A Physiologically Based Model of Orexinergic Stabilization of Sleep and Wake

The orexinergic neurons of the lateral hypothalamus (Orx) are essential for regulating sleep-wake dynamics, and their loss causes narcolepsy, a disorder characterized by severe instability of sleep and wake states. However, the mechanisms through which Orx stabilize sleep and wake are not well understood. In this work, an explanation of the stabilizing effects of Orx is presented using a quantitative model of important physiological connections between Orx and the sleep-wake switch. In addition to Orx and the sleep-wake switch, which is composed of mutually inhibitory wake-active monoaminergic neurons in brainstem and hypothalamus (MA) and the sleep-active ventrolateral preoptic neurons of the hypothalamus (VLPO), the model also includes the circadian and homeostatic sleep drives. It is shown that Orx stabilizes prolonged waking episodes via its excitatory input to MA and by relaying a circadian input to MA, thus sustaining MA firing activity during the circadian day. During sleep, both Orx and MA are inhibited by the VLPO, and the subsequent reduction in Orx input to the MA indirectly stabilizes sustained sleep episodes. Simulating a loss of Orx, the model produces dynamics resembling narcolepsy, including frequent transitions between states, reduced waking arousal levels, and a normal daily amount of total sleep. The model predicts a change in sleep timing with differences in orexin levels, with higher orexin levels delaying the normal sleep episode, suggesting that individual differences in Orx signaling may contribute to chronotype. Dynamics resembling sleep inertia also emerge from the model as a gradual sleep-to-wake transition on a timescale that varies with that of Orx dynamics. The quantitative, physiologically based model developed in this work thus provides a new explanation of how Orx stabilizes prolonged episodes of sleep and wake, and makes a range of experimentally testable predictions, including a role for Orx in chronotype and sleep inertia

Model dynamics as a function of orexin levels, corresponding to the model parameter .

<p><b>A</b> Periods of sleep (black) and wake (white) are plotted as a function of across two-day model simulations. <b>B</b> The circadian drive, , versus time. Various statistics taken from the model output are plotted as a function of as the mean (solid) standard deviation (dotted) measured across a 25 day model simulation (following a 3 day equilibration period), for <b>C</b> Total sleep duration per day, <b>D</b> Number of state transitions per day, <b>E</b> Duration of sleep bouts, <b>F </b> during wake (blue) and during sleep (black), and <b>G</b> Homeostatic sleep drive, .</p

Schematic of the model.

<p>The model includes interactions between the sleep-active ventrolateral preoptic area of the hypothalamus (VLPO), the wake-active monoaminergic brainstem nuclei (MA), and the orexinergic neurons of the lateral hypothalamic area (Orx), as well as the circadian () and homeostatic () drives. Arrows indicate interactions between the populations, as well as the pathways of the circadian and homeostatic drives, and represent either excitatory () or inhibitory () interactions. <b>A</b> All modeled interactions are shown, including the mutual inhibition between VLPO and MA <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0091982#pone.0091982-Saper3" target="_blank">[27]</a>, inhibition of Orx by VLPO <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0091982#pone.0091982-Sakurai2" target="_blank">[8]</a>, and excitatory input from Orx to MA <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0091982#pone.0091982-Hungs1" target="_blank">[72]</a>. The circadian drive, , which originates in the suprachiasmatic nucleus (SCN), is afferent to both VLPO (inhibition) and Orx (excitation) <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0091982#pone.0091982-Saper1" target="_blank">[4]</a>, while the homeostatic sleep drive, , which increases during wake and decreases during sleep, disinhibits VLPO <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0091982#pone.0091982-Morairty1" target="_blank">[63]</a>. Example two day time traces for normal sleep-wake behavior are annotated below the and drives. <b>B</b> The model can be mathematically reduced to the core dynamics of mutual inhibition between the sleep-active VLPO and wake-active MA groups. In this representation, net drives, and , to VLPO and MA, respectively, control the arousal state dynamics. This reduced representation is used throughout this work to visualize and understand the model dynamics.</p

Dependence of sleep-to-wake and wake-to-sleep transitions on the timescale for Orx dynamics, .

<p>Time series for the firing rates of MA, (blue), VLPO, (black), and Orx, (green), are plotted for the sleep-to-wake (<b>A</b>–<b>C</b>) and wake-to-sleep (<b>D</b>–<b>F</b>) transitions for s (<b>A</b>, <b>B</b>), min (<b>B</b>, <b>E</b>), and min (<b>C</b>, <b>F</b>), as a function of time relative to the change of state. The plots were produced by averaging 50 model runs relative to the time of the state transition; one standard deviation about the mean is shown dotted. The approximate steady state firing rate for is annotated as a dashed purple line in <b>A</b>–<b>C</b>, and for in <b>D</b>–<b>F</b>. The parameter selectively tunes the duration of the sleep-to-wake transition but has minimal effect on the wake-to-sleep transition. This gradual wake transition can be linked to the clinical phenomenon of sleep inertia.</p

Noise-free model simulations represented as trajectories in terms of net drives to the VLPO, , and MA, , and as time series.

<p><b>A</b> The bistable region is shaded blue, and the wake and sleep regions are labeled. The trajectory for normal dynamics (i.e., including Orx) forms a loop and is plotted using black (wake) and gray (sleep). The trajectory for the model without Orx is a small oscillation at low and , and is labeled ‘no Orx’. The trajectory for the original Phillips-Robinson model occurs at fixed mV and is shown semi-transparent for comparison (note that the wake trajectory of the Phillips-Robinson model extends beyond the limits of the figure to mV). When Orx is removed from the model, the system oscillates at low and , where thresholds for transitions between wake and sleep are low. However, with Orx in the model, the wake and sleep states are stabilized: Orx is active during wake, increasing , and Orx is suppressed during sleep, decreasing , thereby moving the system away from the bistable region where state transitions can occur and promoting consolidated wake and sleep episodes. Circadian input to Orx modulates waking arousal levels: is lower in the early morning and increases to a maximum at the circadian maximum, then decreases through the afternoon and evening. Two-day time series for noise-free model dynamics (including Orx) are also plotted as: <b>B</b> Firing rates (black), (blue), and (green, dashed), <b>C</b> Net drives to the VLPO, [black, Eq. (7)], and the MA, [gray, Eq. (8)], and <b>D</b> Drives [black, Eq. (5)] and [gray, Eq. (6)]. Approximate clock times for a typical sleep-wake schedule are given as a guide, and sleep periods are shaded.</p