Cited by 268Sleep and related disordersSleep and Wakefulness ResearchStress Responses and Cortisol

Nocturnal catecholamines and immune function in insomniacs, depressed patients, and control subjects

Irwin, Michael, Clark, Camellia, Kennedy, Brian, Christian Gillin, J, Ziegler, Michael·2003·Brain Behavior and Immunity

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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Crossref · 10.1016/s0889-1591(03)00031-x

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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).”

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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

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