Abstract: Insomnia is a sort of sleep disorder, which is affected by multiple factors such as neurological/endocrine system disorders, environmental factors, and psychosocial factors. Long-term insomnia can cause chronic fatigue and lack of concentration. More seriously, it can lead to memory decline, mood disorders, and even neurodegenerative diseases. Since current chemotherapeutics have disadvantages such as adverse side effects and insufficient curative effects, it is urgent to develop new prevention and treatment strategies. In recent years, with the in-depth understanding of the microbiome-gut-brain axis, targeting the gut microbiota to regulate the host’s circadian rhythm and the nervous system shows promising flexibility. Thus, this review summarizes the pathological mechanism of insomnia, the role of the gut microbiome in insomnia, and the dietary strategies for alleviating insomnia to guide the development of new anti-insomnia drugs and functional foods.
HUDSON A N, VAN DONGEN H P A, HONN K A.Sleep deprivation, vigilant attention, and brain function:A review[J].Neuropsychopharmacology, 2020, 45(1):21-30.
[2]
CHAPUT J P, WONG S L, MICHAUD I.Duration and quality of sleep among Canadians aged 18 to 79[J].Health Reports, 2017, 28(9):28-33.
[3]
PAVLOVA M K, LATREILLE V.Sleep disorders[J].The American Journal of Medicine, 2019, 132(3):292-299.
[4]
BOLLU P C, KAUR H.Sleep medicine:Insomnia and sleep[J].Missouri Medicine, 2019, 116(1):68-75.
[5]
ZHANG F, SHANG Z L, MA H Y, et al.Epidemic area contact history and sleep quality associated with posttraumatic stress symptoms in the first phase of COVID-19 outbreak in China[J].Scientific Reports, 2020, 10:22463.
[6]
WANG Y H, SHI L, QUE J Y, et al.The impact of quarantine on mental health status among general population in China during the COVID-19 pandemic[J].Molecular Psychiatry, 2021, 26(9):4 813-4 822.
[7]
ZITTING K M, LAMMERS-VAN DER HOLST H M L V, YUAN R K, et al.Google trends reveals increases in Internet searches for insomnia during the 2019 coronavirus disease (COVID-19) global pandemic[J].Journal of Clinical Sleep Medicine:JCSM:Official Publication of the American Academy of Sleep Medicine, 2021, 17(2):177-184.
[8]
VOITSIDIS P, GLIATAS I, BAIRACHTARI V, et al.Insomnia during the COVID-19 pandemic in a Greek population[J].Psychiatry Research, 2020, 289:113076.
[9]
HERTENSTEIN E, FEIGE B, GMEINER T, et al.Insomnia as a predictor of mental disorders:A systematic review and meta-analysis[J].Sleep Medicine Reviews, 2019, 43:96-105.
[10]
GREEN M J, ESPIE C A, POPHAM F, et al.Insomnia symptoms as a cause of type 2 diabetes Incidence:A 20 year cohort study[J].BMC Psychiatry, 2017, 17(1):94.
[11]
王玥, 朱国行.慢性原发性失眠的临床特点[J].中国临床神经科学, 2011, 19(6):601-605.WANG Y, ZHU G X.The clinical characteristics of chronic primary insomnia in China[J].Chinese Journal of Clinical Neurosciences, 2011, 19(6):601-605.
[12]
ZHANG R, YANG Y S, LIU X C, et al.Correlation study of basic Chinese medicine syndromes and neurotransmitter levels in patients with primary insomnia[J].Chinese Journal of Integrative Medicine, 2016,2016:27.
[13]
MONTI J M.Serotonin control of sleep-wake behavior[J].Sleep Medicine Reviews, 2011, 15(4):269-281.
[14]
PLANTE D T, JENSEN J E, WINKELMAN J W.The role of GABA in primary insomnia[J].Sleep, 2012, 35(6):741-742.
[15]
VARGAS I, LOPEZ-DURAN N.Investigating the effect of acute sleep deprivation on hypothalamic-pituitary-adrenal-axis response to a psychosocial stressor[J].Psychoneuroendocrinology, 2017, 79:1-8.
[16]
OTTE C, LENOCI M, METZLER T, et al.Hypothalamic-pituitary-adrenal axis activity and sleep in posttraumatic stress disorder[J].Neuropsychopharmacology, 2005, 30(6):1 173-1 180.
[17]
IRWIN M R.Sleep and inflammation:Partners in sickness and in health[J].Nature Reviews Immunology, 2019, 19(11):702-715.
[18]
LEE S Y, WUERTZ C, ROGERS R, et al.Stress and sleep disturbances in female college students[J].American Journal of Health Behavior, 2013, 37(6):851-858.
[19]
ZHAO M X, TUO H Z, WANG S H, et al.The effects of dietary nutrition on sleep and sleep disorders[J].Mediators of Inflammation, 2020, 2020:3142874.
[20]
IRWIN C, KHALESI S, DESBROW B, et al.Effects of acute caffeine consumption following sleep loss on cognitive, physical, occupational and driving performance:A systematic review and meta-analysis[J].Neuroscience & Biobehavioral Reviews, 2020, 108:877-888.
[21]
ZHOU E S, GARDINER P, BERTISCH S M.Integrative medicine for insomnia[J].The Medical Clinics of North America, 2017, 101(5):865-879.
[22]
ATKIN T, COMAI S, GOBBI G.Drugs for insomnia beyond benzodiazepines:Pharmacology, clinical applications, and discovery[J].Pharmacological Reviews, 2018, 70(2):197-245.
[23]
CUNNINGTON D, JUNGE M F, FERNANDO A T.Insomnia:Prevalence, consequences and effective treatment[J].Medical Journal of Australia, 2013, 199:S36-S40.
[24]
于臻, 边新娜, 韩文文, 等.失眠的中医证治研究进展[J].西部中医药, 2020, 33(1):151-154.YU Z, BIAN X N, HAN W W, et al.Research progress on TCM syndrome and treatment for insomnia[J].Western Journal of Traditional Chinese Medicine, 2020, 33(1):151-154.
[25]
SEN P, MOLINERO-PEREZ A, O’RIORDAN K J, et al.Microbiota and sleep:Awakening the gut feeling[J].Trends in Molecular Medicine, 2021, 27(10):935-945.
[26]
VOIGT R M, SUMMA K C, FORSYTH C B, et al.The circadian clock mutation promotes intestinal dysbiosis[J].Alcoholism:Clinical and Experimental Research, 2016, 40(2):335-347.
[27]
ROENNEBERG T, MERROW M.The circadian clock and human health[J].Current Biology, 2016, 26(10):R432-R443.
[28]
OGAWA Y, MIYOSHI C, OBANA N, et al.Gut microbiota depletion by chronic antibiotic treatment alters the sleep/wake architecture and sleep EEG power spectra in mice[J].Scientific Reports, 2020, 10:19554.
[29]
LI Y Y, ZHANG B, ZHOU Y, et al.Gut microbiota changes and their relationship with inflammation in patients with acute and chronic insomnia[J].Nature and Science of Sleep, 2020, 12:895-905.
[30]
HEATH A L M, HASZARD J J, GALLAND B C, et al.Association between the faecal short-chain fatty acid propionate and infant sleep[J].European Journal of Clinical Nutrition, 2020, 74(9):1 362-1 365.
[31]
KUROKAWA S, KISHIMOTO T, MIZUNO S, et al.The effect of fecal microbiota transplantation on psychiatric symptoms among patients with irritable bowel syndrome, functional diarrhea and functional constipation:An open-label observational study[J].Journal of Affective Disorders, 2018, 235:506-512.
[32]
YANO J M, YU K, DONALDSON G P, et al.Indigenous bacteria from the gut microbiota regulate host serotonin biosynthesis[J].Cell, 2015, 161(2):264-276.
[33]
ZHANG Y J, XIE B, CHEN X Y, et al.A key role of gut microbiota-vagus nerve/spleen axis in sleep deprivation-mediated aggravation of systemic inflammation after LPS administration[J].Life Sciences, 2021, 265:118736.
[34]
GÓMEZ-GONZÁLEZ B, HURTADO-ALVARADO G, ESQUEDA-LEÓN E, et al.REM sleep loss and recovery regulates blood-brain barrier function[J].Current Neurovascular Research, 2013, 10(3):197-207.
[35]
BRANISTE V, AL-ASMAKH M, KOWAL C, et al. The gut microbiota influences blood-brain barrier permeability in mice[J]. Science Translational Medicine, 2014, 6(263): 158-170.
[36]
SATEIA M J, BUYSSE D J, KRYSTAL A D, et al.Clinical practice guideline for the pharmacologic treatment of chronic insomnia in adults:An American academy of sleep medicine clinical practice guideline[J].Journal of Clinical Sleep Medicine:JCSM:Official Publication of the American Academy of Sleep Medicine, 2017, 13(2):307-349.
[37]
MATSUDA Y, OZAWA N, SHINOZAKI T, et al.Ergothioneine, a metabolite of the gut bacterium Lactobacillus reuteri, protects against stress-induced sleep disturbances[J].Translational Psychiatry, 2020, 10:170.
[38]
YU L L, HAN X, CEN S, et al.Beneficial effect of GABA-rich fermented milk on insomnia involving regulation of gut microbiota[J].Microbiological Research, 2020, 233:126409.
[39]
NISHIDA K, SAWADA D, KAWAI T, et al.Para-psychobiotic Lactobacillus gasseri CP2305 ameliorates stress-related symptoms and sleep quality[J].Journal of Applied Microbiology, 2017, 123(6):1 561-1 570.
[40]
MATENCHUK B A, MANDHANE P J, KOZYRSKYJ A L.Sleep, circadian rhythm, and gut microbiota[J].Sleep Medicine Reviews, 2020, 53:101340.
[41]
ALLEN A P, HUTCH W, BORRE Y E, et al.Bifidobacterium longum 1714 as a translational psychobiotic:Modulation of stress, electrophysiology and neurocognition in healthy volunteers[J].Translational Psychiatry, 2016, 6(11):e939.
[42]
MIYAKAWA M, KUBO S, ODA H, et al.Effects of lactoferrin on sleep conditions in children aged 12-32 months:A preliminary, randomized, double-blind, placebo-controlled trial[J].Nature and Science of Sleep, 2020, 12:671-677.
[43]
THOMPSON R S, ROLLER R, MIKA A, et al.Dietary prebiotics and bioactive milk fractions improve NREM sleep, enhance REM sleep rebound and attenuate the stress-induced decrease in diurnal temperature and gut microbial alpha diversity[J].Frontiers in Behavioral Neuroscience, 2017, 10:240.
[44]
THOMPSON R S, VARGAS F, DORRESTEIN P C, et al.Dietary prebiotics alter novel microbial dependent fecal metabolites that improve sleep[J].Scientific Reports, 2020, 10:3848.
[45]
LAVIALLE M, CHAMPEIL-POTOKAR G, ALESSANDRI J M, et al.An (n-3) polyunsaturated fatty acid-deficient diet disturbs daily locomotor activity, melatonin rhythm, and striatal dopamine in Syrian hamsters[J].The Journal of Nutrition, 2008, 138(9):1 719-1 724.
[46]
MURPHY R A, NATHAN T, HARRIS W S, et al.Omega-3 and omega-6 polyunsaturated fatty acid biomarkers and sleep:A pooled analysis of cohort studies on behalf of the Fatty Acids and Outcomes Research Consortium (FORCE)[J].The American Journal of Clinical Nutrition, 2021, 115(3):864-876.
[47]
AHN J H, IM C, PARK J H, et al.Hypnotic effect of GABA from rice germ and/or tryptophan in a mouse model of pentothal-induced sleep[J].Food Science and Biotechnology, 2014, 23(5):1 683-1 688.
[48]
BYUN J I, SHIN Y Y, CHUNG S E, et al.Safety and efficacy of gamma-aminobutyric acid from fermented rice germ in patients with insomnia symptoms:A randomized, double-blind trial[J].Journal of Clinical Neurology (Seoul, Korea), 2018, 14(3):291-295.
[49]
CHERASSE Y, SAITO H, NAGATA N, et al.Zinc-containing yeast extract promotes nonrapid eye movement sleep in mice[J].Molecular Nutrition & Food Research, 2015, 59(10):2 087-2 093.
[50]
DONG Y J, JIANG N H, ZHAN L H, et al.Soporific effect of modified Suanzaoren Decoction on mice models of insomnia by regulating orexin-A and HPA axis homeostasis[J].Biomedicine & Pharmacotherapy, 2021, 143:112141.