Comparing Expression Levels of PERIOD genes PER1, PER2 and PER3 in Chronic Insomnia Patients and Medical Staff Working in the Night Shift

Summary Aim This study was done to determine the changes in expression levels of PERIOD family genes in chronic insomnia patients and night shift healthcare staff with irregular sleep hours. Method 24 chronic insomnia patients aged between 25 and 55 that were admitted to Erciyes University Medical Faculty Neurology Polyclinic, 32 medical staff aged between 23 and 42 that work in night shifts with no neurological diagnosis were included as volunteers in the experiment. Also, a control group consisting of 29 individuals between 21-50 years of age who do not work in shifts and has no neurological diagnosis was volunteered in the study. Since PERIOD family gene expressions are affected by time and season changes, blood samples were taken from the groups within the same week and at the same time periods. RNA isolation followed by cDNA synthesis from leukocytes was performed from blood samples that were kept in 10cc EDTA tubes. Expression levels of the genes were then determined by quantitative PCR method and analysed. Results here was a significant decrease in the expression levels of PER1 and PER2 genes in chronic insomnia and night shift healthcare professional groups compared to the control group (p = 0.0001 for PER1; p = 0.0023 for PER2), but no significant change was observed in PER3 gene (p = 0.619). Discussion The decrease in PER1 and PER2 gene expressions in chronic insomnia and shift working healthcare personnel seems to be more of a result for short sleep periods than a cause.