Department of Oral and Maxillofacial Surgery I, Osaka University Graduate School of Dentistry, Osaka, Japan.
Department of Oral Physiology, Osaka University Graduate School of Dentistry, Osaka, Japan.
J Sleep Res. 2019 Oct;28(5):e12823. doi: 10.1111/jsr.12823. Epub 2019 Jan 23.
Rhythmic jaw muscle activities frequently occur during non-rapid eye movement sleep in patients with sleep bruxism. The present study aimed to investigate the response characteristics of the masticatory rhythm generation during non-rapid eye movement sleep in animals. Eleven guinea pigs were surgically prepared for polygraphic recordings by electromyography, electrooculography, electroencephalography and electrocardiography with the implantation of a stimulating electrode. Repetitive electrical microstimulations at three intensities were applied to the corticobulbar tract under freely moving conditions. The rhythmic electro-myographic responses of the digastric and masseter muscles were scored and analysed. Changes in cortical electro-encephalographic power and heart rate in association with these stimulations were quantified. Microstimulations to the corticobulbar tract induced rhythmic jaw muscle activities in digastric muscles, occasionally with masseter activities during wakefulness and non-rapid eye movement sleep. The response rate of rhythmic jaw muscle activities was significantly lower (p < 0.01) and the response latency was significantly longer (p < 0.01) during non-rapid eye movement sleep than during wakefulness. At higher stimulus intensities, the response rate increased and response latency decreased. The mean burst intervals of the digastric and masseter muscles were similar regardless of vigilance states and stimulus intensities. Induced rhythmic jaw muscle activities during non-rapid eye movement sleep were followed by a transient decrease in delta power and increases in beta power and heart rate. During non-rapid eye movement sleep, the masticatory motor system is able to generate rhythmic outputs to the jaw muscles in response to facilitatory inputs although the responsiveness was decreased from wakefulness.
磨牙症患者在非快速眼动睡眠期间经常出现节律性下颌肌肉活动。本研究旨在研究动物非快速眼动睡眠期间咀嚼节律产生的反应特征。11 只豚鼠通过肌电图、眼电图、脑电图和心电图植入刺激电极进行手术准备,进行多导睡眠记录。在自由活动条件下,以三种强度重复进行皮质延髓束的电微刺激。记录并分析二腹肌和咬肌的节律性肌电反应。量化与这些刺激相关的皮质脑电图功率和心率的变化。皮质延髓束的微刺激在清醒和非快速眼动睡眠期间诱导二腹肌的节律性下颌肌肉活动,偶尔也有咬肌活动。与清醒状态相比,非快速眼动睡眠期间节律性下颌肌肉活动的反应率显著降低(p<0.01),反应潜伏期显著延长(p<0.01)。在更高的刺激强度下,反应率增加,反应潜伏期缩短。无论警觉状态和刺激强度如何,二腹肌和咬肌的平均爆发间隔相似。非快速眼动睡眠期间诱导的节律性下颌肌肉活动后,Delta 功率短暂下降,Beta 功率和心率增加。在非快速眼动睡眠期间,咀嚼运动系统能够产生节律性的下颌肌肉输出,以响应促进输入,尽管反应性从清醒状态下降。