum value, a value markedly lower than that for 30 lx conditions. From these results we inferred that approximately 3 lx illuminance could best suppress physiological stress. Evaluation of discomfort by subjective report also demonstrated an increase in discomfort evaluation scores under high illuminance conditions. The alpha-wave proportion of EEG during exposure fell markedly on 3 lx or higher illuminance conditions, and we inferred that visual sensory information and cortical activity level were adequately attained in 3 lx or higher illuminance conditions. These results suggest that the optimal illuminance of nighttime illumination is approximately 3 lx.