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How do we measure sleep?
EEG, EMG, EOG
What does a EEG do
Measures Brain activity
What does a EMG do?
Measures muscle activity
What does an EOG do?
measures eye movement
Synchronized EEG
Neurons fire more together, Lower frequency, higher amplitude, larger, clearer waves
Desynchronized EEG
neurons fire in more independent or irregular patterns, higher frequency and lower amplitude, smaller irregular waves
Waking EEG patterns: Alpha
Occurs during relaxed waking; regular, medium-frequency waves; frequency: 8 - 12 Hz
Waking EEG patterns: Beta
Occurs during alert/ attentive waking; irregular, low-amplitude waves, frequency: 13 - 3 0 _ Hz
Waking
EEG: alpha/beta activity, generally higher frequency + Lower amplitude; EMG: muscle tone present, brain is relatively activated
Slow-wave sleep
EEG: delta activity, low frequency + high amplitude EMG: muscle tone reduced, deepest stage of sleep
REM sleep
EEG: desynchronized, resembles waking
EEG, EMG: profound loss of muscle tone, rapid eye movements, vivid dreaming, activated brain + muscle atonia
Acetylcholine (ACh)
Origin: pons, basal forebrain, medial septum; projects to the cortex and
hippocampus; agonists increase EEG signs of arousal; activity: high during waking
and REM, low during SWS
Norepinephrine (NE)
Origin: Locus; projects widely throughout the brain; increases Vigilance/ alert behavior; activity: high during waking, decreases during SWS, essentially absent during REM
Serotonin (5-HT)
Origin: raphe nuclei; projects widely throughout the brain; raphe stimulation produces cortical arousal; activity is greatest during waking, decreases during SWS, and is minimal
during REM
Histamine
origin: tubero-mammillary nucleus (TMN), directly increases cortical arousal, antagonists (e.g., diphenhydramine), increase Sleep; activity: high during waking, low during SWS and REM
Orexin (Hypocretin)
Origin: lateral hypothalamus, projects to almost every part of the brain; especially active during alert / exploratory waking, degeneration of these neurons causes narcolepsy.
5 arousal systems
Most arousal systems are active/high during waking and decrease during sleep; an important exception is that ACh becomes active again during REM
vIPOA-sleep-promoting region
Activity increases during sleep, releases GABA which has an inhibitory effect which projects to dorsal raphe, basal forbrain, locous coeruleus, orexin neurons.
evidence for vIPOA
Damage causes insomnia, and sleep is suppressed. Stimulation causes drowsiness; neurons are more active during sleep
Adenosine
Released by astrocytes during neural metabolic activity, accumulates during prolonged waking. produces drowsiness/ sleepiness; activates vIPOA; caffeine blocks adenosine receptors.
Sleep/ wake flip-flop
Based on reciprocal inhibition, WAKE: arousal systems are active; vIPOA is inhibited. SLEEP: vIPOA is active; arousal systems are inhibited; transitions are rapid; orexin stabilizes the waking state
REM flip-flop
REM-ON region= (SLD) sublaterodorsal nucleus; REM-OFF region= (vIPAG) ventrolateral periaqueductal gray, connected by inhibitory GABA neurons. During waking, orexin activates REM-OFF during sleep. vIPOA inhibits VIPAG. REM can occur.
sublaterodorsal nucleus (SLD)
REM-ON region, contributes to muscle paralysis/ atonia
ventrolateral periaqueductal gray (vIPAG)
REM-OFF region, when active suppresses REM
Magnocellular Nucleus of the medulla
Part of the pathway producing muscle paralysis/ atonia, helps suppress skeletal motor output during REM
Tectum
controls Rapid eye movements, receives input from pontine acetylcholine cholinergic neurons
Lateral Geniculate Nucleus
involved in PGO waves, participates in REM-related visual system activity
Light input to the SCN
Light acts as a zeitgeber that resets/ synchronizes the clock, special retinal ganglion cells detect ambient light, photopigment= melanopsin pathway: retina ā> retinohypothalamic pathway ā> SCN = primary biological clock in the hypothalamus, constant light ā> normal circadian sleep patterns become disrupted.
Daytime
DMH inhibits the vIPOA activates orexin neuron/ arousal systems, favors wakefulness
Nighttime
DMH activates the vIPOA, favors sleep
SCN output to the sleep/wake system
SCN ā> SP2 ā> DMH projects to vIPOA lateral hypothalamic orexin neurons.
NIGHTLY PATTERN & BRAIN ACTIVITY
As the night goes on, the relative length of REM sleep increases in each successive
sleep cycle; during slow-wave sleep, activation in the visual and auditory cortices decreases, whereas activity in the thalamus and cerebellum decreases. Dolphins can sleep with one hemisphere at a time (hemispheres sleep independently)
CIRCADIAN & SEASONAL RHYTHMS
Circadian rhythms are endogenous cycles of activity that occur over ~24 hours, the hormone melatonin is secreted by the pineal gland and helps regulate seasonal rhythms (especially in response to changes in daylight)
FUNCTIONS, DEPRIVATION & LEARNING
One important function of slow-wave sleep is to allow the brain to rest and recover from the demands of waking activity. After prolonged sleep deprivation, the stage that shows a strong rebound (increased amount) is Slow-wave sleep; REM sleep is especially associated with nondeclarative learning (e.g., skills, habits, procedures)
SLEEP DISORDERS
narcoleptic sleep attacks can be treated with stimulant drugs that act as catecholamine agonists (e.g., amphetamines). A sudden loss of muscle tone while the person is fully conscious is called Cataplexy; pavor nocturnus is another name for night terror (s)
Schizophrenia POSITIVE SYMPTOMS
Represents an excess of normal functioning, associated mainly with the mesolimbic pathway; it is a thought disorder with delusions and hallucinations
Schizophrenia
Represents a decrease/absence of normal behavior associated mainly with the mesocortical pathway: leads to reduced emotional response, reduced speech, lack of motivation/initiative, anhedonia, and social withdrawal
Schizophrenia COGNITIVE SYMPTOMS
Associated mainly with the mesocortical pathway: characterized by difficulty sustaining attention, low psychomotor speed, deficits in learning + memory, poor abstract thinking, and poor problem solving
Schizophrenia EVIDENCE FOR HERITABILITY
Genes increase susceptibility rather than determining the disorder; concordance is higher in identical twins; monochorionic twins show higher concordance than dichorionic twins; genetics interact with environmental/ prenatal factors
Schizophrenia DOPAMINE HYPOTHESIS
Positive symptoms reflect increased dopaminergic activity, mainly in the mesolimbic pathway, caused by hyperactivity of dopaminergic synapses
Schizophrenia drug evidence
Dopamine agonists: positive symptoms; example: amphetamine. Dopamine antagonists act as antipsychotics; a classic antipsychotic example: chlorpromazine blocks D2 and D3 receptors
Schizophrenia DIRECT DOPAMINE FINDINGS
Patients show greater dopamine release after amphetamine, especially in the striatum; greater dopamine release correlates with more severe positive symptoms. D2 receptors may be slightly increased, but this is unlikely to be the primary cause
Schizophrenia key takeaways
Too much dopamine in the mesolimbic pathway ā positive symptoms
reducing dopamine signaling ā reduces positive symptoms
Schizophrenia BRAIN-DAMAGE EVIDENCE
Enlarged lateral Ventricles, enlargement reflects loss of brain tissue; patients show greater loss of gray matter, affected twin may show: larger ventricles, smaller anterior hippocampus, and reduced left frontal gray matter
Schizophrenia EARLY / DEVELOPMENTAL CLUES
Children who later develop schizophrenia may show deficits in facial expression; they may also show abnormal movement. Symptoms usually emerge after puberty in adolescence
Schizophrenia SEASONALITY & ENVIRONMENT
Increased risk for births during February - May; one proposed contributor = low vitamin D, prenatal infection / obstetric factors can increase risk
Schizophrenia QUICK FACTS
Affects approximately 1 % of the population; DISC1 mutations can greatly increase
susceptibility; belief that others are plotting against you = delusion of persecution
MAJOR DEPRESSIVE DISORDER (MDD)
Feelings of unworthiness and guilt, little energy + slowed movement; diminished ability to feel pleasure, sleep and eating may be disturbed.
Bipolar Disorder
Alternates between Mania and depression: mania involves pathological energy and may include intense euphoria; the depressive phase resembles MDD. Close relatives show increased risk. Concordance is higher in Monozygotic twins MZ concordance ~69 % DZ concordance = 13 %
GENES + CIRCADIAN RHYTHMS
Affective disorders are partly heritable/genetic RORA / RORB are candidate genes involved in circadian regulation; genetics increase susceptibility rather than guaranteeing the disorder.
MONOAMINE HYPOTHESIS
depression is caused by insufficient activity of monoaminergic neurons. Research focuses mainly on serotonin (5-HT) and norepinephrine (NE). Monoamine agonists can reduce/alleviare depressive; therapeutic effects usually take several weeks
Brain evidence for antidepressents
depressed patients show increased activity in the subgenual ACC; successful antidepressant treatment decreases sgACC activation. Other PFC regions may show decreased activity; DBS of the sgACC can reduce depressive symptoms
ANTIDEPRESSANTS
Tricyclics block reuptake of serotonin and norepinephrine
⢠fluoxetine (Prozac) is an SSRI ⢠Prozac blocks serotonin reuptake
⢠used to treat depression and OCD
⢠therapeutic lag may involve desensitization of
presynaptic autoreceptors
NEUROGENESIS & TREATMENT
stress/depression inhibits hippocampal neurogenesis; antidepressants increase neurogenesis; this increase occurs with the same 2-3 week delay as therapeutic effects; exercise can produce antidepressant effects.
SLEEP IN DEPRESSION
Sleep cycle is more fragmented; patients awaken more frequently, Slow-wave sleep is reduced, REM begins earlier and makes up more of the first half of sleep
SLEEP DEPRIVATION
REM deprivation can alleviate depression. Effects of REM deprivation may persist after deprivation ends. Slow-wave sleep deprivation can have immediate effects; total sleep deprivation can reduce depression, but symptoms return after normal sleep
ANTIDEPRESSANTS & REM
Most antidepressant drugs suppress REM sleep This connects antidepressant treatment
with altered REM regulation
SEASONAL AFFECTIVE DISORDER (SAD)
a unique type of depression; reduced light can disrupt circadian rhythms. Perry discusses decreased sensitivity of the photopigment melanopsin. can be treated with phototherapy/bright-light exposure