Nocturnal catecholamines and immune function in insomniacs, depressed patients, and control subjects
Abstract
Insomnia predicts cardiovascular and non-cardiovascular disease mortality. This study evaluated EEG sleep, nocturnal sympathetic activity, and daytime measures of immune function in subjects with primary insomnia (n = 17) and patients with current major depression (n = 14) as compared to controls (n = 31). Insomniacs showed disordered sleep continuity along with nocturnal increases of average levels of circulating norepinephrine and decreases of natural killer cell responses, whereas depressed patients showed declines of natural killer cell activity, but no differences of EEG sleep or nocturnal catecholamines as compared to controls. Impairments of sleep efficiency correlated with nocturnal elevations of norepinephrine in the insomniacs but not in the depressives or controls. These data indicate that insomnia is associated with nocturnal sympathetic arousal and declines of natural immunity, and further support the role of sleep in the regulation of sympathetic nervous and immune system functioning.
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Later studies found that 24-h urinary free cortisol, norepinephrine, and catecholamine metabolites levels were increased in patients with insomnia or were correlated with PSG indices of sleep disturbance in insomnia patients.
“later studies found that 24-h urinary free cortisol, norepinephrine, and catecholamine metabolites levels were increased in patients with insomnia or were correlated with PSG indices of sleep disturbance in insomnia patients(148-151).”
From Sleep: important considerations for the prevention of cardiovascular disease (2016) · cites this paper as [151]
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- Authors
- Irwin, M., Clark, C., Kennedy, B., Christian Gillin, J., & Ziegler, M.
- Affiliations
- University of California, Los Angeles (US)
- University of California San Diego (US)
- Corresponding author
- Irwin, Michael
- Venue
- Brain Behavior and Immunity
- Publisher
- Elsevier BV
- Published
- 2003-10
- Volume
- 17
- Issue
- 5
- Pages
- 365-372
- ISSN
- 0889-1591 (ISSN-L)
- OpenAlex
- W2071697888
- Cited by
- 268
- References
- 53
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 6 · 2023: 6 · 2022: 22 · 2021: 15 · 2020: 7 · 2019: 7 · 2018: 9 · 2017: 9 · 2016: 16 · 2015: 9 · 2014: 17 · 2013: 19 · 2012: 12
- FWCI
- 15.51
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Brain Behavior and Immunity (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01aa010215-02)
- National Institute on Alcohol Abuse and Alcoholism (AA13239, AA10215, R01AA013239)
- National Institute on Aging (AG 18367, R01AG018367)
- National Institute of Mental Health (MH-55253, R01MH055253, T32MH018399)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR/AG41867)
- National Center for Research Resources (M01RR000827)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Life Sciences › Neuroscience › Behavioral Neuroscience › Stress Responses and Cortisol
- Keywords
- insomnia, major depressive disorder, norepinephrine, sympathetic nervous system arousal, natural killer cells, immune function, sleep continuity, sleep efficiency, sleep EEG, sleep-immune interaction
- MeSH terms
- Analysis of Variance, Circadian Rhythm, Major Depressive Disorder, Electroencephalography, Epinephrine, Humans, Sleep Initiation and Maintenance Disorders, Interleukin-2, Killer Cells, Natural, Lymphocyte Activation, Male, Norepinephrine, Reference Values, Sleep, Sympathetic Nervous System, Case-Control Studies, Polysomnography
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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