How stress disrupts your sleep

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Researchers from the Perelman School of Medicine at the University of Pennsylvania have made a significant breakthrough in understanding sleep disturbances, especially in the context of stress-related disorders.

Their study, published in Current Biology, reveals how neurons in the preoptic hypothalamus, which regulates sleep and body temperature, play a pivotal role in non-rapid eye movement (NREM) sleep.

Sleep, though a time of physical rest, involves active brain stages across four distinct phases. In each 90-minute cycle, three stages of NREM sleep precede a phase of rapid eye movement (REM) sleep.

The initial NREM stages slow down brain waves, heartbeat, and breathing while lowering body temperature. Unique brain activities like spindles and K-complexes occur in stage two, aiding in memory consolidation and processing external stimuli.

The third NREM stage, marked by delta waves, is crucial for releasing growth hormones, vital for bodily repair, immune health, and memory improvement. REM sleep, typically associated with dreaming, is also key for memory formation and emotional processing.

Shinjae Chung, Ph.D., a senior author of the study, highlights how disrupted sleep, particularly due to stress, impacts memory and emotional stability, necessitating a deeper understanding of sleep biology for potential therapeutic developments.

The team’s research focused on the activity of glutamatergic neurons (VGLUT2) in the preoptic area (POA) of the hypothalamus in mice.

These neurons were found to be rhythmically active during NREM sleep, more active during wakefulness, and less active during REM sleep.

Interestingly, during NREM sleep microarousals—short disruptions in sleep—VGLUT2 neurons were the only active neurons in the POA, with their activity increasing just before a microarousal.

Further experiments demonstrated that stimulating VGLUT2 neurons in sleeping subjects led to increased microarousals and wakefulness.

In contrast, when these neurons were inhibited, there were fewer microarousals, and NREM sleep episodes were extended.

Stress exposure was linked to an increase in awake time and microarousals, with a concurrent decrease in REM and NREM sleep duration. In stressed subjects, heightened VGLUT2 neuron activity was observed during NREM sleep.

Jennifer Smith, the study’s first author, suggests that glutamatergic neurons in the hypothalamus present a promising target for treating stress-related sleep disorders.

By potentially suppressing VGLUT2 activity, it may be possible to reduce disruptions during critical NREM sleep stages, offering relief to individuals suffering from insomnia or PTSD.

This research provides a significant advancement in our understanding of sleep mechanics and opens up new avenues for developing treatments that could enable more restful and restorative sleep, especially for those with stress-induced sleep disturbances.

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The research findings can be found in Current Biology.

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