B. Appelberg et al., PLASMA INTERLEUKIN-1-BETA AND SLEEP ARCHITECTURE IN SCHIZOPHRENIA ANDOTHER NONAFFECTIVE PSYCHOSES, Psychosomatic medicine, 59(5), 1997, pp. 529-532
Objective: It has been reported that sleep deprivation may enhance int
erleukin (IL)-1 beta production of healthy subjects. Furthermore, pati
ents with acute psychoses have been reported to exhibit higher levels
of IL-1 beta than healthy controls. The present study examined polysom
nographic sleep and morning IL-1 beta plasma values in 20 drug-free pa
tients with acute nonaffective psychoses. Methods: Ten patients with D
SM-III diagnosis of schizophrenia, five with delusional disorder, and
five with atypical psychosis underwent polysomnographic sleep registra
tions and their morning blood levels of IL-1 beta were measured. Resul
ts: IL-1 beta values correlated negatively with the length of the slee
p period (p = 0.010) and the relative time of rapid eye movement (REM)
sleep (p = 0.038), and positively with REM latency (p = 0.043). Concl
usions: It is concluded that reduced sleep, possibly especially reduce
d REM sleep, may be a reason for increased morning IL-1 beta values in
these patients. Additional studies on IL-1 beta in psychiatric patien
ts should consider the possibility of sleep disturbances as a possible
explanation for deviations in IL-1 beta levels.