“…Although REM sleep might also support adaptive immune functions, the pro-inflammatory endocrine milieu present during SWS (including high levels of GH, prolactin, and aldosterone and nadir levels of cortisol) is optimally suited for promoting APC-T cell interactions. GH, prolactin, and aldosterone are known to support T-cell migration, the release of pro-inflammatory and Th1 cytokines, cell proliferation, and lymphocyte responses to a microbial challenge (43, 45, 48, 117, 126, 286, 355, 362–365, 380, 389, 478, 516, 518, 524, 575, 583, 601). On the other hand, low levels of cortisol during SWS could allow efficient APC-T cell interactions (157, 211, 417, 427, 438).…”