13-5 Neural Bases of Sleep

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The idea that the brain contains a sleep-inducing substance has long been popular and is reinforced by the fact that a variety of chemical agents induce sleep. Such substances include sedative-hypnotics and morphine. Our understanding of circadian rhythms suggests, however, that changes in many neurochemicals and hormones and the metabolic activity of most of the body’s cells produce our sleep–waking cycles.

The hormone melatonin, secreted from the pineal gland during the dark phase of the light–dark cycle, causes sleepiness. A synthetic form can be taken as a sleep aid, so melatonin might be thought to be the sleep-producing substance. But sleep survives the removal of the pineal gland. Thus melatonin and many other chemical substances may only contribute to sleep, not cause it (see Research Focus 13-3).

Some observations suggest that it is not a circulating bloodstream compound that produces sleep. In dolphins and birds only one brain hemisphere sleeps at a time. This ability presumably allows an animal’s other hemisphere to remain behaviorally alert. More important, it suggests that sleep is produced by the action of some brain region, and in these species, within each hemisphere.

In this section we consider the neural mechanisms that regulate sleep. First we examine evidence that the activity of a slave oscillator of the suprachiasmatic nucleus produces sleep (see Figure 13-8). Second we look at evidence that a number of brainstem nuclei control the various events associated with sleep, including those associated with REM and NREM sleep.

Reticular Activating System and Sleep

A pioneering experiment by Giuseppe Moruzzi and Horace Magoun (1949) began to answer the question of which brain areas regulate sleep. The experimenters were recording the cortical EEG from anesthetized cats while electrically stimulating the cats’ brainstem. They were surprised to find that, in response to the electrical stimulation the large, slow delta EEG typical of anesthesia is replaced by the low-voltage fast-wave beta EEG typical of waking.

The beta EEG activity outlasted the stimulation period, demonstrating that the effect was not simply due to the online activity of neurons in the region of the stimulating electrode but could be maintained by these neurons independent of the stimulation. During the “waking period” the anesthetized cat did not become behaviorally aroused, but its cortical EEG appeared to indicate that it was awake. In a sleeping cat the same stimulation did lead to waking.

Subsequent experiments show that a waking EEG and waking behavior can be induced from a large neural area running through the center of the brainstem. Anatomically this area is composed of a mixture of cell nuclei and nerve fibers that form a reticulum. Moruzzi and Magoun named this brainstem area the reticular activating system (RAS) and proposed that it is responsible for sleep–waking behavior. Figure 13-21 diagrams the location of the RAS.

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Figure 13-21: FIGURE 13-21 Sleep–Wake Controller The reticular activating system, a region at the center of the brainstem, contains a mixture of cell bodies and fiber pathways. RAS stimulation produces a waking EEG, whereas damaging it produces a slow-wave sleeplike EEG.

If someone disturbs you when you are asleep, you usually wake up. To explain that their experimentally induced effect did not result simply from sensory stimulation, Moruzzi and Magoun cut the brainstem just behind the RAS, severing its incoming sensory pathways. RAS stimulation still produced a desynchronized EEG. Thus, the RAS is the source of waking, and sensory stimulation produces waking because it activates RAS neurons.

The idea that the brainstem participates in waking behavior helps to explain why brainstem damage can result in coma, a prolonged state of deep unconsciousness resembling sleep. In one well-publicized case, after taking a minor tranquilizer and having a few drinks at a birthday party, a 21-year-old woman named Karen Ann Quinlan sustained RAS damage that left her comatose (Quinlan & Quinlan, 1977). She was hospitalized, placed on a respirator to support breathing, and fed by tubes. Her family fought a protracted legal battle to have her removed from life support, a battle they finally won before the Supreme Court of New Jersey. Even after she was removed from life support, however, Karen Ann lived for 10 more years in a perpetual coma.

Neural Basis of EEG Changes Associated with Waking

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Figure 5-17 summarizes the major neural activating systems and their functions.

Research built on those pioneering studies of the RAS has since revealed that many neural systems in the brainstem play a role in sleeping and waking behavior. Case Vanderwolf and his coworkers (Vanderwolf, 2002) showed that at least two brainstem systems influence waking EEG. Figure 13-22 illustrates their locations in the rat brain.

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Figure 13-22: FIGURE 13-22 Brain Activators Basal forebrain ACh neurons produce an activated EEG pattern when a rat is alert but immobile. The 5-HT raphe neurons of the midbrain produce an activated EEG pattern when the rat moves.

The basal forebrain contains large cholinergic cells. These neurons secrete acetylcholine (ACh) from their terminals onto cortical neurons to stimulate a waking EEG (beta rhythm). The midbrain structure the median raphe contains serotonin (5-HT) neurons whose axons also project diffusely to the cortex, where they also stimulate cortical cells to produce a waking EEG.

Although the two pathways produce similar patterns of waking EEG activity, their relations to behavior differ. If the activity of the cholinergic projection is blocked by drugs or by lesions to the cells of the basal forebrain, the waking EEG normally recorded from an immobile rat is replaced by EEG activity resembling that of NREM sleep. Only if the rat walks or is otherwise active is a waking EEG obtained from the cortex. These findings, graphed in Figure 13-22, suggest that the cholinergic EEG is responsible for waking associated with being alert yet still, whereas the serotonergic activation is responsible for the waking EEG associated with movement.

Neither the basal forebrain system nor the median raphe system is responsible for behavior. In fact, if both structures are pharmacologically or surgically destroyed, a rat can still stand and walk around. Its EEG, however, permanently resembles that of a sleeping animal.

As long as one activating system is producing a waking EEG, rats can learn simple tasks. If both systems are destroyed, an animal, although still able to walk around, is no longer able to learn or display intelligent behavior. In a sense the cortex is like a house in which the lights are powered by two separate sources: both must fail for the house to be left in darkness, but if at least one source is operating, the lights stay on.

These experimental results suggest that the RAS produces its arousal effects by influencing activity in these two pathways, which then produce EEG events associated with waking. In humans the basal forebrain and median raphe likely produce the same two desynchronized EEG patterns that they produce in rats. Consequently, when we are alert and still, cholinergic neurons are active; when we move, serotonin neurons also are active.

Perhaps when you have felt sleepy, say in a class or behind the wheel of a car, you may have been able to wake yourself up by moving—shaking your head or stretching. Presumably, while sitting still, your arousal level decreased as your cholinergic neurons became inactive. When you moved, activating your serotonergic neurons restored your arousal level. When we enter sleep, both cholinergic and serotonergic neurons become less active, allowing slow waves to emanate from the cortex.

Neural Basis of REM Sleep

Barbara Jones (1993) and her colleagues described a group of cholinergic neurons known as the peribrachial area that contributes to REM sleep. This area is located in the dorsal brainstem just anterior to the cerebellum (Figure 13-23). Jones selectively destroyed peribrachial cells by spraying them with the neurotoxin kainic acid. She found that REM sleep was drastically reduced. This result suggests that the peribrachial area contributes to REM sleep and REM-related behaviors.

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Figure 13-23: FIGURE 13-23 Brainstem Nuclei Responsible for REM Sleep Damage to either the peribrachial area or the medial pontine formation reduces or abolishes REM sleep.

The peribrachial area extends into a more ventrally located nucleus called the medial pontine reticular formation (MPRF), shown in Figure 13-24 charts an explanation showing how other REM-related activities are induced:

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Figure 13-24: FIGURE 13-24 Neural Control of REM Sleep

In support of such a neural arrangement French researcher Michel Jouvet (1972) observed that cats with lesions in the subcoerulear nucleus display a remarkable behavior when they enter REM sleep. Rather than stretching out in the atonia that typically accompanies REM sleep, the cats he was studying stood up, looked around, and made movements of catching an imaginary mouse or running from an imaginary threat. Apparently if cats with damage to this brain region dream about catching mice or escaping from a threat, they are now acting out their dreams. We revisit Jouvet’s phenomenon in the next section, describing sleep disorders.

13-5 REVIEW

Neural Bases of Sleep

Before you continue, check your understanding.

Question 1

The ____________ in the central region of the brainstem is responsible for producing ____________ sleep.

Question 2

Loss of the RAS produces ____________.

Question 3

The peribrachial area and the MPRF, through activating pathways to the neocortex and spinal cord, are responsible for producing events associated with ____________.

Question 4

Cats with lesions to the ____________ nucleus act out their dreams.

Question 5

If you nod off to sleep at an inconvenient time, why does moving awaken you?

Answers appear in the Self Test section of the book.