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COVID-19
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The goal is to address the mechanisms that account for alteration of circadian rhythms with age. As the blood of aged individuals can produce this alteration, the investigators propose to use such blood samples to "age" circadian rhythms in cultured cells. The investigators will verify aged blood-dependent alteration of rhythms and then conduct molecular screens to reverse this decline. If the investigators identify specific genes that can restore molecular circadian rhythm in vitro, the investigators will explore these in animal models (Drosophila, mouse).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Young | Observational study without intervention |
| |
| Elderly | Observational study without intervention |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Observational study without intervention | Other | Observational study without intervention |
|
| Measure | Description | Time Frame |
|---|---|---|
| Delta of period length measured in hh:mm between in vitro cycling fibroblasts incubated with serum collected from cases (elderly adults) versus controls (young adults) | To determine if serum collected from young versus old healthy study participants have a differential effect on the expression of circadian rhythms in an in vitro culture of a fibroblast cell line | Time point 14:00 Hours |
| Delta of phase measured in HH:mm between in vitro cycling fibroblasts incubated with serum collected from cases (elderly adults) versus controls (young adults) | The primary endpoint will be the difference in phase angle in vitro between cycling fibroblasts and incubated with serum collected from cases (old adults) versus controls (young adults) | Time point 14:00 Hours |
| Measure | Description | Time Frame |
|---|---|---|
| Chronotype | Assessed per survey; chronotypes per Munich Chronotype questionnaire are extreme early type, moderate early type, slight early type, normal type, slight late type, moderate late type, extreme late type | 4 weeks |
| Acrophase |
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Inclusion Criteria:
General good health with the following conditions permissible
Cases: 70-85 years of age
Controls: 20-35 years of age
Patients must be able to read and understand English
Participants must sign the informed consent form
Participants must have a wrist-actigraphy-based average TST (total sleep time) ≥ 6 hours per night (measured over 7 consecutive days) occurring between 22:00 - 08:00
Exclusion Criteria:
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Apparent healthy volunteers
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| Name | Affiliation | Role |
|---|---|---|
| Carsten Skarke, MD | University of Pennsylvania | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Pennsylvania School of Medicine | Philadelphia | Pennsylvania | 19104 | United States |
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| ID | Term |
|---|---|
| D019370 | Observation |
| D008722 | Methods |
| ID | Term |
|---|---|
| D008919 | Investigative Techniques |
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Clock hour of peak physical activity averaged from 7 or more days of actigraphy
| 7 days |
| Physical activity | Vector magnitude of physical activity averaged from 7 or more days of actigraphy | 7 days |
| Sleep quantity | Hours of sleep averaged from 7 or more days of actigraphy | 7 or more days |
| Sleep quality: actigraphy | Sleep fragmentation averaged from 7 or more days of actigraphy | 7 days |
| Ambient light exposure | Ambient light exposure averaged from 7 or more days of actigraphy | 7 days |
| Heart rate variability | Heart rate variability (RR intervals) averaged from 24 hours of BioPatch | 24 hours |
| Saliva cortisol | Difference in concentrations of cortisol measured in saliva between morning versus evening | 24 hours |