Table.
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.