Lung health is affected by irregular sleep patterns: Study

04/06/2023

A study has found that abnormal sleep patterns disrupt the body's natural biological clock and have been linked to lung health issues. The study was published in the journal, 'Nature Comm-unications'. Researchers have shown how a biological clock molecule, called REV-ERBa, contributes to lung scarring, uncovering new potential drugs and drug targets along the way. Pulmonary fibrosis, or lung scarring, is a serious condition in which connective tissue builds up in the lungs, making them thick and rigid, and causing difficulty breathing. While medications can ease the symptoms of pulmonary fibrosis, none can repair the lung damage caused by this sometimes-fatal disease.
It confirms a previously-discovered link between the body's biological clock (or circadian rhythm) and lung diseases and uncovers a new mechanism underlying this link. Study authors show that a lack of the circadian rhythm protein, REV-ERBa, contributes to lung scarring in mice by increasing production of collagen, a major component of connective tissue, and lysyl oxidase, which stabilizes connective tissue and makes it more rigid.
The team, which was led by Irfan Rahman, PhD, Dean's Professor of Enviro-nmental Medicine at URMC, found low levels of REV-ERBa and large amounts of collagen and lysyl oxidase in lung samples from patients with pulmonary fibrosis. Inducing lung injury in mice had a similar outcome: reduced REV-ERBa levels and increased levels of collagen, lysyl oxidase, and other markers of fibrosis. As a circadian rhythm protein, REV-ERBa expression normally fluctuates throughout the day, peaking at noon and dipping to its lowest levels at midnight. When the team induced lung injury at night, mice had larger increases in lysyl oxidase and collagen proteins, more extensive lung damage, and lower survival rates compared to mice injured in the morning.
Rahman said this could be relevant to night-shift workers who are exposed to lung irritants at work. "Night-shift work usually occurs during the midnight timeframe when the expression of REV-ERBa is lowest," he said.
"Our study suggests there is less protection against lung fibrosis generated from REV-ERBa activation at night."
When the team induced lung injury in genetically modified mice that express low levels of REV-ERBa, the mice had worse outcomes that appeared to be mediated by increased collagen and lysyl oxidase. After 15 days of infection with influenza A, these mice had greater upregulation of collagen and lysyl oxidase gene expression, worse flu infections, and worse lung injury compared with mice who expressed normal levels of REV-ERBa.

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