Potential effects of shift work on skin autoimmune diseases

Shift work is associated with systemic chronic inflammation, impaired host and tumor defense and dysregulated immune responses to harmless antigens such as allergens or auto-antigens. Thus, shift workers are at higher risk to develop a systemic autoimmune disease and circadian disruption with sleep...

Full description

Bibliographic Details
Main Authors: Sarah Stenger, Hanna Grasshoff, Jennifer Elisabeth Hundt, Tanja Lange
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2022.1000951/full
_version_ 1828032598264250368
author Sarah Stenger
Hanna Grasshoff
Jennifer Elisabeth Hundt
Jennifer Elisabeth Hundt
Tanja Lange
Tanja Lange
Tanja Lange
author_facet Sarah Stenger
Hanna Grasshoff
Jennifer Elisabeth Hundt
Jennifer Elisabeth Hundt
Tanja Lange
Tanja Lange
Tanja Lange
author_sort Sarah Stenger
collection DOAJ
description Shift work is associated with systemic chronic inflammation, impaired host and tumor defense and dysregulated immune responses to harmless antigens such as allergens or auto-antigens. Thus, shift workers are at higher risk to develop a systemic autoimmune disease and circadian disruption with sleep impairment seem to be the key underlying mechanisms. Presumably, disturbances of the sleep-wake cycle also drive skin-specific autoimmune diseases, but epidemiological and experimental evidence so far is scarce. This review summarizes the effects of shift work, circadian misalignment, poor sleep, and the effect of potential hormonal mediators such as stress mediators or melatonin on skin barrier functions and on innate and adaptive skin immunity. Human studies as well as animal models were considered. We will also address advantages and potential pitfalls in animal models of shift work, and possible confounders that could drive skin autoimmune diseases in shift workers such as adverse lifestyle habits and psychosocial influences. Finally, we will outline feasible countermeasures that may reduce the risk of systemic and skin autoimmunity in shift workers, as well as treatment options and highlight outstanding questions that should be addressed in future studies.
first_indexed 2024-04-10T15:07:57Z
format Article
id doaj.art-db460224fdd04a42a45830a5e41eb42c
institution Directory Open Access Journal
issn 1664-3224
language English
last_indexed 2024-04-10T15:07:57Z
publishDate 2023-02-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj.art-db460224fdd04a42a45830a5e41eb42c2023-02-14T20:01:52ZengFrontiers Media S.A.Frontiers in Immunology1664-32242023-02-011310.3389/fimmu.2022.10009511000951Potential effects of shift work on skin autoimmune diseasesSarah Stenger0Hanna Grasshoff1Jennifer Elisabeth Hundt2Jennifer Elisabeth Hundt3Tanja Lange4Tanja Lange5Tanja Lange6Lübeck Institute of Experimental Dermatology, University of Lübeck, Lübeck, GermanyDepartment of Rheumatology and Clinical Immunology, University of Lübeck, Lübeck, GermanyLübeck Institute of Experimental Dermatology, University of Lübeck, Lübeck, GermanyCenter for Research on Inflammation of the Skin, University of Lübeck, Lübeck, GermanyDepartment of Rheumatology and Clinical Immunology, University of Lübeck, Lübeck, GermanyCenter for Research on Inflammation of the Skin, University of Lübeck, Lübeck, GermanyCenter of Brain, Behavior and Metabolism (CBBM), University of Lübeck, Lübeck, GermanyShift work is associated with systemic chronic inflammation, impaired host and tumor defense and dysregulated immune responses to harmless antigens such as allergens or auto-antigens. Thus, shift workers are at higher risk to develop a systemic autoimmune disease and circadian disruption with sleep impairment seem to be the key underlying mechanisms. Presumably, disturbances of the sleep-wake cycle also drive skin-specific autoimmune diseases, but epidemiological and experimental evidence so far is scarce. This review summarizes the effects of shift work, circadian misalignment, poor sleep, and the effect of potential hormonal mediators such as stress mediators or melatonin on skin barrier functions and on innate and adaptive skin immunity. Human studies as well as animal models were considered. We will also address advantages and potential pitfalls in animal models of shift work, and possible confounders that could drive skin autoimmune diseases in shift workers such as adverse lifestyle habits and psychosocial influences. Finally, we will outline feasible countermeasures that may reduce the risk of systemic and skin autoimmunity in shift workers, as well as treatment options and highlight outstanding questions that should be addressed in future studies.https://www.frontiersin.org/articles/10.3389/fimmu.2022.1000951/fullshift workskinsleepcircadianautoimmunecortisol
spellingShingle Sarah Stenger
Hanna Grasshoff
Jennifer Elisabeth Hundt
Jennifer Elisabeth Hundt
Tanja Lange
Tanja Lange
Tanja Lange
Potential effects of shift work on skin autoimmune diseases
Frontiers in Immunology
shift work
skin
sleep
circadian
autoimmune
cortisol
title Potential effects of shift work on skin autoimmune diseases
title_full Potential effects of shift work on skin autoimmune diseases
title_fullStr Potential effects of shift work on skin autoimmune diseases
title_full_unstemmed Potential effects of shift work on skin autoimmune diseases
title_short Potential effects of shift work on skin autoimmune diseases
title_sort potential effects of shift work on skin autoimmune diseases
topic shift work
skin
sleep
circadian
autoimmune
cortisol
url https://www.frontiersin.org/articles/10.3389/fimmu.2022.1000951/full
work_keys_str_mv AT sarahstenger potentialeffectsofshiftworkonskinautoimmunediseases
AT hannagrasshoff potentialeffectsofshiftworkonskinautoimmunediseases
AT jenniferelisabethhundt potentialeffectsofshiftworkonskinautoimmunediseases
AT jenniferelisabethhundt potentialeffectsofshiftworkonskinautoimmunediseases
AT tanjalange potentialeffectsofshiftworkonskinautoimmunediseases
AT tanjalange potentialeffectsofshiftworkonskinautoimmunediseases
AT tanjalange potentialeffectsofshiftworkonskinautoimmunediseases