Correlation of melatonin and TNF-α levels with characteristics of sleep in patients with rheumatoid arthritis

Authors

  • Yu. K. Sikalo
  • M. A. Stanislavchuk

DOI:

https://doi.org/10.14739/2310-1210.2015.1.39213

Keywords:

Melatonin, Tumor Necrosis Factor-alpha, Sleep Disorders, Rheumatoid Arthritis

Abstract

Specific immune and neuroendocrine factors are considered in the pathogenic mechanisms of sleep disorders in RA.

The aim was to investigate the nature of the correlation between sleep disorders and levels of serum melatonin and TNF-α in RA patients.

Methods and results. 105 patients and 30 healthy control subjects were examined in the study.

Investigation of sleep disorders was conducted by semi-structured clinical interview using the Insomnia severity index (ISI) and with the visual analogue scale (VAS) of sleep disorders. It was found significant differences in the metabolism of melatonin and TNF-α in healthy and RA patients with different variants of insomnia (p <0.01). Differences between the levels of TNF-α and all variants of insomnia (p <0.05) were identified.

Conclusion. The lack of a direct relations between melatonin and insomnia in patients with RA indicates complex multifactorial nature of sleep disorders in this pathology.

 

References

Sikalo, Yu. K., & Stanislavchuk, M. A. (2013) Osoblyvosti melatoninovoho ta tsytokinovoho profiliu u khvorykh na revmatoidnyi artryt [Сharacteriscics of melatonin and cytokine profile in patients with rheumatoid arthritis]. Ukrainskyi revmatolohichnyi zhurnal, 4(54), 111–115. [in Ukrainian].

Sikalo, Yu. K., & Stanislavchuk, M. A. (2014) Osoblyvosti psykhichnoho stanu khvorykh na revmatoidnyi artryt: zv’iazok z rivnem melatoninu ta pokaznykamy faktora nekrozu pukhlyny alfa krovi [Disturbance of psychical status in patients with RA: connection with melatonin and TNF-α levels]. Liky Ukrainy Plius, 1(18), 52–55. Retrieved from http://www.health-medix.com/articles/liki_ukr_plus/2014-02-12/kl_7.pdf. [in Ukrainian].

Sikalo, Yu. K., Stanislavchuk, N. A. (2014) Sleep disturbances in rheumatoid arthritis and current approaches to their treatment. Bol'. Sustavy. Pozvonochnik, 3(15), 66–69. [in Ukrainian].

Dowlati, Y., Herrmann, N., Swardfager, W., Liu, H., Sham, L., Reim, E. K., & Lanctôt, K. L. (2010) A meta-analysis of cytokines in major depression. Biol Psychiatry, 67(5), 446–57. doi: 10.1016/j.biopsych.2009.09.033.

Abad, V. C., Sarinas, P., & Guilleminault, C. (2008) Sleep and rheumatologic disorders. Sleep Med. Rev., 12(211), 28. doi: 10.1016/j.smrv.2007.09.001.

Bastien, C. H., Vallières, A., & Morin, C. M. (2001) Validation of the Insomnia Severity Index as an outcome measure for insomnia research. Sleep Med., 2(4), 297–307.

Sikalo, J. K., & Stanislavchuk, M. A. (2014) Sleep disturbances in rheumatoid arthritis: relationship with the disease severity and psycho-emotional status. Acta Reumatolόgica Portuguesa, 39(3), 35–36.

Jan, J. E., Reiter, R. J., Wasdell, M. B., & Bax, M. (2009) The role of the thalamus in sleep, pineal melatonin production, and circadian rhythm sleep disorders. J Pineal Res., 46 (1), 1–7. doi: 10.1111/j.1600-079X.2008.00628.x.

Wolfe, F., Michaud, K., & Li, T. (2006) Sleep disturbance in patients with rheumatoid arthritis: evaluation by medical outcomes study and visual analog sleep scale. J. Rheumatol., 33(1942), 51.

How to Cite

1.
Sikalo YK, Stanislavchuk MA. Correlation of melatonin and TNF-α levels with characteristics of sleep in patients with rheumatoid arthritis. Zaporozhye Medical Journal [Internet]. 2015Feb.9 [cited 2024Oct.16];17(1). Available from: http://zmj.zsmu.edu.ua/article/view/39213

Issue

Section

Original research