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Segment

3
Historical Overview: Brainstem & Forebrain

Neurobiology of Sleep and


Wakefulness
Learning Points & Defining Behavioral States
Historical Overview: Brainstem & Forebrain
Wakefulness and REM Sleep: Monoamines,
Acetylcholine & GABA, Hypocretin/Orexin
NREM Sleep: GABA, Adenosine
Summary

Brainstem Control of REM


Sleep and Wakefulness

Midbrain
Pons
Medulla

Deafferentation Hypothesis:
Sleep is a Passive Process

Bremer, Bull Acad Royale Medicine Belgique 4: 6886, 1937

Ascending Reticular Activating


System (ARAS)
Brain stem reticular
formation and
activation of the EEG

Moruzzi and Magoun, 1949
Electroencephalog Clin Neurophysiol 1:455-473

Regularly
occurring periods
of eye motility
and concomitant
phenomena,
during sleep

First Recordings of Eye


Movements During Sleep

200
100
0

Conjugate Rapid Eye Movements

Time (sec)

15

Aserinsky and Kleitman Science 118:273-274, 1953

20

Cyclic Variations in EEG During Sleep


and Their Relations to Eye Movements,
Body Motility and Dreaming

William C. Dement
and Nathanial Kleitman

Electroencephalog Clin Neurophysiol


9:673-680, 1957

EEG Activation During Sleep in Animals

Dement, Electroencephalog Clin Neurophysiol 10:291-296, 1958

REM Sleep Generating Neurons


are Localized to the Pons
A

modified from Jouvet, Arch Ital Biol 100:125-206, 1962

Anatomical Basis of the ARAS


Putative cholinergic neurons in the brainstem
were identified and localized (Shute and Lewis, Nature
199:1160-1164, 1963)

Monoamine-containing neurons in the brain


stem were histologically identified and
mapped (Dahlstrm and Fuxe, Acta Physiol Scand 62 (Suppl. 232):
1-55, 1964)

Cholinergic Components of the ARAS

modified from Cooper et al., 1991


Biochemical Basis of Neuropharmacology, Oxford, p. 208

Human ARAS
PET image shows activation
of mesopontine tegmentum
when a subject performs an
attention-demanding task

Kinomura et al.,
Science 271:
417-564, 1996

NREM

REM

WAKE

Braun et al., Brain 120:1173-1197, 1997

REM Sleep is an Active Brain


State that is Actively Generated
REM Sleep

Wakefulness
Lydic et al., J Comp Neurol 304:517-529,1991

Forebrain Control of NREM


Sleep and Wakefulness

Basal
Forebrain
Hypothalamus

Basal Forebrain and Hypothalamus


Regulate Sleep and Wakefulness
Post mortem examination
of brains from encephalitis
lethargica patients
revealed different effects
on sleep depending on
lesion site (von Economo,
Journal of Nervous and Mental
Disease 71:249-259, 1930)

Basal Forebrain and Hypothalamus


Regulate Sleep and Wakefulness
Patients with insomnia had
lesions of the preoptic area
and anterior hypothalamus
(von Economo, Journal of Nervous
and Mental Disease 71:249-259,
1930)

Basal Forebrain and Hypothalamus


Regulate Sleep and Wakefulness
Patients with
hypersomnolence had
lesions of the posterior
hypothalamus (von Economo,
Journal of Nervous and Mental
Disease 71:249-259, 1930)

Basal Forebrain and Hypothalamus


Regulate Sleep and Wakefulness
Preoptic area/anterior
hypothalamus functions as
a sleep center, and
posterior hypothalamus
functions as a wakefulness
center (von Economo, Ergebnisse
der Physiologie 28:312-339, 1929;
J Nerv Ment Dis 71:249-259, 1930)

Hypothalamic Regulation of
Sleep and Wakefulness
Experimental lesions of the anterior hypothalamus
cause insomnia (McGinty and Sterman, 1968; Nauta, 1946; Sallanon
et al., 1989)

Experimental lesions of the posterior hypothalamus


cause hypersomnolence (Ranson, 1939; Nauta, 1946; McGinty,
1969; Sweet and Hobson, 1968)

Electrical stimulation of the preoptic area-anterior


hypothalamus causes sleep (Sterman and Clemente, 1962)

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