TY - JOUR TI - Circadian rhythmicity, variability and correlation of interleukin-6 levels in plasma and cerebrospinal fluid of healthy men AU - Agorastos, Agorastos AU - Hauger, Richard L. AU - Barkauskas, Donald A. AU - and Moeller-Bertram, Tobias AU - Clopton, Paul L. AU - Haji, Uzair and AU - Lohr, James B. AU - Geracioti, Jr., Thomas D. AU - Patel, Piyush M. and AU - Chrousos, George P. AU - Baker, Dewleen G. JO - Psychoneuroendocrinology PY - 2014 VL - 44 TODO - null SP - 71-82 PB - PERGAMON-ELSEVIER SCIENCE LTD SN - 0306-4530 TODO - 10.1016/j.psyneuen.2014.02.020 TODO - Interleukin-6 (IL-6); Cytokines; Circadian; Immune; Inflammation; Blood brain-barrier (BBB); Cerebrospinal fluid (CSF); Sleep; Stress; Neuroimmunology TODO - Background: Interleukin-6 (IL-6) is a cytokine with pleiotropic actions in both the periphery of the body and the central nervous system (CNS). Altered IL-6 secretion has been associated with inflammatory dysregulation and several adverse health consequences. However, little is known about the physiological circadian characteristics and dynamic inter-correlation between circulating and CNS IL-6 levels in humans, or their significance. Methods: Simultaneous assessment of plasma and cerebrospinal fluid (CSF) IL-6 levels was performed hourly in 11 healthy male volunteers over 24 h, to characterize physiological IL-6 secretion levels in both compartments. Results: IL-6 levels showed considerable within- and between-subject variability in both plasma and CSF, with plasma/CSF ratios revealing consistently higher levels in the CSF. Both CSF and plasma IL-6 levels showed a distinctive circadian variation, with CSF IL-6 levels exhibiting a main 24 h, and plasma a biphasic 12 h, circadian component. Plasma peaks were roughly at 4 p.m. and 4 a.m., while the CSF peak was at around 7 p.m. There was no correlation between coincident CSF and plasma IL-6 values, but evidence for significant correlations at a negative 7-8 h time lag. Conclusions: This study provides evidence in humans for a circadian IL-6 rhythm in CSF and confirms prior observations reporting a plasma biphasic circadian pattern. Our results indicate differential IL-6 regulation across the two compartments and are consistent with local production of IL-6 in the CNS. Possible physiological significance is discussed and implications for further research are highlighted. Published by Elsevier ER -