Sleep Research Center, National Yang-Ming University, Taipei, Taiwan.
J Sleep Res. 2013 Feb;22(1):108-18. doi: 10.1111/j.1365-2869.2012.01046.x. Epub 2012 Sep 10.
We proposed that the higher incidence of sleep fragmentation, sympathovagal imbalance and baroreceptor reflex impairment during quiet sleep may play a critical role in late-sleep-related cardiovascular events. Polysomnographic recording was performed through wireless transmission using freely moving Wistar-Kyoto rats over 24 h. The low-frequency power of arterial pressure variability was quantified to provide an index of vascular sympathetic activity. Spontaneous baroreflex sensitivity was assessed by slope of arterial pressure-RR linear regression. As compared with early-light period (Zeitgeber time 0-6 h), rats during the late-light period (Zeitgeber time 6-12 h) showed lower accumulated quiet sleep time and higher paradoxical sleep time; furthermore, during quiet sleep, the rats showed a lower δ% of electroencephalogram, more incidents of interruptions, higher σ% and higher β% of electroencephalogram, raised low-frequency power of arterial pressure variability value and lower baroreflex sensitivity parameters. During the light period, low-frequency power of arterial pressure variability during quiet sleep had a negative correlation with accumulated quiet sleep time and δ% of electroencephalogram, while it also had a positive correlation with σ% and β% of electroencephalogram and interruption events. However, late-sleep-related raised sympathetic activity and sleep fragmentation diminished when an α1-adrenoceptor antagonist was given to the rats. Our results suggest that the higher incidence of sleep fragmentation and sympathovagal imbalance during quiet sleep may play a critical role in late-sleep-related cardiovascular events. Such sleep fragmentation is coincident with an impairment of baroreflex sensitivity, and is mediated via α1-adernoceptors.
我们提出,安静睡眠期间睡眠片段化程度增加、交感迷走神经失衡和压力感受性反射受损,可能在睡眠后期相关心血管事件中发挥关键作用。使用可自由移动的 Wistar-Kyoto 大鼠,通过无线传输进行多导睡眠图记录,持续 24 小时。动脉血压变异性低频功率被量化,以提供血管交感神经活动的指标。通过动脉压-RR 线性回归斜率评估自发性压力感受性反射敏感性。与早期光照期( Zeitgeber 时间 0-6 小时)相比,晚期光照期( Zeitgeber 时间 6-12 小时)大鼠的累积安静睡眠时间较低,异相睡眠时间较高;此外,在安静睡眠期间,大鼠表现出更低的脑电图 δ%,更多的中断事件,更高的脑电图 σ%和 β%,动脉血压变异性值的低频功率升高,压力感受性反射敏感性参数降低。在光照期,安静睡眠期间动脉血压变异性的低频功率与累积安静睡眠时间和脑电图 δ%呈负相关,而与脑电图 σ%和 β%以及中断事件呈正相关。然而,当给予大鼠α1-肾上腺素受体拮抗剂时,睡眠后期相关的交感神经活性升高和睡眠片段化减少。我们的结果表明,安静睡眠期间睡眠片段化程度增加和交感迷走神经失衡的发生率可能在睡眠后期相关心血管事件中发挥关键作用。这种睡眠片段化与压力感受性反射敏感性受损一致,并通过α1-肾上腺素受体介导。