Role of the IL-6-Receptor expression in CD14+ monocytes in modulating sleep in patients with bipolar disorder

Philipp Ritter1, Moritz Brandt2, Wiebke Schrempf3

  • 1Department of Psychiatry and Psychotherapy, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.

Abstract

Insights

Bipolar disorder patients show poorer sleep quality, linked to higher Interleukin-6 receptor (IL-6R) levels in monocytes. This suggests IL-6R may contribute to sleep disturbances in bipolar disorder.

Area of Science:

  • Neuroscience
  • Psychiatry
  • Immunology

Background:

  • Bipolar disorder is frequently linked to persistent sleep disturbances.
  • Pro-inflammatory cytokines and their receptors, like Interleukin-6 receptor (IL-6R), are implicated in mental health conditions.
  • Elevated IL-6R levels have been observed in bipolar disorder patients, but its direct association with sleep quality remains unclear.

Purpose of the Study:

  • To investigate the relationship between sleep quality and architecture and the levels of mRNA coding for IL-6R in peripheral monocytes of euthymic bipolar disorder patients.
  • To explore the potential role of IL-6R in mediating sleep disturbances associated with bipolar disorder.

Main Methods:

  • Assessed sleep quality and architecture in euthymic bipolar disorder patients (n=24) and healthy controls (n=25) using polysomnography (PSG) and actigraphy.
  • Isolated CD14+ monocytes and quantified mRNA levels for IL-6R using hybridization assays.
  • Analyzed the association between IL-6R levels and sleep measures using linear regression, controlling for confounders.

Main Results:

  • Bipolar disorder patients reported reduced subjective sleep quality (Pittsburgh Sleep Quality Index) and exhibited more frequent arousals and brief awakenings.
  • IL-6R levels significantly predicted both subjective sleep quality and the frequency of arousals.
  • The study did not replicate previous findings of elevated pro-inflammatory cytokine mRNA in monocytes of bipolar disorder patients.

Conclusions:

  • Reduced sleep quality in euthymic bipolar disorder patients may be associated with increased IL-6R expression in peripheral monocytes.
  • IL-6R emerges as a potential biomarker and therapeutic target for sleep disturbances in bipolar disorder.

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