Lack of evidence for the contribution of cone photoreceptors to human melatonin suppression and alerting response to light at night

Light exposure at night can suppress melatonin production and increase alertness, primarily through the action of melanopsin-containing intrinsically photosensitive retinal ganglion cells (ipRGCs). This study investigated whether cone photoreceptors also influence melatonin suppression and subjective alertness using non-visual metameric light emitted from a display. Forty-eight participants with normal trichromatic vision were exposed to three lighting conditions: a baseline (9 lxmEDI), constant background (149 lxmEDI), and cone-modulated flickering light targeting different cone combinations and post-receptoral channels (149 lxmEDI) for 2 hours after their habitual bedtime. Salivary melatonin levels and subjective alertness were measured throughout a 9-h protocol. Bayesian analysis showed that cone-modulated flickering light did not significantly affect melatonin suppression or alertness, providing evidence against the hypothesis that cone photoreceptors contribute to these non-visual effects of light. In conclusion, our results suggest cone photoreceptors do not play a measurable role in lights effects on melatonin suppression and subjective alertness at night.