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The relationship between sleep and salivary and serum inflammatory biomarkers in adolescents

OBJECTIVES: Poor sleep behavior can trigger an inflammatory response and contribute to the development of inflammatory diseases. Cytokines can act as indicators of inflammation and may precede the onset of inflammatory diseases. This study aimed to determine the association between sleep timing para...

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Autores principales: Alqaderi, Hend, Abdullah, Abeer, Finkelman, Matthew, Abufarha, Mohamed, Devarajan, Sriraman, Abubaker, Jehad, Ramesh, Nikitha, Tavares, Mary, Al-Mulla, Fahd, Bin-Hasan, Saadoun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10250646/
https://www.ncbi.nlm.nih.gov/pubmed/37305117
http://dx.doi.org/10.3389/fmed.2023.1175483
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author Alqaderi, Hend
Abdullah, Abeer
Finkelman, Matthew
Abufarha, Mohamed
Devarajan, Sriraman
Abubaker, Jehad
Ramesh, Nikitha
Tavares, Mary
Al-Mulla, Fahd
Bin-Hasan, Saadoun
author_facet Alqaderi, Hend
Abdullah, Abeer
Finkelman, Matthew
Abufarha, Mohamed
Devarajan, Sriraman
Abubaker, Jehad
Ramesh, Nikitha
Tavares, Mary
Al-Mulla, Fahd
Bin-Hasan, Saadoun
author_sort Alqaderi, Hend
collection PubMed
description OBJECTIVES: Poor sleep behavior can trigger an inflammatory response and contribute to the development of inflammatory diseases. Cytokines can act as indicators of inflammation and may precede the onset of inflammatory diseases. This study aimed to determine the association between sleep timing parameters (bedtime, sleep duration, sleep debt, and social jetlag) and the levels of nine serum and salivary inflammatory and metabolic biomarkers. METHODS: Data were collected from 352 adolescents aged 16–19 years enrolled in Kuwait’s public high schools. The levels of C-reactive protein (CRP), interleukin-6 (IL-6), interleukin-8 (IL-8), interleukin-10 (IL-10), vascular endothelial growth factor (VEGF), monocyte chemoattractant protein-1 (MCP-1), adiponectin, leptin, and insulin were measured from saliva and serum samples. We conducted mixed-effect multiple linear regression modeling to account for the school variable as a random effect to assess the relationship between the sleep variables and salivary and serum biomarkers. Mediation analysis was conducted to check if BMI was a mediator between bedtime and the biomarkers. RESULTS: There was a statistically significant elevation in serum IL-6 level associated with later bedtime (0.05 pg./mL, p = 0.01). Adolescents with severe sleep debt of ≥2 h had an increase in salivary IL-6 biomarker levels (0.38 pg./mL, p = 0.01) compared to those who had sleep debt of <1 h. Adolescents with sleep debt of ≥2 h had significantly higher levels of serum CRP (0.61 μg/mL, p = 0.02) than those without sleep debt. Additionally, we found that the inflammatory biomarkers (CRP, IL-6, IL-8, IL-10, VEGF, and MCP-1) and metabolic biomarkers (adiponectin, leptin, and insulin) had more statistically significant associations with the bedtime variables than with sleep duration variables. CRP, IL-6, and IL-8 were associated with sleep debt, and IL-6, VEGF, adiponectin, and leptin levels were associated with social jetlag. BMIz was a full mediator in the relationship between late bedtime and increased serum levels of CRP, IL-6, and insulin. CONCLUSION: Adolescents who go to bed at or later than midnight had dysregulated levels of salivary and serum inflammatory biomarkers, suggesting that disrupted circadian rhythm can trigger higher levels of systemic inflammation and potentially exacerbate chronic inflammation and the risk of metabolic diseases.
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spelling pubmed-102506462023-06-10 The relationship between sleep and salivary and serum inflammatory biomarkers in adolescents Alqaderi, Hend Abdullah, Abeer Finkelman, Matthew Abufarha, Mohamed Devarajan, Sriraman Abubaker, Jehad Ramesh, Nikitha Tavares, Mary Al-Mulla, Fahd Bin-Hasan, Saadoun Front Med (Lausanne) Medicine OBJECTIVES: Poor sleep behavior can trigger an inflammatory response and contribute to the development of inflammatory diseases. Cytokines can act as indicators of inflammation and may precede the onset of inflammatory diseases. This study aimed to determine the association between sleep timing parameters (bedtime, sleep duration, sleep debt, and social jetlag) and the levels of nine serum and salivary inflammatory and metabolic biomarkers. METHODS: Data were collected from 352 adolescents aged 16–19 years enrolled in Kuwait’s public high schools. The levels of C-reactive protein (CRP), interleukin-6 (IL-6), interleukin-8 (IL-8), interleukin-10 (IL-10), vascular endothelial growth factor (VEGF), monocyte chemoattractant protein-1 (MCP-1), adiponectin, leptin, and insulin were measured from saliva and serum samples. We conducted mixed-effect multiple linear regression modeling to account for the school variable as a random effect to assess the relationship between the sleep variables and salivary and serum biomarkers. Mediation analysis was conducted to check if BMI was a mediator between bedtime and the biomarkers. RESULTS: There was a statistically significant elevation in serum IL-6 level associated with later bedtime (0.05 pg./mL, p = 0.01). Adolescents with severe sleep debt of ≥2 h had an increase in salivary IL-6 biomarker levels (0.38 pg./mL, p = 0.01) compared to those who had sleep debt of <1 h. Adolescents with sleep debt of ≥2 h had significantly higher levels of serum CRP (0.61 μg/mL, p = 0.02) than those without sleep debt. Additionally, we found that the inflammatory biomarkers (CRP, IL-6, IL-8, IL-10, VEGF, and MCP-1) and metabolic biomarkers (adiponectin, leptin, and insulin) had more statistically significant associations with the bedtime variables than with sleep duration variables. CRP, IL-6, and IL-8 were associated with sleep debt, and IL-6, VEGF, adiponectin, and leptin levels were associated with social jetlag. BMIz was a full mediator in the relationship between late bedtime and increased serum levels of CRP, IL-6, and insulin. CONCLUSION: Adolescents who go to bed at or later than midnight had dysregulated levels of salivary and serum inflammatory biomarkers, suggesting that disrupted circadian rhythm can trigger higher levels of systemic inflammation and potentially exacerbate chronic inflammation and the risk of metabolic diseases. Frontiers Media S.A. 2023-05-26 /pmc/articles/PMC10250646/ /pubmed/37305117 http://dx.doi.org/10.3389/fmed.2023.1175483 Text en Copyright © 2023 Alqaderi, Abdullah, Finkelman, Abufarha, Devarajan, Abubaker, Ramesh, Tavares, Al-Mulla and Bin-Hasan. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Alqaderi, Hend
Abdullah, Abeer
Finkelman, Matthew
Abufarha, Mohamed
Devarajan, Sriraman
Abubaker, Jehad
Ramesh, Nikitha
Tavares, Mary
Al-Mulla, Fahd
Bin-Hasan, Saadoun
The relationship between sleep and salivary and serum inflammatory biomarkers in adolescents
title The relationship between sleep and salivary and serum inflammatory biomarkers in adolescents
title_full The relationship between sleep and salivary and serum inflammatory biomarkers in adolescents
title_fullStr The relationship between sleep and salivary and serum inflammatory biomarkers in adolescents
title_full_unstemmed The relationship between sleep and salivary and serum inflammatory biomarkers in adolescents
title_short The relationship between sleep and salivary and serum inflammatory biomarkers in adolescents
title_sort relationship between sleep and salivary and serum inflammatory biomarkers in adolescents
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10250646/
https://www.ncbi.nlm.nih.gov/pubmed/37305117
http://dx.doi.org/10.3389/fmed.2023.1175483
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