Alaska Sleep Education Center

Born to Sleep This Way? Sleep Genes

Woman sleeping in bed with a glowing DNA double helix floating above, suggesting genetics and sleep research.
woman sleeping under a DNA strand

Have you ever wondered why your partner falls asleep the moment their head hits the pillow while you’re still staring at the ceiling an hour later? Or why do some people spring out of bed at dawn while others feel half-dead before noon? The answer, at least in part, lies in your DNA.

Sleep is one of the most fundamental biological needs humans have, yet it varies dramatically from person to person. How much sleep you need, when you naturally feel tired, and even how vulnerable you are to sleep deprivation are all influenced by your genetic makeup. According to Harvard Medical School’s Division of Sleep Medicine, sleep is related to a complex mix of behavioral, environmental, and genetic factors.

Different Clocks

You’ve likely heard people describe themselves as “morning people” or “night owls.” It turns out this isn’t just personality: it’s biology. Our internal biological clock resides in the brain and regulates the timing of functions such as appetite, hormone release, and metabolism. Of all the cycles controlled by the circadian system, perhaps the most obvious is the sleep-wake cycle.

Genes influence how fast or slow our internal clock runs and how closely it, and our body’s functions, align with the 24-hour day. Changes in these genes, known as mutations, from one generation to the next can affect the clock’s timing. For example, this can cause a child to have a faster or slower clock than his or her parents.

For most people, the circadian clock does its job quietly in the background. But for some, genetic mutations cause it to run significantly faster or slower than normal, leading to recognized medical conditions.

People who feel the need to go to bed very early in the evening and have very early morning awakenings are classified as having advanced sleep phase syndrome (ASPS). On the other end of the spectrum is delayed sleep phase syndrome (DSPS), where a person’s natural sleep window is pushed much later, making early morning work or school obligations genuinely difficult to meet.

Sleep Disorders

Narcolepsy, the disorder most people associate with suddenly falling asleep mid-activity, is another condition with significant genetic underpinnings. In 1999, researchers discovered that a specific gene causes symptoms in mice and dogs that looked like the symptoms associated with narcolepsy in humans.

The narcolepsy gene in those animals produces a protein in the brain called orexin, or hypocretin, that promotes wakefulness. In humans, the cells in the brainstem area called the hypothalamus which produce orexin die off, resulting in narcolepsy. According to Harvard’s Sleep Medicine division, “understanding this genetic mechanism has opened significant avenues for treatment research, including the development of drugs that target the orexin system.”

Sleep apnea, in which the airway partially or completely collapses during sleep, is another condition where genetics plays a contributing role, though the picture is more complex. Different genes may be responsible for helping define the shape of the airways, the control of the muscles surrounding the throat, and the overall control of breathing all of which may cause or worsen sleep apnea.

Separating these genetic factors from related conditions like obesity and hypertension, which themselves have genetic components, makes the research particularly challenging.

One of the more striking findings in sleep genetics is that not everyone is equally harmed by a bad night. Researchers have found that some people with a slight genetic variation in one or more genes are much more vulnerable to the adverse effects of sleep loss than the average person. Somewhere between 10 and 20 percent of the population have this type of condition.

This has real-world implications. It means that identical work schedules, shift rotations, or sleep disruptions can have very different health consequences depending on who is experiencing them. What feels manageable to one person might be genuinely harmful to another.

If your sleep patterns feel fundamentally “off” your genes may be part of the story. Talking to a sleep specialist, rather than simply blaming yourself, may be the first step toward real answers. Connect with the Alaska Sleep Clinic for your free consultation today.

author avatar
Stefanie Leiter
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Brent Fisher, MBA, FACHE, FACMPE
President and Chief Executive Officer

“Alaska Sleep Clinic has a history of providing the most comprehensive sleep medicine services in the state of Alaska. Its potential has only begun. I am here to take these high-quality, comprehensive services to all Alaskans.”

Experience

Brent Fisher has held leadership positions spanning a wide variety of complex and start-up organizations: manufacturing (pharmaceutical & medical device), software development, hospitals (academic and community), medical groups, consulting, hospice, military, engineered devices, engineered plastics, and private equity.

Publications and Organizations

His writings have been published in various magazines, trade journals, and medical journals, including the Physician Executive Journal, Healthcare Executive, Modern Healthcare, Group Practice Journal, New England Journal of Medicine, and Journal of Healthcare Management (Best Article Award).

He has served on the Board of Directors of professional associations, civic organizations, and businesses.

Hobbies and Activities

Brent enjoys being with his family, serving in the community, hiking, camping, fishing, and hunting.