Irwin, Michael R. and Straub, Rainer H. and Smith, Michael T. (2023) Heat of the night: sleep disturbance activates inflammatory mechanisms and induces pain in rheumatoid arthritis. NATURE PORTFOLIO, BERLIN.
Full text not available from this repository. (Request a copy)Abstract
Sleep has a homeostatic role in the regulation of the immune system and serves to constrain activation of inflammatory signalling and expression of cellular inflammation. In patients with rheumatoid arthritis (RA), a misaligned inflammatory profile induces a dysregulation of sleep-wake activity, which leads to excessive inflammation and the induction of increased sensitivity to pain. Given that multiple biological mechanisms contribute to sleep disturbances (such as insomnia), and that the central nervous system communicates with the innate immune system via neuroendocrine and neural effector pathways, potential exists to develop prevention opportunities to mitigate the risk of insomnia in RA. Furthermore, understanding these risk mechanisms might inform additional insomnia treatment strategies directed towards steering and reducing the magnitude of the inflammatory response, which together could influence outcomes of pain and disease activity in RA.
| Item Type: | Other |
|---|---|
| Uncontrolled Keywords: | TUMOR-NECROSIS-FACTOR; COGNITIVE-BEHAVIORAL THERAPY; SYMPATHETIC-NERVE ACTIVITY; C-REACTIVE PROTEIN; PATIENT-REPORTED OUTCOMES; NF-KAPPA-B; OLDER-ADULTS; FACTOR-ALPHA; CELLULAR INFLAMMATION; KNEE OSTEOARTHRITIS; |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin I |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 07 May 2024 14:08 |
| Last Modified: | 07 May 2024 14:08 |
| URI: | https://pred.uni-regensburg.de/id/eprint/60800 |
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