The Four Seasons Hotel
October 10, 2002

Challenging The Chronobiological Imperative
Chronobiology maps our biological rhythms. It reflects changes that take place in our social clocks, such as puberty, marriage, childbearing, or career peaks. Over time, these events have reflected “natural” rhythms. Today, new tempos are replacing the previous natural patterns. We often hear people talk about being “out of sync,” and this has various chronobiological implications. It can mean being out of sync with their bodies (e.g., experiencing jet lag or working an all night shift); being out of sync with their lives (e.g., working too much and not having enough balance); or experiencing sensitivity to the lack of daylight.

At the beginning of the 21st century, chronobiology has become most important as a way of “reconceiving the structure of life.” Our view of aging, in particular, is undergoing a whole new way of thinking as “natural” cycles and patterns are being challenged and replaced through genomics, biotechnology, chronotherapy, and technology.

The change in our life cycles has direct impact on aging. For example, the number of girls entering puberty at younger ages appears to be increasing each year. Women are postponing childbirth, and they are bearing fewer children. The number of American women in their 40s with only one child has risen to 17% today from 10% in the early 1980s. Having another baby at 40 is becoming “the ultimate 40th birthday gift.” The search for youth has become more important for men, as younger and younger men are vying for plastic surgery. Older marriages are breaking up instead of lasting a lifetime. As people age, they have more opportunity to get tired of each other, and more of these longer-term marriages are ending in divorce. Retirement has undergone a total metamorphosis, as older people are working part time, mentoring and volunteering in philanthropic and community projects.

We are at the early stages of knowing the extent of the impact of genomics on chronobiology, but already we see the impact on aging.

• Genome mapping will shorten the process of biological evolution, according to physicist Stephen Hawking. The Society of Regenerative Medicine was established to promote research on “the human body’s natural ability to build, repair, and maintain itself.” William Haseltine, head of Human Genome Sciences, stated that “the real goal is to keep people alive forever.”
• Structural biology is transforming into structural genomics. Many structural biologists focus on interpreting the biological meaning of new information; some focus on drug design.
• The output of genome data has given us information on causes of aging. The resulting ethical issue is how we will handle growing potential to manipulate genomes.

Biological research is generating discoveries that could affect chronobiology. It is common knowledge that people don’t get enough sleep, and this affects circadian rhythms. Regulating melatonin levels artificially resets our body clocks, and melatonin supplements are commonly used, particularly for people doing shift work or combating jet lag.

• “In silico” biology creates “what if” scenarios that result in better drug application. These scenarios, combined with chronotherapy (the timing of medication based on natural rhythms and the disease), may have direct impact on aging.
• Regenerative medicine, the ability to grow new cells in the brain (employing tissue engineering and substitution medicine), may actually increase one’s mental potential in old age.
• Scientists are examining the genetic basis of our circadian clock and deriving treatments for sleep problems.
• Depression may be linked to a slowdown in growth of brain chemicals. Depression is forecasted to be the second most common disease, so breakthroughs will have a direct impact on people’s health and subsequent longevity.

Advances in technology have a direct affect on aging and chronobiology.

• One of the biggest fears of older people is falling. Given new prevention and treatment options, this doesn't have to be part of aging. There are also wrap around “smart glasses” with wireless Internet access. Older people can wear these glasses for everything from warning about falling to keeping them safe to attracting companions.
• Human brains control artificial devices. One of the big applications of this is to replace weakened or failed sensory and motor functions.
• A digital family portrait receives daily information from sensors in the homes of elderly parents.

There are new chronobiological ramifications from the 24/7 world. People may experience an identity lag or cultural lag from the rapid transformation of information technology. The impact may be similar to jet lag. Stress has a negative impact on our immune system. When stress is managed, the immune system flourishes and people have the potential to live longer. The increasingly common 24/7 lifestyle wreaks havoc on chronobiology. People are more dispersed in time, extending activities into a 24 hour cycle. Longer work hours, increased workload and increased stress have led to examples of desk rage. Suppression of emotions on the job may be stress-inducing, resulting in suppression of the immune system.

Implications:
We may be underestimating coming advances and their impacts on aging. Experts are questioning official census forecasts, admitting that although increases in life expectancy over the next fifty years are projected, the estimates seem low based on medical and scientific prospects for intervening in the aging process and extending the human life span. Indeed, as we imagine the possibilities of the structure of life, our lives can take significantly different directions, since chronobiology can help us plan and organize our life path.

Existing technologies may be adaptive to chronobiological changes.

• Wireless phones are being used more for mobile technology and medicine. This can be a lifesaver for a patient in critical need of medical information. Why not have a wireless Internet application that sends reminders about schedules, medicine, timing, etc. to older patients?
• Ultra wide band technology, pulse position technology, is used for mine detection and underground imaging of earthquake victims. Perhaps there is an application for detecting changes in the body’s natural rhythms.

By the end of this century, Robo Sapiens may be as common as people with heart transplants. As humans have some combination of corneal implant, artificial limbs and brain chips, they are assuming robotic features. This will presumably work in tandem with chronobiological discoveries to alter the timing of our life paths. “Full immersion virtual reality” coupled with wireless Internet access will change our lives in even the smallest ways, such as searching for misplaced items. This tactile virtual reality is a natural to combine with chronobiology to alter our perceptions, timing and outcomes.

As chronobiology and biotechnology further intertwine, organizations have to step back and reframe the social clocks that have been part of our past.


Issues Analysis provided by: Weiner, Edrich, Brown, Inc.
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