SummaryAs the ear has dual functions for audition and balance, the eye has a dual role in detecting light for a wide range of behavioral and physiological functions separate from sight [1–11]. These responses are driven primarily by stimulation of photosensitive retinal ganglion cells (pRGCs) that are most sensitive to short-wavelength (∼480 nm) blue light and remain functional in the absence of rods and cones [8–10]. We examined the spectral sensitivity of non-image-forming responses in two profoundly blind subjects lacking functional rods and cones (one male, 56 yr old; one female, 87 yr old). In the male subject, we found that short-wavelength light preferentially suppressed melatonin, reset the circadian pacemaker, and directly enhanced alertness compared to 555 nm exposure, which is the peak sensitivity of the photopic visual system. In an action spectrum for pupillary constriction, the female subject exhibited a peak spectral sensitivity (λmax) of 480 nm, matching that of the pRGCs but not that of the rods and cones. This subject was also able to correctly report a threshold short-wavelength stimulus (∼480 nm) but not other wavelengths. Collectively these data show that pRGCs contribute to both circadian physiology and rudimentary visual awareness in humans and challenge the assumption that rod- and cone-based photoreception mediate all “visual” responses to light.

In mammals, the pupillary light reflex is mediated by intrinsically photosensitive melanopsin-containing retinal ganglion cells that also receive input from rod-cone photoreceptors. To assess the relative contribution of melanopsin and rod-cone photoreceptors to the pupillary light reflex in humans, we compared pupillary light responses in normally-sighted individuals (n = 24) with a blind individual lacking rod-cone function. Here, we show that visual photoreceptors are required for normal pupillary responses to continuous light exposure at low irradiance levels, and for sustained pupillary constriction during exposure to light in the long-wavelength portion of the visual spectrum. In the absence of rod-cone function, pupillomotor responses are slow and sustained, and cannot track intermittent light stimuli, suggesting that rods/cones are required for encoding fast modulations in light intensity. In sighted individuals, pupillary constriction decreased monotonically for at least 30 minutes during exposure to continuous low-irradiance light, indicating that steady-state pupillary responses are an order of magnitude slower than previously reported. Exposure to low-irradiance intermittent green light (543 nm; 0.1–4 Hz) for 30 min, which was given to activate cone photoreceptors repeatedly, elicited sustained pupillary constriction responses that were more than twice as great compared to exposure to continuous green light. Our findings demonstrate non-redundant roles for rod-cone photoreceptors and melanopsin in mediating pupillary responses to continuous light. Moreover, our results suggest that it might be possible to enhance non-visual light responses to low-irradiance exposures by using intermittent light to activate cone photoreceptors repeatedly in humans.

ture has been reported to influence human performance. Performance is reported to be better when body temperature is high/near its circadian peak and worse when body temperature is low/near its circadian minimum. We assessed whether this relationship between performance and body temperature reflects the regulation of both the internal biological timekeeping system and/or the influence of body temperature on performance independent of circadian phase. Fourteen subjects participated in a forced desynchrony protocol allowing assessment of the relationship between body temperature and performance while controlling for circadian phase and hours awake. Most neurobehavioral measures varied as a function of internal biological time and duration of wakefulness. A number of performance measures were better when body temperature was elevated, including working memory, subjective alertness, visual attention, and the slowest 10% of reaction times. These findings demonstrate that an increased body temperature, associated with and independent of internal biological time, is correlated with improved performance and alertness. These results support the hypothesis that body temperature modulates neurobehavioral function in humans. sleep homeostasis; circadian phase; neurobehavioral performance; forced desynchrony; core body temperature CONSIDERABLE EFFORT has been devoted to understanding the relationship between body temperature and human performance (2,4,12,24,34,48). Kleitman (32-34) originally proposed that body temperature was an underlying mechanism regulating performance. "Assuming that the effect of temperature indicates that we are dealing with a chemical phenomenon, there are two interpretations of the relationship between temperature and reaction time possible: either a, mental processes represent chemical reactions in themselves, or b, the speed of thinking depends upon the level of metabolic activity of the cells of the cerebral cortex, and by the raising of the latter through an increase in body temperature we indirectly speed up the thought process" (Ref. 34, p. 501). Kleitman's hypothesis is supported by results from studies using in vitro and in vivo preparations in which it was reported that synaptic function is altered by supraphysiological changes in brain temperature (39,40,47) such that higher brain temperatures resulted in faster transmission, whereas lower brain temperature resulted in slower transmission.Brain mechanisms involved in the regulation of body temperature include the preoptic area and the suprachiasmatic nuclei, both of which are located in the hypothalamus. The preoptic area regulates homeostatic mechanisms to maintain body and brain temperature in mammals within a limited range in response to physiological and environmental conditions, and the suprachiasmatic nuclei regulate the circadian or near-24-h rhythm of temperature (28,43,44). Homeostatic and circadian mechanisms influence cutaneous vasodilatation, peripheral vasoconstriction, and basal metabolism, all of which change the rate at whi...