Night shift work and immune response to the meningococcal conjugate vaccine in healthy workers: a proof of concept study

It is well-established that sleep regulates immune functions. Immunological functions are dependent on circadian rhythms and regular sleep as both have an impact on the magnitude of immune responses following antigenic challenge (eg, in vaccination). Here we investigated whether nocturnal shift work...

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Published inSleep medicine Vol. 75; pp. 263 - 275
Main Authors Ruiz, Francieli S., Rosa, Daniela S., Zimberg, Ioná Z., dos Santos Quaresma, Marcus VL, Nunes, Jethe OF, Apostolico, Juliana S., Weckx, Lily Y., Souza, Alessandra R., Narciso, Fernanda V., Fernandes-Junior, Silvio A., Gonçalves, Bruno, Folkard, Simon, Bittencourt, Lia, Tufik, Sergio, Tulio de Mello, Marco
Format Journal Article
LanguageEnglish
Published Netherlands Elsevier B.V 01.11.2020
Subjects
Cellular response
Cytokines
Human
Humoral response
Meningococcal C (MenC) vaccine
Sleep deprivation
Human
Humoral response
Cytokines
Meningococcal C (MenC) vaccine
Sleep deprivation
Cellular response
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Abstract It is well-established that sleep regulates immune functions. Immunological functions are dependent on circadian rhythms and regular sleep as both have an impact on the magnitude of immune responses following antigenic challenge (eg, in vaccination). Here we investigated whether nocturnal shift work can influence post-vaccination response. Thirty-four healthy workers (23 females) working either nocturnal or diurnal shifts (17 in each group) received the meningococcal C meningitis vaccine. Sleep was recorded polysomnographically (PSG) and with actigraphy. Humoral and cellular responses were assessed after vaccination. Night workers showed decreased N3 stage and REM sleep duration, increased inflammatory mediators (TNF-α and IL-6 levels), and a weak specific humoral response to vaccination associated with reduced CD4 T lymphocytes, reduced plasmacytoid dendritic cells, reduced prolactin levels, increased TReg and increased IL-10 levels. In addition, the decrease in total sleep time and circadian rhythm alterations were associated with a reduced humoral response post-vaccination. Our findings provide novel evidence concerning immune alterations of shift work on workers' health based on real-life circumstances. In association with circadian components, sufficient sleep time and rhythm synchronization were important for the development of the Ag-specific immune response, suggesting that the humoral response to vaccination may be impaired in individuals with chronic sleep restriction and circadian misalignment. •Vaccine response on night shift workers based on real-life settings.•The immune system potentially plays an important role in the relation between shift work and adverse health effects.•Sleep duration and rhythm synchronization are related to humoral immunity.•Evidence of the health burden of shiftwork.
AbstractList It is well-established that sleep regulates immune functions. Immunological functions are dependent on circadian rhythms and regular sleep as both have an impact on the magnitude of immune responses following antigenic challenge (eg, in vaccination). Here we investigated whether nocturnal shift work can influence post-vaccination response. Thirty-four healthy workers (23 females) working either nocturnal or diurnal shifts (17 in each group) received the meningococcal C meningitis vaccine. Sleep was recorded polysomnographically (PSG) and with actigraphy. Humoral and cellular responses were assessed after vaccination. Night workers showed decreased N3 stage and REM sleep duration, increased inflammatory mediators (TNF-α and IL-6 levels), and a weak specific humoral response to vaccination associated with reduced CD4 T lymphocytes, reduced plasmacytoid dendritic cells, reduced prolactin levels, increased TReg and increased IL-10 levels. In addition, the decrease in total sleep time and circadian rhythm alterations were associated with a reduced humoral response post-vaccination. Our findings provide novel evidence concerning immune alterations of shift work on workers' health based on real-life circumstances. In association with circadian components, sufficient sleep time and rhythm synchronization were important for the development of the Ag-specific immune response, suggesting that the humoral response to vaccination may be impaired in individuals with chronic sleep restriction and circadian misalignment. •Vaccine response on night shift workers based on real-life settings.•The immune system potentially plays an important role in the relation between shift work and adverse health effects.•Sleep duration and rhythm synchronization are related to humoral immunity.•Evidence of the health burden of shiftwork.
BACKGROUNDIt is well-established that sleep regulates immune functions. Immunological functions are dependent on circadian rhythms and regular sleep as both have an impact on the magnitude of immune responses following antigenic challenge (eg, in vaccination). Here we investigated whether nocturnal shift work can influence post-vaccination response. METHODSThirty-four healthy workers (23 females) working either nocturnal or diurnal shifts (17 in each group) received the meningococcal C meningitis vaccine. Sleep was recorded polysomnographically (PSG) and with actigraphy. Humoral and cellular responses were assessed after vaccination. RESULTSNight workers showed decreased N3 stage and REM sleep duration, increased inflammatory mediators (TNF-α and IL-6 levels), and a weak specific humoral response to vaccination associated with reduced CD4 T lymphocytes, reduced plasmacytoid dendritic cells, reduced prolactin levels, increased TReg and increased IL-10 levels. In addition, the decrease in total sleep time and circadian rhythm alterations were associated with a reduced humoral response post-vaccination. CONCLUSIONSOur findings provide novel evidence concerning immune alterations of shift work on workers' health based on real-life circumstances. In association with circadian components, sufficient sleep time and rhythm synchronization were important for the development of the Ag-specific immune response, suggesting that the humoral response to vaccination may be impaired in individuals with chronic sleep restriction and circadian misalignment.
It is well-established that sleep regulates immune functions. Immunological functions are dependent on circadian rhythms and regular sleep as both have an impact on the magnitude of immune responses following antigenic challenge (eg, in vaccination). Here we investigated whether nocturnal shift work can influence post-vaccination response. Thirty-four healthy workers (23 females) working either nocturnal or diurnal shifts (17 in each group) received the meningococcal C meningitis vaccine. Sleep was recorded polysomnographically (PSG) and with actigraphy. Humoral and cellular responses were assessed after vaccination. Night workers showed decreased N3 stage and REM sleep duration, increased inflammatory mediators (TNF-α and IL-6 levels), and a weak specific humoral response to vaccination associated with reduced CD4 T lymphocytes, reduced plasmacytoid dendritic cells, reduced prolactin levels, increased T and increased IL-10 levels. In addition, the decrease in total sleep time and circadian rhythm alterations were associated with a reduced humoral response post-vaccination. Our findings provide novel evidence concerning immune alterations of shift work on workers' health based on real-life circumstances. In association with circadian components, sufficient sleep time and rhythm synchronization were important for the development of the Ag-specific immune response, suggesting that the humoral response to vaccination may be impaired in individuals with chronic sleep restriction and circadian misalignment.
Author Nunes, Jethe OF
Rosa, Daniela S.
Tufik, Sergio
Ruiz, Francieli S.
Folkard, Simon
Fernandes-Junior, Silvio A.
Gonçalves, Bruno
Souza, Alessandra R.
Weckx, Lily Y.
Narciso, Fernanda V.
Bittencourt, Lia
Zimberg, Ioná Z.
Apostolico, Juliana S.
Tulio de Mello, Marco
dos Santos Quaresma, Marcus VL
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  organization: Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, SP, Brazil
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  organization: Departamento de Microbiologia, Imunologia e Parasitologia, Universidade Federal de São Paulo, São Paulo, SP, Brazil
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  givenname: Ioná Z.
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  givenname: Lily Y.
  surname: Weckx
  fullname: Weckx, Lily Y.
  organization: Departamento de Pediatria, Universidade Federal de São Paulo, São Paulo, SP, Brazil
– sequence: 8
  givenname: Alessandra R.
  surname: Souza
  fullname: Souza, Alessandra R.
  organization: Departamento de Pediatria, Universidade Federal de São Paulo, São Paulo, SP, Brazil
– sequence: 9
  givenname: Fernanda V.
  surname: Narciso
  fullname: Narciso, Fernanda V.
  organization: Escola de Educação Física, Fisioterapia e Terapia Ocupacional (EEFFTO), Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
– sequence: 10
  givenname: Silvio A.
  surname: Fernandes-Junior
  fullname: Fernandes-Junior, Silvio A.
  organization: Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, SP, Brazil
– sequence: 11
  givenname: Bruno
  surname: Gonçalves
  fullname: Gonçalves, Bruno
  organization: Escola de Artes, Ciências e Humanidades, Universidade de São Paulo, Brazil
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  givenname: Simon
  surname: Folkard
  fullname: Folkard, Simon
  organization: Department of Psychology, Swansea University, UK
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  surname: Bittencourt
  fullname: Bittencourt, Lia
  organization: Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, SP, Brazil
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  givenname: Sergio
  surname: Tufik
  fullname: Tufik, Sergio
  organization: Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, SP, Brazil
– sequence: 15
  givenname: Marco
  surname: Tulio de Mello
  fullname: Tulio de Mello, Marco
  organization: Escola de Educação Física, Fisioterapia e Terapia Ocupacional (EEFFTO), Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
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Keywords Human
Humoral response
Cytokines
Meningococcal C (MenC) vaccine
Sleep deprivation
Cellular response
Language English
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Snippet It is well-established that sleep regulates immune functions. Immunological functions are dependent on circadian rhythms and regular sleep as both have an...
BACKGROUNDIt is well-established that sleep regulates immune functions. Immunological functions are dependent on circadian rhythms and regular sleep as both...
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SubjectTerms Cellular response
Cytokines
Human
Humoral response
Meningococcal C (MenC) vaccine
Sleep deprivation
Title Night shift work and immune response to the meningococcal conjugate vaccine in healthy workers: a proof of concept study
URI https://dx.doi.org/10.1016/j.sleep.2020.05.032
https://www.ncbi.nlm.nih.gov/pubmed/32866895
https://search.proquest.com/docview/2439621742
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