Skip to main content
Log in

Orchestrating sleep-wake functions in the brain

  • News & Views
  • Published:

From Nature Medicine

View current issue Submit your manuscript

Staying awake and alert requires hypothalamic neurons that secrete the neurotransmitter hypocretin, also called orexin. A new study shows that feedback loops of hypocretin and glutamate neurons orchestrate the neuronal output that regulates arousal.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1: Feedback mechanisms in the hypocretin system regulate arousal.

References

  1. von Economo, C. et al. in Der Schlaf (ed. Sarason, D.) 38–54 (Lehmann, München, Germany, 1929).

    Google Scholar 

  2. von Economo, C. Sleep as a problem of localization. J. Nerv. Ment. Dis. 71, 249–259 (1930).

    Article  Google Scholar 

  3. Li, Y., Gao, X.-B., Sakurai, T. & van den Pol, A.N. Hypocretin/orexin excites hypocretin neurons via a local glutamate neuron—a potential mechanism for orchestrating the hypothalamus arousal system. Neuron 36, 1169–1181 (2002).

    Article  CAS  Google Scholar 

  4. Mignot, E., Taheri, S. & Nishino, S. Sleeping with the hypothalamus: emerging therapeutic target for sleep disorders. Nat. Neurosci. 5 (suppl.), 1071–1075 (2002).

    Article  CAS  Google Scholar 

  5. Sutcliffe, J.G. & de Lecea, L . The hypocretins: setting the arousal threshold. Nat. Rev. Neurosci. 3, 339–349 (2002).

    Article  CAS  Google Scholar 

  6. Mieda, M. & Yanagisawa, M. Sleep, feeding, and neuropeptides: roles of orexins and orexin receptors. Curr. Opin. Neurobiol. 12, 339–345 (2002)

    Article  CAS  Google Scholar 

  7. de Lecea, L., Sutcliffe, J.G. & Farbre, V. Hypocretin/orexins as integrators of physiological information. Neuropeptides 36, 85–95 (2002).

    Article  CAS  Google Scholar 

  8. Shirasaka, T., Kunitake, T., Takasaki, M. & Kannan, H. Neuronal effects of orexins: relevant to sympathetic and cardiovascular effects. Regul. Peptides 104, 91–95 (2002).

    Article  CAS  Google Scholar 

  9. Overeem, S., Mignot, E., van Diijk, J.G. & Lammers, G.J. Narcolepsy: clinical features, new pathophysiologic insights, and future perspectives. J. Clin. Neurophysiol. 18, 78–105 (2001).

    Article  CAS  Google Scholar 

  10. Taheri, S., Zeitzer, J.M. & Mignot, E. The role of hypocretins (orexins) in sleep regulation and narcolepsy. Annu. Rev. Neurosci. 25, 283–313 (2002).

    Article  CAS  Google Scholar 

  11. Overeem, S., Scammell, T.E. & Lammers, G.J. Hypocretin/orexin and sleep: implications for the pathophysiology and diagnosis of narcolepsy. Curr. Opin. Neuro. 16, 739–745 (2002).

    Article  Google Scholar 

  12. Draganski, B. et al. Hypothalamic grey matter changes in narcoleptic patients. Nature Med. 8, 1186–1188 (2002).

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Göran Hajak.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hajak, G., Geisler, P. Orchestrating sleep-wake functions in the brain. Nat Med 9, 170–171 (2003). https://doi.org/10.1038/nm0203-170

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1038/nm0203-170

  • Springer Nature America, Inc.

Navigation