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.
References
von Economo, C. et al. in Der Schlaf (ed. Sarason, D.) 38–54 (Lehmann, München, Germany, 1929).
von Economo, C. Sleep as a problem of localization. J. Nerv. Ment. Dis. 71, 249–259 (1930).
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).
Mignot, E., Taheri, S. & Nishino, S. Sleeping with the hypothalamus: emerging therapeutic target for sleep disorders. Nat. Neurosci. 5 (suppl.), 1071–1075 (2002).
Sutcliffe, J.G. & de Lecea, L . The hypocretins: setting the arousal threshold. Nat. Rev. Neurosci. 3, 339–349 (2002).
Mieda, M. & Yanagisawa, M. Sleep, feeding, and neuropeptides: roles of orexins and orexin receptors. Curr. Opin. Neurobiol. 12, 339–345 (2002)
de Lecea, L., Sutcliffe, J.G. & Farbre, V. Hypocretin/orexins as integrators of physiological information. Neuropeptides 36, 85–95 (2002).
Shirasaka, T., Kunitake, T., Takasaki, M. & Kannan, H. Neuronal effects of orexins: relevant to sympathetic and cardiovascular effects. Regul. Peptides 104, 91–95 (2002).
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).
Taheri, S., Zeitzer, J.M. & Mignot, E. The role of hypocretins (orexins) in sleep regulation and narcolepsy. Annu. Rev. Neurosci. 25, 283–313 (2002).
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).
Draganski, B. et al. Hypothalamic grey matter changes in narcoleptic patients. Nature Med. 8, 1186–1188 (2002).
Author information
Authors and Affiliations
Corresponding author
Rights 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
Issue Date:
DOI: https://doi.org/10.1038/nm0203-170
- Springer Nature America, Inc.