Orexin neurons inhibit sleep to promote arousal
Open accessAbstract
Humans and animals lacking orexin neurons exhibit daytime sleepiness, sleep attacks, and state instability. While the circuit basis by which orexin neurons contribute to consolidated wakefulness remains unclear, existing models posit that orexin neurons provide their wake-stabilizing influence by exerting excitatory tone on other brain arousal nodes. Here we show using in vivo optogenetics, in vitro optogenetic-based circuit mapping, and single-cell transcriptomics that orexin neurons also contribute to arousal maintenance through indirect inhibition of sleep-promoting neurons of the ventrolateral preoptic nucleus. Activation of this subcortical circuit rapidly drives wakefulness from sleep by differentially modulating the activity of ventrolateral preoptic neurons. We further identify and characterize a feedforward circuit through which orexin (and co-released glutamate) acts to indirectly target and inhibit sleep-promoting ventrolateral preoptic neurons to produce arousal. This revealed circuitry provides an alternate framework for understanding how orexin neurons contribute to the maintenance of consolidated wakefulness and stabilize behavioral state.
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Orexin maintains wakefulness and arousal and regulates sleep stability.
“orexin maintains wakefulness and arousal, as well as regulates sleep stability.17–21”
From Effects of Traumatic Brain Injury on the Orexin/Hypocretin System (2025) · cites this paper as [21]
Orexin neuropeptide inhibits sleep-promoting neurons.
“recent direct evidence confirms that orexin neuropeptide inhibits sleep-promoting neurons.21”
From Effects of Traumatic Brain Injury on the Orexin/Hypocretin System (2025) · cites this paper as [21]
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Cites
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Neurons containing hypocretin (orexin) project to multiple neuronal systems
Peyron, C., Tighe, D. K., van den Pol, A. N., de Lecea, L., Heller, H. C., Sutcliffe, J. G., & Kilduff, T. S. (1998) · The Journal of Neuroscience · doi:10.1523/jneurosci.18-23-09996.1998 · Cited by 3,466 · see citing works
Identification of preoptic sleep neurons using retrograde labelling and gene profiling
Chung, S., Weber, F., Zhong, P., Tan, C. L., Nguyen, T. N., Beier, K. T., Hörmann, N., Chang, W.-C., Zhang, Z., Do, J. P., et al. (2017) · Nature · doi:10.1038/nature22350 · Cited by 317 · see citing works
Galanin neurons in the ventrolateral preoptic area promote sleep and heat loss in mice
Kroeger, D., Absi, G., Gagliardi, C., Bandaru, S. S., Madara, J. C., Ferrari, L. L., Arrigoni, E., Münzberg, H., Scammell, T. E., Saper, C. B., et al. (2018) · Nature Communications · doi:10.1038/s41467-018-06590-7 · Cited by 276 · see citing works
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Cited by
Sorted by citations
Effects of Traumatic Brain Injury on the Orexin/Hypocretin System
Somach, R. T., Lim, M. M., & Cohen, A. S. (2025) · Neurotrauma Reports · doi:10.1089/neur.2024.0111 · Cited by 2 · see citing works
- Authors
- De Luca, R., Nardone, S., Grace, K. P., Venner, A., Cristofolini, M., Bandaru, S. S., Sohn, L. T., Kong, D., Mochizuki, T., Viberti, B., Zhu, L., Zito, A., Scammell, T. E., Saper, C. B., Lowell, B. B., Fuller, P. M., & Arrigoni, E.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- Harvard University (US)
- University of Toyama (JP)
- Corresponding author
- Fuller, Patrick M.
- Arrigoni, Elda
- ORCID
- Venue
- Nature Communications
- Published
- 2022-07-18
- Volume
- 13
- Issue
- 1
- Pages
- 4163-4163
- ISSN
- 2041-1723 (ISSN-L)
- PMC
- PMC9293990
- OpenAlex
- W4285727802
- Cited by
- 130
- References
- 5
- Citations by year
- 2026: 42 · 2025: 29 · 2024: 38 · 2023: 15 · 2022: 5 · 2020: 1
- FWCI
- 11.22
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Nature Communications (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Funders
- National Institutes of Health (5r01ns122589-03, DK057521, DK089044, DK046200, NS073613, NS072337)
- National Heart, Lung, and Blood Institute (P01HL149630)
- National Institute of Diabetes and Digestive and Kidney Diseases (P30DK057521, R01DK075632, R01DK089044, R01DK108797, P30DK046200, R01DK096010, R01DK122976)
- National Institute of Neurological Disorders and Stroke (R01NS107315, R01NS072337, R01 NS122589, R01NS085477, R01NS103161, R01NS073613)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R21HD098056)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroscience of respiration and sleep
- Keywords
- orexin neurons, sleep-wake regulation, wakefulness, arousal, ventrolateral preoptic nucleus, sleep-promoting neurons, feedforward circuits, glutamate co-release, sleep attacks, daytime sleepiness
- MeSH terms
- Orexins, Animals, Arousal, Humans, Neurons, Sleep, Wakefulness
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