Abstract
Adenosine, increasing after sleep deprivation and acting via the A1 adenosine receptor (A1AR), is likely a key factor in the homeostatic control of sleep. This study examines the impact of sleep deprivation on A1AR density in different parts of the rat brain with [3H]CPFPX autoradiography. Binding of [3H]CPFPX was significantly increased in parietal cortex (PAR) (7%), thalamus (11%) and caudate-putamen (9%) after 24 h of sleep deprivation compared to a control group with an undisturbed circadian sleep-wake rhythm. Sleep deprivation of 12 h changed receptor density regionally between −5% and +9% (motor cortex (M1), statistically significant) compared to the circadian control group. These results suggest cerebral A1ARs are involved in effects of sleep deprivation and the regulation of sleep. The increase of A1AR density could serve the purpose of not only maintaining the responsiveness to increased adenosine levels but also amplifying the effect of sleep deprivation and is in line with a sleep-induced homoeostatic reorganization at the synaptic level.
Keywords: Adenosine A1 receptor, Receptor autoradiography, [3H]CPFPX, Sleep deprivation, Sleep homeostasis, Rat
1. Introduction
Endogenous adenosine is considered a candidate molecule for the homeostatic sleep drive, inducing sleep after prolonged wakefulness (for review see Basheer et al., 2004).
In freely moving cats, microdialysis showed accumulating adenosine levels in the cortex during prolonged wakefulness (6 h) (Porkka-Heiskanen et al., 1997). Subsequent recovery-sleep restored the adenosine concentration to baseline levels. Similar experiments have been repeated in rat with comparable results in the basal forebrain (Basheer et al., 1999; Murillo-Rodriguez et al., 2004). An artificial increase of the adenosine concentration in the basal forebrain by infusion of adenosine in cats (Portas et al., 1997) or rats (Basheer et al., 1999) increased sleep. Inhibition of equilibrative nucleoside transporters (Porkka-Heiskanen et al., 2000) resulted in electroencephalographic and behavioral effects comparable to those under sleep deprivation.
It is a matter of debate which adenosine receptor subtype mediates the sleep inducing action of adenosine. The A1 receptor subtype (A1AR) has the widest distribution in the central nervous system with particularly high concentrations in the cortex, cerebellum, hippocampus, striatum and thalamus (Fredholm, 1995). Selective A1AR agonists increased the sleep drive in rats after either systemic or cerebroventricular administration (Benington et al., 1995; Schwierin et al., 1996). Inhibition of equilibrium nucleoside transporters (which in turn increased adenosine levels) had the same effect in cats, and correspondingly a selective A1AR antagonist infused into the basal forebrain decreased sleep propensity in cats (Strecker et al., 2000). Microdialysis perfusion of A1AR antisense oligonucleotides inhibiting the translation of A1AR mRNA, significantly decreased nonREM sleep and increased wakefulness in rats (Thakkar et al., 2003). However, A1AR knockout mice reacted similarly to sleep deprivation as their wild type littermates (Stenberg et al., 2003) and it has been reported that subarachnoidal infusion of the selective A2A adenosine receptor (A2AAR) agonist CGS21680 (Satoh et al., 1999) promoted deep sleep.
Intraperitonial injections of the A1AR agonist CPA over 5 days significantly decreased A1AR density in the rat cortex, suggesting desensitization (Roman et al., 2008). Since sleep deprivation increased cerebral adenosine levels it was initially hypothesized that A1AR density might similarly decrease with deprivation. However, 3 and 6 h of total sleep deprivation increased A1AR mRNA in the basal forebrain but not Bmax or KD values determined with [3H]DPCPX autoradiography (with and without GTP in the incubation medium) (Basheer et al., 2001). Moreover, A1AR density in the basal forebrain increased after sleep deprivations of 12 h (10%) and 24 h (14%) (Basheer et al., 2007). In addition, rapid eye movement sleep deprivation for 48 and 96 h was reported to increase A1AR density in cortical (15 and 20%) and subcortical (23 and 48%) areas of rat brains, as determined by [3H]L-PIA saturation binding experiments in membrane preparations. The KD value did not change significantly (Yanik and Radulovacki, 1987).
In humans, in vivo imaging of the A1AR with positron emission tomography and CPFPX showed an increase of A1AR availability in cortical and subcortical regions after one night of sleep deprivation (Elmenhorst et al., 2007). These findings also did not support the hypothesis that the increase in adenosine concentration during sleep deprivation will induce receptor desensitization due to a high agonist load. Instead, they were in accord with the results of Basheer et al. (2007) who found an increase in both A1AR mRNA and density after 12 and 24 h in the basal forebrain of the rat. The rationale of the present study was therefore to evaluate whether the widespread, particularly neocortical increase of A1ARs observed in humans could be replicated in rats. Such a finding would extend the role of adenosine from a focal sleep modulator in the basal forebrain to, with longer durations of sleep deprivation, a ubiquitous player in sleep regulation in many parts of the brain.
2. Results
The results of the effect of sleep deprivation on A1AR binding of [3H]CPFPX are given in Table 1, and relative regional changes are depicted in Fig. 1. A representative autoradiogram of [3H]CPFPX binding of a rat of the 12 h control group is shown in Fig. 2. The analysis of the data by two-way ANOVA showed that the means of the factors ‘group’ and ‘region’ are significantly different (F(3,276)=267.12; p<0.0001 and F(9,276)=12.95; p<0.0001, respectively) which is specified by the results from the t-test. The interaction ‘group×region’ was not significant (F(27,176)=0.49; p=0.98) showing that the changes in the different regions are congruent. Sleep deprivation of 12 h changed receptor density regionally in a range of −5% and +9% compared to the circadian control group with a statistically significant increase in the cortical region M1 (9%). 24 h of sleep deprivation increased the binding in all observed regions between3%and 11%.Differences were significant for the parietal cortex, PAR (7%), thalamus (11%) and caudate-putamen (9%). In most of the regions Bmax values were higher in the 24 h control animals than in the 12 h control animals in a range between4 and11%increasewithout reaching statistical significance. Cerebellum, hippocampus and caudate-putamen showed no circadian variation (relative differences: −1.9, −0.5 and −0.5% respectively).
Table 1.
| A1AR density fmol/mg protein |
t-test |
|||||
|---|---|---|---|---|---|---|
| ct12 | sd12 | ct24 | sd24 | sd12 vs ct12 | sd24 vs ct24 | |
| Cerebellum | 4188 ± 625 | 3979 ± 600 | 4107 ± 862 | 4346 ± 437 | 0.51 | 0.50 |
| Cortex M1 | 2824 ± 276 | 3081 ± 165 | 3017 ± 138 | 3105 ± 159 | 0.04 | 0.26 |
| Cortex Par | 3474 ± 383 | 3760 ± 388 | 3787 ± 188 | 4056 ± 237 | 0.16 | 0.02 |
| Cingulate ctx. | 3113 ± 304 | 3106 ± 184 | 3227 ± 169 | 3311 ± 147 | 0.96 | 0.31 |
| Hippocampus | 5003 ± 498 | 4910 ± 507 | 4977 ± 471 | 5292 ± 325 | 0.73 | 0.14 |
| Dentate gyrus | 4510 ± 641 | 4692 ± 463 | 4710 ± 363 | 4879 ± 267 | 0.54 | 0.31 |
| Thalamus | 3756 ± 456 | 3971 ± 461 | 3951 ± 378 | 4380 ± 288 | 0.38 | 0.02 |
| Hypothalamus | 1131 ± 153 | 1205 ± 196 | 1253 ± 159 | 1375 ± 237 | 0.43 | 0.24 |
| Caudate-putamen | 2556 ± 459 | 2455 ± 247 | 2542 ± 118 | 2770 ± 219 | 0.59 | 0.02 |
| Ncl. accumbens | 2341 ± 607 | 2321 ± 158 | 2574 ± 404 | 2699 ± 468 | 0.93 | 0.57 |
A1AR density in various rat brain regions of the 12 and 24 h sleep deprivation (sd) group and of the circadian control (ct) group. Values are means ± standard deviation; results of statistical testing with Students t-test are reported; p<0.05 values are highlighted in bold numbers.
Fig. 1.
A1AR density: relative differences of the 12 and 24 h sleep deprivation condition to the circadian control group [(sleep deprivation-control)/ control] n=8. Statistical analysis by Students t-test (*p<0.05).
Fig. 2.
Representative example of [3H]CPFPX binding to A1AR in one rat of the 12 h control group. Upper row shows the binding in the presence of Gpp(NH)p (G-protein uncoupled state) and addition of the competitor R(−)-PIA (right part, unspecific binding). Lower row shows binding in the presence of MgCl2 (G-protein coupled state) and competitor. Delineation show the regions of interest used for analysis.
The ratio between [3H]CPFPX binding with and without Gpp (NH)p in the buffer reflecting the uncoupled and coupled states of A1ARs was about 1.9 in the 12 h and about 2.7 in the 24 h control group. Two-way ANOVA of the coupling state showed that the factors ‘group’ and ‘region’ are significantly different (F(3,182)=31.01; p<0.0001 and F(9,182)=21.24; p<0.0001, respectively). The interaction ‘group×region’ was not significant (F(27,182)=0.76; p=0.8). After sleep deprivation, the ratio was significantly higher after 12 h of deprivation (2.5) but unchanged after 24 h (2.6). Regional results and statistics are reported in Table 2.
Table 2.
| Ratio of uncoupled to coupled A1AR |
t-test | |||||
|---|---|---|---|---|---|---|
| ct12 | sd12 | ct24 | sd24 | sd12 vs ct12 |
sd24 vs ct24 |
|
| Cerebellum | 2.2 ± 0.3 | 2.6 ± 0.4 | 2.6 ± 0.3 | 2.4 ± 0.4 | 0.09 | 0.36 |
| Cortex M1 | 1.6 ± 0.2 | 2.1 ± 0.2 | 2.3 ± 0.4 | 2.2 ± 0.3 | 0.01 | 0.53 |
| Cortex Par | 1.7 ± 0.2 | 2 ± 0.2 | 2.5 ± 0.2 | 2.3 ± 0.1 | 0.04 | 0.08 |
| Cingulate ctx. | 2.1 ± 0.3 | 2.7 ± 0.3 | 2.8 ± 0.4 | 2.9 ± 0.2 | 0.01 | 0.74 |
| Hippocampus | 1.6 ± 0.2 | 2 ± 0.4 | 2.3 ± 0.3 | 2.1 ± 0.2 | 0.16 | 0.36 |
| Dentate gyrus | 1.6 ± 0.2 | 2.1 ± 0.5 | 2.3 ± 0.4 | 2.3 ± 0.2 | 0.09 | 0.91 |
| Thalamus | 1.7 ± 0.3 | 2.2 ± 0.5 | 2.3 ± 0.3 | 2.3 ± 0.2 | 0.11 | 0.95 |
| Hypothalamus | 2.4 ± 0.8 | 3.1 ± 0.9 | 3.3 ± 0.9 | 3.1 ± 0.6 | 0.32 | 0.64 |
| Caudate-putamen | 1.8 ± 0.3 | 2.5 ± 0.2 | 2.8 ± 0.5 | 2.7 ± 0.2 | 0.002 | 0.64 |
| Ncl. accumbens | 2.3 ± 0.6 | 3.8 ± 0.5 | 3.8 ± 1.1 | 3.3 ± 0.6 | 0.002 | 0.40 |
Ratios of A1 adenosine receptors uncoupled (addition of Gpp(NH)p to buffer) and coupled (addition of MgCl2 to the buffer) to the G-protein in various rat brain regions of the 12 and 24 h sleep deprivation (sd) group and of the circadian control (ct) group. Values are means ± standard deviation; results of statistical testing with Students t-test are reported; p<0.05 values are highlighted in bold numbers.
3. Discussion
The results of the present study suggest that sleep deprivation for 24 h produces an increase of A1AR density in cortical and subcortical regions of the rat brain.
This finding is consistent with an increase of A1ARs in the basal forebrain (12 h, 10%; 24 h, 14%) established in a subset analysis in some of the animals reported here (Basheer et al., 2007). The results of the present study enlarge and extend these previous findings significantly, because 12 and 24 h of total sleep deprivation changed the A1AR density not only in the basal forebrain but in numerous neocortical and subcortical areas. Our findings are likely to lead to a shift in the perception of adenosine. It is not only a local regulator of the induction of sleep in the cholinergic basal forebrain but is additionally participating in the neo- and subcortical modulation during sleep deprivation, consistent with our hypothesis that over longer periods of sleep loss, there is a second mechanism of homeostatic control through transcriptional modification and A1AR receptor upregulation that extends to many brain regions (McCarley, 2007).
The underlying mechanism of the observed increase inA1ARs warrants further investigation. Although likely, it still must be proven that sleep deprivation in the rat model leads to a wide-spread increase in the cerebral adenosine concentration comparable to that observed in cats (Porkka-Heiskanen et al., 1997). This elevated agonist load would most likely induce a desensitization of A1ARs. However, we found an increase of [3H]CPFPX binding after 12 and 24 h of sleep deprivation. The observed increase was lower than the changes in binding reported for an A1AR agonist after 48 h (15–23%) and 96 h (20–48%) of REM sleep deprivation but nevertheless in a comparable range considering the longer deprivation period (Yanik and Radulovacki, 1987).
It has been reported that A1AR densities undergo circadian variation in mice, characterized by a decrease of Bmax during the sleeping period and an increase during the active period (Florio et al., 1991). The relative difference between nadir and peak was 33% but without a change in KD. That the average density in the 12 h control group of the present study was lower than the density of the 24 h control group could be explained by this circadian variation.
Gpp(NH)p uncouples the A1AR from the G-protein resulting in a predominantly high affinity state for [3H]CPFPX which acts as an inverse agonist at A1ARs. In contrast, the presence of MgCl2 in the incubation medium decreases the affinity. The ratio of Bmax of the uncoupled to the coupled state was only different for the 12 h control group compared to the other conditions. The difference in the ration between the 12 and 24 h control group could reflect a mechanism that is active during normal circadian variations of the receptor density. As these physiological changes occurred after the active period, the same mechanisms could be active during sleep deprivation.
We note that the reported Bmax values are based on a standard KD value. Saturation binding experiments have not been performed, because it was not likely that the KD value changes due to sleep deprivation. In particular, the KD value is reported to be constant after 3 and 6 h (Basheer et al., 2001) and 24, 48 and 96 h of sleep deprivation (Yanik and Radulovacki, 1987). As all groups were processed in the same experiment, the relative changes would be identical.
Most studies which investigated the impact of A1AR changes on sleep regulation have focused on cholinergic neurons in the basal forebrain. However, the widespread changes of A1AR density after sleep deprivation are not restricted to the basal forebrain but seem to affect the whole brain. This implies that sleep deprivation induced regulatory effects are taking place ubiquitously, albeit not homogeneously or perhaps with the same temporal sequence in the brain. The present data confirm data of a previous positron emission tomography study in healthy human subjects, in which we found an increase of A1AR availability in cortical and subcortical regions after one night of sleep deprivation (Elmenhorst et al., 2007).
Interestingly, our findings are also in line with a recent hypothesis of the function of sleep (Tononi and Cirelli, 2006). It links the plastic processes at the cortical synaptic level during wakefulness, which result in a net build up of synaptic structures, to the need to downscale synapses to baseline levels, which is proposed to happen during sleep. Synaptic receptors are likely to be involved in this regulation and to be increased by extending the wake period by sleep deprivation. The rather ubiquitous character of the cortical increase of brain A1ARs reported in this article fits well into that concept.
The results of our study suggest that not only adenosine but also its A1AR are involved in the homeostatic regulation of sleep. Adenosine and its A1AR are therefore not only factors of sleep regulation in local basal forebrain networks but also players in the modulation of neo- and subcortical regions during sleep deprivation. The observed increase of A1AR density could serve the purpose of not only maintaining the responsiveness to increased adenosine levels but also amplifying the effect of sleep deprivation and is in line with a sleep-induced homoeostatic reorganization at the synaptic level.
4. Experimental procedures
4.1. Animals
Thirty-two male Sprague Dawley rats (250–350 g) were used. Rats were housed in a 12 h light/dark cycle (light on 7:00 AM to 7:00 PM), at 23±1 °C with access to food and water ad libitum; treatment was according to the Association for Accreditation of Laboratory Animal Care and Use Committee as Boston VA Healthcare system, Harvard University and US National Institute of Health. In a subset of these animals (n=24) an analysis of A1AR density changes in the basal forebrain has been performed and published by Basheer et al., (2007).
4.2. Radioligands and chemicals
8-Cyclopentyl-3-(3-fluoropropyl)-1-propylxanthine (CPFPX) and [3H]8-cyclopentyl-3-(3-fluoropropyl)-1-propylxanthine ([3H]CPFPX; specific activity 2179.3 GBq/mmol) were synthesized as previously described (Holschbach et al., 2002). Adenosine deaminase, 5′-guanylyl-imidodiphosphate (Gpp(NH)p) and R(−)-N6-(2-phenylisopropyl)adenosine (R(−)-PIA) were purchased from Sigma-Aldrich Co. (St. Louis, MO). All other chemicals were of reagent grade and obtained commercially.
4.3. Surgery, sleep recording and sleep deprivation
Under general anesthesia [i.m. injection of a cocktail of ketamine (7.5 mg/100 g body wt.), xylazine (0.38 mg/100 g) and acepromazine (0.075 mg/100 g)], rats were stereotactically implanted with bilateral EEG electrodes 2 mm anterior to the Bregma and 3.5 mm lateral to the mid-sagittal suture, with flexible wire loops into the external canthus for EOG; and into nuchal muscles for EMG. After week-long recovery and 3 days adaptation to cables, the EEG, EMG and EOG recordings were performed (data not reported).
Sleep deprivation was performed by gentle handling, with minimal stress to the animals, as described in previous reports (Basheer et al., 1999). Deprivation was started at 8 AM and continued for 12 or 24 h. Controls were undisturbed sleeping animals sacrificed at the same circadian time.
4.4. Receptor protein density by autoradiography
Rats with 12 and 24 h sleep deprivation and their undisturbed controls (n=8/group) were decapitated, their brains rapidly removed, blotted free of excess blood, frozen in 2-methylbutane (−50 °C) and stored at −80 °C. Brain sections (20 µm thick) were thaw-mounted onto silica-coated slides and stored at −80 °C. Autoradiographic procedures were as described previously (Bauer et al., 2003). In brief, after preincubation in Tris–HCl buffer (170 mmol/l; pH 7.4) for 15 min (4 °C), sections were incubated (120 min; 22 °C) in buffer containing [3H]CPFPX (n=6; 4.04nmol/l and n=2; 4.2 nmol/l) and 2 U/l adenosine deaminase to remove endogenous adenosine. To assess G-protein coupled and uncoupled states of the A1AR, buffer contained 1 mmol/l MgCl2 or 100mmol/lGpp(NH)p, respectively. For the assessment of non-specific binding, selected slices were incubated with R (−)-PIA (100 mmol/l) in the medium. After two washes in incubation buffer (4 °C) and a rapid rinse in ice-cold water the sections were dried. Specific binding was calculated as the difference of total and nonspecific binding. Adjacent sections were Nissl stained for cytoarchitectonic identification of brain nuclei. Labeled sections were placed on phosphor-imaging plates (BAS-TR 2025, Raytest-Fuji, Straubenhardt, Germany) with industrial tritium activity standards (Microscales; Amersham Biosciences, Freiburg, Germany). Upon exposure, the plates were scanned with a high-performance plate reader (spatial resolution of 50 µm; BAS5000 BioImage Analyzer, Raytest-Fuji, Straubenhardt, Germany). The digital receptor autoradiography was processed using image analysis software (AIDA 2.31, Raytest-Fuji, Straubenhardt, Germany) by an investigator who was blinded to the group assignment and defining regions of interest according to a standard rat brain atlas (Paxinos and Watson, 1998). The average number of regions of interest placed and the average area covered were: cerebellum 5.5±1.2, 22.7±2.5 mm2; motor cortex M1 35.0±2.0, 1.8± 0.1 mm2; parietal cortex PAR 28.0±1.2, 2.2±0.2 mm2; cingulate cortex 61.0±2.0, 0.8±0.3 mm2; hippocampus 4.8±1.2, 3.1± 0.3 mm2; dental gyrus 5.8±1.2, 1.3±0.5 mm2; thalamus 5.0±1.2, 5.7±0.4 mm2; hypothalamus 6.3±1.5, 3.0±0.5 mm2; caudate-putamen 44.8±1.2, 8.3±1.0 mm2; nucleus accumbens 12.8±1.2, 0.2±0.1 mm2. As determined in previous experiments, an assumed KD of 4.4 nmol/l (6.4 nmol/l for the uncoupled state) and a factor of 18.4 for the conversion of mol/g wet weight to mol/g protein were used for the calculation of receptor density (Bmax) in mol/g protein.
To test for the factors ‘group’ and ‘region’ and the interaction ‘group×region’ a mixed model two-way ANOVA was performed on the binding data and the uncoupled-to-coupled receptor state ratio. Student's t-test was used to compare groups, all reported average values are mean ± standard deviation.
Acknowledgments
Sabine Wilms, Markus Cremer and Ramkumar Karthikeyan are gratefully acknowledged for excellent technical assistance and Marcus Holschbach for providing Tritium labeled CPFPX.
This work was supported by the Department of Veterans Affairs Medical Research Service Award to RB, the National Institute of Mental Health (NIMH39683) to RWM, the Heinrich Hertz Foundation of the Ministry of Science and Technology, North-Rhine Westfalia, Germany to DE and the German Federal Ministry of Education and Research (Brain Imaging Center West, to DE and AB; and Biopharma Initiative-NeuroAllianz, to AB).
Abbreviations
- A1AR
A1 adenosine receptor
- CPFPX
8-cyclopentyl-3-(3-fluoropropyl)-1-propylxanthine
- PAR
parietal cortex
- M1
motor cortex
- A2AAR
A2A adenosine receptor
- CPA
N6-Cyclopentyladenosine
- DPCPX
8-cyclopentyl-1,3-dipropylxanthine
- PIA
N6-(2-phenylisopropyl)adenosine
Contributor Information
David Elmenhorst, Email: d.elmenhorst@fz-juelich.de.
Andreas Bauer, Email: an.bauer@fz-juelich.de.
REFERENCES
- Basheer R, Porkka-Heiskanen T, Stenberg D, McCarley RW. Adenosine and behavioral state control: adenosine increases c-Fos protein and AP1 binding in basal forebrain of rats. Brain Res. Mol. Brain Res. 1999;73:1–10. doi: 10.1016/s0169-328x(99)00219-3. [DOI] [PubMed] [Google Scholar]
- Basheer R, Halldner L, Alanko L, McCarley RW, Fredholm BB, Porkka-Heiskanen T. Opposite changes in adenosine A1 and A2A receptor mRNA in the rat following sleep deprivation. Neuroreport. 2001;12:1577–1580. doi: 10.1097/00001756-200106130-00013. [DOI] [PubMed] [Google Scholar]
- Basheer R, Strecker RE, Thakkar MM, McCarley RW. Adenosine and sleep-wake regulation. Prog. Neurobiol. 2004;73:379–396. doi: 10.1016/j.pneurobio.2004.06.004. [DOI] [PubMed] [Google Scholar]
- Basheer R, Bauer A, Elmenhorst D, Ramesh V, McCarley RW. Sleep deprivation upregulates A1 adenosine receptors in the rat basal forebrain. Neuroreport. 2007;18:1895–1899. doi: 10.1097/WNR.0b013e3282f262f6. [DOI] [PubMed] [Google Scholar]
- Bauer A, Holschbach MH, Cremer M, Weber S, Boy C, Shah NJ, Olsson RA, Halling H, Coenen HH, Zilles K. Evaluation of 18F-CPFPX, a novel adenosine A1 receptor ligand: in vitro autoradiography and high-resolution small animal PET. J. Nucl. Med. 2003;44:1682–1689. [PubMed] [Google Scholar]
- Benington JH, Kodali SK, Heller HC. Stimulation of A1 adenosine receptors mimics the electroencephalographic effects of sleep deprivation. Brain Res. 1995;692:79–85. doi: 10.1016/0006-8993(95)00590-m. [DOI] [PubMed] [Google Scholar]
- Elmenhorst D, Meyer PT, Winz OH, Matusch A, Ermert J, Coenen HH, Basheer R, Haas HL, Zilles K, Bauer A. Sleep deprivation increases A1 adenosine receptor binding in the human brain: a positron emission tomography study. J. Neurosci. 2007;27:2410–2415. doi: 10.1523/JNEUROSCI.5066-06.2007. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Florio C, Rosati AM, Traversa U, Vertua R. Circadian rhythm in adenosine A1 receptor of mouse cerebral cortex. Life Sci. 1991;48:L25–L29. doi: 10.1016/0024-3205(91)90476-r. [DOI] [PubMed] [Google Scholar]
- Fredholm BB. Purinoceptors in the nervous system. Pharmacol. Toxicol. 1995;76:228–239. doi: 10.1111/j.1600-0773.1995.tb00135.x. [DOI] [PubMed] [Google Scholar]
- Holschbach MH, Olsson RA, Bier D, Wutz W, Sihver W, Schuller M, Palm B, Coenen HH. Synthesis and evaluation of no-carrier-added 8-cyclopentyl-3-(3-[(18)F] fluoropropyl)-1-propylxanthine ([(18)F]CPFPX): a potent and selective A(1)-adenosine receptor antagonist for in vivo imaging. J. Med. Chem. 2002;45:5150–5156. doi: 10.1021/jm020905i. [DOI] [PubMed] [Google Scholar]
- McCarley RW. Neurobiology of REM and NREM sleep. Sleep Med. 2007;8:302–330. doi: 10.1016/j.sleep.2007.03.005. [DOI] [PubMed] [Google Scholar]
- Murillo-Rodriguez E, Blanco-Centurion C, Gerashchenko D, Salin-Pascual RJ, Shiromani PJ. The diurnal rhythm of adenosine levels in the basal forebrain of young and old rats. Neuroscience. 2004;123:361–370. doi: 10.1016/j.neuroscience.2003.09.015. [DOI] [PubMed] [Google Scholar]
- Paxinos G, Watson C. The Rat Brain in Stereotaxic Coordinates. San Diego: Academic Press; 1998. [Google Scholar]
- Porkka-Heiskanen T, Strecker RE, Thakkar M, Bjorkum AA, Greene RW, McCarley RW. Adenosine: a mediator of the sleep-inducing effects of prolonged wakefulness. Science. 1997;276:1265–1268. doi: 10.1126/science.276.5316.1265. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Porkka-Heiskanen T, Strecker RE, McCarley RW. Brain site-specificity of extracellular adenosine concentration changes during sleep deprivation and spontaneous sleep: an in vivo microdialysis study. Neuroscience. 2000;99:507–517. doi: 10.1016/s0306-4522(00)00220-7. [DOI] [PubMed] [Google Scholar]
- Portas CM, Thakkar M, Rainnie DG, Greene RW, McCarley RW. Role of adenosine in behavioral state modulation: a microdialysis study in the freely moving cat. Neuroscience. 1997;79:225–235. doi: 10.1016/s0306-4522(96)00640-9. [DOI] [PubMed] [Google Scholar]
- Roman V, Keijser JN, Luiten PG, Meerlo P. Repetitive stimulation of adenosine A1 receptors in vivo: changes in receptor numbers, G-proteins and A1 receptor agonist-induced hypothermia. Brain Res. 2008;1191:69–74. doi: 10.1016/j.brainres.2007.11.044. [DOI] [PubMed] [Google Scholar]
- Satoh S, Matsumura H, Koike N, Tokunaga Y, Maeda T, Hayaishi O. Region-dependent difference in the sleep-promoting potency of an adenosine A2A receptor agonist. Eur. J. Neurosci. 1999;11:1587–1597. doi: 10.1046/j.1460-9568.1999.00569.x. [DOI] [PubMed] [Google Scholar]
- Schwierin B, Borbely AA, Tobler I. Effects of N6-cyclopentyladenosine and caffeine on sleep regulation in the rat. Eur. J. Pharmacol. 1996;300:163–171. doi: 10.1016/0014-2999(96)00021-0. [DOI] [PubMed] [Google Scholar]
- Stenberg D, Litonius E, Halldner L, Johansson B, Fredholm BB, Porkka-Heiskanen T. Sleep and its homeostatic regulation in mice lacking the adenosine A1 receptor. J. Sleep Res. 2003;12:283–290. doi: 10.1046/j.0962-1105.2003.00367.x. [DOI] [PubMed] [Google Scholar]
- Strecker RE, Morairty S, Thakkar MM, Porkka-Heiskanen T, Basheer R, Dauphin LJ, Rainnie DG, Portas CM, Greene RW, McCarley RW. Adenosinergic modulation of basal forebrain and preoptic/anterior hypothalamic neuronal activity in the control of behavioral state. Behav. Brain Res. 2000;115:183–204. doi: 10.1016/s0166-4328(00)00258-8. [DOI] [PubMed] [Google Scholar]
- Thakkar MM, Winston S, McCarley RW. A1 receptor and adenosinergic homeostatic regulation of sleep-wakefulness: effects of antisense to the A1 receptor in the cholinergic basal forebrain. J. Neurosci. 2003;23:4278–4287. doi: 10.1523/JNEUROSCI.23-10-04278.2003. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Tononi G, Cirelli C. Sleep function and synaptic homeostasis. Sleep Med. Rev. 2006;10:49–62. doi: 10.1016/j.smrv.2005.05.002. [DOI] [PubMed] [Google Scholar]
- Yanik G, Radulovacki M. REM sleep deprivation up-regulates adenosine A1 receptors. Brain Res. 1987;402:362–364. doi: 10.1016/0006-8993(87)90046-1. [DOI] [PubMed] [Google Scholar]


