Latifi Blerina, Adamantidis Antoine, Bassetti Claudio, Schmidt Markus H
Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Department of Neurology, Center for Experimental Neurology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Front Neurol. 2018 Oct 5;9:790. doi: 10.3389/fneur.2018.00790. eCollection 2018.
The hypocretin (Hcrt) system has been implicated in a wide range of physiological functions from sleep-wake regulation to cardiovascular, behavioral, metabolic, and thermoregulagtory control. These wide-ranging physiological effects have challenged the identification of a parsimonious function for Hcrt. A compelling hypothesis suggests that Hcrt plays a role in the integration of sleep-wake neurophysiology with energy metabolism. For example, Hcrt neurons promote waking and feeding, but are also sensors of energy balance. Loss of Hcrt function leads to an increase in REM sleep propensity, but a potential role for Hcrt linking energy balance with REM sleep expression has not been addressed. Here we examine a potential role for Hcrt and the lateral hypothalamus (LH) in state-dependent resource allocation as a means of optimizing resource utilization and, as a result, energy conservation. We review the energy allocation hypothesis of sleep and how state-dependent metabolic partitioning may contribute toward energy conservation, but with additional examination of how the loss of thermoregulatory function during REM sleep may impact resource optimization. Optimization of energy expenditures at the whole organism level necessitates a top-down network responsible for coordinating metabolic operations in a state-dependent manner across organ systems. In this context, we then specifically examine the potential role of the LH in regulating this output control, including the contribution from both Hcrt and melanin concentrating hormone (MCH) neurons among a diverse LH cell population. We propose that this hypothalamic integration system is responsible for global shifts in state-dependent resource allocations, ultimately promoting resource optimization and an energy conservation function of sleep-wake cycling.
下丘脑分泌素(Hcrt)系统涉及从睡眠-觉醒调节到心血管、行为、代谢和体温调节控制等广泛的生理功能。这些广泛的生理效应给确定Hcrt的简洁功能带来了挑战。一个引人注目的假说是,Hcrt在睡眠-觉醒神经生理学与能量代谢的整合中发挥作用。例如,Hcrt神经元促进觉醒和进食,但也是能量平衡的传感器。Hcrt功能丧失会导致快速眼动睡眠倾向增加,但Hcrt将能量平衡与快速眼动睡眠表现联系起来的潜在作用尚未得到探讨。在这里,我们研究了Hcrt和下丘脑外侧区(LH)在状态依赖性资源分配中的潜在作用,作为优化资源利用从而节约能量的一种方式。我们回顾了睡眠的能量分配假说,以及状态依赖性代谢分配如何有助于节约能量,同时还额外研究了快速眼动睡眠期间体温调节功能丧失可能如何影响资源优化。在整个生物体水平上优化能量消耗需要一个自上而下的网络,负责以状态依赖性方式协调各器官系统的代谢运作。在此背景下,我们随后具体研究了LH在调节这种输出控制中的潜在作用,包括在不同的LH细胞群体中Hcrt和促黑素细胞激素(MCH)神经元的贡献。我们提出,这个下丘脑整合系统负责状态依赖性资源分配的全局转变,最终促进资源优化和睡眠-觉醒循环的节能功能。