Sleep and Inflammation: Bidirectional Relationship

Sleep Med Clin. 2023 Jun;18(2):213-218. doi: 10.1016/j.jsmc.2023.02.003. Epub 2023 Mar 28.

Abstract

Sleep and inflammatory cytokines have a bidirectional relationship where circadian rhythms influence increase in levels of certain cytokines, and in return, some cytokines induce sleep, as we frequently experience during illnesses. The most commonly studied cytokines, in the context of inflammation and sleep, are interleukin 6 (IL-6), tumor necrosis factor (TNF), and (IL-1). In this article, the author follows the effect of circadian rhythms on blood levels of these cytokines and explores the changes in their levels in conditions that affect sleep, such as obstructive sleep apnea and insomnia.

Keywords: C-reactive protein; Inflammation; Interleukin-6; Sleep; Tumor necrosis factor.

Publication types

  • Review

MeSH terms

  • Cytokines*
  • Humans
  • Inflammation
  • Interleukin-6
  • Sleep*
  • Tumor Necrosis Factor-alpha

Substances

  • Cytokines
  • Interleukin-6
  • Tumor Necrosis Factor-alpha