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 …

Narcolepsy

TE Scammell - New England Journal of Medicine, 2015 - Mass Medical Soc
Narcolepsy | New England Journal of Medicine Skip to main content The New England Journal
of Medicine homepage Advanced Search SEARCH SPECIALTIES Cardiology Clinical Medicine …

Prefrontal cortical regulation of REM sleep

J Hong, DE Lozano, KT Beier, S Chung… - Nature …, 2023 - nature.com
Rapid eye movement (REM) sleep is accompanied by intense cortical activity, underlying its
wake-like electroencephalogram. The neural activity inducing REM sleep is thought to …

Rapid eye movement sleep is initiated by basolateral amygdala dopamine signaling in mice

E Hasegawa, A Miyasaka, K Sakurai, Y Cherasse, Y Li… - Science, 2022 - science.org
The sleep cycle is characterized by alternating non–rapid eye movement (NREM) and rapid
eye movement (REM) sleeps. The mechanisms by which this cycle is generated are …

The neurobiological basis of narcolepsy

CE Mahoney, A Cogswell, IJ Koralnik… - Nature Reviews …, 2019 - nature.com
Narcolepsy is the most common neurological cause of chronic sleepiness. The discovery
about 20 years ago that narcolepsy is caused by selective loss of the neurons producing …

Motivational activation: a unifying hypothesis of orexin/hypocretin function

SV Mahler, DE Moorman, RJ Smith, MH James… - Nature …, 2014 - nature.com
Orexins (hypocretins) are two peptides (orexin A and B) produced from the pre-pro-orexin
precursor and expressed in a limited region of dorsolateral hypothalamus. Orexins were …

The neurobiology of sleep and wakefulness

MD Schwartz, TS Kilduff - Psychiatric Clinics, 2015 - psych.theclinics.com
Our understanding of the neural control of sleep in large part parallels the history of
neuroscience. As new tools and methodologies have become available to the research …

Safety and efficacy of pitolisant on cataplexy in patients with narcolepsy: a randomised, double-blind, placebo-controlled trial

Z Szakacs, Y Dauvilliers, V Mikhaylov… - The Lancet …, 2017 - thelancet.com
Background Histaminergic neurons are crucial to maintain wakefulness, but their role in
cataplexy is unknown. We assessed the safety and efficacy of pitolisant, a histamine H3 …

Hypocretin (orexin) biology and the pathophysiology of narcolepsy with cataplexy

RS Liblau, A Vassalli, A Seifinejad, M Tafti - The Lancet Neurology, 2015 - thelancet.com
The discovery of hypocretins (orexins) and their causal implication in narcolepsy is the most
important advance in sleep research and sleep medicine since the discovery of rapid eye …

A hypothalamic circuit for the circadian control of aggression

WD Todd, H Fenselau, JL Wang, R Zhang… - Nature …, 2018 - nature.com
Abstract 'Sundowning'in dementia and Alzheimer's disease is characterized by early-
evening agitation and aggression. While such periodicity suggests a circadian origin …