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Brain mechanisms behind a debilitating sleep disorder

Date:
October 10, 2013
Source:
University of Toronto
Summary:
Cataplexy is characterized by muscle paralysis during cognitive awareness. Until now, researchers have not understood this condition well. Now research has shown that the neuro-degeneration of the brain cells that synthesize the chemical hypocretin causes the noradrenaline system to malfunction. When the norandrenaline system stops working properly, it fails to keep the motor and cognitive systems coupled. This results in cataplexy -- the muscles fall asleep but the brain stays awake.

Normally muscles contract in order to support the body, but in a rare condition known as cataplexy the body's muscles "fall asleep" and become involuntarily paralyzed. Cataplexy is incapacitating because it leaves the affected individual awake, but either fully or partially paralyzed. It is one of the bizarre symptoms of the sleep disorder called narcolepsy.

"Cataplexy is characterized by muscle paralysis during cognitive awareness, but we didn't understand how this happened until now, said John Peever of the University of Toronto's Department of Cell & Systems Biology. "We have shown that the neuro-degeneration of the brain cells that synthesize the chemical hypocretin causes the noradrenaline system to malfunction. When the norandrenaline system stops working properly, it fails to keep the motor and cognitive systems coupled. This results in cataplexy -- the muscles fall asleep but the brain stays awake."

Peever and Christian Burgess, also of Cell & Systems Biology used hypocretin-knockout mice (mice that experience cataplexy), to demonstate that a dysfunctional relationship between the noradrenaline system and the hypocretin-producing system is behind cataplexy. The research was recently published in the journal Current Biology in September.

The scientists first established that mice experienced sudden loss of muscle tone during cataplectic episodes. They then administered drugs to systematically inhibit or activate a particular subset of adrenergic receptors, the targets of noradrenaline. They were able to reduce the incidence of cataplexy by 90 per cent by activating noradrenaline receptors. In contrast, they found that inhibiting the same receptors increased the incidence of cataplexy by 92 per cent. Their next step was to successfully link how these changes affect the brain cells that directly control muscles.

They found that noradrenaline is responsible for keeping the brain cells (motoneurons) and muscles active. But during cataplexy when muscle tone falls, noradrenaline levels disappear. This forces the muscle to relax and causes paralysis during cataplexy. Peever and Burgess found that restoring noradrenaline pre-empted cataplexy, confirming that the noradrenaline system plays a key role.


Story Source:

The above story is based on materials provided by University of Toronto. Note: Materials may be edited for content and length.


Journal Reference:

  1. ChristianR. Burgess, JohnH. Peever. A Noradrenergic Mechanism Functions to Couple Motor Behavior with Arousal State. Current Biology, 2013; 23 (18): 1719 DOI: 10.1016/j.cub.2013.07.014

Cite This Page:

University of Toronto. "Brain mechanisms behind a debilitating sleep disorder." ScienceDaily. ScienceDaily, 10 October 2013. <www.sciencedaily.com/releases/2013/10/131010142926.htm>.
University of Toronto. (2013, October 10). Brain mechanisms behind a debilitating sleep disorder. ScienceDaily. Retrieved July 31, 2014 from www.sciencedaily.com/releases/2013/10/131010142926.htm
University of Toronto. "Brain mechanisms behind a debilitating sleep disorder." ScienceDaily. www.sciencedaily.com/releases/2013/10/131010142926.htm (accessed July 31, 2014).

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