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The Nighttime Engine: Sleep Triggers Growth Hormone That Builds You, Even as You Dream

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When we sleep, the body releases growth hormone that builds and repairs muscles and bones. Yet how and why this happens has long remained a mystery—until now. A team from the University of California, Berkeley, analyzed brain circuits in mice to uncover the mechanisms regulating growth hormone release during sleep. They found a self-regulating system with feedback loops that links sleep to growth and metabolism. The findings point toward new ways to treat sleep problems and related health issues, from diabetes to Alzheimer’s disease, by understanding the sleep-growth hormone connection.

The Nighttime Engine: Sleep Triggers Growth Hormone That Builds You, Even as You Dream

Direct Evidence: Recording Brain Activity in Mice Reveals How Growth Hormone Is Released During REM and Non-REM Sleep

In multiple sleep-wake cycles recorded directly in mice, growth hormone rose during both REM and non-REM sleep. The neurons that promote and inhibit growth hormone shifted in their influence depending on the sleep stage. The study also identified a feedback loop involving neurons in the locus coeruleus, a brain region tied to wakefulness. "People know that growth hormone release is tightly related to sleep, but only through drawing blood and checking growth hormone levels during sleep," says Xinlu Ding. "We’re actually directly recording neural activity in mice to see what’s going on. We are providing a basic circuit to work on in the future to develop different treatments."

Direct Evidence: Recording Brain Activity in Mice Reveals How Growth Hormone Is Released During REM and Non-REM Sleep

A Tightrope of Sleep and Wakefulness: The Locus Coeruleus and the Balancing Act

The data suggest that sleep and growth hormone form a tightly balanced system. "Sleep drives growth hormone release, and growth hormone feeds back to regulate wakefulness, and this balance is essential for growth, repair, and metabolic health," says neuroscientist Daniel Silverman. The locus coeruleus, a brain region tied to wakefulness, appears to mediate this feedback, hinting that daytime alertness could be influenced by the same circuit that governs sleep and growth. Too little sleep reduces growth hormone release; too much growth hormone can push the brain toward wakefulness.

A Tightrope of Sleep and Wakefulness: The Locus Coeruleus and the Balancing Act

Why It Matters for Everyday Health: Sleep, Metabolism and Disease Risk

Beyond growth, growth hormone helps regulate how the body processes glucose and fat. A lack of adequate sleep can raise the risk of obesity, diabetes, and cardiovascular disease. Understanding this neural circuit could inform treatments for sleep problems and metabolic health, with potential cognitive benefits during the day as well. The researchers note that more work is needed to confirm how human brains mirror mouse findings, but the implications for health and daily function are substantial.

Why It Matters for Everyday Health: Sleep, Metabolism and Disease Risk

What Comes Next: New Therapies on the Horizon

The study opens the door to hormonal therapies aimed at improving sleep quality or restoring normal growth hormone balance, potentially by targeting specific cell types within the circuit. There is discussion of experimental gene therapies that could dial back the excitability of the locus coeruleus — a novel approach that researchers are beginning to explore. Caution is warranted: while the mouse findings are compelling, human brains may not operate in exactly the same way. More research is needed before translating this into clinical practice. The study, published in Cell, lays a foundational path for future therapies.

What Comes Next: New Therapies on the Horizon