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The inescapable drive to sleep: Overlapping mechanisms of sleep and sedation
Abstract
Common human experience is that a long period without sleep is unsustainable, and it is also detrimental to health and behavior. The powerful and primal urge to sleep after sleep deprivation is intense and seems inescapable. The longer we stay awake, the more we feel the need to sleep, and however much we resist, we will inevitably succumb. Although it is obvious what benefits derive from other common and strong physiological drives, such as hunger, sex, and thirst, it is less obvious what drives us to sleep and what benefits accrue. Understanding the biochemical or circuit basis for the sleep drive could enable the benefits of sleep to be artificially stimulated with a new generation of sedative drugs.
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Anesthetics at sedative doses induce states resembling deep NREM sleep.
“Anesthetics at sedative doses, which induce states resembling deep NREM sleep2,13, were also reported to increase clearance3,14,15.”
From Brain clearance is reduced during sleep and anesthesia (2024) · cites this paper as [2]
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Brain clearance is reduced during sleep and anesthesia
Miao, A., Luo, T., Hsieh, B., Edge, C. J., Gridley, M., Wong, R. T. C., Constandinou, T. G., Wisden, W., & Franks, N. P. (2024) · Nature Neuroscience · doi:10.1038/s41593-024-01638-y · Cited by 172
Self-citationAnesthesia and the neurobiology of consciousness
Mashour, G. A. (2024) · Neuron · doi:10.1016/j.neuron.2024.03.002 · Cited by 127
Metadata
- Authors
- Franks, N. P., & Wisden, W.
- Affiliations
- UK Dementia Research Institute (GB)
- Venue
- Science
- Published
- 2021-10-29
- Volume
- 374
- Issue
- 6567
- Pages
- 556-559
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- OpenAlex
- W3208500063
- Cited by
- 74
- References
- 8
- Citations by year
- 2026: 20 · 2025: 12 · 2024: 12 · 2023: 17 · 2022: 12 · 2021: 1
- FWCI
- 1.38
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Science (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Wellcome Trust (107839/Z/15/Z, 220759/Z/20/Z)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and Work-Related Fatigue
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Circadian rhythm and melatonin
- Keywords
- sleep drive, sleep deprivation, sedation, sleep regulation, sleep homeostasis, sedatives, sleep promotion
- MeSH terms
- Animals, Body Temperature, Brain, Homeostasis, Humans, Hypnotics and Sedatives, Sleep, Sleep Stages, Procedural Sedation
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