Hyperexcitable arousal circuits drive sleep instability during aging

Science. 2022 Feb 25;375(6583):eabh3021. doi: 10.1126/science.abh3021. Epub 2022 Feb 25.

Abstract

Sleep quality declines with age; however, the underlying mechanisms remain elusive. We found that hyperexcitable hypocretin/orexin (Hcrt/OX) neurons drive sleep fragmentation during aging. In aged mice, Hcrt neurons exhibited more frequent neuronal activity epochs driving wake bouts, and optogenetic activation of Hcrt neurons elicited more prolonged wakefulness. Aged Hcrt neurons showed hyperexcitability with lower KCNQ2 expression and impaired M-current, mediated by KCNQ2/3 channels. Single-nucleus RNA-sequencing revealed adaptive changes to Hcrt neuron loss in the aging brain. Disruption of Kcnq2/3 genes in Hcrt neurons of young mice destabilized sleep, mimicking aging-associated sleep fragmentation, whereas the KCNQ-selective activator flupirtine hyperpolarized Hcrt neurons and rejuvenated sleep architecture in aged mice. Our findings demonstrate a mechanism underlying sleep instability during aging and a strategy to improve sleep continuity.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aging*
  • Aminopyridines / pharmacology
  • Animals
  • CRISPR-Cas Systems
  • Electroencephalography
  • Electromyography
  • Female
  • Hypothalamic Area, Lateral / physiopathology
  • KCNQ2 Potassium Channel / genetics
  • KCNQ2 Potassium Channel / metabolism
  • KCNQ3 Potassium Channel / genetics
  • KCNQ3 Potassium Channel / metabolism
  • Male
  • Mice
  • Narcolepsy / genetics
  • Narcolepsy / physiopathology
  • Nerve Tissue Proteins / genetics
  • Nerve Tissue Proteins / metabolism
  • Neural Pathways
  • Neurons / physiology*
  • Optogenetics
  • Orexins / physiology*
  • Patch-Clamp Techniques
  • RNA-Seq
  • Sleep Deprivation / physiopathology*
  • Sleep Quality
  • Sleep*
  • Wakefulness*

Substances

  • Aminopyridines
  • Hcrt protein, mouse
  • KCNQ2 Potassium Channel
  • KCNQ3 Potassium Channel
  • Kcnq2 protein, mouse
  • Kcnq3 protein, mouse
  • Nerve Tissue Proteins
  • Orexins
  • flupirtine