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. Author manuscript; available in PMC: 2008 Jun 1.
Published in final edited form as: Sleep Med. 2007 Apr 30;8(4):373–399. doi: 10.1016/j.sleep.2007.03.008

Table.

Characterization of narcolepsy in human, dog and mice.

Onset Symptoms/Phenotype Transmission Association with HLA / DLA Abnormality in Hypocretin system
Human Sporadic Adolescent EDS, Cataplexy, SP, HH SOREMPs, Sleep Fragmentation Obesity (+) ? DQB1*0602 (+) (90-95%) Hypocretin Ligand Deficiency (∼90%)
Familial Earlier onset than sporadic cases EDS, Cataplexy, SP, HH SOREMPs, Sleep Fragmentation Obesity (+) ? DQB1*0602 (+) (75-80%) Hypocretin Ligand Deficiency (∼75%)
Hypocretin Mutant (the only one case is identified) Extremely early onset (6 mo) EDS Severe Cataplexy DeNovo Mutant (?) Dominant DQB1*0602 (−) Mutation in Preprohypocretin Gene Hypocretin ligand deficiency

Dog Sporadic (17 breeds) 7wk-7yr Cataplexy Short Sleep Latency SOREMPs ? (−) Hypocretin Ligand Deficiency
Familial Dobermans, Laboradors, Dachshund earlier than 6 mo Cataplexy Short Sleep Latency SOREMPs Autosomal Recessive 100% of penetrance (−) Mutation in Hcrtr2 gene

Mice Hypocretin KO ∼4wk Cataplexy, SOREMPs Short Sleep Latency Obesity (?) Autosomal Recessive 100% of penetrance Hypocretin Ligand Deficiency
Hypocretin Cell Death Hypocretin/Ataxin-3 transgenic ∼6wk Cataplexy, SOREMPs Short Sleep Latency Obesity (++) Autosomal Dominant 100% of penetrance Hypocretin/Dynorphin Deficiency
Hcrtr1 KO Fragmented Sleep Obesity (?) Absence of Hcrtr1
Hcrtr2 KO Cataplexy, SOREMPs Short Sleep Latency Obesity (?) Autosomal Recessive 100% of penetrance Absence of Hcrtr2
Double Receptor KO Same Sleep Phenotype as that of Preprohypocretin KOMice, Obesity (?) Recessive for each receptor gene Absence of Hcrtr1 and 2

EDS, Excessive Daytime Sleepiness, SP, Sleep Paralysis; HH, Hypnagogic Hallucination; SOREMPs, Sleep onset REM periods; KO,knockout; HLA, Human leukocyto antigen' DLA, Dog Leukocyto Antigen.