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Sleepless Nights May Be Bad For Stomach

NEW YORK (Reuters Health) - Bad news for people with insomnia or those who like to burn the midnight oil--you may be at increased risk for ulcers, according to a report published in the current issue of the journal Gut.

Researchers in the UK have discovered that the protein TFF2, which aids in stomach lining repair, mostly acts during the night when we sleep.

``The stomach is continually susceptible to damage due to the intake of food, which can be abrasive, or due to chemicals such as alcohol. The lining is continually repaired, which prevents the establishment of erosions or ulcers,'' lead author Dr. Felicity May, of the University of Newcastle upon Tyne, told Reuters Health in an interview.

``It is known that TFF2 is expressed at much higher levels in ulcerative conditions, and it is thought that this facilitates the repair of the ulcer,'' she added.

In an effort to determine if TFF2 follows the pattern of the body's natural sleep-wake cycle--known as circadian rhythm--May and her colleagues evaluated the concentrations of TFF2 in 12 volunteers aged 20 to 24 years.

The participants had 12 samples of gastric juices collected from their stomachs over a 24-hour period.

The researchers found that the concentrations of TFF2 were generally low during the day and dropped after food intake. Concentrations rose sharply during inactivity and sleep.

``The key finding is the dramatic circadian rhythm of gastric TFF2, which suggests that repair processes may occur predominantly at night,'' May told Reuters Health.

Since the primary function of TFF2 is thought to be the maintenance of the lining of the stomach and its concentrations are highest at night, May speculates that those who don't get adequate sleep may be depriving their bodies of much needed down time for stomach lining repair.

However, the study did not attempt to prove that lack of sleep causes ulcers, May stressed.

SOURCE: Gut 2001;48:648-655

Reference Source 89

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