Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil.
PLoS One. 2007 Jun 6;2(6):e513. doi: 10.1371/journal.pone.0000513.
As of late, dopaminergic neurotransmission has been recognized to be involved in the generation of sleep disturbances. Increasing evidence shows that sleep disturbances in Parkinson's disease (PD) patients are mostly related to the disease itself, rather than being a secondary phenomenon. Evidence contained in the literature lends support to the hypothesis that the dopaminergic nigrostriatal pathway is closely involved in the regulation of sleep patterns.
METHODOLOGY/PRINCIPAL FINDINGS: To test this hypothesis we examined the electrophysiological activity along the sleep-wake cycle of rats submitted to a surgically induced lesion of the SNpc by 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP). We demonstrated that a 50% lesion of the substantia nigra pars compacta (SNpc) suffices to produce disruptions of several parameters in the sleep-wake pattern of rats. A robust and constant decrease in the latency to the onset of slow wave sleep (SWS) was detected throughout the five days of recording in both light [F((22.16)) = 72.46, p<0.0001] and dark [F((22.16)) = 75.0, p<0.0001] periods. Also found was a pronounced increase in the percentage of sleep efficiency during the first four days of recording [F((21.15)) = 21.48, p<0.0001], in comparison to the sham group. Additionally, the reduction in the SNpc dopaminergic neurons provoked an ablation in the percentage of rapid eye movement sleep (REM) during three days of the sleep-wake recording period with a strong correlation (r = 0.91; p<0.0001) between the number of dopaminergic neurons lost and the percentage decrease of REM sleep on the first day of recording. On day 4, the percentage of REM sleep during the light and dark periods was increased, [F((22.16)) = 2.46, p<0.0007], a phenomenon consistent with REM rebound.
CONCLUSIONS/SIGNIFICANCE: We propose that dopaminergic neurons present in the SNpc possess a fundamental function in the regulation of sleep processes, particularly in promoting REM sleep.
最近,人们认识到多巴胺能神经传递与睡眠障碍的产生有关。越来越多的证据表明,帕金森病(PD)患者的睡眠障碍主要与疾病本身有关,而不是继发现象。文献中的证据支持这样一种假设,即黑质纹状体多巴胺能通路密切参与睡眠模式的调节。
方法/主要发现:为了检验这一假设,我们检查了接受 1-甲基-4-苯基-1,2,3,6-四氢吡啶(MPTP)诱导的 SNpc 手术损伤的大鼠在睡眠-觉醒周期中的电生理活动。我们证明,黑质致密部(SNpc)的 50%损伤足以使大鼠的睡眠-觉醒模式的几个参数发生紊乱。在整个五天的记录过程中,无论是在亮[F((22.16)) = 72.46,p<0.0001]还是暗[F((22.16)) = 75.0,p<0.0001]周期,慢波睡眠(SWS)潜伏期都出现了稳定而强烈的减少。还发现,与假手术组相比,在记录的前四天,睡眠效率的百分比显著增加[F((21.15)) = 21.48,p<0.0001]。此外,SNpc 多巴胺能神经元的减少导致了在睡眠-觉醒记录期间的三天内 REM 睡眠的百分比减少,并且在第一天记录时丢失的多巴胺能神经元的数量与 REM 睡眠的百分比减少之间存在强烈的相关性(r = 0.91;p<0.0001)。在第四天,亮期和暗期的 REM 睡眠百分比增加,[F((22.16)) = 2.46,p<0.0007],这是 REM 反弹的现象。
结论/意义:我们提出,SNpc 中的多巴胺能神经元在睡眠过程的调节中具有基本功能,特别是在促进 REM 睡眠方面。