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Publication : Prolonged sleep deprivation induces a cytokine-storm-like syndrome in mammals.

First Author  Sang D Year  2023
Journal  Cell Volume  186
Issue  25 Pages  5500-5516.e21
PubMed ID  38016470 Mgi Jnum  J:377754
Mgi Id  MGI:7565193 Doi  10.1016/j.cell.2023.10.025
Citation  Sang D, et al. (2023) Prolonged sleep deprivation induces a cytokine-storm-like syndrome in mammals. Cell 186(25):5500-5516.e21
abstractText  Most animals require sleep, and sleep loss induces serious pathophysiological consequences, including death. Previous experimental approaches for investigating sleep impacts in mice have been unable to persistently deprive animals of both rapid eye movement sleep (REMS) and non-rapid eye movement sleep (NREMS). Here, we report a "curling prevention by water" paradigm wherein mice remain awake 96% of the time. After 4 days of exposure, mice exhibit severe inflammation, and approximately 80% die. Sleep deprivation increases levels of prostaglandin D(2) (PGD(2)) in the brain, and we found that elevated PGD(2) efflux across the blood-brain-barrier-mediated by ATP-binding cassette subfamily C4 transporter-induces both accumulation of circulating neutrophils and a cytokine-storm-like syndrome. Experimental disruption of the PGD(2)/DP1 axis dramatically reduced sleep-deprivation-induced inflammation. Thus, our study reveals that sleep-related changes in PGD(2) in the central nervous system drive profound pathological consequences in the peripheral immune system.
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