Endo T, Schwierin B, Borbély A A, Tobler I
Institute of Pharmacology, University of Zürich, Switzerland.
Psychiatry Res. 1997 Feb 7;66(2-3):97-110. doi: 10.1016/s0165-1781(96)03029-6.
Although sleep deprivation is known to exert an antidepressant effect in depressed patients, the involvement of sleep regulation is still unknown. Selective sleep deprivation experiments were performed in the rat to investigate the interactions between non-REM sleep (NREMS) and REM sleep (REMS) in an animal model. A12-h total sleep deprivation (TD) period ending at lights on was followed by one of the following protocols: (1) recovery sleep (TD12); (2) 4-h total sleep deprivation (TD16); (3) 4-h slow-wave deprivation (SWD); (4) 4-h REMS deprivation (RD). In the SWD protocol, the reduction of EEG slow-wave activity (SWA; power density in the 0.75-4.0 Hz band) was obtained by curtailing NREMS episodes to 20 s. During RD the number of interventions required to prevent REMS increased during the first 2 h and then remained constant. While RD caused only a minor reduction of NREMS, it increasingly suppressed SWA in NREMS. The rebound of SWA occurred later and was less prominent after RD than after SWD. Whereas an REMS rebound occurred after all three 4-h sleep deprivation protocols, a persistent increase in the dark period was present only after TD16. It is concluded that (a) SWA in NREMS is inhibited by an increased level of REMS propensity; (b) the hypothesis that REMS propensity increases only during NREMS is not supported; and (c) the results are compatible with the hypothesis that the suppression of NREMS intensity is the common denominator of different antidepressive sleep manipulations in depressive patients.
尽管已知睡眠剥夺对抑郁症患者具有抗抑郁作用,但睡眠调节的参与情况仍不清楚。在大鼠中进行了选择性睡眠剥夺实验,以研究动物模型中非快速眼动睡眠(NREMS)和快速眼动睡眠(REMS)之间的相互作用。在光照开始时结束的12小时总睡眠剥夺(TD)期之后,采用以下方案之一:(1)恢复睡眠(TD12);(2)4小时总睡眠剥夺(TD16);(3)4小时慢波剥夺(SWD);(4)4小时快速眼动睡眠剥夺(RD)。在SWD方案中,通过将NREMS发作缩短至20秒来降低脑电图慢波活动(SWA;0.75 - 4.0 Hz频段的功率密度)。在RD期间,防止快速眼动睡眠所需的干预次数在前2小时内增加,然后保持恒定。虽然RD仅导致NREMS略有减少,但它越来越多地抑制NREMS中的SWA。SWA的反弹发生得较晚,并且在RD后比在SWD后不那么明显。尽管在所有三种4小时睡眠剥夺方案后都出现了快速眼动睡眠反弹,但仅在TD16后黑暗期出现持续增加。结论是:(a)NREMS中的SWA受到快速眼动睡眠倾向增加水平的抑制;(b)快速眼动睡眠倾向仅在NREMS期间增加的假设不成立;(c)结果与以下假设一致,即抑制NREMS强度是抑郁症患者不同抗抑郁睡眠操作的共同特征。