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. 2020 Aug 13;11(4):529–549. doi: 10.1007/s13167-020-00222-1

Table 3.

Changes observed in biomolecules in association with altered sleep including REMS. The numbers in parentheses show the cited article in the reference list

Biomolecules studied Effect on the biomolecules Tissue sample Associated disorders References
Caspase-3 Activation of caspase-3 and downregulation of antiapoptotic gene Brain Oxidative DNA damage, ROS-induced carcinogenesis, neurodegeneration [177, 178]
Reactive oxygen species (ROS) ROS level increases, increased apoptosis [179181]
Na-K ATPase Increased activity of Na-K ATPase and increased membrane excitability [182, 183]
Corticosterone Increased level Plasma [184]
Leucocyte Increased leucocyte count Plasma Higher titer of antinuclear antibodies, worsen immune functions, Early onset of Autoimmune and inflammatory diseases, modulate blood-brain barrier [184]
Lymphocytes Decreased number of lymphocytes [184]
Natural killer (NK) cells Increased number of NK cells [185]
Cytokines Elevation of pro-inflammatory cytokines (IL-6) Plasma [186]
Complement C3 Increased level Serum [184]
Immunoglobulin-M (IgM) Increased level [184]
Immunoglobulin-A (IgA) Decreased level [187]
Nitric oxide Higher expression of nitric oxide synthase and increased apoptosis in heart muscles Heart ventricle Myocardial ischemic-reperfusion injury, cardiac disorders [175, 176]
Hexokinase Increased activity Brain Decreased energy production, body weight loss, lethargy, skeletal muscular atrophy, anorexia [188]
Glucose-6-phosphatase Decreased activity [188]
Glucose, glucose-6-phosphate, and pyruvate Significant fall in their levels Brain (cerebral frontal lobe) [189]
Succinate-CoQ reductase Decreased in the activity Brain (mitochondria of hippocampus and striatum) [190]
CoQH2-cytochrome c reductase [190]
Cytochrome c oxidase Brain (mitochondria of the prefrontal cortex, cerebral cortex, cerebellum, hippocampus, and striatum) [190]
Citrate synthase Increased activity Brain (prefrontal cortex) [190]
Leptin Decreased level Plasma Anorexia, depression, and Alzheimer’s disease [189, 191193]
Gut microbiota Found in blood Plasma Inflammation and damage in the blood-brain barrier [194, 195]
Noradrenaline (NA) Increased release of NA in different brain areas Brain, plasma, urine, and cerebrospinal fluid (CSF) Associated with most of the disease mentioned above [4, 16, 19, 21, 96, 158, 166]
Gamma amino butyric acid (GABA) Increased level Brain [16]
Acetylcholine Decreased level Brain [96]