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Critical periods and Autism Spectrum Disorders, a role for sleep 关键时期和自闭症谱系障碍,对睡眠的作用
Q2 Medicine Pub Date : 2023-05-01 DOI: 10.1016/j.nbscr.2022.100088
Elizabeth Medina, Sarah Peterson, Kaitlyn Ford, Kristan Singletary, Lucia Peixoto

Brain development relies on both experience and genetically defined programs. Time windows where certain brain circuits are particularly receptive to external stimuli, resulting in heightened plasticity, are referred to as “critical periods”. Sleep is thought to be essential for normal brain development. Importantly, studies have shown that sleep enhances critical period plasticity and promotes experience-dependent synaptic pruning in the developing mammalian brain. Therefore, normal plasticity during critical periods depends on sleep. Problems falling and staying asleep occur at a higher rate in Autism Spectrum Disorder (ASD) relative to typical development. In this review, we explore the potential link between sleep, critical period plasticity, and ASD. First, we review the importance of critical period plasticity in typical development and the role of sleep in this process. Next, we summarize the evidence linking ASD with deficits in synaptic plasticity in rodent models of high-confidence ASD gene candidates. We then show that the high-confidence rodent models of ASD that show sleep deficits also display plasticity deficits. Given how important sleep is for critical period plasticity, it is essential to understand the connections between synaptic plasticity, sleep, and brain development in ASD. However, studies investigating sleep or plasticity during critical periods in ASD mouse models are lacking. Therefore, we highlight an urgent need to consider developmental trajectory in studies of sleep and plasticity in neurodevelopmental disorders.

大脑的发育依赖于经验和基因定义的程序。某些大脑回路特别容易接受外部刺激,导致可塑性增强的时间窗被称为“关键期”。睡眠被认为是大脑正常发育所必需的。重要的是,研究表明,在发育中的哺乳动物大脑中,睡眠可以增强关键时期的可塑性,并促进经验依赖性突触修剪。因此,关键时期的正常可塑性取决于睡眠。相对于典型的发展,自闭症谱系障碍(ASD)的入睡和保持睡眠问题发生率更高。在这篇综述中,我们探讨了睡眠、关键期可塑性和ASD之间的潜在联系。首先,我们回顾了关键期可塑性在典型发育中的重要性以及睡眠在这一过程中的作用。接下来,我们总结了在高置信度ASD候选基因的啮齿动物模型中,ASD与突触可塑性缺陷有关的证据。然后我们发现,表现出睡眠缺陷的ASD的高置信度啮齿动物模型也表现出可塑性缺陷。鉴于睡眠对关键时期可塑性的重要性,了解ASD的突触可塑性、睡眠和大脑发育之间的联系至关重要。然而,缺乏对ASD小鼠模型关键时期睡眠或可塑性的研究。因此,我们强调,在研究神经发育障碍的睡眠和可塑性时,迫切需要考虑发育轨迹。
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引用次数: 2
Pleiotropic effects of a high confidence Autism Spectrum Disorder gene, arid1b, on zebrafish sleep 高置信度自闭症谱系障碍基因arid1b对斑马鱼睡眠的多向性影响
Q2 Medicine Pub Date : 2023-05-01 DOI: 10.1016/j.nbscr.2023.100096
Fusun Doldur-Balli , Amber J. Zimmerman , Brendan T. Keenan , Zoe Y. Shetty , Struan F.A. Grant , Christoph Seiler , Olivia J. Veatch , Allan I. Pack

Sleep fulfills critical functions in neurodevelopment, such as promoting synaptic plasticity, neuronal wiring, and brain connectivity which are critical phenomena in Autism Spectrum Disorder (ASD) pathophysiology. Sleep disturbance, specifically insomnia, accompanies ASD and is associated with more severe core symptoms (e.g., social impairment). It is possible that focusing on identifying effective ways to treat sleep problems can help alleviate other ASD-related symptoms. A body of evidence indicates shared mechanisms and neurobiological substrates between sleep and ASD and investigation of these may inform therapeutic effects of improving sleep at both behavioral and molecular levels. In this study, we tested if sleep and social behavior were different in a zebrafish model with the arid1b gene mutated compared to controls. This gene was selected for study as expert curations conducted for the Simons Foundation for Autism Research Institute (SFARI) Gene database define it is as a ‘high confidence’ ASD gene (i.e., clearly implicated) encoding a chromatin remodeling protein. Homozygous arid1b mutants displayed increased arousability and light sleep compared to their heterozygous and wild type counterparts, based on testing a mechano-acoustic stimulus presenting different vibration frequencies of increasing intensity to detect sleep depth. In addition, decreased social preference was observed in arid1b heterozygous and homozygous mutant zebrafish. The behavioral phenotypes reported in our study are in line with findings from mouse models and human studies and demonstrate the utility of zebrafish as a vertebrate model system with high throughput phenotyping in the investigation of changes in sleep in models relevant to ASD. Furthermore, we demonstrate the importance of including assessments of arousal threshold when studying sleep using in vivo models.

睡眠在神经发育中起着关键作用,如促进突触可塑性、神经元接线和大脑连接,这是自闭症谱系障碍(ASD)病理生理学中的关键现象。睡眠障碍,特别是失眠,伴随着ASD,并与更严重的核心症状(如社交障碍)有关。专注于确定治疗睡眠问题的有效方法可能有助于缓解其他ASD相关症状。大量证据表明,睡眠和ASD之间存在共同的机制和神经生物学基础,对这些机制和基础的研究可能会在行为和分子水平上为改善睡眠的治疗效果提供信息。在这项研究中,我们测试了arid1b基因突变的斑马鱼模型与对照组相比睡眠和社交行为是否不同。选择该基因进行研究是因为西蒙斯自闭症研究所基金会(SFARI)基因数据库的专家策展将其定义为编码染色质重塑蛋白的“高置信度”ASD基因(即明确涉及)。与杂合子和野生型突变体相比,纯合型arid1b突变体表现出更高的可呼吸性和轻度睡眠,这是基于测试机械声刺激来检测睡眠深度,该机械声刺激呈现出强度增加的不同振动频率。此外,在arid1b杂合和纯合突变斑马鱼中观察到社会偏好降低。我们研究中报告的行为表型与小鼠模型和人类研究的结果一致,并证明了斑马鱼作为一种具有高通量表型的脊椎动物模型系统在研究ASD相关模型的睡眠变化方面的实用性。此外,我们证明了在使用体内模型研究睡眠时,包括唤醒阈值评估的重要性。
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引用次数: 1
Human circadian rhythm studies: Practical guidelines for inclusion/exclusion criteria and protocol 人类昼夜节律研究:纳入/排除标准和方案的实用指南
Q2 Medicine Pub Date : 2022-11-01 DOI: 10.1016/j.nbscr.2022.100080
Yashar Yousefzadehfard , Bennett Wechsler , Christine DeLorenzo

As interest in circadian rhythms and their effects continues to grow, there is an increasing need to perform circadian studies in humans. Although the constant routine is the gold standard for these studies, there are advantages to performing more naturalistic studies. Here, a review of protocols for such studies is provided along with sample inclusion and exclusion criteria. Sleep routines, drug use, shift work, and menstrual cycle are addressed as screening considerations. Regarding protocol, best practices for measuring melatonin, including light settings, posture, exercise, and dietary habits are described. The inclusion/exclusion recommendations and protocol guidelines are intended to reduce confounding variables in studies that do not involve the constant routine. Given practical limitations, a range of recommendations is provided from stringent to lenient. The scientific rationale behind these recommendations is discussed. However, where the science is equivocal, recommendations are based on empirical decisions made in previous studies. While not all of the recommendations listed may be practical in all research settings and with limited potential participants, the goal is to allow investigators to make well informed decisions about their screening procedures and protocol techniques and to improve rigor and reproducibility, in line with the objectives of the National Institutes of Health.

随着人们对昼夜节律及其影响的兴趣不断增长,对人类进行昼夜节律研究的需求也越来越大。虽然固定的例行程序是这些研究的黄金标准,但进行更自然的研究也有好处。在这里,对这类研究的方案进行了回顾,并提供了样本纳入和排除标准。睡眠习惯、药物使用、轮班工作和月经周期是筛查的考虑因素。关于方案,最佳实践测量褪黑激素,包括光线设置,姿势,运动和饮食习惯的描述。纳入/排除建议和方案指南旨在减少不涉及固定常规的研究中的混杂变量。鉴于实际的限制,提出了从严格到宽松的一系列建议。讨论了这些建议背后的科学依据。然而,在科学模棱两可的地方,建议是基于以前研究中做出的经验决定。虽然并非列出的所有建议都适用于所有研究环境和有限的潜在参与者,但其目标是使研究人员能够对其筛选程序和方案技术做出充分的决定,并根据美国国立卫生研究院的目标提高严谨性和可重复性。
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引用次数: 1
Endogenous opioid signaling in the retina modulates sleep/wake activity in mice 视网膜中的内源性阿片信号调节小鼠的睡眠/觉醒活动
Q2 Medicine Pub Date : 2022-11-01 DOI: 10.1016/j.nbscr.2022.100078
Casey-Tyler Berezin , Nikolas Bergum , Kes A. Luchini , Sierra Curdts , Christian Korkis , Jozsef Vigh

Circadian sleep/wake rhythms are synchronized to environmental light/dark cycles in a process known as photoentrainment. We have previously shown that activation of β-endorphin-preferring μ-opioid receptors (MORs) inhibits the light-evoked firing of intrinsically photosensitive retinal ganglion cells (ipRGCs), the sole conduits of photoentrainment. Although we have shown that β-endorphin is expressed in the adult mouse retina, the conditions under which β-endorphin is expressed are unknown. Moreover, it is unclear whether endogenous activation of the MORs expressed by ipRGCs modulates the photoentrainment of sleep/wake cycles. To elucidate this, we first measured the mRNA expression of β-endorphin's precursor, proopiomelanocortin (POMC), at various times of day by quantitative reverse-transcription PCR. POMC mRNA appears to have cyclic expression in the mouse retina. We then studied β-endorphin expression with immunohistochemistry and found that retinal β-endorphin is more highly expressed in the dark/at night. Finally, we used telemetry to measure activity, EEG and EMG in freely moving animals to compare sleep/wake cycles in wild-type and transgenic mice in which only ipRGCs lack functional MORs. Results from these experiments suggest that the MORs expressed by ipRGCs contribute to the induction and maintenance of activity in the dark phase in nocturnal mice, via the promotion of wakefulness and inhibition of slow-wave sleep. Together, these data suggest that endogenous β-endorphin activates MORs expressed by ipRGCs to modulate sleep/wake activity via the photoentrainment pathway.

昼夜睡眠/觉醒节律与环境光/暗周期同步,这一过程被称为光夹带。我们之前已经证明,β-内啡肽偏好μ-阿片受体(MORs)的激活可以抑制内在光敏视网膜神经节细胞(ipRGCs)的光诱发放电,ipRGCs是光掺杂的唯一通道。虽然我们已经证明β-内啡肽在成年小鼠视网膜中表达,但β-内啡肽表达的条件尚不清楚。此外,尚不清楚iprgc表达的MORs的内源性激活是否调节睡眠/觉醒周期的光夹带。为了阐明这一点,我们首先通过定量反转录PCR测量了β-内啡肽前体POMC (proopiomelanocortin) mRNA在一天中不同时间的表达。POMC mRNA在小鼠视网膜中似乎具有循环表达。然后我们用免疫组织化学研究了β-内啡肽的表达,发现视网膜β-内啡肽在黑暗/夜间表达更高。最后,我们使用遥测技术测量自由运动动物的活动、脑电图和肌电图,以比较野生型和转基因小鼠的睡眠/觉醒周期,其中只有iprgc缺乏功能性MORs。这些实验结果表明,ipRGCs表达的MORs通过促进觉醒和抑制慢波睡眠,有助于诱导和维持夜间小鼠黑暗期的活动。综上所述,这些数据表明内源性β-内啡肽激活iprgc表达的MORs,通过光夹带途径调节睡眠/觉醒活动。
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引用次数: 6
Sex differences in the diathetic effects of shift work schedules on circulating cytokine levels and pathological outcomes of ischemic stroke during middle age 轮班制对中年缺血性脑卒中患者循环细胞因子水平和病理结局的生理影响的性别差异
Q2 Medicine Pub Date : 2022-11-01 DOI: 10.1016/j.nbscr.2022.100079
David J. Earnest , Shaina Burns , Sivani Pandey , Kathiresh Kumar Mani , Farida Sohrabji

Shift work is associated with increased risk for vascular disease, including stroke- and cardiovascular-related mortality. However, evidence from these studies is inadequate to distinguish the effect of altered circadian rhythms in isolation from other risk factors for stroke associated with shift work (e.g., smoking, poor diet, lower socioeconomic status). Thus, the present study examined the diathetic effects of exposure to shifted LD cycles during early adulthood on circadian rhythmicity, inflammatory signaling and ischemic stroke pathology during middle age, when stroke risk is high and outcomes are more severe. Entrainment of circadian activity was stable in all animals maintained on a fixed light:dark 12:12 cycle but was severely disrupted during exposure to shifted LD cycles (12hr advance/5d). Following treatment, circadian entrainment in the shifted LD group was distinguished by increased daytime activity and decreased rhythm amplitude that persisted into middle-age. Circadian rhythm desynchronization in shifted LD males and females was accompanied by significant elevations in circulating levels of the inflammatory cytokine IL-17A and gut-derived inflammatory mediator lipopolysaccharide (LPS) during the post-treatment period. Middle-cerebral artery occlusion, 3 months after exposure to shifted LD cycles, resulted in greater post-stroke mortality in shifted LD females. In surviving subjects, sensorimotor performance, assessed 2- and 5-days post-stroke, was impaired in males of both treatment groups, whereas in females, recovery of function was observed in fixed but not shifted LD rats. Overall, these results indicate that early exposure to shifted LD cycles promotes an inflammatory phenotype that amplifies stroke impairments, specifically in females, later in life.

倒班工作会增加患血管疾病的风险,包括中风和心血管相关的死亡率。然而,这些研究的证据不足以区分昼夜节律改变与倒班工作相关的其他中风风险因素(如吸烟、不良饮食、社会经济地位低下)的影响。因此,本研究考察了成年早期暴露于改变的LD周期对中年时的昼夜节律、炎症信号和缺血性卒中病理的综合影响,中年时卒中风险高,结果更严重。在固定的光:暗12:12周期中,所有动物的昼夜节律活动都是稳定的,但在暴露于移位的LD周期(提前12小时/5天)时,昼夜节律活动受到严重破坏。治疗后,移位LD组的昼夜节律紊乱表现为白天活动增加,节律幅度下降,并持续到中年。在治疗后,移位的LD男性和女性的昼夜节律不同步伴随着炎症细胞因子IL-17A和肠源性炎症介质脂多糖(LPS)循环水平的显著升高。暴露于移位LD周期3个月后,大脑中动脉闭塞导致移位LD女性卒中后死亡率更高。在存活的受试者中,在卒中后2天和5天评估,两个治疗组的雄性感觉运动能力受损,而雌性在固定而非移动的LD大鼠中观察到功能恢复。总的来说,这些结果表明,早期暴露于移位的LD周期会促进炎症表型,从而放大中风损伤,特别是在女性中,在以后的生活中。
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引用次数: 2
Explicit memory, anxiety and depressive like behavior in mice exposed to chronic intermittent hypoxia, sleep fragmentation, or both during the daylight period 暴露于慢性间歇性缺氧、睡眠断裂或两者兼而有之的小鼠的外显记忆、焦虑和抑郁样行为
Q2 Medicine Pub Date : 2022-11-01 DOI: 10.1016/j.nbscr.2022.100084
Clementine Puech , Mohammad Badran , Alexandra R. Runion , Max B. Barrow , Zhuanhong Qiao , Abdelnaby Khalyfa , David Gozal

Obstructive sleep apnea (OSA) is a chronic and highly prevalent condition characterized by chronic intermittent hypoxia (IH) and sleep fragmentation (SF), and can lead to a vast array of end-organ morbidities, particularly affecting cardiovascular, metabolic and neurobehavioral functioning. OSA can induce cognitive and behavioral and mood deficits.

Male C57Bl/6J 8-week-old mice were housed in custom-designed cages with a silent motorized mechanical sweeper traversing the cage floor at 2-min intervals (SF) during daylight for four weeks. Sleep control (SC) consisted of keeping sweeper immobile. IH consisted of cycling FiO2 21% 90 seconds-6.3% 90s or room air (RA; FiO2 21%) for sixteen weeks and combined SF-IH was conducted for nine weeks. Open field novel object recognition (NOR) testing, elevated-plus maze test (EPMT), and forced swimming test (FST) were performed.

SF induced cognitive NOR performance impairments in mice along with reduced anxiety behaviors while IH induced deficits in NOR performance, but increased anxiety behaviors. SF-IH induced impaired performance in NOR test of similar magnitude to IH or SF alone. Combined SF-IH exposures did not affect anxiety behaviors.

Thus, both SF an IH altered cognitive function while imposing opposite effects on anxiety behaviors. SF-IH did not magnify the detrimental effects of isolated SF or IH and canceled out the effects on anxiety. Based on these findings, the underlying pathophysiologic processes underlying IH and SF adverse effects on cognitive function appear to differ, while those affecting anxiety counteract each other.

阻塞性睡眠呼吸暂停(OSA)是一种以慢性间歇性缺氧(IH)和睡眠破碎(SF)为特征的慢性和高度流行的疾病,可导致大量终末器官疾病,特别是影响心血管、代谢和神经行为功能。阻塞性睡眠呼吸暂停可诱发认知、行为和情绪缺陷。将8周龄雄性C57Bl/6J小鼠饲养在定制设计的笼子中,并在白天每隔2分钟(SF)一次无声电动机械清扫器穿过笼子地板,持续四周。睡眠控制(SC)包括保持扫地者不动。IH包括循环FiO2 21% 90秒-6.3% 90秒或室内空气(RA;FiO2 21%)治疗16周,SF-IH联合治疗9周。进行开放场地新目标识别(NOR)测试、高架+迷宫测试(EPMT)和强迫游泳测试(FST)。SF诱导小鼠认知NOR功能障碍,同时焦虑行为减少,而IH诱导小鼠NOR功能障碍,但焦虑行为增加。SF-IH在NOR测试中引起的表现受损程度与单独IH或SF相似。SF-IH联合暴露不影响焦虑行为。因此,SF和IH都改变了认知功能,而对焦虑行为施加相反的影响。SF-IH没有放大孤立SF或IH的有害影响,并抵消了对焦虑的影响。基于这些发现,IH和SF对认知功能不利影响的潜在病理生理过程似乎有所不同,而影响焦虑的病理生理过程相互抵消。
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引用次数: 5
The rat Lux Actuating Search Task (LAST) and effects of sleep deprivation on task reversal performance 大鼠Lux驱动搜索任务(LAST)及睡眠剥夺对任务逆转的影响
Q2 Medicine Pub Date : 2022-11-01 DOI: 10.1016/j.nbscr.2022.100081
Callum Foakes , Darian Lawrence-Sidebottom , Aseru T. Dralega, Daniel O. Harvey, Michelle A. Schmidt, Christopher J. Davis

Sleep deprivation (SD) causes significant deficits in multiple aspects of cognition, including sustained attention and working memory. Investigating the neural processes underpinning these cognitive losses has proven challenging due to the confounds of current animal tasks; many employ appetitive or aversive stimuli to motivate behavior, while others lack task complexity that translates to human studies of executive function. We established the Lux Actuating Search Task (LAST) to circumvent these issues. The LAST is performed in a circular, open-field arena that requires rats to find an unmarked, quasi-randomly positioned target. Constant low-level floor vibrations motivate ambulation, while light intensity (determined by the rodent's proximity to the target destination) provides continuous visual feedback. The task has two paradigms that differ based on the relationship between the light intensity and target proximity: the Low Lux Target (LLT) paradigm and the High Lux Target paradigm (HLT). In this study, on days 1–6, the rats completed nine trials per day on one of the two paradigms. On day 7, the rats were either sleep deprived by gentle handling or were left undisturbed before undertaking the opposite (reversal) paradigm on days 7–9. Our results showed that SD significantly impeded the ability of Long Evans rats to learn the reversal paradigm, as indicated by increased times to target and increased failure percentages compared to rats whose sleep was undisturbed. Rats also showed reduced learning with the HLT paradigm, as the initial task or as the reversal task, likely due to the rodents' photophobia limiting their motivation to navigate toward a bright light, which is required to succeed.

睡眠剥夺(SD)会导致认知的多个方面的严重缺陷,包括持续注意力和工作记忆。由于当前动物任务的混乱,研究支撑这些认知丧失的神经过程已被证明具有挑战性;许多人利用食欲或厌恶刺激来激发行为,而另一些人则缺乏转化为人类执行功能研究的任务复杂性。我们建立了Lux驱动搜索任务(LAST)来规避这些问题。最后一项是在一个圆形的露天场地进行的,要求老鼠找到一个没有标记的、准随机定位的目标。持续的低水平地板振动激发了移动,而光强度(由啮齿动物与目标目的地的接近程度决定)提供了连续的视觉反馈。根据光强与目标接近度的关系,该任务有两种不同的范式:低Lux目标范式(LLT)和高Lux目标范式(HLT)。在这项研究中,在第1-6天,大鼠每天在两种范式中完成9次试验。在第7天,在第7 - 9天进行相反的(反转)范式之前,大鼠要么通过温和的处理来剥夺睡眠,要么不受干扰。我们的研究结果表明,与睡眠不受干扰的大鼠相比,SD显著阻碍了Long Evans大鼠学习逆转范式的能力,这表明到达目标的时间增加,失败的百分比增加。大鼠在HLT范式下的学习能力也有所下降,无论是在初始任务还是在逆向任务中,这可能是由于啮齿动物的畏光症限制了它们走向明亮光线的动机,而这是成功所必需的。
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引用次数: 1
Mood phenotypes in rodent models with circadian disturbances 具有昼夜节律紊乱的啮齿动物模型的情绪表型
Q2 Medicine Pub Date : 2022-11-01 DOI: 10.1016/j.nbscr.2022.100083
Kiyomichi Imamura , Toru Takumi

Many physiological functions with approximately 24-h rhythmicity (circadian rhythms) are generated by an internal time-measuring system of the circadian clock. While sleep/wake cycles, feeding patterns, and body temperature are the most widely known physiological functions under the regulation of the circadian clock, physiological regulation by the circadian clock extends to higher brain functions. Accumulating evidence suggests strong associations between the circadian clock and mood disorders such as depression, but the underlying mechanisms of the functional relationship between them are obscure. This review overviews rodent models with disrupted circadian rhythms on depression-related responses. The animal models with circadian disturbances (by clock gene mutations and artifactual interventions) will help understand the causal link between the circadian clock and depression.

许多大约24小时节律性(昼夜节律)的生理功能是由生物钟的内部时间测量系统产生的。虽然睡眠/觉醒周期、进食模式和体温是在生物钟调节下最广为人知的生理功能,但生物钟的生理调节延伸到更高的大脑功能。越来越多的证据表明,生物钟与抑郁症等情绪障碍之间存在强烈的联系,但它们之间功能关系的潜在机制尚不清楚。本文综述了昼夜节律紊乱的啮齿动物模型对抑郁相关反应的影响。具有昼夜节律紊乱(生物钟基因突变和人为干预)的动物模型将有助于理解生物钟与抑郁症之间的因果关系。
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引用次数: 4
Shift work-like patterns effect on female and male mouse behavior 轮班工作模式对雌雄老鼠行为的影响
Q2 Medicine Pub Date : 2022-11-01 DOI: 10.1016/j.nbscr.2022.100082
Gareth Banks , Patrick M. Nolan , Nora Bourbia

Shift work (work outside of standard daylight hours) is common throughout the Western world. However, there are notable health consequences to shift work, including increased prevalence of mental health and sleep disorders in shift worker populations. Therefore, the health and wellbeing of shift workers is a public health concern that needs to be addressed. Here we investigate the effects of two separate light induced shift work-like patterns on male and female mouse behaviour (anxiety-like, exploration, marble burying, startle reflex and circadian rhythms). After 6 weeks of shift-like disruptions patterns, animals displayed no behavioral differences in exploration, marble burying and startle reflex. Interestingly however, we identified sex specific and disruption specific effects in light aversion and wheel running activities. Notably, analysis of the activity patterns of animals in disruptive conditions demonstrated that they maintained a degree of rhythmicity through the disruption period, which may explain the lack of behavioral differences in most behavioral tests.

倒班工作(在标准白天时间之外的工作)在西方世界很常见。然而,倒班工作对健康有显著影响,包括倒班工人群体中心理健康和睡眠障碍的患病率增加。因此,轮班工人的健康和福祉是一个需要解决的公共卫生问题。在这里,我们研究了两种不同的光诱导的轮班工作模式对雄性和雌性小鼠行为(类焦虑、探索、埋葬大理石、惊吓反射和昼夜节律)的影响。经过6周的轮班式干扰模式后,动物在探索、掩埋大理石和惊吓反射方面没有表现出行为差异。然而,有趣的是,我们在厌恶光线和跑轮活动中发现了性别特异性和干扰特异性的影响。值得注意的是,对动物在干扰条件下的活动模式的分析表明,它们在干扰期间保持一定程度的节律性,这可以解释大多数行为测试中缺乏行为差异的原因。
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引用次数: 0
Sleep disorders among Aboriginal Australians with Machado-Joseph Disease: Quantitative results from a multiple methods study to assess the experience of people living with the disease and their caregivers 患有Machado Joseph病的澳大利亚原住民的睡眠障碍:评估该病患者及其护理人员经历的多种方法研究的定量结果
Q2 Medicine Pub Date : 2022-05-01 DOI: 10.1016/j.nbscr.2022.100075
Desireé LaGrappe , Libby Massey , Anuk Kruavit , Timothy Howarth , Gayangwa Lalara , Bronwyn Daniels , Julie Gungunbuy Wunungmurra , Kimberley Flavell , Ruth Barker , Howard Flavell , Subash S. Heraganahally

Background

Machado-Joseph Disease (MJD), or Spinocerebellar Ataxia Type 3 (SCA3), is a genetic disorder that causes progressive muscle weakness, loss of motor control, ataxia and permanent physical disability. Sleep disturbances are associated with MJD but remain poorly understood.

Objective

To investigate frequency and characteristics of sleep disorders and their association with health-related quality of life and psychosocial wellbeing for Aboriginal Australians living with MJD.

Methods

A convenience sample of MJD participants n = 24 participated in a semi-attended, ambulatory diagnostic sleep study to capture polysomnography, actigraphy and sleep diary data. Self-report measures collected were the Pittsburgh Sleep Quality Index (PSQI), STOP-BANG Questionnaire for Obstructive Sleep Apnoea (OSA), International Restless Legs Syndrome Study Group rating scale (IRLS), Kessler-5 (K5) and EuroQoL-5 Dimension (EQ5D). Caregivers (n = 22) reported EQ-5D, K5 and bed partners’ sleep behaviour (Mayo Sleep Questionnaire-Informant). Environmental factors were measured.

Results

We observed Nocturia, Sleep Related Leg Cramps, OSA, REM Behaviour Disorder, and RLS, respectively in 100%, 71%, 47%, 43%, and 33% of participants with a significant positive correlation between Body mass index (BMI) and Apnoea hypopnea index (AHI). The majority of sleep was spent in non-rapid eye movement sleep (NREM)-N2 stage (77.8% (67.7, 81.6)). Overcrowding (92%) and overnight care needs (42%) interrupted sleep. MJD participants and caregivers reported high psychological distress (K5 median 12.5 IQR 7, 16.5 & 8 IQR 6, 12 respectively).

Conclusion

Poor sleep quality and sleep disturbances are prevalent among this cohort. Disease manifestations and environmental factors are driving factors. Larger sample sizes are required to predict risk factors and confirm observed associations.

machado - joseph病(MJD),或脊髓小脑性共济失调3型(SCA3),是一种遗传性疾病,可导致进行性肌肉无力、运动控制丧失、共济失调和永久性身体残疾。睡眠障碍与MJD有关,但人们对其了解甚少。目的调查澳大利亚土著MJD患者睡眠障碍的频率和特征及其与健康相关的生活质量和心理社会健康的关系。方法选取24名MJD参与者作为方便样本,参与了一项半旁听、动态睡眠诊断研究,以获取多导睡眠图、活动图和睡眠日记数据。收集的自我报告测量方法为匹兹堡睡眠质量指数(PSQI)、阻塞性睡眠呼吸暂停(OSA) STOP-BANG问卷、国际不宁腿综合征研究组评定量表(IRLS)、Kessler-5 (K5)和EuroQoL-5维度(EQ5D)。护理人员(n = 22)报告了EQ-5D、K5和床伴的睡眠行为(梅奥睡眠问卷-被调查者)。测量环境因素。结果夜尿症、睡眠相关性腿痉挛、OSA、REM行为障碍和RLS分别在100%、71%、47%、43%和33%的参与者中出现,体重指数(BMI)与呼吸暂停低通气指数(AHI)呈显著正相关。大部分睡眠时间为非快速眼动睡眠(NREM)-N2期(77.8%(67.7,81.6))。过度拥挤(92%)和夜间护理需求(42%)导致睡眠中断。MJD参与者和照顾者报告了较高的心理困扰(K5中位数12.5 IQR 7, 16.5 &8 IQR 6, 12分别)。结论该人群普遍存在睡眠质量差和睡眠障碍。疾病表现和环境因素是驱动因素。预测危险因素和确认观察到的关联需要更大的样本量。
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引用次数: 9
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Neurobiology of Sleep and Circadian Rhythms
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