Health & Fitness

The Sleep and Immunity: Crosstalk in Health and Disease

Kristen Sparrow • May 31, 2020

Good sleep for long life

All of our systems are interrelated.  This article looks in depth at the effect of sleep on the immune system.  Very topical during or surviving from a pandemic!  Sleep can affect how sick you get if infected, whether you get infected, and how well your immunization works for you.  More on the topic of sleep here,   here,    and here.

. 2019 Jul 1; 99(3): 1325–1380.
Published online 2019 Mar 27. doi: 10.1152/physrev.00010.2018
PMCID: PMC6689741
PMID: 30920354

The Sleep-Immune Crosstalk in Health and Disease


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Sleep and immunity are bidirectionally linked. Immune system activation alters sleep, and sleep in turn affects the innate and adaptive arm of our body’s defense system. Stimulation of the immune system by microbial challenges triggers an inflammatory response, which, depending on its magnitude and time course, can induce an increase in sleep duration and intensity, but also a disruption of sleep. Enhancement of sleep during an infection is assumed to feedback to the immune system to promote host defense. Indeed, sleep affects various immune parameters, is associated with a reduced infection risk, and can improve infection outcome and vaccination responses. The induction of a hormonal constellation that supports immune functions is one likely mechanism underlying the immune-supporting effects of sleep. In the absence of an infectious challenge, sleep appears to promote inflammatory homeostasis through effects on several inflammatory mediators, such as cytokines. This notion is supported by findings that prolonged sleep deficiency (e.g., short sleep duration, sleep disturbance) can lead to chronic, systemic low-grade inflammation and is associated with various diseases that have an inflammatory component, like diabetes, atherosclerosis, and neurodegeneration. Here, we review available data on this regulatory sleep-immune crosstalk, point out methodological challenges, and suggest questions open for future research.