Hypothalamic orexin and mechanistic target of rapamycin activation mediate sleep dysfunction in a mouse model of
Bo Zhang1, Dongjun Guo1, Lirong Han1
1Department of Neurology and the Hope Center for Neurological Disorders, Washington University School of Medicine, St. Louis, MO 63110, USA.
Abstract:
Tuberous sclerosis complex (TSC) is a genetic disease related to hyperactivation of the mechanistic target of rapamycin (mTOR) pathway and manifested by neurological symptoms, such as epilepsy and sleep disorders. The pathophysiology of sleep dysfunction is poorly understood and is likely multifactorial, but may involve intrinsic biological regulators in the brain. Here, we characterized a mouse model of sleep disorders in TSC and investigated mechanisms of sleep dysfunction in this conditional knockout model involving inactivation of the Tsc1 gene in neurons and astrocytes (Tsc1GFAPCKO mice). Sleep studies utilizing EEG, EMG, and behavioral analysis found that Tsc1GFAPCKO mice have decreased REM sleep and impaired sleep-wake differentiation between light and dark phases. mTOR activity and orexin expression were increased in hypothalamic sections and cultured hypothalamic neurons from Tsc1GFAPCKO mice. Both the sleep abnormalities and increased orexin expression in Tsc1GFAPCKO mice were reversed by rapamycin treatment, indicating their dependence on mTOR activation. An orexin antagonist, suvorexant, also restored normal REM levels in Tsc1GFAPCKO mice. These results identify a novel mechanistic link between mTOR and orexin in the hypothalamus related to sleep dysfunction and suggest a targeted therapeutic approach to sleep disorders in TSC.
Insights
Tuberous sclerosis complex (TSC) causes sleep problems due to mTOR pathway overactivation. Targeting mTOR or orexin pathways with drugs like rapamycin or suvorexant can restore normal sleep patterns in TSC mouse models.
Area of Science:
- Neuroscience
- Genetics
- Sleep Medicine
Background:
- Tuberous sclerosis complex (TSC) is a genetic disorder characterized by mTOR pathway hyperactivation.
- TSC often presents with neurological symptoms, including epilepsy and sleep disturbances.
- The precise mechanisms underlying sleep dysfunction in TSC remain unclear.
Purpose of the Study:
- To investigate the mechanisms of sleep dysfunction in a mouse model of TSC.
- To explore the role of the mTOR pathway and orexin in TSC-related sleep disorders.
- To evaluate potential therapeutic interventions for sleep abnormalities in TSC.
Main Methods:
- Utilized a conditional knockout mouse model (Tsc1GFAPCKO) with Tsc1 gene inactivation in neurons and astrocytes.
- Conducted sleep studies using EEG, EMG, and behavioral analysis.
- Assessed mTOR activity and orexin expression in hypothalamic tissues and neurons.
- Administered rapamycin (mTOR inhibitor) and suvorexant (orexin antagonist) to evaluate their effects on sleep.
Main Results:
- Tsc1GFAPCKO mice exhibited reduced REM sleep and impaired sleep-wake cycle regulation.
- Increased mTOR activity and orexin expression were observed in the hypothalamus of Tsc1GFAPCKO mice.
- Rapamycin treatment normalized sleep abnormalities and reduced orexin levels, confirming mTOR dependence.
- Suvorexant treatment restored normal REM sleep levels in Tsc1GFAPCKO mice.
Conclusions:
- Identified a novel mechanistic link between mTOR hyperactivation and orexin dysregulation in the hypothalamus contributing to sleep dysfunction in TSC.
- Demonstrated that targeting the mTOR and orexin pathways can ameliorate sleep disturbances in a TSC mouse model.
- Suggests potential therapeutic strategies for managing sleep disorders in individuals with TSC.
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