[en] Understanding the interactions between sleep and the immune system may offer insight into why short sleep duration has been linked to negative health outcomes. We, therefore, investigated the effects of napping and extended recovery sleep after sleep restriction on the immune and inflammatory systems and sleepiness. After a baseline night, healthy young men slept for a 2-h night followed by either a standard 8-h recovery night (n=12), a 30-min nap (at 1 p.m.) in addition to an 8-h recovery night (n=10), or a 10-h extended recovery night (n=9). A control group slept 3 consecutive 8-h nights (n=9). Subjects underwent continuous electroencephalogram polysomnography and blood was sampled every day at 7 a.m. Leukocytes, inflammatory and atherogenesis biomarkers (high-sensitivity C-reactive protein, interleukin-8, myeloperoxidase, fibrinogen and apolipoproteins ApoB/ApoA), sleep patterns and sleepiness were investigated. All parameters remained unchanged in the control group. After sleep restriction, leukocyte and - among leukocyte subsets - neutrophil counts were increased, an effect that persisted after the 8-h recovery sleep, but, in subjects who had a nap or a 10-h recovery sleep, these values returned nearly to baseline. Inflammatory and atherogenesis biomarkers were unchanged except for higher myeloperoxidase levels after sleep restriction. The increased sleepiness after sleep restriction was reversed better in the nap and extended sleep recovery conditions. Saliva cortisol decreased immediately after the nap. Our results indicate that additional recovery sleep after sleep restriction provided by a midday nap prior to recovery sleep or a sleep extended night can improve alertness and return leukocyte counts to baseline values.
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
Faraut, Brice; Sleep Laboratory, (ULB 222 Unit), CHU de Charleroi, A. Vésale Hospital, Université Libre de Bruxelles, Montigny-le-Tilleul, Belgium
Boudjeltia, Karim Zouaoui; Laboratory of Experimental Medicine, (ULB 222 Unit), CHU de Charleroi, A. Vésale Hospital, Université Libre de Bruxelles, Montigny-le-Tilleul, Belgium
Dyzma, Michal
Rousseau, Alexandre
David, Elodie
Stenuit, Patricia
Franck, Thierry ; Université de Liège - ULiège > Département clinique des animaux de compagnie et des équidés > Anesthésiologie gén. et pathologie chirurg. des grds animaux
Van Antwerpen, Pierre; Laboratory of Pharmaceutical Chemistry, Université Libre de Bruxelles, Brussels, Belgium
Vanhaeverbeek, Michel
Kerkhofs, Myriam
Language :
English
Title :
Benefits of napping and an extended duration of recovery sleep on alertness and immune cells after acute sleep restriction.
Publication date :
2011
Journal title :
Brain, Behavior and Immunity
ISSN :
0889-1591
eISSN :
1090-2139
Publisher :
Academic Press, Orlando, United States - Florida
Volume :
25
Issue :
1
Pages :
16-24
Peer reviewed :
Peer Reviewed verified by ORBi
Commentary :
Copyright (c) 2010 Elsevier Inc. All rights reserved.
Arora V., Dunphy C., Chang V.Y., Ahmad F., Humphrey H.J., Meltzer D. The effects of on-duty napping on intern sleep time and fatigue. Ann. Intern. Med. 2006, 144:792-798.
Belenky G., Wesensten N.J., Thorne D.R., Thomas M.L., Sing H.C., Redmond D.P., Russo M.B., Balkin T.J. Patterns of performance degradation and restoration during sleep restriction and subsequent recovery: a sleep dose-response study. J. Sleep Res. 2003, 12:1-12.
Born J., Lange T., Hansen K., Molle M., Fehm H.L. Effects of sleep and circadian rhythm on human circulating immune cells. J. Immunol. 1997, 158:4454-4464.
Brohee D., Vanhaeverbeek M., Kennes B., Neve P. Leukocyte and lymphocyte subsets after a short pharmacological stress by intravenous epinephrine and hydrocortisone in healthy humans. Int. J. Neurosci. 1990, 53:53-62.
Brooks A., Lack L. A brief afternoon nap following nocturnal sleep restriction: which nap duration is most recuperative?. Sleep 2006, 29:831-840.
Brown D.W., Ford E.S., Giles W.H., Croft J.B., Balluz L.S., Mokdad A.H. Associations between white blood cell count and risk for cerebrovascular disease mortality: NHANES II Mortality Study, 1976-1992. Ann. Epidemiol. 2004, 425-430.
Danesh J., Collins R., Appleby P., Peto R. Association of fibrinogen, C-reactive protein, albumin, or leukocyte count with coronary heart disease: meta-analyses of prospective studies. JAMA 1998, 279:1477-1482.
Davis J.M., Albert J.D., Tracy K.J., Calvano S.E., Lowry S.F., Shires G.T., Yurt R.W. Increased neutrophil mobilization and decreased chemotaxis during cortisol and epinephrine infusions. J. Trauma 1991, 31:725-732.
Dimitrov S., Lange T., Benedict C., Nowell M.A., Jones S.A., Scheller J., Rose-John S., Born J. Sleep enhances IL-6 trans-signaling in humans. FASEB J. 2006, 20:E1599-E1609.
Dimitrov S., Lange T., Born J. Selective mobilization of cytotoxic leukocytes by epinephrin. J. Immunol. 2010, 184:503-511.
Dinges D.F., Douglas S.D., Zaugg L., Campbell D.E., McMann J.M., Whitehouse W.G., Orne E.C., Kapoor S.C., Icaza E., Orne M.T. Leukocytosis and natural killer cell function parallel neurobehavioral fatigue induced by 64h of sleep deprivation. J. Clin. Invest. 1994, 93:1930-1939.
Ferrie J.E., Shipley M.J., Cappuccio F.P., et al. A prospective study of change in sleep duration: associations with mortality in the Whitehall II cohort. Sleep 2007, 30:1659-1666.
Franck T., Zouaoui Boudjeltia K., Van Antwerpen P., Bosseloir A., Niesten A., Gach O., Nys M., Deby Dupont G., Seyrten D. A new easy method for specific measurement of active myeloperoxidase in human biological fluids and tissue extracts. Talanta 2009, 15:723-729.
Frey D.J., Fleshner M., Wright K.P., Brunner E., Miller M.A., Kumari M., Marmot M.G. The effects of 40h of total sleep deprivation on inflammatory markers in healthy young adults. Brain Behav. Immun. 2007, 21:1050-1057.
Goldman J.M., Plyley M.J., Hart L.E., Radomski M., Shephard R.J. Moderate exercise and hemodilution during sleep deprivation. Aviat. Space Environ. Med. 1990, 61:139-144.
Haack M., Kraus T., Schuld A., Dalal M., Koethe D., Pollmächer T. Diurnal variations of interleukin-6 plasma levels are confounded by blood drawing procedures. Psychoneuroendocrinology 2002, 27:921-931.
Heslop P., Smith G.D., Metcalfe C., Macleod J., Hart C. Sleep duration and mortality: the effect of short or long sleep duration on cardiovascular and all-cause mortality in working men and women. Sleep Med. 2002, 3:305-314.
Hoddes E., Zarcone V., Smythe H., Philips R., Dement W.C. Quantification of sleepiness: a new approach. Psychophysiology 1985, 10:431-436.
Horne B.D., Anderson J.L., John J.M., Weaver A., Bair T.L., Jensen K.R., Renlund D.G., Muhlestein J.B. Which white blood cell subtypes predict increased cardiovascular risk?. J. Am. Coll. Cardiol. 2005, 45:1638-1643.
Inoue T., Komoda H., Nonaka M., Kameda M., Uchida T., Node K. Interleukin-8 as an independent predictor of long-term clinical outcome in patients with coronary artery disease. Int. J. Cardiol. 2008, 124:319-325.
Irwin M., Thompson J., Miller C., Gillin J.C., Ziegler M. Effects of sleep and sleep deprivation on catecholamine and interleukin-2 levels in humans: clinical implications. J. Clin. Endocrinol. Metab. 1999, 84:1979-1985.
Irwin M., Wang M., Campomayor C.O., Collado-Hidalgo A., Cole S. Sleep deprivation and activation of morning levels of cellular and genomic markers of inflammation. Arch. Intern. Med. 2006, 166:1756-1762.
Irwin M.R., Carrillo C., Olmstead R. Sleep loss activates cellular markers of inflammation: sex differences. Brain Behav. Immun. 2010, 24:54-57.
Kerkhofs M., Boudjeltia K.Z., Stenuit P., Brohee D., Cauchie P., Vanhaeverbeek M. Sleep restriction increases blood neutrophils, total cholesterol and low density lipoprotein cholesterol in postmenopausal women: a preliminary study. Maturitas 2007, 56:212-215.
King C.R., Knutson K.L., Rathouz P.J., Sidney S., Liu K., Lauderdale D.S. Short sleep duration and incident coronary artery calcification. JAMA 2008, 300:2859-2866.
Lamond N., Jay S.M., Dorrian J., Ferguson S.A., Jones C., Dawson D. The dynamics of neurobehavioural recovery following sleep loss. J. Sleep Res. 2007, 16:33-41.
Leproult R., Copinschi G., Buxton O., Van Cauter E. Sleep loss results in an elevation of cortisol levels the next evening. Sleep 1997, 20:865-870.
Loimaala A., Rontu R., Vuori I., Mercuri M., Lehtimäki T., Nenonen A., Bond M.G. Blood leukocyte count is a risk factor for intima-media thickening and subclinical carotid atherosclerosis in middle-aged men. Atherosclerosis 2006, 188:363-369.
Mednick S., Nakayama K., Stickgold R. Sleep-dependent learning: a nap is as good as a night. Nat. Neurosci. 2003, 6:697-698.
Meerlo P., Sgoifo A., Suchecki D. Restricted and disrupted sleep: effects on autonomic function, neuroendocrine stress systems and stress responsivity. Sleep Med. Rev. 2008, 12:197-210.
Meier-Ewert H.K., Ridker P.M., Rifai N., Regan M.M., Price N.J., Dinges D.F., Mullington J.M. Effect of sleep loss on C-reactive protein, an inflammatory marker of cardiovascular risk. J. Am. Coll. Cardiol. 2004, 43:678-683.
Milner C.E., Cote K.A. Benefits of napping in healthy adults: impact of nap length, time of day, age, and experience with napping. J. Sleep Res. 2009, 18:272-281.
Mitler M.M., Krishnareddy N., Gujavarty S., Browman C.P. Maintenance of wakefulness test: a polysomnographic technique for evaluating treatment efficacy in patients with excessive somnolence. Electroencephalogr. Clin. Neurophysiol. 1982, 53:658-661.
Mullington J.M., Haack M., Toth M., Serrador J.M., Meier-Ewert H.K. Cardiovascular, inflammatory, and metabolic consequences of sleep deprivation. Prog. Cardiovasc. Dis. 2009, 51:294-302.
Naska A., Oikonomou E., Trichopoulou A., Psaltopoulou T., Trichopoulos D. Siesta in healthy adults and coronary mortality in the general population. Arch. Intern. Med. 2007, 167:296-301.
National Sleep Foundation, 2009 Sleep in America poll, 2009. Available from: http://www.sleepfoundation.org/sites/default/files/2009%20Sleep%20in%20A merica%20SOF%20EMBARGOED.pdf.
Patel S.R., Zhu X., Storfer-Isser A., Mehra R., Jenny N.S., Tracy R., Redline S. Sleep duration and biomarkers of inflammation. Sleep 2009, 32:200-204.
Podrez E.A., Schmitt D., Hoff H.F., Hazen S.L. Myeloperoxidase-generated reactive nitrogen species convert LDL into an atherogenic form in vitro. J. Clin. Invest. 1999, 103:1547-1560.
Ruggiero C., Metter E.J., Cherubini A., Maggio M., Sen R., Najjar S.S., Windham G.B., Ble A., Senin U., Ferrucci L. White blood cell count and mortality in the baltimore longitudinal study of aging. J. Am. Coll. Cardiol. 2007, 49:1841-1850.
Silber M.H., Ancoli-Israel S., Bonnet M.H., Chokroverty S., Grigg-Damberger M.M., Hirshkowitz M., Kapen S., Keenan S.A., Kryger M.H., Penzel T., Pressman M.R., Iber C. The visual scoring of sleep in adults. J. Clin. Sleep Med. 2007, 3:121-131.
Sniderman A.D., Furberg C.D., Keech A., Van Lennep J.E.R., Frohlich J., Jungner I., Walldius G. Apolipoproteins versus lipids as indices of coronary risk and as target for statin treatment. Lancet 2003, 361:777-780.
Späth-Schwalbe E., Uthgenannt D., Voget G., Kern W., Born J., Fehm H.L. Corticotropin-releasing hormone-induced adrenocorticotropin and cortisol secretion depends on sleep and wakefulness. J. Clin. Endocrinol. Metab. 1993, 77:1170-1173.
Stenuit P., Kerkhofs M. Age modulates the effects of sleep restriction in women. Sleep 2005, 28:1283-1288.
Suarez E.C. Self-reported symptoms of sleep disturbance and inflammation, coagulation, insulin resistance and psychosocial distress: evidence for gender disparity. Brain Behav. Immun. 2008, 22:960-968.
Takahashi M., Arito H. Maintenance of alertness and performance by a brief nap after lunch under prior sleep deficit. Sleep 2000, 23:813-819.
van Leeuwen W.M., Lehto M., Karisola P., Lindholm H., Luukkonen R., Sallinen M., Härmä M., Porkka-Heiskanen T., Alenius H. Sleep restriction increases the risk of developing cardiovascular diseases by augmenting proinflammatory responses through IL-17 and CRP. PLoS One 2009, 4:e4589.
Vgontzas A.N., Zoumakis E., Bixler E.O., Lin H.M., Follett H., Kales A., Chrousos G.P. Adverse effects of modest sleep restriction on sleepiness, performance, and inflammatory cytokines. J. Clin. Endocrinol. Metab. 2004, 89:2119-2126.
Vgontzas A.N., Pejovic S., Zoumakis E., Lin H.M., Bixler E.O., Basta M., Fang J., Sarrigiannidis A., Chrousos G.P. Daytime napping after a night of sleep loss decreases sleepiness, improves performance, and causes beneficial changes in cortisol and interleukin-6 secretion. Am. J. Physiol. Endocrinol. Metab. 2007, 292:E253-E261.
Wheeler J.G., Mussolino M.E., Gillum R.F., Danesh J. Associations between differential leucocyte count and incident coronary heart disease: 1764 incident cases from seven prospective studies of 30 374 individuals. Eur. Heart J. 2004, 25:1287-1292.
Xie L., Guan Y., Wang X. C-reactive protein augments interleukin-8 secretion in human peripheral blood monocytes. J. Cardiovasc. Pharmacol. 2005, 46:690-696.
Zhang R., Brennan M.L., Xiaoming Fu M.S., Aviles R.J., Pearce G.L., Penn M.S., Topol E.J., Sprecher D.L., Hazen S.L. Association between myeloperoxidase levels and risk of coronary artery disease. JAMA 2008, 286:2136-2142.
Zouaoui Boudjeltia K., Moguilevsky N., Legssyer I., Babar S., Guillaume M., Delree P., Vanhaeverbeek M., Brohee D., Ducobu J., Remacle C. Oxidation of low density lipoproteins by myeloperoxidase at the surface of endothelial cells: an additional mechanism to subendothelium oxidation. Biochem. Biophys. Res. Commun. 2004, 325:434-438.
Zouaoui-Boudjeltia K., Faraut B., Stenuit P., Esposito M.J., Dyzma M., Brohée D., Ducobu J., Vanhaeverbeek M., Kerkhofs M. Sleep restriction increases white blood cells, mainly neutrophil count, in young healthy men: a pilot study. Vasc. Health Risk Manag. 2008, 4:1467-1470.