Test 2 Flashcards
When do we sleep?
Circadian rhythms last about 24hrs. A variety of cues are responsible for entraining the circadian cycles.
Lesions to the medial hypothalamus and SCN disrupted what in rats?
Circadian rhythms.
SCN transplants showed what?
That it is a major circadian clock cue
What pathway does light follow?
Light goes to rods and cones– neural transduction goes to bipolar cells— then ganglion cell– then cranial nerve 2– LGN of thalamus– then to primary visual cortex.
What is the retinohypothalamic pathway?
Specialised ganglion cells in the retina respond to the presence/absence of light–send a neural signal to the SCN– then to the SPZ of hypothalamus– then DMN of hypothalamus to stimulate orexin neurons of the LH and inhibit sleep neurons of the POA.
What can entrain the sleep/wake pathway?
Light via activation of the retinohypothalamic pathway. Other zeitgebers, SCN cell cultures will also keep a circadia rhythm so something within cells themselves, melatonin.
What is melatonin?
A hormone secreted at night by the pineal gland. Target is the hypothalamus.
Does melatonin cause sleepiness?
No it just acts on SCN cells to increase their sensitivity to other zeitgebers. Pinealectomy has little effect on circadian rhythm. In longer nights more melatonin is secreted.
Are supplements regulated?
No.
Taking melatonin exogenously does what?
Acts as a melatonin receptor agonist. Changes are attributed to a “chronobiotic” effect- nocturnal phase acceleration.
What does natural sunlight do?
Sunlight in the am will cue you to wake up. Darkness in the pm will cue you to sleep.
Why does sunlight have an effect on mood?
Light causes activation of the orexin neurons of the LH and causes arousal– increases levels of 5HT and NE in the brain which are targets of antidepressant drugs.
Where do we sleep?
Place is important as it provides cues for your brain- sleep hygiene involves having a specified, safe, calm, comfortable, dark place to sleep.
What are microsleeps?
A very brief period of sleep, or a local sleep change in tyhe brain despite objective waking state. Happen when doing a boring task.
What are the 3 established benefits of naps?
- Reduced subjective fatigue and drowsiness
- Improved reaction time, vigilance, attention
- Decreased confusion
How long and when should you nap?
In the afternoon for about 10 minutes. Stage 1 and 2 have better performance boosts.Don’t let yourself into SWS, REM sleep is better.
What is sleep hygiene?
Habits and practices that facilitate good quality sleep.
What are disorders of the sleep/wake cycle?
Insomnia, delayed sleep phase syndrome, narcolepsy (fall asleep when you shouldn’t).
What are disorders of SWS? Parasomnia
Bedwetting, night terrors, sleepwalking, sleepeating/driving etc.
What are disorders of REM?
REM sleep behaviour disorder- a lack of core atone during REM which enables you to get up and move.
What is narcolepsy?
Abruptly falling soundly asleep when you should be awake. Often co presents with cataplexy. ~0.2% of global pop affected.
What is cataplexy?
Abruptly losing muscle tone usually in response to a strong emotion.
What is evident in human cases of narcolepsy?
Orexin CSF levels are 1/3 of that of the normal population, might be an autoimmune.
CNS depressents
Reduce activity in the CNS by reducing neuronal activity. They are a GABA receptor agonist. Cause behaviour, motor and cognitive slowing.
What are the major issues with CNS depressants?
Functional impairment, tolerance, dependance, abuse, interaction/synergistic effect. Keep you in stage 2 sleep.
What can first generation antihistamines used for? (histamine receptor antagonists)
Sleeping. Second gen won’t cause drowsiness as they don’t cross the BBB.
Can you use opioids and antidepressants for sleep medication?
Yes.
Can you use adenosine for sleeping?
No it doesn’t cross the BBB.
Can you block orexin to sleep?
Yes. In the process of being approved. However also might block hunger (anti-obesity).
Can GABA agonists, or block GABA receptors be used to promote wakefulness?
No it will cause overactivation= seizure.
Can you block histamine receptor activation or use histamine receptor antagonists to cause wakefulness?
No it will cause major allergic reaction.
Can you block opioid receptor activation or use opioid receptor agonists to cause wakefulness?
No it will cause major pain.
Can you block the adenosine receptor to cause wakefulness?
Yes we do this all the time- coffee
Can we activate the orexin receptor to cause wakefulness?
Being investigated but orexin doesn’t cross BBB.
Define sex
- noun is anatomical classification of male/female.
2. verb is behaviour of copulation as part of reproduction.
What is sexual differentiation driven by?
- Genetic programming driven by sex chromosome.
2. Presence/absence of sex hormones.
When does sexual differentiation start at?
Time zero/fertilisation.
What happens 0-6 weeks in utero?
Biopotential everything.
What happens 7+ weeks in utero?
Sry gene on Y chromosome triggers Sry protein productions, which drives development of testes.