Associations of cytokines, sleep patterns, and neurocognitive function in youth with HIV infection
Open accessAbstract
Youth infected with HIV at birth often have sleep disturbances, neurocognitive deficits, and abnormal psychosocial function which are associated with and possibly resulted from elevated blood cytokine levels that may lead to a decreased quality of life. To identify molecular pathways that might be associated with these disorders, we evaluated 38 HIV-infected and 35 uninfected subjects over 18-months for intracellular cytokine levels, sleep patterns and duration of sleep, and neurodevelopmental abilities. HIV infection was significantly associated with alterations of intracellular pro-inflammatory cytokines (TNF-α, IFN-γ, IL-12), sleep factors (total time asleep and daytime sleep patterns), and neurocognitive factors (parent and patient reported problems with socio-emotional, behavioral, and executive functions; working memory-mental fatigue; verbal memory; and sustained concentration and vigilance. By better defining the relationships between HIV infection, sleep disturbances, and poor psychosocial behavior and neurocognition, it may be possible to provide targeted pharmacologic and procedural interventions to improve these debilitating conditions.
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The cytokine-sleep relationship in RA is not secondary to classical disease symptoms, in particular pain.
“further suggesting that the cytokine-sleep relationship is not secondary to classical disease symptoms, in particular pain (196).”
From The Sleep-Immune Crosstalk in Health and Disease (2019) · cites this paper as [196]
Treatment with the IL-6 receptor inhibitor tocilizumab in RA patients with active disease improves self-reported sleep quality and daytime sleepiness.
“Furthermore, treatment with an IL-6 receptor inhibitor (tocilizumab) in RA patients with active disease improved self-reported sleep quality (assessed by the PSQI) and daytime sleepiness.”
From The Sleep-Immune Crosstalk in Health and Disease (2019) · cites this paper as [196]
Observed sleep improvements with tocilizumab in active RA could not be explained by a reduction in disease activity.
“Observed sleep improvements could not be explained by a reduction in disease activity”
From The Sleep-Immune Crosstalk in Health and Disease (2019) · cites this paper as [196]
Treatment of RA patients with IL-6 or TNF blockers improved sleep.
“As described in section IID2, treatment of RA patients with IL-6 or TNF blockers improved sleep (196, 283, 535).”
From The Sleep-Immune Crosstalk in Health and Disease (2019) · cites this paper as [196]
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SeyedAlinaghi, S., Afsahi, A. M., Mirzapour, P., Alikarami, S., Afzalian, A., Matini, P., Mahrokhi, S., Ali, Z., Pashaei, A., Eslami, S., et al. (2025) · Russian Journal of Infection and Immunity · doi:10.15789/2220-7619-cah-17533 · Cited by 2 · see citing works
Lassi, G., & Tucci, V. (2014) · Cambridge University Press eBooks · doi:10.1017/cbo9781107360556.006
Autonomous and motor disorders
Pietropaolo, S., Sluyter, F., & Crusio, W. E. (2014) · Cambridge University Press eBooks · doi:10.1017/cbo9781107360556.005
Neurologic Complications of Perinatal Human Immunodeficiency Virus Infection
Shetty, A. K., & Maldonado, Y. (2017) · Cambridge University Press eBooks · doi:10.1017/9781009418034.035
Lipshultz, S. E., Miller, T. L., Wilkinson, J. D., Scott, G. B., Somarriba, G. A., Cochran, T. R., Mas, C. M., & Fisher, S. D. (2014) · Elsevier eBooks · doi:10.1016/b978-0-12-416595-3.00012-8
Self-citationFatores relacionados à sarcopenia em pessoas vivendo com o vírus da imunodeficiência humana
Quaresma, M. V. L. D. S. (2022) · doi:10.11606/t.6.2022.tde-13092022-130746
Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome
Paul, M. E., Gillespie, S. L., Cambou, M. C., & Nielsen‐Saines, K. (2025) · Elsevier eBooks · doi:10.1016/b978-0-323-82763-8.00210-7
Self-citationKiirya, S. K., Visser, M. J., & Masenge, A. (2025) · AIDS Care · doi:10.1080/09540121.2025.2600650
Koutangni, O. L., Ale, B. M., Dansou, E., Youm, É., Ale, O. A. J., Zoumenou, H. T., Alogou, A. R. K., Damassoh, K. G. D., Akpi, S. G., Wakaba, N. N., et al. (2026) · Sleep Science and Practice · doi:10.1186/s41606-026-00176-9
- Authors
- Foster, S. B., Lu, M., Glaze, D. G., Reuben, J. M., Harris, L. L., Cohen, E. N., Lee, B.-N., Zhao, E., Paul, M. E., Schwarzwald, H., McMullen-Jackson, C., Clark, C., Armstrong, F. D., Brouwers, P. Y., Miller, T. L., Colin, A. A., Scott, G. B., Shahzeidi, S., Willen, E. J., Asthana, D., Lipshultz, S. E., Thompson, B. W., & Shearer, W. T.
- Affiliations
- Baylor College of Medicine (US)
- Clinical Trials and Surveys Corporation (US)
- The University of Texas MD Anderson Cancer Center (US)
- University of Miami (US)
- National Institutes of Health (US)
- Corresponding author
- Shearer, William T.
- ORCID
- Venue
- Clinical Immunology
- Publisher
- Elsevier BV
- Published
- 2012-07
- Volume
- 144
- Issue
- 1
- Pages
- 13-23
- ISSN
- 1521-6616 (ISSN-L)
- PMC
- PMC3377781
- OpenAlex
- W2065194221
- Cited by
- 49
- References
- 46
- Citations by year
- 2026: 1 · 2025: 6 · 2024: 4 · 2023: 1 · 2022: 1 · 2021: 6 · 2020: 3 · 2019: 3 · 2018: 3 · 2017: 4 · 2016: 2 · 2015: 3 · 2014: 6 · 2013: 6
- FWCI
- 2.15
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Clinical Immunology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL079533, R01-HL075933, R43HL075933)
- National Institute of Allergy and Infectious Diseases (P30AI036211, T32AI007456)
- National Center for Research Resources (RR 00188, K01RR000188, M01RR000188)
- Topics
- Life Sciences › Immunology and Microbiology › Virology › HIV Research and Treatment
- Health Sciences › Medicine › Emergency Medicine › HIV-related health complications and treatments
- Health Sciences › Medicine › Surgery › Infectious Diseases and Tuberculosis
- Keywords
- HIV infection, perinatal HIV infection, sleep disorders, neurocognitive function, inflammatory cytokines, TNF-α, interferon-gamma, IL-12, sleep duration, executive function, working memory, sustained attention, psychosocial behavior
- MeSH terms
- Adolescent, Child, Child Behavior Disorders, Cognition Disorders, Female, Humans, Male, Memory, Neuropsychological Tests, Sleep, Cohort Studies, CD4-Positive T-Lymphocytes, HIV Infections, Cytokines, CD8-Positive T-Lymphocytes, Executive Function
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