Skip to main content Accessibility help
×
Hostname: page-component-586b7cd67f-rdxmf Total loading time: 0 Render date: 2024-11-25T23:49:26.791Z Has data issue: false hasContentIssue false

5.2 - Sleep

from 5 - Neural Circuits

Published online by Cambridge University Press:  08 November 2023

Mary-Ellen Lynall
Affiliation:
University of Cambridge
Peter B. Jones
Affiliation:
University of Cambridge
Stephen M. Stahl
Affiliation:
University of California, San Diego
Get access

Summary

Sleep is a naturally recurring state of reduced activity and altered consciousness, which is relatively easily reversible [1–3]. While asleep, our awareness and ability to respond to stimuli is decreased. For centuries, sleep was considered a passive state with an unknown function [4]. However, in contrast to outer appearances, sleep is an active brain state with distinct changes in brain wave activity and physiological function, accompanying the different stages of sleep [1–5]. It is only in recent decades that we have started to uncover some of the complex neural systems underlying the regulation of sleep, although many aspects still remain a mystery [4, 6, 7]. In this section we look at the characteristics of sleep and its different stages. This is followed by an outline of the neural circuits involved in regulation of sleep, wakefulness and arousal, and the mechanisms underlying the circadian rhythm. Finally, the effects of sleep deprivation are discussed. Sleep disorders, the role of sleep in psychiatric conditions, and the effects of medication on sleep will be discussed in a later chapter, in Section 9.16.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Muza, R. Normal sleep. In Selsick, H (ed.). Sleep Disorders in Psychiatric Patients. Springer-Verlag, 2018, pp. 325.CrossRefGoogle Scholar
Harvard Medical School, Division of Sleep Medicine. Healthy Sleep. http://healthysleep.med.harvard.edu/healthy/ (accessed 19 November 2019).Google Scholar
Royal College of Psychiatrists. TrOn trainees online: The physiology of arousal and sleep. www.rcpsych.ac.uk/training/your-training/training-resources/trainees-online (accessed 19 November 2019).Google Scholar
Pelayo, R, Dement, WC. History of sleep physiology and medicine. In Kryger, M, Roth, T, Dement, WC. Principles and Practice of Sleep Medicine, 6th ed. Elsevier, 2017, pp. 314.CrossRefGoogle Scholar
Eban-Rothschild, A, Appelbaum, L, de Lecea, L. Neuronal mechanisms for sleep/wake regulation and modulatory drive. Neuropsychopharmacology 2018; 43: 937952.CrossRefGoogle ScholarPubMed
Scammell, TE, Arrigoni, E, Lipton, JO. Neural circuitry of wakefulness and sleep. Neuron Rev 2017; 93: 747765.CrossRefGoogle ScholarPubMed
Brown, RE, Basheer, R, McKenna, JT, Strecker, RE, McCarley, RW. Control of sleep and wakefulness. Physiol Rev 2012; 92(3): 10871187.CrossRefGoogle ScholarPubMed
Stahl, SM, Morrissette, DA. Stahl’s Illustrated Sleep and Wake Disorders. Cambridge University Press, 2016.CrossRefGoogle Scholar
Caskardon, MA, Rechtschaffen, A. Monitoring and staging human sleep. In Kryger, M, Roth, T, Dement, WC (eds.). Principles and Practice of Sleep Medicine, 4th ed. Elsevier, 2005, pp. 13591377.CrossRefGoogle Scholar
Berry, RB, Quan, SF, Abreu, AR et al. The AASM Manual for the Scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications. Version 2.6. American Academy of Sleep Medicine, 2020.Google Scholar
Borbely, AA. A two-process model of sleep regulation. Human Neurobiol 1982; 1: 195204.Google ScholarPubMed
Borbely, A, Daan, S, Wirz-Justice, A, Deboer, T. The two-process model of sleep regulation: a reappraisal. J Sleep Res 2016; 25: 131–143.CrossRefGoogle ScholarPubMed
Foster, RG. Sleep, circadian rhythms and health. Interface Focus 2020; 10: 20190098. http://dx.doi.org/10.1098/rsfs.2019.0098.CrossRefGoogle ScholarPubMed
Saper, CB, Scammel, TE, Lu, J. Hypothalamic regulation of sleep and circadian rhythms. Nature 2005; 437: 12571263.CrossRefGoogle ScholarPubMed
Saper, BC, Fuller, PM, Pedersen, NP, Lu, J, Scammel, TE. Sleep state switching. Neuron 2010; 68(6): 10231042.CrossRefGoogle ScholarPubMed
McGinty, D, Szymusiak, R. Neural control of sleep in mammals. In Kryger, M, Roth, T, Dement, WC (eds.). Principles and Practice of Sleep Medicine, 6th ed. Elsevier, 2017, pp. 6277.CrossRefGoogle Scholar
Saper, C, Fuller, P. Wake–sleep circuitry: an overview. Curr Opin Neurobiol 2017; 44: 186192.CrossRefGoogle ScholarPubMed
Holst, C, Landolt, H-P. Sleep–wake neurochemistry. Sleep Med Clin 2018; 13: 137–146.CrossRefGoogle ScholarPubMed
de Lecea, L, Huerta, R. Hypocretin (orexin) regulation of sleep-to-wake transitions. Front Pharmacol 2014; 5(16): 17.CrossRefGoogle ScholarPubMed
Freigne, JJ, Torontali, ZA, Snow, MB, Peever, JH. REM sleep at its core: circuits, neurotransmitters, and pathophysiology. Front Neurol 2015; 6: 123.Google Scholar
Abbott, SM, Reid, KJ, Zee, PC. Circadian disorders of the sleep–wake cycle. In: Kryger, M, Roth, T, Dement, WC (eds.). Principles and Practice of Sleep Medicine, 6th ed. Elsevier, 2017, pp. 414423.CrossRefGoogle Scholar
Hickie, IB, Naismith, SL, Robillard, R et al. Manipulating the sleep–wake cycle and circadian rhythms to improve clinical management of major depression. BMC Medicine 2013; 11(79): 127.CrossRefGoogle ScholarPubMed
Gooley, JJ, Saper, CB. Anatomy of the mammalian circadian system. In Kryger, M, Roth, T, Dement, WC (eds.). Principles and Practice of Sleep Medicine, 6th ed. Elsevier, 2017, pp. 343350.CrossRefGoogle Scholar
Rosenwasser, AM, Turek, FW. Physiology of the mammalian circadian system. In Kryger, M, Roth, T, Dement, WC (eds.). Principles and Practice of Sleep Medicine, 6th ed. Elsevier, 2017, pp. 351361.CrossRefGoogle Scholar
The Nobel Prize. The Nobel Prize in Physiology or Medicine 2017. www.nobelprize.org/prizes/medicine/2017/press-release/ Google Scholar
Banks, S, Dorrian, J, Basner, M, Dingers, DF. Sleep deprivation. In Kryger, M, Roth, T, Dement, WC (eds.). Principles and Practice of Sleep Medicine, 6th ed. Elsevier, 2017, pp. 4955.CrossRefGoogle Scholar
Van Dongen, HPA, Maislin, G, Mullington, JM, Dinges, DF. The cumulative cost of additional wakefulness: dose–response effects on neurobehavioural functions and sleep physiology from chronic sleep restriction and total sleep deprivation. Sleep 2003; 26(2): 117126.CrossRefGoogle ScholarPubMed
Goel, N, Rao, H, Durmer, J, Dinges, DF. Neurocognitive consequences of sleep deprivation. Semin Neurol 2009; 29(4): 320339.CrossRefGoogle ScholarPubMed
Reeve, S, Sheaves, B, Freeman, D. The role of sleep dysfunction in the occurrence of delusions and hallucinations: a systematic review. ClinPsychol Rev 2015; 42: 96115.Google ScholarPubMed
Waters, F, Chiu, V, Atkinson, A, Blom, JD. Severe sleep deprivation causes hallucinations and a gradual progression toward psychosis with increasing time awake. Front Psychiatry 2018; 9: 303.CrossRefGoogle Scholar
Van Cauter, E, Spiegel, K, Tasali, E, Leproult, R. Metabolic consequences of sleep and sleep loss. Sleep Med 2008; 9(01): 2328.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×