Visible light inhibits the binding of melatonin and serotonin to cultu
red human peripheral blood mononuclear leukocytes (PBMLs) in winter. T
he decreased binding switches the metabolism in PBMLs towards serotoni
n synthesis, resulting in the reduced production of melatonin. The ing
estion of L-tryptophan during the day is hypothesized to increase the
levels of melatonin, released from the gastrointestinal tract, in pati
ents with winter seasonal affective disorder (SAD). Due to the relativ
e shortage of light, coincident with a predisposed metabolic error, th
ere would be no switch towards serotonin synthesis among winter SAD pa
tients in winter. The rate of serotonin synthesis could thus remain in
adequately low to maintain optimal mood in winter SAD patients.