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

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 hea...

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Main Authors: Yu. K. Sikalo, M. A. Stanislavchuk
Format: Article
Language:English
Published: Zaporizhzhia State Medical and Pharmaceutical University 2015-02-01
Series:Zaporožskij Medicinskij Žurnal
Subjects:
Online Access:http://zmj.zsmu.edu.ua/article/view/39213/35408
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author Yu. K. Sikalo
M. A. Stanislavchuk
author_facet Yu. K. Sikalo
M. A. Stanislavchuk
author_sort Yu. K. Sikalo
collection DOAJ
description 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.
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spelling doaj-art-9d361b3426db4e19b34f75fa00957fb42025-08-20T02:20:19ZengZaporizhzhia State Medical and Pharmaceutical UniversityZaporožskij Medicinskij Žurnal2306-41452310-12102015-02-0115558http://dx.doi.org/10.14739/2310-1210.2015.1.39213Correlation of melatonin and TNF-α levels with characteristics of sleep in patients with rheumatoid arthritisYu. K. SikaloM. A. StanislavchukSpecific 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.http://zmj.zsmu.edu.ua/article/view/39213/35408MelatoninTumor Necrosis Factor-alphaSleep DisordersRheumatoid Arthritis
spellingShingle Yu. K. Sikalo
M. A. Stanislavchuk
Correlation of melatonin and TNF-α levels with characteristics of sleep in patients with rheumatoid arthritis
Zaporožskij Medicinskij Žurnal
Melatonin
Tumor Necrosis Factor-alpha
Sleep Disorders
Rheumatoid Arthritis
title Correlation of melatonin and TNF-α levels with characteristics of sleep in patients with rheumatoid arthritis
title_full Correlation of melatonin and TNF-α levels with characteristics of sleep in patients with rheumatoid arthritis
title_fullStr Correlation of melatonin and TNF-α levels with characteristics of sleep in patients with rheumatoid arthritis
title_full_unstemmed Correlation of melatonin and TNF-α levels with characteristics of sleep in patients with rheumatoid arthritis
title_short Correlation of melatonin and TNF-α levels with characteristics of sleep in patients with rheumatoid arthritis
title_sort correlation of melatonin and tnf α levels with characteristics of sleep in patients with rheumatoid arthritis
topic Melatonin
Tumor Necrosis Factor-alpha
Sleep Disorders
Rheumatoid Arthritis
url http://zmj.zsmu.edu.ua/article/view/39213/35408
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AT mastanislavchuk correlationofmelatoninandtnfalevelswithcharacteristicsofsleepinpatientswithrheumatoidarthritis