Sleep state switching
Open accessAbstract
We take for granted the ability to fall asleep or to snap out of sleep into wakefulness, but these changes in behavioral state require specific switching mechanisms in the brain that allow well-defined state transitions. In this review, we examine the basic circuitry underlying the regulation of sleep and wakefulness and discuss a theoretical framework wherein the interactions between reciprocal neuronal circuits enable relatively rapid and complete state transitions. We also review how homeostatic, circadian, and allostatic drives help regulate sleep state switching and discuss how breakdown of the switching mechanism may contribute to sleep disorders such as narcolepsy.
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The hypothalamus contains key arousal-promoting neurons, including orexin (hypocretin) neurons in the laterodorsal hypothalamus and histamine neurons in the tuberomammillary nucleus (TMN).
“The hypothalamus contains key arousal-promoting neurons, including those that make orexin (hypocretin) in the laterodorsal hypothalamus and those that make histamine in the tuberomammillary nucleus (TMN).4”
From Damage to Arousal-Promoting Brainstem Neurons with Traumatic Brain Injury (2016) · cites this paper as [4]
The Wake-promoting networks section identifies orexin (hypocretin) neurons and histaminergic neurons in the TMN as arousal-related populations. It places the orexin neurons in the posterior half of the lateral hypothalamus, not the laterodorsal hypothalamus as the citing sentence states. (LLM, conf=0.89)
Experimental — accuracy not yet measuredThe locus coeruleus provides the source of noradrenergic innervation, and the basal forebrain the source of cholinergic innervation, of the cerebral cortex.
“The locus coeruleus provides the source of noradrenergic, and the basal forebrain the source of cholinergic, innervation of the cerebral cortex.”
From Waking state: rapid variations modulate neural and behavioral responses (2015) · cites this paper as Saper et al., 2010
A wide variety of neuromodulatory pathways have been implicated in the neural control of cortical responsiveness in a state-dependent manner.
“A wide variety of neuromodulatory pathways have been implicated in the neural control of cortical responsiveness in a state dependent manner (reviewed in (Saper et al., 2010; Steriade and McCarley, 2005)).”
From Waking state: rapid variations modulate neural and behavioral responses (2015) · cites this paper as Saper et al., 2010
Long-timescale changes in arousal governing sleep and wakefulness involve diverse neuromodulatory systems, including neurons releasing norepinephrine, acetylcholine, histamine, dopamine, serotonin, and hypocretin/orexin.
“Much is known about the long-timescale changes in arousal governing sleep and wakefulness involving diverse neuromodulatory systems, including neurons releasing norepinephrine, acetylcholine, histamine, dopamine, serotonin, and hypocretin/orexin, among others (Saper et al., 2010; de Lecea et al., 2012; Lee and Dan, 2012; Chiu and Prober, 2013; Richter et al., 2014).”
From Ancestral Circuits for the Coordinated Modulation of Brain State (2017) · cites this paper as Saper et al., 2010
Many neuromodulatory cell types are anatomically interconnected, but their joint dynamics in vivo have not been directly observed.
“While many neuromodulatory cell types are anatomically interconnected (Saper et al., 2010; Lee and Dan, 2012; Chiu and Prober, 2013; Richter et al., 2014), their joint dynamics in vivo have not been directly observed.”
From Ancestral Circuits for the Coordinated Modulation of Brain State (2017) · cites this paper as Saper et al., 2010
Interconnectivity among neuromodulatory cell types could serve as an anatomical basis for the correlated activity observed.
“Interconnectivity among neuromodulatory cell types (Robbins, 1997; Saper et al., 2010; Lee and Dan, 2012; Chiu and Prober, 2013; Richter et al., 2014) could provide an anatomical substrate for the correlated activity we observed”
From Ancestral Circuits for the Coordinated Modulation of Brain State (2017) · cites this paper as Saper et al., 2010
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Is narcolepsy a REM sleep disorder? Analysis of sleep abnormalities in narcoleptic Dobermans
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Flagged first, then by citations
Research works printed but not linked: 1
- Chou TC 2003 A bistable model of sleep-wake regulation. Regulation of wake-sleep timing: circadian rhythms and bistability of sleep-wake states PhD dissertation MA Harvard University 82 99
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Sleep Drives Metabolite Clearance from the Adult Brain
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The sleep-deprived human brain
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“A wide variety of neuromodulatory pathways have been implicated in the neural control of cortical responsiveness in a state dependent manner (reviewed in (Saper et al., 2010; Steriade and McCarley, 2005)).”
Pupil fluctuations track rapid changes in adrenergic and cholinergic activity in cortex
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Serotonin and the neuropeptide PDF initiate and extend opposing behavioral states in C. elegans
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Basal forebrain circuit for sleep-wake control
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“Transitions between wakefulness and sleep states involve sleep- and wake-promoting networks, such as the ascending arousal system [12], which are altered in insomnia and are primarily linked to hyperarousal [13].”
BackgroundMemory-enhancing properties of sleep depend on the oscillatory amplitude of norepinephrine
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Sleep, rhythms, and the endocrine brain: influence of sex and gonadal hormones
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Neuronal Mechanisms for Sleep/Wake Regulation and Modulatory Drive
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Neuronal ensembles sufficient for recovery sleep and the sedative actions of α2 adrenergic agonists
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Neural circuitry engaged by prostaglandins during the sickness syndrome
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Self-citationExploring phylogeny to find the function of sleep
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Ancestral Circuits for the Coordinated Modulation of Brain State
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Noradrenergic circuit control of non-REM sleep substates
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The vigilance regulation model of affective disorders and ADHD
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Circadian and wakefulness-sleep modulation of cognition in humans
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The Neurobiology of Sleep and Wakefulness
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Supramammillary glutamate neurons are a key node of the arousal system
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NREM and REM Sleep: Complementary Roles in Recovery after Wakefulness
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The supramammillary nucleus and the claustrum activate the cortex during REM sleep
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Brain areas that influence general anesthesia
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Sleep and the functional connectome
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“This simple motif resembles the classic ‘flip-flop’ circuit model of brain state regulation thought to underlie sleep-wake control in mammals (reviewed in (Saper et al., 2010)).”
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- Authors
- Saper, C. B., Fuller, P. M., Pedersen, N. P., Lu, J., & Scammell, T. E.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Corresponding author
- Saper, Clifford B.
- Venue
- Neuron
- Publisher
- Elsevier BV
- Published
- 2010-12
- Volume
- 68
- Issue
- 6
- Pages
- 1023-1042
- ISSN
- 0896-6273 (ISSN-L)
- PMC
- PMC3026325
- OpenAlex
- W2011580879
- Cited by
- 1,404
- References
- 237
- Citations by year
- 2026: 82 · 2025: 78 · 2024: 93 · 2023: 80 · 2022: 91 · 2021: 99 · 2020: 98 · 2019: 93 · 2018: 115 · 2017: 102 · 2016: 101 · 2015: 95 · 2014: 73 · 2013: 98 · 2012: 68
- FWCI
- 4.73
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Neuron (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging (AG09975, P01AG009975)
- National Heart, Lung, and Blood Institute (P01HL095491, HL 60292, HL095491, P50HL060292)
- National Institute of Neurological Disorders and Stroke (R01NS055367, R01NS072337, NS-055367, R01NS073613)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- sleep-wake transition, sleep regulation, wakefulness, homeostatic sleep drive, circadian rhythm, allostasis, narcolepsy, sleep disorders, neural circuits
- MeSH terms
- Animals, Circadian Rhythm, Humans, Nerve Net, Sleep, Sleep Wake Disorders, Sleep Stages, Wakefulness
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