Saper Clifford B
Department of Neurology and Program in Neuroscience, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.
Prog Brain Res. 2006;153:243-52. doi: 10.1016/S0079-6123(06)53014-6.
Daily patterns of sleep and wakefulness are inextricably linked to the regulation of feeding and energy metabolism. Both are affected by homeostatic as well as circadian drives, and both are tightly linked to thermoregulation. In this chapter, we review the basic drain circuitry that regulates sleep and wakefulness, including the flip-flop switch relationship of the arousal system and the ventrolateral preoptic sleep-promoting neurons. We then examine the role of the orexin/hypocretin neurons, which stabilize the switch while driving both wakefulness and foraging for food. We also review the role of the subparaventricular nucleus and the dorsomedial nucleus of the hypothalamus in circadian integration and modulation of both feeding and wake-sleep patterns.
睡眠和觉醒的日常模式与进食和能量代谢的调节有着千丝万缕的联系。两者都受内稳态以及昼夜节律驱动的影响,并且都与体温调节紧密相关。在本章中,我们回顾调节睡眠和觉醒的基本神经回路,包括觉醒系统与腹外侧视前区促睡眠神经元之间的双稳态开关关系。然后,我们研究食欲素/下丘脑泌素神经元的作用,它们在驱动觉醒和觅食行为的同时稳定这种开关状态。我们还回顾了下丘脑室旁核和背内侧核在昼夜节律整合以及进食和睡眠-觉醒模式调节中的作用。