Evidence map›Paper›PMID 42310428›Full record

ArticleCommunications biology2026

A dermo-hypothalamic axis driven by TNF-α mediates sleep disturbances in psoriasis.

Dandan Chen, Ying Ma, Jiliang Lu, Xiaoya Xi, Xinyi Dai, Chenxingyue Zhang, Ziyue Diao, Xing Guo, Zhiqiang Yin

Abstract read
In one paragraph

Article in Communications biology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Dandan Chen *Department of Dermatology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China.
Ying Ma *State Key Laboratory of Digital Medical Engineering, Department of Otolaryngology Head and Neck Surgery, Zhongda Hospital, School of Life Sciences and Technology, School of Medicine, Advanced Institute for Life and Health, Jiangsu Provincial Key Laboratory of Critical Care Medicine, Southeast University, Nanjing, China.
Jiliang Lu *Department of Dermatology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China.
Xiaoya Xi *State Key Laboratory of Pharmaceutical Biotechnology, National Resource Center for Mutant Mice, Department of Anesthesiology, Nanjing Drum Tower Hospital, and Department of Physiology, School of Life Science, Nanjing University, Nanjing, China.
Xinyi DaiDepartment of Dermatology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China.
Chenxingyue ZhangDepartment of Dermatology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China.ORCID http://orcid.org/0009-0002-3052-238X
Ziyue DiaoDepartment of Dermatology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China.
Xing GuoDepartment of Neurobiology, School of Basic Medical Sciences, State Key Laboratory of Reproductive Medicine and Offspring Health, Jiangsu Key Laboratory of Molecular Targets and Intervention for Metabolic Diseases, Nanjing Medical University, Nanjing, China. guox@njmu.edu.cn.ORCID http://orcid.org/0000-0002-0216-0310
Zhiqiang YinDepartment of Dermatology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, China. yinzhiqiang@njmu.edu.cn.ORCID http://orcid.org/0000-0002-6510-1051

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sleep disturbances are a debilitating feature of psoriasis, but whether they arise from itching or from direct effects of inflammation on the brain remains unclear. Here we show, using clinical data and a mouse model of psoriasis-like inflammation, that affected animals exhibit marked wakefulness and fragmented non-rapid eye movement sleep, even when itching is eliminated. This sleep disruption is linked to overactivity of wake-promoting neurons in a brain region called the anterior hypothalamic area. We find evidence of a local inflammatory response in this region, including activation of microglia and elevated levels of the signaling protein tumor necrosis factor-alpha. Directly delivering an inhibitor of this protein into the anterior hypothalamic area significantly restores normal sleep. These findings reveal a direct pathway from skin inflammation to sleep-regulating brain circuits and identify tumor necrosis factor-alpha as a potential target for treating insomnia in psoriasis.

Indexed as

HypothalamusPsoriasisSkinSleep Wake DisordersTumor Necrosis Factor-alphaAnimalsDisease Models, AnimalFemaleHumansMaleMiceSleepTumor Necrosis Factor-alpha

Identifiers

PMID42310428
PMCPMC13635241

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.