Gostner, J. | bioRxiv Science

bioRxiv2026

Overnight Th1 immune activation predicts the cortisol awakening response

The cortisol awakening response (CAR) marks the transition from rest to wake phase by a sharp increase in cortisol levels upon awakening in the morning. This increase may assist in cognitive and behavioral awakening, but its function is not fully understood yet. In this pilot study we aimed to provide first data on the influence of immune system activity on the CAR. Thereby, a within-subject analysis approach was applied to avoid confounding by between-subject bias and improve inference of the results. Three healthy subjects collected their overnight urine for analysis of neopterin (Th1 immune activation marker) and sampled saliva at 0, 30, and 45 minutes after awakening in the morning for cortisol determination and CAR estimation. Additionally, subjects wore an EEG-headband overnight for objective determination of the awakening timepoint. Random-effects models were computed to estimate the effect of overnight neopterin on the CAR. There was a significant positive effect of overnight neopterin levels on the CAR, indicating that overnight Th1 immune activation may predict the dynamic increase of cortisol in the morning, with higher immune levels leading to a stronger CAR. These results provide first evidence for the immunological awakening hypothesis and a potential role of the CAR in the maintenance of circadian immune rhythms, but given the small number of participants, findings should be interpreted as exploratory.

neuroscience↗

bioRxiv2024

Changes in Cerebrospinal Fluid Proteins across the Spectrum of Untreated and Treated Chronic HIV-1 Infection

Using the Olink Explore 1536 platform, we measured 1,463 unique proteins in 303 cerebrospinal fluid (CSF) specimens from four clinical centers that included uninfected controls and 12 groups of people living with HIV-1 infection representing the spectrum of progressive untreated and treated chronic infection. We present three initial analyses of these measurements: an overview of the CSF protein features of the sample; correlations of the CSF proteins with CSF HIV-1 RNA and neurofilament light chain protein (NfL) concentrations; and comparison of the CSF proteins in HIV-associated dementia (HAD) and neurosymptomatic CSF escape (NSE). These reveal a complex but coherent picture of CSF protein changes that includes highest concentrations of many proteins during CNS injury in the HAD and NSE groups and variable protein changes across the course of neuroasymptomatic systemic HIV-1 progression, including two common patterns, designated as lymphoid and myeloid patterns, related to the principal involvement of their underlying inflammatory cell lineages. Antiretroviral therapy reduced CSF protein perturbations, though not always to control levels. The dataset of these CSF protein measurements, along with background clinical information, is posted online. Extended studies of this unique dataset will provide more detailed characterization of the dynamic impact of HIV-1 infection on the CSF proteome across the spectrum of HIV-1 infection, and further the mechanistic understanding of HIV-1-related CNS pathobiology.

microbiology↗