Narcolepsy—clinical spectrum, aetiopathophysiology, diagnosis and treatment
CLA Bassetti, A Adamantidis, D Burdakov… - Nature Reviews …, 2019 - nature.com
Narcolepsy is a rare brain disorder that reflects a selective loss or dysfunction of orexin (also
known as hypocretin) neurons of the lateral hypothalamus. Narcolepsy type 1 (NT1) is …
known as hypocretin) neurons of the lateral hypothalamus. Narcolepsy type 1 (NT1) is …
Personalizing the treatment of substance use disorders
ND Volkow - American Journal of Psychiatry, 2020 - Am Psychiatric Assoc
The opioid crisis in the United States has brought drug addiction to the forefront of the public
mind and to the attention of health care personnel, organizations, and agencies. The …
mind and to the attention of health care personnel, organizations, and agencies. The …
Epigenetic silencing of selected hypothalamic neuropeptides in narcolepsy with cataplexy
Narcolepsy with cataplexy is a sleep disorder caused by deficiency in the hypothalamic
neuropeptide hypocretin/orexin (HCRT), unanimously believed to result from autoimmune …
neuropeptide hypocretin/orexin (HCRT), unanimously believed to result from autoimmune …
Suvorexant ameliorated sleep disturbance, opioid withdrawal, and craving during a buprenorphine taper
Increased orexin/hypocretin signaling is implicated in opioid withdrawal, sleep disturbances,
and drug-seeking behaviors. This study examined whether a dual-orexin receptor …
and drug-seeking behaviors. This study examined whether a dual-orexin receptor …
Sleep and the hypothalamus
AR Adamantidis, L de Lecea - Science, 2023 - science.org
Neural substrates of wakefulness, rapid eye movement sleep (REMS), and non-REMS
(NREMS) in the mammalian hypothalamus overlap both anatomically and functionally with …
(NREMS) in the mammalian hypothalamus overlap both anatomically and functionally with …
Drugs, sleep, and the addicted brain
RJ Valentino, ND Volkow - Neuropsychopharmacology, 2020 - nature.com
The neurobiology of sleep and substance abuse interconnects, such that alterations in one
process have consequences for the other. Acute exposure to drugs of abuse disrupts sleep …
process have consequences for the other. Acute exposure to drugs of abuse disrupts sleep …
Intermittent self‐administration of fentanyl induces a multifaceted addiction state associated with persistent changes in the orexin system
The orexin (hypocretin) system plays a critical role in motivated drug taking. Cocaine self‐
administration with the intermittent access (IntA) procedure produces a robust addiction‐like …
administration with the intermittent access (IntA) procedure produces a robust addiction‐like …
Bidirectional relationship between opioids and disrupted sleep: putative mechanisms
Millions of Americans suffer from opiate use disorder, and over 100 die every day from
opioid overdoses. Opioid use often progresses into a vicious cycle of abuse and withdrawal …
opioid overdoses. Opioid use often progresses into a vicious cycle of abuse and withdrawal …
Orexin reserve: a mechanistic framework for the role of orexins (hypocretins) in addiction
MH James, G Aston-Jones - Biological psychiatry, 2022 - Elsevier
In 2014, we proposed that orexin signaling transformed motivationally relevant states into
adaptive behavior directed toward exploiting an opportunity or managing a threat, a process …
adaptive behavior directed toward exploiting an opportunity or managing a threat, a process …
Sleep dysregulation in binge eating disorder and “food addiction”: the orexin (hypocretin) system as a potential neurobiological link
It has been proposed that binge eating reflects a pathological compulsion driven by the
“addictive” properties of foods. Proponents of this argument highlight the large degree of …
“addictive” properties of foods. Proponents of this argument highlight the large degree of …