Plasma orexin-A is lower in patients with narcolepsy

被引:61
作者
Higuchi, S
Usui, A
Murasaki, M
Matsushita, S
Nishioka, N
Yoshino, A
Matsui, T
Muraoka, H
Ishizuka, Y
Kanba, S
Sakurai, T
机构
[1] Kurihama Natl Hosp, Natl Alcoholism Ctr, Inst Clin Res, Yokosuka, Kanagawa 2390841, Japan
[2] Yamanashi Med Univ, Dept Neuropsychiat, Tamaho, Yamanashi 4093898, Japan
[3] Yutaka Clin, Sagamihara, Kanagawa 2280803, Japan
[4] Natl Def Med Coll, Dept Psychiat, Tokorozawa, Saitama 3598513, Japan
[5] Tohoku Univ, Sch Med, Dept Geriatr Med, Aoba Ku, Sendai, Miyagi 9808574, Japan
[6] Tokyo Metropolitan Tama Geriatr Hosp, Dept Psychiat, Tokyo 189002, Japan
[7] Univ Tsukuba, Inst Basic Med Sci, Dept Pharmacol, Tsukuba, Ibaraki 3058575, Japan
关键词
orexin; hypocretin; plasma; concentration; narcolepsy;
D O I
10.1016/S0304-3940(01)02476-4
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Recently identified hypothalamic peptides called orexins (or hypocretins) have been implicated in the sleep-wake cycle and in sleep disorder narcolepsy. Neuropathological studies have shown that in patients with narcolepsy, global reduction in the expression of orexins occurs due to the loss of orexin neurons in the hypothalamus. Cerebrospinal fluid analysis has confirmed a reduced or undetectable level of orexin-A in most narcolepsy patients. In this study, measurement of plasma orexin showed significantly lower concentrations in patients with narcolepsy than in age- and gender-matched normal controls. These data suggest that low levels of orexin-A in plasma could serve as a biological marker for narcolepsy. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:61 / 64
页数:4
相关论文
共 22 条
[1]  
[Anonymous], 1990, INT CLASS SLEEP DIS
[2]   Hypothalamic orexin expression - Modulation by blood glucose and feeding [J].
Cai, XJ ;
Widdowson, PS ;
Harrold, J ;
Wilson, S ;
Buckingham, RE ;
Arch, JRS ;
Tadayyon, M ;
Clapham, JC ;
Wilding, J ;
Williams, G .
DIABETES, 1999, 48 (11) :2132-2137
[3]   Narcolepsy in orexin knockout mice:: Molecular genetics of sleep regulation [J].
Chemelli, RM ;
Willie, JT ;
Sinton, CM ;
Elmquist, JK ;
Scammell, T ;
Lee, C ;
Richardson, JA ;
Williams, SC ;
Xiong, YM ;
Kisanuki, Y ;
Fitch, TE ;
Nakazato, M ;
Hammer, RE ;
Saper, CB ;
Yanagisawa, M .
CELL, 1999, 98 (04) :437-451
[4]   The hypocretins: Hypothalamus-specific peptides with neuroexcitatory activity [J].
De Lecea, L ;
Kilduff, TS ;
Peyron, C ;
Gao, XB ;
Foye, PE ;
Danielson, PE ;
Fukuhara, C ;
Battenberg, ELF ;
Gautvik, VT ;
Bartlett, FS ;
Frankel, WN ;
van den Pol, AN ;
Bloom, FE ;
Gautvik, KM ;
Sutcliffe, JG .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1998, 95 (01) :322-327
[5]   Orexin A activates locus coeruleus cell firing and increases arousal in the rat [J].
Hagan, JJ ;
Leslie, RA ;
Patel, S ;
Evans, ML ;
Wattam, TA ;
Holmes, S ;
Benham, CD ;
Taylor, SG ;
Routledge, C ;
Hemmati, P ;
Munton, RP ;
Ashmeade, TE ;
Shah, AS ;
Hatcher, JP ;
Hatcher, PD ;
Jones, DNC ;
Smith, MI ;
Piper, DC ;
Hunter, AJ ;
Porter, RA ;
Upton, N .
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA, 1999, 96 (19) :10911-10916
[6]  
Kastin AJ, 1999, J PHARMACOL EXP THER, V289, P219
[7]   Orexin synthesis and response in the gut [J].
Kirchgessner, AL ;
Liu, MT .
NEURON, 1999, 24 (04) :941-951
[8]   The sleep disorder canine narcolepsy is caused by a mutation in the hypocretin (orexin) receptor 2 gene [J].
Lin, L ;
Faraco, J ;
Li, R ;
Kadotani, H ;
Rogers, W ;
Lin, XY ;
Qiu, XH ;
de Jong, PJ ;
Nishino, S ;
Mignot, E .
CELL, 1999, 98 (03) :365-376
[9]  
Melberg A, 2001, ANN NEUROL, V49, P136, DOI 10.1002/1531-8249(200101)49:1<136::AID-ANA25>3.3.CO
[10]  
2-D