Martinez Jessy D, Wilson Lydia G, Brancaleone William P, Peterson Kathryn G, Popke Donald S, Garzon Valentina Caicedo, Perez Tremble Roxanne E, Donnelly Marcus J, Mendez Ortega Stephany L, Torres Daniel, Shaver James J, Clawson Brittany C, Jiang Sha, Yang Zhongying, Aton Sara J
bioRxiv. 2023 Jul 18:2023.07.14.549070. doi: 10.1101/2023.07.14.549070.
Fragile X syndrome (FXS) is a highly-prevalent genetic cause of intellectual disability, associated with disrupted cognition and sleep abnormalities. Sleep loss itself negatively impacts cognitive function, yet the contribution of sleep loss to impaired cognition in FXS is vastly understudied. One untested possibility is that disrupted cognition in FXS is exacerbated by abnormal sleep. We hypothesized that restoration of sleep-dependent mechanisms could improve functions such as memory consolidation in FXS. We examined whether administration of ML297, a hypnotic drug acting on G-protein-activated inward-rectifying potassium channels, could restore sleep phenotypes and improve disrupted memory consolidation in mice. Using 24-h polysomnographic recordings, we found that mice exhibit reduced non-rapid eye movement (NREM) sleep and fragmented NREM sleep architecture, alterations in NREM EEG spectral power (including reductions in sleep spindles), and reduced EEG coherence between cortical areas. These alterations were reversed in the hours following ML297 administration. Hypnotic treatment following contextual fear or spatial learning also ameliorated disrupted memory consolidation in mice. Hippocampal activation patterns during memory recall was altered in mice, reflecting an altered balance of activity among principal neurons vs. parvalbumin-expressing (PV+) interneurons. This phenotype was partially reversed by post-learning ML297 administration. These studies suggest that sleep disruption could have a major impact on neurophysiological and behavioral phenotypes in FXS, and that hypnotic therapy may significantly improve disrupted cognition in this disorder.
脆性X综合征(FXS)是导致智力残疾的一种高度常见的遗传病因,与认知障碍和睡眠异常有关。睡眠不足本身会对认知功能产生负面影响,但睡眠不足对FXS认知受损的影响却鲜有研究。一种未经检验的可能性是,异常睡眠会加剧FXS患者的认知障碍。我们假设恢复依赖睡眠的机制可以改善FXS患者的记忆巩固等功能。我们研究了给予作用于G蛋白激活内向整流钾通道的催眠药物ML297是否能恢复睡眠表型并改善小鼠记忆巩固障碍。通过24小时多导睡眠图记录,我们发现小鼠非快速眼动(NREM)睡眠减少、NREM睡眠结构碎片化、NREM脑电图频谱功率改变(包括睡眠纺锤波减少)以及皮质区域间脑电图连贯性降低。这些改变在给予ML297后的数小时内得到逆转。在情境恐惧或空间学习后进行催眠治疗也改善了小鼠的记忆巩固障碍。小鼠在记忆回忆期间海马体激活模式发生改变,反映出主神经元与表达小白蛋白(PV +)的中间神经元之间的活动平衡改变。学习后给予ML297可部分逆转这一表型。这些研究表明,睡眠紊乱可能对FXS的神经生理和行为表型产生重大影响,催眠疗法可能显著改善该疾病的认知障碍。
Front Psychiatry. 2021-10-7