Okura M, Fujiki N, Ripley B, Takahashi S, Amitai N, Mignot E, Nishino S
Center for Narcolepsy, Sleep Research Center, Department of Psychiatry and Behavioral Sciences, Stanford University, Palo Alto, California, USA.
Psychiatry Clin Neurosci. 2001 Jun;55(3):243-4. doi: 10.1046/j.1440-1819.2001.00842.x.
Periodic leg movements during sleep (PLMS) is a high prevalent sleep disorder of unknown etiology. The disease is pharmacologically treated with dopaminergic agonists (i.e. D2/D3 agonists) and opiates. Periodic leg movements during sleep often occur in narcoleptic patients. We observed that narcoleptic canines, like narcoleptic humans, also exhibit jerky, unilateral or bilateral slow leg movements during sleep. The movements in dogs are characterized by repetitive dorsiflexions of the ankle, lasting 0.5-1.5 s, and occur at regular intervals of 3-20 s, thus showing similarities to PLMS in humans. The observation that D2/D3 agonists aggravate cataplexy in narcoleptic dogs suggests that altered dopaminergic regulation in canine narcolepsy may play a critical role in both cataplexy and PLMS. Our canines may therefore be an invaluable resource in PLMS research.
睡眠期周期性腿部运动(PLMS)是一种病因不明但高发的睡眠障碍。该疾病通过多巴胺能激动剂(即D2/D3激动剂)和阿片类药物进行药物治疗。睡眠期周期性腿部运动常发生于发作性睡病患者中。我们观察到,患发作性睡病的犬类,如同患发作性睡病的人类一样,在睡眠期间也会出现急促、单侧或双侧的缓慢腿部运动。犬类的这些运动特征为脚踝反复背屈,持续0.5 - 1.5秒,并以3 - 20秒的规律间隔出现,因此与人类的PLMS表现出相似性。D2/D3激动剂会加重发作性睡病犬的猝倒这一观察结果表明,犬类发作性睡病中多巴胺能调节的改变可能在猝倒和PLMS中都起着关键作用。因此,我们的犬类可能是PLMS研究中极其宝贵的资源。