Sleep & Circadian Rhythms Flashcards
What are biological rhythms?
Adaptations of organisms to 24-hour changes in their environment
What does the SCN (Suprachiasmatic Nucleus) consist of?
The SCN is a pair of nuclei
Core (ventrolateral SCN) and Shell (dorsomedial SCN)
What are the neuropeptides involved in the SCN’s function?
Neuropeptides are used by neurons to communicate with each other
- VIP (vasointestinal polypeptide) in the core = receive input from the eyes (RHT)
- AVP (arginine vasopressin) in the shell = sends output to other brain areas
What is the primary function of the SCN?
Key biological pacemaker located in the hypothalamus
Receive input from melanopsin expressing retinal ganglion cells which travels through retinohypthalamic tract in the eyes (RHT) and send output to brain areas
What does the molecular clock in the SCN generate?
Circadian expression of clock genes within SCN neurons generates circadian rhythms in neuronal function
What is melatonin known as?
The hormone of sleep
it is secreted at night and inhibited by daylight
Where is melatonin produced?
In the pineal gland
Where else, besides the brain, is circadian expression of clock genes found?
Throughout the body
What is the role of the circadian timing system?
Synchronises clocks across the body to adapt & optimise physiological changes in the environment
This is done by the SCN
What is chronopharmacology?
The study of
- the manner and extent to which the kinetics and dynamics of medication are affected by endogenous biological rhythms
- how the dosing time of medications affects biological timekeeping and features of biological rhythms
What is the impact of time of day on drug activity?
Time of day affects drug activity, and drugs can affect the biological clock
What is the characteristic period of the mammalian circadian system?
Approximately 24 hours
What is the concept of chronotherapy in cancer treatment?
Maximises drug efficiency and minimises side effects by considering the time of day = time of best tolerability coincides with time of best efficiency
Conventional chemotherapy considers that the worst toxicity experienced by the patient = better the overall survival
But for chronotherapy, better survival rates are found among patients who don’t experience toxicity
What is oxaliplatin known for in cancer treatment?
First cancer chronodrug approved for colorectal cancer
- First anticancer drug to undergo chronotherapeutic development
- When given at a constant rate = 10x higher incidence of neutropenia & distal paraesthesias (pins and needles in hands & feet) and 55% higher vomiting
- Mean dose of oxaliplatin and its maximum tolerated dose could be increased by 15% if given in a circadian rhythm modulated rate
What are the stages of sleep and their characteristics?
- Stage 1: NREM (light sleep), 1-7 min, 5% * Stage 2: NREM (deeper sleep), 10-25 min, 45% * Stage 3: NREM (deepest sleep), 20-40 min, 25% * Stage 4: REM (dreaming), 10-60 min, 25%
What external factors influence sleep?
- Light * Jet lag * Shift work * Pain * Stress * Medical conditions * Medications * Other substances
What are the problems associated with sleep deprivation?
- Cognitive impairment * Performance impairment * Immune system impairment
What is REM sleep also known as?
Rapid Eye Movement sleep
This is the dreaming stage
What is NREM sleep?
Non-Rapid Eye Movement sleep
Stages 3 and 4 = slow wave sleep (deep sleep)
What are the benefits of sufficient sleep?
- Improved mood * Enhanced sleep efficiency
What is the role of lithium in bipolar disorder treatment?
First-line treatment affecting circadian gene expression and rhythms
What is the impact of lithium on circadian rhythms?
Affects expression of numerous circadian genes including the activation of clock transcription
Causes period lengthening and phase delay of sleep-wake and body temperature rhythms
What are the physiological impacts of biological clocks?
- Sleep/wake
- Body temperature
- Cardiac output
- Memory
- Energy metabolism
- Eating behaviour
- Immune response & detoxification
What are the cellular impacts of biological clocks?
These generate physiological rhythms
- Cell cycle progression
- DNA damage repair
- Cellular energy metabolism
- Cell detoxification
- Neuronal excitability