There is now an impressive range of evidence supporting the important
role of cytokines in sleep regulation (see Krueger et al., 1995; De Si
moni et al., 1995). It has also been reported that inhibition of nitri
c oxide (NO) synthesis suppresses sleep in rabbits (Kapas et al., 1994
). This is not surprising, since NO is closely involved in neurotransm
ission (Garthwaite, 1991; Schuman and Madison, 1994) and cytokines are
the major inducers of NO synthesis (Hibbs et al., 1990). Further, it
is now clear that NO plays an important role in modulating immune resp
onses, possibly through the differential regulation of cytokine synthe
sis (Taylor-Robinson et al., 1994). In this article, I will provide ev
idence for the interactions between cytokines and nitric oxide, and di
scuss their implications in the regulation of immune responses. I shal
l illustrate these mainly with results from my coworkers and I, from o
ur laboratory rather than attempting an exhaustive review of the subje
ct.