Circadian melatonin and cortisol levels in rheumatoid arthritis patients in winter time: a north and south Europe comparison.

@article{citeulike:218160, abstract = {BACKGROUND: Altered functioning of the hypothalamic-pituitary-adrenal axis and altered melatonin production might modulate the circadian symptoms in patients with rheumatoid arthritis. OBJECTIVE: To investigate the influence of different winter photoperiods on the circadian rhythms of serum melatonin, cortisol, tumour necrosis factor alpha (TNFalpha), and interleukin 6 (IL6) in patients with rheumatoid arthritis from a north Europe country (Estonia) and a south Europe country (Italy). METHODS: The patients from Estonia (n = 19) and Italy (n = 7) had similar disease severity and duration and were compared with healthy age and sex matched controls in the two countries. Blood samples were collected during the period January to February at 8 pm, 10 pm, midnight, 2 am, 4 am, 6 am, 8 am, and 3 pm. Melatonin was measured by radioimmunoassay using (125)I-melatonin. Serum cortisol, TNFalpha, and IL6 cytokines were assayed by standard methods. RESULTS: Higher circadian melatonin concentrations from 10 pm and an earlier peak were observed in Estonian patients than in their age and sex matched controls (p<0.01). Starting from midnight, melatonin concentrations were significantly higher in the Estonian patients than in the Italian patients. No significant differences were observed for serum cortisol. Serum TNFalpha was higher (p<0.05) in Estonian patients than in their controls and was correlated with the melatonin levels. CONCLUSIONS: In a north European country (Estonia), the circadian rhythm of serum concentrations of melatonin and TNFalpha in patients with rheumatoid arthritis were significantly higher than in matched controls or in rheumatoid patients from a south Europe country (Italy).}, address = {Division of Rheumatology, Department of Internal Medicine, University of Genoa, Viale Benedetto XV 6, 16136 Genoa, Italy. mcutolo@unige.it}, author = {Cutolo, M. and Maestroni, G. J. and Otsa, K. and Aakre, O. and Villaggio, B. and Capellino, S. and Montagna, P. and Fazzuoli, L. and Veldi, T. and Peets, T. and Hertens, E. and Sulli, A. }, citeulike-article-id = {218160}, doi = {10.1136/ard.2004.023416}, issn = {0003-4967}, journal = {Ann Rheum Dis}, keywords = {arthritis, cr, ra, rheumatoid, seasons, symptoms}, month = {February}, number = {2}, pages = {212--216}, posted-at = {2005-06-03 18:25:12}, priority = {3}, title = {Circadian melatonin and cortisol levels in rheumatoid arthritis patients in winter time: a north and south Europe comparison.}, url = {http://dx.doi.org/10.1136/ard.2004.023416}, volume = {64}, year = {2005} }

TY - JOUR ID - citeulike:218160 L3 - citeulike-article-id:218160 TI - Circadian melatonin and cortisol levels in rheumatoid arthritis patients in winter time: a north and south Europe comparison. JF - Ann Rheum Dis VL - 64 IS - 2 SP - 212 EP - 216 AD - Division of Rheumatology, Department of Internal Medicine, University of Genoa, Viale Benedetto XV 6, 16136 Genoa, Italy. mcutolo@unige.it SN - 0003-4967 N2 - BACKGROUND: Altered functioning of the hypothalamic-pituitary-adrenal axis and altered melatonin production might modulate the circadian symptoms in patients with rheumatoid arthritis. OBJECTIVE: To investigate the influence of different winter photoperiods on the circadian rhythms of serum melatonin, cortisol, tumour necrosis factor alpha (TNFalpha), and interleukin 6 (IL6) in patients with rheumatoid arthritis from a north Europe country (Estonia) and a south Europe country (Italy). METHODS: The patients from Estonia (n = 19) and Italy (n = 7) had similar disease severity and duration and were compared with healthy age and sex matched controls in the two countries. Blood samples were collected during the period January to February at 8 pm, 10 pm, midnight, 2 am, 4 am, 6 am, 8 am, and 3 pm. Melatonin was measured by radioimmunoassay using (125)I-melatonin. Serum cortisol, TNFalpha, and IL6 cytokines were assayed by standard methods. RESULTS: Higher circadian melatonin concentrations from 10 pm and an earlier peak were observed in Estonian patients than in their age and sex matched controls (p<0.01). Starting from midnight, melatonin concentrations were significantly higher in the Estonian patients than in the Italian patients. No significant differences were observed for serum cortisol. Serum TNFalpha was higher (p<0.05) in Estonian patients than in their controls and was correlated with the melatonin levels. CONCLUSIONS: In a north European country (Estonia), the circadian rhythm of serum concentrations of melatonin and TNFalpha in patients with rheumatoid arthritis were significantly higher than in matched controls or in rheumatoid patients from a south Europe country (Italy). KW - arthritis KW - cr KW - ra KW - rheumatoid KW - seasons KW - symptoms AU - Cutolo, M AU - Maestroni, GJ AU - Otsa, K AU - Aakre, O AU - Villaggio, B AU - Capellino, S AU - Montagna, P AU - Fazzuoli, L AU - Veldi, T AU - Peets, T AU - Hertens, E AU - Sulli, A PY - 2005/02// UR - http://dx.doi.org/10.1136/ard.2004.023416 ER -