Lecture 14: Genetics of sleep disorders Flashcards
where are the main outputs of the SCN?
PVN: paraventiruclar nucleus
cortisol, melatonin
MPO: Medial preoptic nucleus
thermoregulation, GnRH
DMH: Dorsomedial hypothalamus
feeding
all via SPZ or direct to SCN.
Rhythmic SCN output creates an environment permissive to sleep or wake:
Low body temp. during inactive
High cortisol at start of active phase
High melatonin during night (more details in lectures #15&16)
role of MPO?
sex hormone secretion and thermoregulation, reduces temp during sleeping.
role of PVN
neuroendocrine control, increased melatonin at night, increased cortisol just before waking.
role of DMH
most important, feeding. has outputs to lateral hypothalamus (orexin). and VLPO (sleep promoting neurons).
DMH lesions in rodents?
arhythmic sleep/wake.
what controls sleep?
Involves interplay of homeostatic, circadian processes & light
Homeostatic: adenosine build-up/VLPO activation
Circadian: SCN output to DMH/ regulation of LH orexin and VLPO neurons
Light: Effects on SCN and Sleep/wake regulatory centres
what briefly causes delayed/advanced phase sleep syndromes?
involve genetic differences in clockwork
what briefly causes Irregular/non-24 sleep syndromes?
impaired clock function/photoentrainment
what briefly causes Insomia/Hypersomnia?
causes probably unrelated to clock
what is delayed sleep syndrome/advanced?
same length of sleep around 8hr.
but genetic differences in clockwork means either delayed/advanced.
what is irregular sleep?
normal length of sleep aroudn 7-8hr.
but irregular or scattered throughout the day in naps.
no clock, ie from tumour in pituitary gland compressing SCN.
what is non 24hr sleep?
not a 24hr cycle, occurs in lost eyes or dmg to HPT.
clock works but cant entrain to LD.
what is insomnia/hypersomnia?
not enough or too much sleep.
not related to clock.
how can you measure sleep?
polysomonography.
The PSG monitors many body functions including brain (EEG), eye movements (EOG), muscle activity or skeletal muscle activation (EMG) and heart rhythm (ECG) during sleep.
how can you measure circadian rhythms?
melatonin rhythm, other hormones or body temperature.
problems with measuring sleep?
long, expensive, easy to disturb, unnatural sleeping environment.
can get just as good data from questionaires or fitness trackers or apps etc.
can combine with blood samples to relate to circadian genetics.
what are the various chronotypes?
morning “lark” 15-20% of population:
midsleep 00:00-03:00
indifferent 60-70%:
midsleep 03:00-08:00
evening “owl” 15-20%:
midsleep 08:00-12:00
midsleep hours are for free day.
what factors influence chronotype?
gender, age, light exposure/latitutude within time zone.
genetics
how were human clock properties revealed?
through skin biopsy.
skin samples of early/late chronotypes, infected culture with lentivirus (expresses Bmal1:luciferase)
light emitted varies with circadian rhythm.
night owls: longer period in fibroblasts (intrinsic free running period).
therefore if clock is slower, circadian drive for wakefulness switches off later in the day.
what modulates the clock speed/chronotype?
degredation rate of per via CK1ε/δ.
F-Box proteins Fbxl3 and Fbxl21 Control CRY degradation
What is PER3?
PER3 Variable-Number Tandem-Repeat.
Has interaction sites for CK1 and CRY.
hPER3 gene has a repeated sequence fo DNA motifs either 4 or 5 times.
Since there are 2 copies of PER3 gene, you either have 4/4, 4/5 or 5/5.
PER34/4 is associated with evening preference and delayed sleep phase.
PER35/5 is strongly predictive of extreme morning preference, increased evening sleep drive, increased deep sleep, early arousal.
very poor performance if sleep deprived.
~10% of UK “long variant”
What is Familial Advanced Sleep Phase Syndrome (FASPS)?
Heritable (& rare) form of extreme early chronotype, autosomal dominant:
Sleep: ~7:30pm
Wake: ~4:00am
specific mutations: Per2 (S662G) CK1δ (T44A) CK1δ (H46R) All alter phosphorylation of PER protein and speed up clock, 23.3hr vs 24.2hr cycle.
CK1ɛtau (T178C substitution) in mice or hamsters = 20h clock! (lecture #5) ????????????????????
How does altered PER protein stability impact on the speed of the circadian clock in FASPS?
reduced PER degradation -> constant repression of Clock/Bmal1 (Slow clock)
NOT
Decreased PER degradation -> more rapid PER accumulation/faster clock
what does CK1δ/ε inhibition cause?
lengthened clock period….slows down molecular clock (PER2::luc rhythms in SCN slices).
….slows down behavioural rhythms.
high dose up to 7h longer.