Physiology of Sleep Flashcards

(48 cards)

1
Q

What is the overall definition of sleep? Neuroscience definition?

A

temporary state of unconsciousness from which one can awaken when stimulated

Neuro: dynamic state of shifting electrical activity & flow of chemicals

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2
Q

What is a sleep study?

A

polysonnography

EEG: electroencephalogram

EMG: electromyogram

EOG: electrooculogram

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3
Q

What are the stages of a sleep cycle? How long are each cycle? How many sleep cycles does a typical adult have / night?

A

A. Non-Rapid Eye Movement sleep (75%)

B: Rapid Eye Movement sleep (25%)

whole cycle ~90 minutes & have ~5 cycles /night

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4
Q

What is the trend for percentage of time spent in the different phases of the sleep cycle as we age?

A

babies → ~ 85% REM

adults → ~25% REM

% time spent in REM decreases as we age

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5
Q

What are the 5 basic steps to the sleep cycle?

A
  1. Awake
  2. N1: transition
  3. N2: light sleep
  4. N3: deep sleep
  5. REM sleep

notice that in the beginning, the length of time spent in N3 is the largest & the length of time spent in REM increases toward the end

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6
Q

The first half of sleep is considered what type of sleep?

The second half is considered what type of sleep?

A

First half: deep sleep

Second half: REM sleep

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7
Q

What types of waves are seen seen in each stage of sleep?

A
  • Awake (alert) : Beta
  • Awake (relaxed) : alpha
  • N1 (drowsiness) : theta
  • N2 (light sleep): theta
  • N3 (deep sleep) : delta
  • REM : Beta
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8
Q

What neurotransmitters are responsible for the different waves seen in different levels of sleep?

A
  • Awake (eyes open) : Beta → increased norepinephrine
  • Awake (eyes closed) : alpha → increased histamine
  • N1, N2, N3 : theta & delta → increased GABA
  • REM : beta → increased GABA + ACh
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9
Q

What are the characteristics of REM sleep?

A

saw-tooth wave & PGO activity

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10
Q

Fill out the trends indicated by the black bocks in the provided table:

A
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11
Q

What is the sleep center of the brain & what is the main “switch”?

A

hypothalamus

Ventrolateral preoptic nucleus (VLPO)

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12
Q

What is the mechanism of sleep induction by adenosine?

A
  • Adenosine binds to the A1 & A2 receptors on the VLPO of the hypothalamus
  • this activates the VLPO → secretes GABA → promotes sleep
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13
Q

How does caffeine inhibit sleep?

A

Caffeine binds to & blocks the A1 & A2 receptors on the VLPO

VLPO is inhibited from producing GABA

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14
Q

Why do we build up adenosine during the day?

A

ATP use

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15
Q

Increased levels of what substance in the forebrain promotes sleep?

A

adenosine

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16
Q

What are the nuclei in the hypothalamus that are related to sleep & wakefulness? Actions of each?

A
  • VLPO → GABA secretion (induce sleepiness)
  • SCN → stimulated by light (help you wake up)
    • during sleep, produces melatonin (keep you asleep)
  • Lateral Hypothalamus → orexin (keep you awake)
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17
Q

Lesion in the lateral hypothalamus can lead to what condition?

A

narcolepsy

d/t loss of orexin neurons

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18
Q

What are the orexinergic neuronal functions? What conditions can happen if there is something wrong with its function

A

maintain proper vigilance

Wrong: narcolepsy, cataplexy, primary hyprsomnia

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19
Q

What are the GABAergic neuronal functions?

A

go to bed

axons from VLPO project to major nuclei to inhibit primary arousal centers

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20
Q

What are the primary arousal centers?

A

TMN, LH, PPT/LDT, RN, LC

21
Q

What stages are “quiet sleep”? What are the characteristics of this sleep?

A

NREM (N1, N2, N3)

slows down brain activity, heartbeat, respiration, & body temp

22
Q

What stages are “slow wave sleep”? What are the characteristics of this sleep?

A

NREM sleep

low brain activity = low frequency EEG waves

23
Q

What important things happen during N3?

A

takes care of fatigue: brain glycogen & ATP are replenished

tissue repair, GH & prolactin secretion

24
Q

What are the characteristics of N1-NREM stage?

A
  • ~5% total sleep
  • altered state of consciousness (drowsiness)
  • decreased HR, respiration, body temp + relaxed muscles
  • EEG: mixed frequency (alpha & theta)

Hypnic jerks & Hypnagogic hallucinations

25
What are the characteristics of N2-NREM stage?
* ~45% sleep * light sleep - theta waves * consolidates motor learning * _Bruxism_: pathological teeth grinding happens at this stage
26
What are the EEG characteristics of N2 sleep?
* **sleep spindles** * bursts of high frequency waves - sleep through loud noises * **K-complexes** * high amplitude single wave - suppress cortical arousal & keep you asleep
27
What are the characteristics of N3-NREM stage?
* ~25% total sleep * glycogen replenishment & tissue repair * GH secretion * _glymphatic clearanc_e - unique waste clearance system in brain * Deep/restful sleep * muscles relax & vital signs decrease * hard to wake up → groggy, impaired mental status (sleep inertia)
28
What are the EEG characteristics of N3 sleep?
* delta waves (slow wave sleep)
29
What stage of sleep is crucial for declarative memory (ie. facts)?
N3
30
Patients with depression get very little of what stage of sleep?
N3
31
What stages do sleep-walking, bed-wetting & night terrors occur?
N3
32
Snoring occurs in which stage?
can occur in all stages, but most frequently N3
33
What are the characteristics of REM stage?
* ~25% total sleep * Rapid Eye Movements (EOG) * muscle atonia (EMG) * dreams (EEG) * increase in brain activity & O2 use * irregular heart & breathing rates * parasympathetic nervous system activation * constriction of pupil, erection
34
What phase of sleep is crucial for procedural memory?
REM
35
What are the EEG characteristics of REM sleep?
beta waves with dominant “PGO activity” = bursts of “sawtooth” wave * P : ponto * G : genicular * O : occipital
36
Why is REM sleep also called paradoxical sleep?
increase in brain activity & increase in oxygen use long, vivid dreams → similar to wakefulness “shallow stage of sleep”
37
Why do heart attacks often occur in early morning?
the fluctuations seen in heart rate & breathing rate during REM sleep
38
What is happening when some people “act out their dreams”?
* REM sleep w/o atonia * d/t loss of REM atonic neurons in **pons**
39
Nightmares occur during what time of sleep? What are the characteristics of nightmares?
REM during the later part of the night can occur in any age, associated with mild physiological changes & you remember the event
40
What is Process H?
promotion of sleep accumulation fo “sleep factors” ie. adenosine
41
What is Process C?
circadian rhythm absence of light decreases alertness - SCN + pineal gland
42
What cardiovascular changes do you see during sleep?
* decrease * BP * HR * CO * vasomotor tone * plasma volume
43
What respiratory changes do you see during sleep?
* decrease * force * rate * CO2 sensitivity * pulmonary ventilation
44
What muscular changes do you see during sleep?
* decrease * muscle tone * increase * repair
45
What urinary changes do you see during sleep?
* decrease * urine formation * increase * phosphate content * specific gravity
46
What digestive changes do you see during sleep?
relaxed esophageal sphincter
47
What nervous system changes do you see during sleep?
* decrease * reflexes * sensation
48
What secretion changes do you see during sleep?
* decrease * salivary & lacrimal * ghrelin * BMR * increase * sweat & gastric * leptin