Yook Ji Hyun, Rizwan Muneeba, Shahid Noor Ul Ain, Naguit Noreen, Jakkoju Rakesh, Laeeq Sadia, Reghefaoui Tiba, Zahoor Hafsa, Mohammed Lubna
Department of Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Medicine, Shanghai Medical College of Fudan University, Shanghai, CHN.
Cureus. 2021 Oct 25;13(10):e19045. doi: 10.7759/cureus.19045. eCollection 2021 Oct.
This systematic review focuses on different genetic mutations identified in studies on natural short sleepers, who would not be ill-defined as one type of sleep-related disorder. The reviewed literature is from databases such as PubMed PMC, Scopus, and ResearchGate. Due to the rare prevalence, the number of studies conducted on natural short sleepers is limited. Hence, searching the search of databases was done without any date restriction and included animal studies, since mouse and fly models share similarities with human sleep behaviors. Of the 12 articles analyzed, four conducted two types of studies, animal and human (cross-sectional or randomized-controlled studies), to testify the effects of human mutant genes in familial natural short sleepers via transgenic mouse or fly models. The remaining eight articles mainly focused on one type of study each: animal study (four articles), cross-sectional study (two articles), review (one article), and case report (one article). Hence, those articles brought different perspectives on the natural short sleep phenomenon by identifying intrinsic factors like , , , and mutant genes. Natural short sleep traits in either point-mutations or single null mutations in those genes have been examined and confirmed its intrinsic nature in affected individuals without any related health concerns. Finally, this review added a potential limitation in these studies, mainly highlighting intrinsic causes since one case study reported an extrinsically triggered short sleep behavior in an older man without any family history. The overall result of the review study suggests that the molecular mechanisms tuned by identified sleep genes can give some potential points of therapeutic intervention in future studies.
本系统综述聚焦于在自然短睡眠者研究中发现的不同基因突变,自然短睡眠者不应被笼统地定义为一种与睡眠相关的疾病类型。综述文献来自PubMed PMC、Scopus和ResearchGate等数据库。由于患病率较低,针对自然短睡眠者开展的研究数量有限。因此,对数据库的检索没有任何日期限制,并且纳入了动物研究,因为小鼠和果蝇模型与人类睡眠行为具有相似性。在分析的12篇文章中,有4篇进行了两种类型的研究,即动物研究和人类研究(横断面研究或随机对照研究),以通过转基因小鼠或果蝇模型验证家族性自然短睡眠者中人类突变基因的作用。其余8篇文章主要各自聚焦于一种研究类型:动物研究(4篇文章)、横断面研究(2篇文章)、综述(1篇文章)和病例报告(1篇文章)。因此,这些文章通过识别诸如 、 、 和 突变基因等内在因素,对自然短睡眠现象带来了不同的观点。已经对这些基因中的点突变或单基因缺失突变中的自然短睡眠特征进行了研究,并在受影响个体中证实了其内在性质,且没有任何相关健康问题。最后,本综述指出了这些研究中的一个潜在局限性,主要强调内在原因,因为一项病例研究报告了一名无家族病史的老年男性外在引发的短睡眠行为。综述研究的总体结果表明,已识别的睡眠基因所调节的分子机制可为未来研究提供一些潜在的治疗干预点。