Instructor’s Manual by David Vago to accompany The Mind’s Machine Watson • Breedlove Chapter 10: Biological Rhythms and Sleep OVERVIEW OF THIS CHAPTER Much of our experience of the universe comes in cycles: the endless parade of the seasons, the waxing and waning of the moon, dawn breaking and night falling. Organisms blend themselves into all these rhythms seamlessly, and viewed objectively, rhythmicity is a remarkably pervasive feature of daily life across all living systems. Modern research is revealing that diverse processes, ranging from gene transcription to human conception rates, are subject to complex overlapping cyclical patterns. The first part of the chapter provides an introduction to the functioning and neural bases of the biological timepieces that track and predict rhythmic environmental events. The remainder of the chapter is devoted to sleep, a phenomenon whose mechanisms remain among the most mysterious of rhythmic behaviors. Disorders of sleep are the subject of much current research, and they receive considerable coverage in the latter part of the chapter. CHAPTER OUTLINE PART I: BIOLOGICAL RHYTHMS Many Animals Show Daily Rhythms in Activity Circadian rhythms are generated by an endogenous clock The Hypothalamus Houses a Circadian Clock RESEARCHERS AT WORK: Transplants prove that the SCN produces a circadian rhythm In mammals, light information from the eyes reaches the SCN directly Circadian rhythms have been genetically dissected in flies and mice PART II: SLEEPING AND WAKING Human Sleep Exhibits Different Stages We do our most vivid dreaming during REM sleep Different species provide clues about the evolution of sleep Our Sleep Patterns Change across the Life Span Mammals sleep more during infancy than in adulthood © 2012 Sinauer Associates, Inc. 1 Most people sleep appreciably less as they age Manipulating Sleep Reveals an Underlying Structure Sleep deprivation impairs cognitive functioning but does not cause insanity Sleep recovery may take time BOX 14.1: Sleep Deprivation Can Be Fatal What Are the Biological Functions of Sleep? Sleep conserves energy Sleep enforces niche adaptation Sleep restores the body Sleep may aid memory consolidation Some humans sleep remarkable little, yet function normally At Least Four Interacting Neural Systems Underlie Sleep RESEARCHERS AT WORK: The forebrain generates slow-wave sleep The reticular formation wakes up the forebrain The pons triggers REM sleep A hypothalamic sleep center was revealed by the study of narcolepsy Sleep Disorders Can Be Serious, Even Life-Threatening Some minor dysfunctions are associated with sleep Insomniacs have trouble falling asleep or staying asleep Although many drugs affect sleep, there is no perfect sleeping pill KEY CONCEPTS 1. Types of biological rhythms: Life on Earth is rhythmic. Biological rhythms range in length from minutes to seconds, can change over the course of a day, and in some cases extend from months to years. 2. Mammals have evolved specific endogenous mechanisms (a biological clock) to synchronize (entrain) their bodies and behavior to periodic external environmental cues called zeitgebers, the primary one of which is daylight. In the absence of appropriate environmental cues, the endogenous rhythm of the clock becomes apparent as a freerunning rhythm. 3. Phase shifting, entrainment, and jet-lag: Jet-lag is a common example of phase-shifting that occurs in humans when flying between time-zones. Synchronizing stimuli (e.g., light) can be described along with the function of melatonin secretion from the pineal gland, the result of taking melatonin orally before bedtime, and the function of melanopsin, the light-sensitive photopigment in retinal ganglion cells. 4. In mammals, the SCN clock receives entraining light stimulation directly from the eyes via the retinohypothalamic pathway. A variety of other routes for light entrainment also © 2012 Sinauer Associates, Inc. 2 exist; for example, in some animals light is detected directly by the pineal gland, and in humans circadian rhythms may be phase-shifted by light applied to other body surfaces. 5. Experimental work—including lesion studies, genetic manipulations, and transplant studies in which host animals adopted the donors’ rhythms—have established conclusively that an endogenous clock is located in the suprachiasmatic nucleus of the hypothalamus. Mutations of the gene tau demonstrates the mechanism for endogenous rhythms originating in the SCN. Transplant experiments demonstrate rhythms following the donor SCN. 6. Experimental evidence indicates that there is more than one endogenous clock. SCN lesions do not abolish infradian or ultradian rhythms in mammals, and in mice the Clock/Clock mutation abolishes free-running circadian rhythms but not free-running ultradian rhythms. In species ranging from flies to mammals, rhythmicity is conferred on individual cells through the actions of a molecular clock. This oscillator appears to be entrained to light through the transcription of a complex of genes, including Tau, Cryptochrome (Cry) and Period (Per). 7. EEG records and behavioral observations indicate that the sleep of many species, including humans, exhibits a pattern of distinct stages and two distinct categories: slowwave sleep (SWS) and rapid-eye-movement (REM) sleep. 8. Human SWS stages may be distinguished on the basis of particular EEG characteristics: Stage 1 SWS contains primarily regular oscillating alpha rhythms (8–12 Hz) and vertex spikes; stage 2 SWS contains discrete bursts of sleep spindles (12–14 Hz) and K complexes; early stage 3 SWS is marked by the appearance of very slow, large amplitude delta waves (0.5–4 Hz); and in late stage 3 SWS delta waves are present at least 50% of the time. The progression through the stages is marked by decreasing frequency and increasing amplitude in the EEG. 9. REM sleep is characterized by a return to fast, desynchronized EEG activity resembling the awake state, complete loss of muscle tone, and rapid eye movements. 10. Human sleep exhibits an alternating cycle of REM and SWS every 90 to 110 minutes. Sleep cycle length is shorter in smaller animals. Some species of mammals do not display REM sleep at all, and some, notably the dolphin, engage in SWS in only one cerebral hemisphere at a time. 11. Vivid dreaming involving imagery has been shown to occur during REM sleep; dreaming during non-REM has been shown to involve vague thoughts. Nightmares have been associated with REM, whereas night terrors have been associated with stage 3 SWS and marked autonomic activation. 12. Only birds display both REM and SWS. The evolution of REM and SWS can be discussed from the context of species-specific sleep behavior. © 2012 Sinauer Associates, Inc. 3 13. Sleep patterns change dramatically over the life span. In humans, infants spend most of their sleep time in REM sleep, which may contribute to neural development. The proportion of sleep time spent in REM decreases with age. Sleep in the elderly is characterized by less total sleep time, frequent awakenings and complaints of insomnia, and a loss of stage 3 SWS. 14. Sleep deprivation impairs cognitive abilities, particularly for tasks that require sustained attention. Sleep debts incurred by deprivation are partially recovered in sleep subsequent to the deprivation. Long-term sleep deprivation can have very serious consequences on health, particularly compromising immune function. A rare heritable disorder associated with degeneration of the thalamus (fatal familial insomnia) causes some people to become unable to sleep; this condition is lethal. A defect in the gene for the prion protein is responsible for this degenerative disease. 15. Many different functions have been proposed for sleep, including bodily restoration, energy conservation, niche adaptation, and memory consolidation. None of these hypotheses, by themselves, appears to account entirely for the need to sleep or the dramatic health consequences of sleep deprivation. 16. Little or no new learning occurs during sleep, but evidence suggests that memory for new material is improved if learning is followed by sleep. Some data suggest that REM sleep may be more beneficial for perceptual learning, whereas SWS may be more beneficial for motor skill learning and consolidation of declarative types of memory. Some researchers remain skeptical that any specific stage of sleep is beneficial for memory consolidation. 17. Transecting the brain at different levels has provided a mechanism for mediating SWS in the forebrain and reliance on input from the brainstem. 18. Many neural mechanisms are implicated in the generation and maintenance of sleep— particularly mechanisms vested in the hypothalamus and brainstem, including the basal forebrain, hypothalamus, locus coeruleus, and reticular formation. The basal forebrain appears to be important for the production of SWS. 19. Classification of sleep disorders can be described as disorders of insomnia, disorders of excessive drowsiness, disorders of sleep-waking schedule, and dysfunctions associated with sleep or partial arousal. Insomnia is a prevalent sleep disorder involving difficulty in falling asleep or difficulty in staying asleep. In narcolepsy, sufferers experience periodic attacks of sleepiness during the day, and they may even experience cataplexy. It appears that defects in the orexin signaling system are responsible for symptoms of narcolepsy. Milder forms of sleep disorders include somnambulism (sleep walking) and sleep enuresis (bed-wetting), both of which are treatable. Other forms of sleep disorders are related to unreliable respiration during sleep, such as sleep apnea or sudden infant death syndrome. © 2012 Sinauer Associates, Inc. 4 20. Humans have searched for soporifics for millennia, but as yet no perfect sleeping pill exists. Modern sleep drugs, notably benzodiazepines such as triazolam (Halcion) or nonbenzodiazepines like Ambien and Lunesta, interact with GABA receptors to promote sleep. Such drugs have significant undesirable effects, including suppression of REM sleep, “sleep drunkenness” during the day, and REM rebound effects at termination of treatment. SAMPLE LECTURE OUTLINE (Bulleted items are grouped into suggested slides for lecture presentation. Textbook figures are available on the Instructor’s Resource Library disc.) Biological Rhythms • Biological rhythms are regular fluctuations in a living process o Circadian rhythms have a rhythm of about 24 hours o Ultradian rhythms such as bouts of activity, feeding, and hormone release repeat more than once a day o Infradian rhythms such as body weight and reproductive cycles repeat less than once a day Many Animals Show Daily Rhythms in Activity • • • Diurnal—active during the light Nocturnal—active during the dark Circadian rhythms are generated by an endogenous (internal) clock • A free-running animal is maintaining its own cycle with no external cues, such as light (Figure 10.2a) The period, or time between successive cycles, may not be exactly 24 hours • • • • A phase shift is the shift in activity in response to a synchronizing stimulus, such as light or food Entrainment is the process of shifting the rhythm The cue that an animal uses to synchronize with the environment is called a zeitgeber or “time-giver” (Figure 10.2b) The Hypothalamus Houses an Endogenous Circadian Clock • • The biological clock is located in the suprachiasmatic nucleus (SCN)—above the optic chiasm in the hypothalamus Studies in SCN-lesioned animals showed disrupted circadian rhythms (Figure 10.3) © 2012 Sinauer Associates, Inc. 5 • Isolated SCN cells maintain electrical activity synchronized to the previous light cycle • • Transplant studies proved that the SCN produces a circadian rhythm Hamsters with SCN lesions received a SCN tissue transplant from hamsters with a very short period, ~20 hours Circadian rhythms were restored but matched the shorter period of the donor (Figure 10.5) • • • • • • • • • Circadian rhythms entrain to light-dark cycles using different pathways, some outside of the eye The pineal gland in amphibians and birds is sensitive to light Melatonin is secreted to inform the brain about light In mammals, light information goes from the eye to the SCN via the retinohypothalamic pathway (Figure 10.6) Some retinal ganglion cells project to the SCN Most contain melanopsin, a special photopigment, that makes them sensitive to light Molecular studies in Drosophila using mutations of the period gene helped to understand the circadian clock in mammals SCN cells in mammals make two proteins: o Clock o Cycle • • Clock and Cycle proteins bind together to form a dimer The Clock/Cycle dimer promotes transcription of two genes: o Period (per) o Cryptochrome (cry) • • Per and Cry proteins bind to each other and also to Tau The Per/Cry/Tau protein complex enters the nucleus and inhibits the transcription of per and cry No new proteins are made until the first set degrades (Figure 10.7) The cycle repeats ~every 24 hours • • • Gene mutations show how important the clock is to behavior in constant conditions: o In tau mutations the period is shorter than normal o Double Clock mutants—severely arrhythmic (Figure 10.8) • • Sleep is synchronized to external events, including light and dark Stimuli like lights, food, jobs, and alarm clocks entrain us to be awake or to sleep © 2012 Sinauer Associates, Inc. 6 • In the absence of cues, humans have a free-running period of approximately 25 hours (Figure 10.9) Human Sleep Exhibits Different Stages • • Electrical brain potentials can be used to classify levels of arousal and states of sleep Electroencephalography (EEG) records electrical activity in the brain • Two distinct classes of sleep: o Slow-wave sleep (SWS) can be divided into four stages and is characterized by slow-wave EEG activity o Rapid-eye-movement sleep (REM) is characterized by small amplitude, fastEEG waves, no postural tension, and rapid eye movements • The pattern of activity in an awake person contains many frequencies: o Dominated by waves of fast frequency and low amplitude (15–20 Hz) o Known as beta activity or desynchronized EEG Alpha rhythm occurs in relaxation, a regular oscillation of 8–12 Hz • • Four stages of slow-wave sleep: (Figure 10.10) o Stage 1 sleep Shows events of irregular frequency and smaller amplitude, as well as vertex spikes, or sharp waves Heart rate slows, muscle tension reduces, eyes move about Lasts several minutes o Stage 2 sleep Defined by waves of 12–14 Hz that occur in bursts, called sleep spindles K-complexes appear—sharp negative EEG potentials o Early Stage 3 sleep Continued sleep spindles as in stage 2 Defined by the appearance of large-amplitude, very slow waves called delta waves Delta waves occur about once per second o Late Stage 3 sleep Delta waves are present about half the time • REM sleep follows SWS o Active EEG with small-amplitude, high-frequency waves, like an awake person o Muscles are relaxed—called paradoxical sleep © 2012 Sinauer Associates, Inc. 7 • In a typical night of young adult sleep: (Figure 10.11) o Sleep time ranges from 7–8 hours o 45–50% is stage 2 sleep, 20% is REM sleep o Cycles last 90–110 minutes, but cycles early in the night have more stage 3 SWS, and later cycles have more REM sleep • At puberty, most people shift their circadian rhythm of sleep so that they get up later in the day (Figure 10.12) However, most high schools require adolescents to arrive even earlier Later starts improved attendance and enrollment, and reduced depression and inclass sleeping • • • • • Vivid dreams occur during REM sleep, characterized by: o Visual imagery o Sense that the dreamer is “there” Nightmares are frightening dreams that awaken the sleeper from REM sleep Night terrors are sudden arousals from stage 3 SWS, marked by fear and autonomic activity • REM sleep evolved in some vertebrates: o Nearly all mammals display both REM and SWS o Birds also display both REM and SWS sleep • Dolphins do not show REM sleep, perhaps because relaxed muscles are incompatible with the need to come to the surface to breathe (Figure 10.14) In dolphins and birds, only one brain hemisphere enters SWS at a time—the other remains awake • Our Sleep Patterns Change across the Life Span • • Mammals sleep more during infancy than in adulthood (Figure 10.15) Infant sleep is characterized by: o Shorter sleep cycles o More REM sleep—50%, which may provide essential stimulation to the developing nervous system • As people age, total time asleep declines, and times awakened increase (Figure 10.16) The biggest loss is time spent in stage 3: (Figure 10.17) o At age 60, only half as much time is spent as at age 20 o By age 90, stage 3 has disappeared • Manipulating Sleep Reveals an Underlying Structure © 2012 Sinauer Associates, Inc. 8 • • Effects of sleep deprivation—the partial or total prevention of sleep: (Figure 10.18) o Increased irritability o Difficulty in concentrating o Episodes of disorientation Effects can vary with age and other factors • Sleep recovery is the process of sleeping more than normally, after a period of deprivation (Figure 10.19) o Night 1—stage 3 sleep is increased, but stage 2 is decreased o Night 2—most recovery of REM sleep, which is more intense than normal with more rapid eye movements • Sleep deprivation can be fatal o Total sleep deprivation compromises the immune system and leads to death o The disease fatal familial insomnia is inherited—in midlife, people stop sleeping and die 7–24 months after onset of the insomnia (Box 10.1) What Are the Biological Functions of Sleep? • Four functions of sleep: o Energy conservation o Niche adaptation o Body restoration o Memory consolidation • One role of sleep is to conserve energy o Muscular tension, heart rate, blood pressure, temperature, and rate of respiration are reduced • • Sleep helps animals avoid predators—animals sleep during the part of the day when they are most vulnerable (Figure 10.20) The ecological niche for each species is the unique assortment of opportunities and challenges in its environment • • • Sleep restores the body by replenishing metabolic requirements, such as proteins Most growth hormone is only released during SWS Proper sleep is essential for immune function • Sleep may aid memory consolidation o Sleep during the interval between learning and recall may reduce interfering stimuli o Memory typically decays and sleep may slow this down o Or sleep, especially REM, may actively contribute through processes that consolidate the learned material © 2012 Sinauer Associates, Inc. 9 • • A challenge to sleep theories is the existence of a few people who hardly sleep at all yet are normal and healthy (Figure 10.21) Whatever the function of sleep, these people fill it with a brief nap At Least Four Interacting Neural Systems Underlie Sleep • Sleep is an active state mediated by: o A forebrain system—displays SWS o A brainstem system—activates the forebrain o A pontine system—triggers REM sleep o A hypothalamic system—affects the other three • Transection experiments showed that different sleep systems originate in different parts of the brain o The isolated brain is made by an incision between the medulla and the spinal cord (Figure 10.22a) Animals showed signs of sleep and wakefulness, proving that the networks reside in the brain o An isolated forebrain is made by an incision in the midbrain (Figure 10.22b) The electrical activity in the forebrain showed constant SWS, but not REM—thus, the forebrain alone can generate SWS • • • • The constant SWS activity in the forebrain is generated by the basal forebrain, a ventral region Neurons in this region become active at sleep onset and release GABA o GABA activates receptors in the nearby tuberomammillary nucleus o GABA receptors are also stimulated by general anesthetics to produce slow waves resembling SWS The reticular formation is able to activate the cortex (Figure 10.23) o Electrical stimulation of this area will wake up sleeping animals o Lesions of this area promote sleep The forebrain and reticular formation seem to guide the brain between SWS and wakefulness • • • An area of the pons, near the locus coeruleus, is responsible for REM sleep Some neurons in this region are only active during REM sleep They inhibit motoneurons to keep them from firing, disabling the motor system during REM sleep (Figure 10.24) • • The study of narcolepsy revealed the hypothalamic sleep center Narcolepsy sufferers: o Have frequent sleep attacks and excessive daytime sleepiness © 2012 Sinauer Associates, Inc. 10 o Do not go through SWS before REM sleep o May show cataplexy—a sudden loss of muscle tone, leading to collapse • Narcoleptic dogs have a mutant gene for a hypocretin receptor o Hypocretin normally prevents the transition from wakefulness directly into REM sleep o Interfering with hypocretin signaling leads to narcolepsy (Figure 10.25) • Hypocretin neurons in the hypothalamus project to other brain centers: the basal forebrain, the reticular formation, and the locus coeruleus (Figure 10.26) Axons also go to the tuberomammillary nucleus, whose inhibition induces SWS The hypothalamus seems to contain a hypocretin-based sleep center that controls wakefulness, SWS sleep, or REM sleep • • • • Sleep paralysis is the brief inability to move just before falling asleep, or just after waking up It may be caused by the pontine center continuing to signal for muscle relaxation, even when awake Sleep Disorders Can Be Serious, Even Life-Threatening • Sleep disorders in children: o Night terrors and sleep enuresis (bed-wetting) are associated with SWS o Somnambulism (sleepwalking) occurs during stage 3 SWS, and may persist into adulthood • REM behavior disorder (RBD) is characterized by organized behavior, from an asleep person o It usually begins after age 50 and may be followed by beginning symptoms of Parkinson’s disease o This suggests damage in the brain motor systems • Sleep-onset insomnia is a difficulty in falling asleep, and can be caused by situational factors, such as shift work or jet lag Sleep-maintenance insomnia is a difficulty in staying asleep and may be caused by drugs or neurological factors • • • In sleep apnea, breathing may stop or slow down when muscles in the chest and diaphragm relax too much or respiratory neurons in the brain stem don’t signal properly o Sleep apnea may be accompanied by snoring Sleep state misperception occurs when people report insomnia even when they were asleep © 2012 Sinauer Associates, Inc. 11 • • • • Sudden infant death syndrome (SIDS) is sleep apnea resulting from immature respiratory pacemaker systems or arousal mechanisms Putting babies to sleep on their backs can prevent suffocation due to apnea (Photo, p. 297) Most sleeping pills bind to GABA receptors throughout the brain Continued use of sleeping pills: o Makes them ineffective o Produces marked changes in sleep patterns that persist even when not taking the drug o Can lead to drowsiness and memory gaps REFERENCES FOR LECTURE DEVELOPMENT Books and Articles Carskadon, M. A. (Ed.). (1993). Encyclopedia of sleep and dreaming. New York: Macmillan. Cooper, R. (Ed.). (1994). Sleep. New York: Chapman and Hall. Dunlap, J. C., Loros, J. L., and DeCoursey, P. J. (2003). Chronobiology: Biological timekeeping. Sunderland, MA: Sinauer Associates. International Congress on Chronobiology. (1998). Biological clocks: Mechanisms and applications: Proceedings of the international congress on chronobiology, Paris, September 7–11, 1997. New York: Elsevier. Kryger, M. K., Roth, T., and Dement, W. C. (1999). Principles and practice of sleep medicine. New York: Saunders. Lange, T., Dimitrov, S., and Born, J. (2010) Effects of sleep and circadian rhythm on the human immune system. Annals of the NY Academy of Sciences, 1193 (1): 48–59. Pressman, M. R., and Orr, W. C. (Eds.). (1997). Understanding sleep: The evaluation and treatment of sleep disorders. Washington, DC: American Psychological Association. Schwartz, W. J. (Ed.). (1997). Sleep science: Integrating basic research and clinical practice. Basel, Switzerland: Karger. Takahashi, J. S. (1995). Molecular neurobiology and genetics of circadian rhythms in mammals. Annual Review of Neuroscience, 18: 531–554. © 2012 Sinauer Associates, Inc. 12 Tononi, G. and C. Cirelli (2006). Sleep function and synaptic homeostasis. Sleep Medicine Review, 10 (1): 49–62. Online Resources Center for Sleep Research (UCLA Semel Institute, Psychiatry and Biobehavioral Sciences) Contains a wide variety of information on sleep and rhythms research, links to other sites, and teaching resources. http://www.semel.ucla.edu/sleepresearch National Sleep Foundation Contains a wide variety of information related to sleep, sleep disorders, current research, polls, and other resources. http://www.sleepfoundation.org/ Night Terror Resource Center Contains resources specifically for night terrors. http://nightterrors.org/ Sleep-Wake Disorders: Behavioral and Circadian Rhythm Issues in Excessive Daytime Sleepiness (video on The Doctor’s Channel) Michael Thorpy, MD, director of the Sleep-Wake Disorders Center at Montefiore Medical Center in New York City, provides recent epidemiological information related to excessive daytime sleepiness and sleep disorders on a physicians’ Internet television service. http://www.thedoctorschannel.com/view/sleep-wake-disorders © 2012 Sinauer Associates, Inc. 13