Sleeping with the hypothalamus: emerging therapeutic targets for sleep disorders

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Sleeping with the hypothalamus: emerging therapeutic targets for sleep disorders"


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ABSTRACT Delineating the basic mechanisms that regulate sleep will likely result in the development of better treatments for sleep disorders. The hypothalamus is now recognized as a key


center for sleep regulation, with hypothalamic neurotransmitter systems providing the framework for therapeutic advances. An increased awareness of the close interaction between sleep and


homeostatic systems is also emerging. Progress has occurred in the understanding of narcolepsy—molecular techniques have identified the lateral hypothalamic hypocretin (orexin) neuropeptide


system as key to the disorder. Other sleep disorders are now being tackled in the same way and are likely to yield to efforts combining basic and clinical research. Here we highlight the


role of the hypothalamus in sleep physiology and discuss neurotransmitter systems, such as adenosine, dopamine, GABA, histamine and hypocretin, that may have therapeutic applications for


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Contact customer support SIMILAR CONTENT BEING VIEWED BY OTHERS SLEEP AND CIRCADIAN RHYTHMICITY AS ENTANGLED PROCESSES SERVING HOMEOSTASIS Article 01 December 2023 NEURO-ORCHESTRATION OF


SLEEP AND WAKEFULNESS Article 29 December 2022 RAPTIN, A SLEEP-INDUCED HYPOTHALAMIC HORMONE, SUPPRESSES APPETITE AND OBESITY Article Open access 29 January 2025 REFERENCES * Kryger, M.,


Roth, T. & Dement, W.C. _Principles and Practice of Sleep Medicine_ 3rd edn. (WB Saunders Company, New York, 2000). Google Scholar  * Van Economo, C. Sleep as a problem of localization.


_J. Nerv. Mental Disease_ 71, 249–269 (1931). Article  Google Scholar  * Bernardis, L.L. & Bellinger, L.L. The lateral hypothalamic area revisited: ingestive behavior. _Neurosc. Behav.


Rev._ 20, 189–287 (1996). Article  CAS  Google Scholar  * Moruzzi, G. & Magoun, H.W. Brain stem reticular formation and activation of the EEG. _Electroencephalogr. Clin. Neurophysiol._


1, 455–473 (1949). Article  CAS  Google Scholar  * Rechtschaffen, A., Bergmann, B.M., Everson, C.A., Kushida, C.A. & Gilliland, M.A. Sleep deprivation in the rat: X. Integration and


discussion of the findings. _Sleep_ 25, 68–87 (2002). Article  Google Scholar  * Spiegel, K., Leproult, R. & Van Cauter, E. Impact of sleep debt on metabolic and endocrine function.


_Lancet_ 354, 1435–1439 (1999). Article  CAS  Google Scholar  * Pace-Schott, E.F. & Hobson, J.A. The neurobiology of sleep: genetics, cellular physiology and subcortical networks. _Nat.


Rev. Neurosci._ 3, 591–605 (2002). Article  CAS  Google Scholar  * Steriade, M. Arousal: revisiting the reticular activating system. _Science_ 272, 225–226 (1996). Article  CAS  Google


Scholar  * Wisor, J.P., Nishino, S., Sora, I., Uhl, G.H., Mignot, E. & Edgar, D.M. Dopaminergic role in stimulant-induced wakefulness. _J. Neurosci._ 21, 1787–1794 (2001). Article  CAS 


Google Scholar  * Miller, J.D., Farber, J., Gatz, P., Roffwarg, H. & German, D.C. Activity of mesencephalic dopamine and non-dopamine neurons across stages of sleep and walking in the


rat. _Brain Res._ 273, 133–141 (1983). Article  CAS  Google Scholar  * Rye, D.B. & Jankovic, J. Emerging views of dopamine in modulating sleep/wake state from an unlikely source: PD.


_Neurology_ 58, 341–346 (2002). Article  Google Scholar  * Lu, J., Xu, M. & Saper, C.B. Identification of wake-active dopaminergic neurons in the ventral periaqueducal gray. _Sleep_ 25,


supplement, A290 (2002). Google Scholar  * Smith, T.A. Type A gamma-aminobutyric acid (GABAA) receptor subunits and benzodiazepine binding: significance to clinical syndromes and their


treatment. _Br. J. Biomed. Sci._ 58, 111–121 (2001). CAS  PubMed  Google Scholar  * Crestani, F., Martin, J.R., Mohler, H. & Rudolph, U. Mechanism of action of the hypnotic zolpidem _in


vivo_. _Br. J. Pharmacol._ 131, 1251–1254 (2000). Article  CAS  Google Scholar  * Tobler, I., Kopp, C., Deboer, T. & Rudolph, U. Diazepam-induced changes in sleep: role of the alpha 1


GABA(A) receptor subtype. _Proc. Natl. Acad. Sci. USA_ 98, 6464–6469 (2001). Article  CAS  Google Scholar  * Bernasconi, R., Mathivet, P., Bischoff, S. & Marescaux, C.


Gamma-hydroxybutyric acid: an endogenous neuromodulator with abuse potential? _Trends Pharmacol. Sci._ 20, 135–141 (1999). Article  CAS  Google Scholar  * Strecker, R.E. et al. Extracellular


histamine levels in the feline preoptic/anterior hypothalamic area during natural sleep-wakefulness and prolonged wakefulness: an _in vivo_ microdialysis study. _Neuroscience_ 113, 663–670


(2002). Article  CAS  Google Scholar  * Parmentier, R., Ohtsu, H., Djebbara-Hannas, Z., Valatx, J.L., Watanabe, T. & Lin, J.S. Anatomical, physiological, and pharmacological


characteristics of histidine decarboxylase knock-out mice: evidence for the role of brain histamine in behavioral and sleep-wake control. _J. Neurosci._ 22, 7695–7711 (2002). Article  CAS 


Google Scholar  * Dugovic, C. et al. Sleep in mice lacking the histamine H3 receptor, a putative genetic animal model for REM behavior disorder. _Sleep_ 25, supplement, A114 (2002). Google


Scholar  * Beuckmann, C.T. & Yanagisawa, M. Orexins: from neuropeptides to energy homeostasis and sleep/wake regulation. _J. Mol. Med._ 80, 329–342 (2002). Article  CAS  Google Scholar 


* Taheri, S., Zeitzer, J.M. & Mignot, E. The role of hypocretins (orexins) in sleep regulation and narcolepsy. _Annu. Rev. Neurosci._ 25, 283–313 (2002). Article  CAS  Google Scholar  *


Marcus, J.N. et al. Differential expression of orexin receptors 1 and 2 in the rat brain. _J. Comp. Neurol._ 435, 6–25 (2001). Article  CAS  Google Scholar  * Yoshida, Y. et al. Fluctuation


of extracellular hypocretin-1 (orexin A) levels in the rat in relation to the light-dark cycle and sleep-wake activities. _Eur. J. Neurosci._ 14, 1075–1081 (2001). Article  CAS  Google


Scholar  * Kiyashchenko, L.I. et al. Release of hypocretin (orexin) during waking and sleep states. _J. Neurosci._ 22, 5282–5286 (2002). Article  CAS  Google Scholar  * Yamanaka, A. et al.


Orexins activate histaminergic neurons via the orexin 2 receptor. _Biochem. Biophys. Res. Commun._ 290, 1237–1245 (2002). Article  CAS  Google Scholar  * Saper, C.B., Chou, T.C. &


Scammell, T.E. The sleep switch: hypothalamic control of sleep and wakefulness. _Trends Neurosci._ 24, 726–731 (2001). Article  CAS  Google Scholar  * Suntsova, N., Szymusiak, R., Alam,


M.N., Guzman-Marin, R. & McGinty, D. Sleep-waking discharge patterns of median preoptic nucleus neurons in rats. _J. Physiol._ 543, 665–677 (2002). Article  CAS  Google Scholar  * Dijk,


D.J. & Czeisler, C.A. Paradoxical timing of the circadian rhythm of sleep propensity serves to consolidate sleep and wakefulness in humans. _Neurosc. Lett._ 166, 63–68 (1994). Article 


CAS  Google Scholar  * Edgar, D.M., Dement, W.C. & Fuller, C.A. Effect of SCN lesions on sleep in squirrel monkeys: evidence for opponent processes in sleep-wake regulation. _J.


Neurosci._ 13, 1065–1079 (1993). Article  CAS  Google Scholar  * Wager-Smith, K. & Kay, S.A. Circadian rhythm genetics: from flies to mice to humans. _Nat. Genet._ 26, 23–27 (2000).


Article  CAS  Google Scholar  * Kramer, A. et al. Regulation of daily locomotor activity and sleep by hypothalamic EGF receptor signaling. _Science_ 294, 2511–2515 (2001). Article  CAS 


Google Scholar  * Cheng, M.Y. et al. Prokineticin 2 transmits the behavioural circadian rhythm of the suprachiasmatic nucleus. _Nature_ 417, 405–410 (2002). Article  CAS  Google Scholar  *


Shaw, P.J., Tononi, G., Greenspan, R.J. & Robinson, D.F. Stress response genes protect against lethal effects of sleep deprivation in _Drosophila_. _Nature_ 417, 287–291 (2002). Article


  CAS  Google Scholar  * Naylor, E. et al. The circadian clock mutation alters sleep homeostasis in the mouse. _J. Neurosci._ 20, 8138–8143 (2000). Article  CAS  Google Scholar  *


Porkka-Heiskanen, T., Strecker, R.E., Thakkar, M., Bjorkum, A.A., Greene, R.W. & McCarley, R.W. Adenosine: a mediator of the sleep-inducing effects of prolonged wakefulness. _Science_


276, 1265–1268 (1997). Article  CAS  Google Scholar  * Kubin, L., Tojima, H., Reignier, C., Pack, A.I. & Davies, R.O. Interaction of serotonergic excitatory drive to hypoglossal


motoneurons with carbachol-induced, REM sleep-like atonia. _Sleep_ 19, 187–195 (1996). Article  CAS  Google Scholar  Download references AUTHOR INFORMATION AUTHORS AND AFFILIATIONS *


Stanford University Center for Narcolepsy, 701 Welch Road B, Room 145, Palo Alto, 94304-5742, California, USA Emmanuel Mignot, Shahrad Taheri & Seiji Nishino Authors * Emmanuel Mignot


View author publications You can also search for this author inPubMed Google Scholar * Shahrad Taheri View author publications You can also search for this author inPubMed Google Scholar *


Seiji Nishino View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to Emmanuel Mignot. RIGHTS AND PERMISSIONS Reprints and


permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Mignot, E., Taheri, S. & Nishino, S. Sleeping with the hypothalamus: emerging therapeutic targets for sleep disorders. _Nat Neurosci_ 5


(Suppl 11), 1071–1075 (2002). https://doi.org/10.1038/nn944 Download citation * Received: 15 July 2002 * Accepted: 12 September 2002 * Published: 28 October 2002 * Issue Date: November 2002


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