Chapter 9 - Neurobiology of waking and sleeping

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This chapter discusses the neurobiology of waking and sleeping. Waking and sleeping are actively generated by neuronal systems distributed through the brainstem and forebrain with different projections, discharge patterns, neurotransmitters, and receptors. Specific ascending systems stimulate cortical activation, characterized by fast, particularly gamma activity that occurs during waking and rapid eye movement (REM) sleep. In addition to glutamatergic neurons of the reticular formation and thalamus, cholinergic pontomesencephalic and basal forebrain neurons are integral components of the ascending activating system. Sleeping is initiated by inhibition of the activating and arousal systems. This inhibition is effected at multiple levels through particular GABAergic neurons which become active during sleep. Neurons in the preoptic area and basal forebrain play a particularly important role in this process. Some become active during slow-wave sleep (SWS), promoting deactivation, and slow-wave activity in the cerebral cortex. Others discharge at progressively increasing rates during SWS and REM sleep, promoting behavioral quiescence, and diminishing muscle tone. Through their projections and inhibitory neurotransmitter, they have the capacity to inhibit the monoaminergic neurons and orexin (Orx)neurons in the brainstem and hypothalamus.

Section snippets

Historical Background

Over the course of the 20th century, concepts evolved as evidence accumulated concerning the existence and delineation of intrinsic neural systems controlling waking and sleeping. Waking was once thought to be maintained by sensory inputs and sleep to result from the cessation of sensory inputs to the brain (Bremer, 1929, Kleitman, 1939). Yet, from variable alterations of waking and sleeping that occurred with cerebral lesions clinically in humans or experimentally in animals, both waking and

Forebrain projecting reticular neurons

The neurons of the reticular formation with ascending projections are concentrated in the oral pontine and mesencephalic reticular formation, although they are present in smaller numbers in the caudal pontine and medullary reticular formation (Jones and Yang, 1985). They project rostrally to the midline and intralaminar thalamic nuclei which form the nonspecific thalamocortical projection system that project in turn in a widespread manner to the cerebral cortex (Figure 9.1). The reticular

The nonspecific thalamocortical projection system

The midline and intralaminar nuclei of the thalamus, unlike the sensory and motor relay nuclei, project to multiple regions of the cerebral cortex in a thus nonspecific manner, often in highest density to frontal regions, though for some nuclei in a truly diffuse manner in high density to all regions (Herkenham, 1986) (Figure 9.1). They discharge at their highest rate in association with cortical activation during waking and REM sleep. Their discharge is generally tonic and relatively fast

Diffusely Projecting Arousal Systems

The reticular formation and cholinergic pontomesencephalic tegmental neurons have the capacity to influence widespread areas of the forebrain and cortex through their projections to the major subcortical relay stations. Some also give rise to branching axons with descending as well as ascending projections of some distance, thus allowing simultaneous influence upon forebrain and spinal cord systems (Jones and Yang, 1985). It is thus likely that some neurons of the reticular formation can

Sleep-Promoting Systems

Although it is clear that thalamic neurons play an important role in shaping the activity of the cortex across waking and sleeping, their influence depends upon their pattern of discharge, which is tonic and fast during waking and becomes bursting and slow during sleep. In contrast, there are neurons in the forebrain and brainstem which are selectively active during sleep and thus appear to play a specific role in promoting sleep.

Summary

Waking and sleeping are actively generated by neuronal systems distributed through the brainstem and forebrain with different projections, discharge patterns, neurotransmitters, and receptors. Specific ascending systems stimulate cortical activation, characterized by fast, particularly gamma, activity which occurs during waking and REM sleep. In addition to glutamatergic neurons of the reticular formation and thalamus, cholinergic pontomesencephalic and basal forebrain neurons are integral

Acknowledgments

Most of the recent research of the author presented in this article was funded by grants from the Canadian Institutes of Health Research and US National Institutes of Health and performed at the Montreal Neurological Institute by Maan Gee Lee, Ian Manns, Oum Hassani, Mandana Modirrousta, Pablo Henny, Frederic Brischoux, and Lynda Mainville, to whom I am most grateful. I am also thankful to my collaborators Michel Muhlethaler and colleagues at the Centre Médicale Universitaire in Geneva, whose

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