NREM sleep Dickstein TNF Intraventricular injection in Increases SWS. Increases NREM sleep and SWS GHRH antibodies

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Author Cytokine Study Result Experimental administration of cytokines Shoham TNF Intravenous and intraventricular Increases SWS 1987 1 IL-1B injection into Increases SWS Fang 1997 2 TNF Intraperitoneal injection in mice Increases NREM IL-1B Increases NREM Takahashi 1999 3 TNF inhibitor Intraventricular injection into Decreases IL-1-induced NREM IL-1 inhibitor Decreases TNF-induced NREM Dickstein TNF Intraventricular injection in Increases SWS 1999 4 sheep Obal 1995 5 IL-1 Intraventricular injection into Increases NREM and SWS GHRH antibodies Decreases IL-1-induced NREM and SWS Krueger IFN alpha Intraventricular or intravenous Increases SWS 1987 6 injection into Kubota 2001 7 IL-2 Intraventricular injection into NREM ; Kushikata IL-4 Intraventricular injection into 1998 8 Spath- Schwalbe 1998 9 Intravenous injection into Hogan Intraventricular injection into 2003 10 Benedict 2009 11 Intranasal administration to Opp 1995 12 IL-10 Intraventricuar injection into Kushikata IL-10 Intraventricuar injection into 1999 13 IL-15 Kubota 2000 14 IL-13 TGFB Intraventricular injection into Kubota IL-18 Intraventricular injection into 2001 15 Kubota NFKB Intraventricular injection into 2000 16 inhibitor and Endogenous levels of cytokines Fang 1997 2 TNF Knockout mice for TNF receptor compared with controls Decreases NREM ; Decreases REM, but variable effects on SWS Increases then decreases NREM ; no effect on REM Increases SWS Decreases NREM Decreases NREM Increases NREM ; Decreases NREM Decreases NREM Increases NREM Decreases IL-1B-induced baseline NREM

Fang 1998 17 IL-1 Knockout mice for IL-1 receptor compared with controls Opp 1994 18 Anti-IL-1B Intraventricular injection into after deprivation Takahashi Anti-TNF Intraventricular injection into 1995 19 antibody and Moldofsky 1986 20 IL-1 Measurement in plasma of during /wake cycle Gudewill IL-1B Measurement in plasma of 1992 21 during /wake cycle TNF Lissoni 1998 22 IL-2 Measurement in during /wake cycle Redwine IL-2 Measurement in plasma of 2000 23 during /wake cycle Dimitrov R Measurement in plasma of 2006 24 during /wake cycle Hogan Anti- Intraventricular injection into 2003 10 antibodies Thomas Measurement after stimulation 2010 25 of human monocytes during /wake cycle Benedict 2007 26 IL-7 Measurement in plasma of during /wake cycle Kubota NFKB Intraventricular injection into 2000 16 inhibitor and Dimitrov IL-2, IL-4, Flow cytometry analysis of 2004 27 TNF, IFN blood cells in during gamma /wake cycle Sleep deprivation and cytokines Born TNF Measurement 1997 28 24 h deprivation in IL-1B Production by T cells after 24 h IL-2 deprivation in Mackiewicz IL-1B Quantitative gene expression 1996 29 after 24 h deprivation in Shearer 2001 30 TNFR-1 Measurement in plasma after 88 hours total compared to partial deprivation in baseline NREM Reduces Decreases NREM Increase at onset of SWS Some increases during Some increases during Peaks during with Increase at onset during No effect on spontaneous associated with decreased SWS and increased REM, and fatigue the next day Increases during REM Decreases REM and NREM Th1 activity in early, shift to Th2 dominance in late Increase in expression

Irwin 2006 31 TNF Measurement after monocyte stimulation after 1 night partial deprivation in Redwine Measurement after 4 hours 2000 23 loss Haack 2007 32 Measurement in plasma after 8 nights partial deprivation in Frey 2007 33 IL-1B, Measurement in plasma after IL-1RA 24 h deprivation in Yehuda IL-1B, TNF, IL- Measurement in plasma after 2009 34 6, IL-17 72 h deprivation in Rosa Neto TNF Measurement in adipose tissue 2010 35 after 96 h paradoxical IL-10 deprivation in Chennaoui TNF Measurement in plasma after 2011 36 TNFR1, 24 h deprivation in Ruiz 2010 37 Moller- Levet 2013 38 Moller- Levet IL-1B, IL-2, IL- 4,, IL-10, TNF, IFN gamma IL-1R Measurement in plasma after 48 h deprivation in Gene expression after 7 nights partial loss Gene expression after 7 nights partial loss Regular increase at onset delayed by deprivation expression IL-1R expression 2013 38 SWS slow wave, NREM non rapid eye movement, REM - rapid eye movement, TNF tumor necrosis factor, TNFR TNF receptor, IL interleukin, IL-1R interleukin-1 receptor, IFN interferon,tgfb transforming growth factor beta References 1. Shoham S, Davenne D, Cady AB, Dinarello CA, Krueger JM. Recombinant tumor necrosis factor and interleukin 1 enhance slow-wave. Am J Physiol 1987;253(1 Pt 2):R142-9. 2. Fang J, Wang Y, Krueger JM. Mice lacking the TNF 55 kda receptor fail to more after TNFalpha treatment. J Neurosci 1997;17(15):5949-55. 3. Takahashi S, Kapas L, Fang J, Krueger JM. Somnogenic relationships between tumor necrosis factor and interleukin-1. Am J Physiol 1999;276(4 Pt 2):R1132-40. 4. Dickstein JB, Moldofsky H, Lue FA, Hay JB. Intracerebroventricular injection of TNF-alpha promotes and is recovered in cervical lymph. Am J Physiol 1999;276(4 Pt 2):R1018-22.

5. Obal F, Jr., Fang J, Payne LC, Krueger JM. Growth-hormone-releasing hormone mediates the -promoting activity of interleukin-1 in. Neuroendocrinology 1995;61(5):559-65. 6. Krueger JM, Dinarello CA, Shoham S, Davenne D, Walter J, Kubillus S. Interferon alpha-2 enhances slow-wave in. Int J Immunopharmacol 1987;9(1):23-30. 7. Kubota T, Brown RA, Fang J, Krueger JM. Interleukin-15 and interleukin-2 enhance non- REM in. Am J Physiol Regul Integr Comp Physiol 2001;281(3):R1004-12. 8. Kushikata T, Fang J, Wang Y, Krueger JM. Interleukin-4 inhibits spontaneous in. Am J Physiol 1998;275(4 Pt 2):R1185-91. 9. Spath-Schwalbe E, Hansen K, Schmidt F, Schrezenmeier H, Marshall L, Burger K, et al. Acute effects of recombinant human interleukin-6 on endocrine and central nervous functions in healthy men. J Clin Endocrinol Metab 1998;83(5):1573-9. 10. Hogan D, Morrow JD, Smith EM, Opp MR. Interleukin-6 alters of. J Neuroimmunol 2003;137(1-2):59-66. 11. Benedict C, Scheller J, Rose-John S, Born J, Marshall L. Enhancing influence of intranasal interleukin-6 on slow-wave activity and memory consolidation during. FASEB J 2009;23(10):3629-36. 12. Opp MR, Smith EM, Hughes TK, Jr. Interleukin-10 (cytokine synthesis inhibitory factor) acts in the central nervous system of to reduce. J Neuroimmunol 1995;60(1-2):165-8. 13. Kushikata T, Fang J, Krueger JM. Interleukin-10 inhibits spontaneous in. J Interferon Cytokine Res 1999;19(9):1025-30. 14. Kubota T, Fang J, Kushikata T, Krueger JM. Interleukin-13 and transforming growth factor-beta1 inhibit spontaneous in. Am J Physiol Regul Integr Comp Physiol 2000;279(3):R786-92. 15. Kubota T, Fang J, Brown RA, Krueger JM. Interleukin-18 promotes in and. Am J Physiol Regul Integr Comp Physiol 2001;281(3):R828-38. 16. Kubota T, Kushikata T, Fang J, Krueger JM. Nuclear factor-kappab inhibitor peptide inhibits spontaneous and interleukin-1beta-induced. Am J Physiol Regul Integr Comp Physiol 2000;279(2):R404-13. 17. Fang J, Wang Y, Krueger JM. Effects of interleukin-1 beta on are mediated by the type I receptor. Am J Physiol 1998;274(3 Pt 2):R655-60. 18. Opp MR, Krueger JM. Anti-interleukin-1 beta reduces and rebound after deprivation in. Am J Physiol 1994;266(3 Pt 2):R688-95. 19. Takahashi S, Kapas L, Fang J, Krueger JM. An anti-tumor necrosis factor antibody suppresses in and. Brain Res 1995;690(2):241-4. 20. Moldofsky H, Lue FA, Eisen J, Keystone E, Gorczynski RM. The relationship of interleukin-1 and immune functions to in. Psychosom Med 1986;48(5):309-18. 21. Gudewill S, Pollmacher T, Vedder H, Schreiber W, Fassbender K, Holsboer F. Nocturnal plasma levels of cytokines in healthy men. Eur Arch Psychiatry Clin Neurosci 1992;242(1):53-6. 22. Lissoni P, Rovelli F, Brivio F, Brivio O, Fumagalli L. Circadian secretions of IL-2, IL-12, and IL-10 in relation to the light/dark rhythm of the pineal hormone melatonin in healthy. Nat Immun 1998;16(1):1-5. 23. Redwine L, Hauger RL, Gillin JC, Irwin M. Effects of and deprivation on interleukin-6, growth hormone, cortisol, and melatonin levels in. J Clin Endocrinol Metab 2000;85(10):3597-603. 24. Dimitrov S, Lange T, Benedict C, Nowell MA, Jones SA, Scheller J, et al. Sleep enhances trans-signaling in. FASEB J 2006;20(12):2174-6.

25. Thomas KS, Motivala S, Olmstead R, Irwin MR. Sleep depth and fatigue: role of cellular inflammatory activation. Brain Behav Immun 2010;25(1):53-8. 26. Benedict C, Dimitrov S, Marshall L, Born J. Sleep enhances serum interleukin-7 concentrations in. Brain Behav Immun 2007;21(8):1058-62. 27. Dimitrov S, Lange T, Tieken S, Fehm HL, Born J. Sleep associated regulation of T helper 1/T helper 2 cytokine balance in. Brain Behav Immun 2004;18(4):341-8. 28. Born J, Lange T, Hansen K, Molle M, Fehm HL. Effects of and circadian rhythm on human circulating immune cells. J Immunol 1997;158(9):4454-64. 29. Mackiewicz M, Sollars PJ, Ogilvie MD, Pack AI. Modulation of IL-1 beta gene expression in the rat CNS during deprivation. Neuroreport 1996;7(2):529-33. 30. Shearer WT, Reuben JM, Mullington JM, Price NJ, Lee BN, Smith EO, et al. Soluble TNFalpha receptor 1 and plasma levels in subjected to the deprivation model of spaceflight. J Allergy Clin Immunol 2001;107(1):165-70. 31. Irwin MR, Wang M, Campomayor CO, Collado-Hidalgo A, Cole S. Sleep deprivation and activation of morning levels of cellular and genomic markers of inflammation. Arch Intern Med 2006;166(16):1756-62. 32. Haack M, Sanchez E, Mullington JM. Elevated inflammatory markers in response to prolonged restriction are associated with increased pain experience in healthy volunteers. Sleep 2007;30(9):1145-52. 33. Frey DJ, Fleshner M, Wright KP, Jr. The effects of 40 hours of total deprivation on inflammatory markers in healthy young adults. Brain Behav Immun 2007;21(8):1050-7. 34. Yehuda S, Sredni B, Carasso RL, Kenigsbuch-Sredni D. REM deprivation in results in inflammation and interleukin-17 elevation. J Interferon Cytokine Res 2009;29(7):393-8. 35. Rosa Neto JC, Lira FS, Venancio DP, Cunha CA, Oyama LM, Pimentel GD, et al. Sleep deprivation affects inflammatory marker expression in adipose tissue. Lipids Health Dis 2010;9:125. 36. Chennaoui M, Sauvet F, Drogou C, Van Beers P, Langrume C, Guillard M, et al. Effect of one night of loss on changes in tumor necrosis factor alpha (TNF-alpha) levels in healthy men. Cytokine 2011;56(2):318-24. 37. Ruiz FS, Andersen ML, Martins RC, Zager A, Lopes JD, Tufik S. Immune alterations after selective rapid eye movement or total deprivation in healthy male volunteers. Innate Immun 2010;18(1):44-54. 38. Moller-Levet CS, Archer SN, Bucca G, Laing EE, Slak A, Kabiljo R, et al. Effects of insufficient on circadian rhythmicity and expression amplitude of the human blood transcriptome. Proc Natl Acad Sci U S A 2013.