Excitation of the Brain Stem Pedunculopontine Tegmentum Cholinergic Cells Induces Wakefulness and REM Sleep
Abstract
Datta, Subimal and Donald F. Siwek. Excitation of the brain stem pedunculopontine tegmentum cholinergic cells induces wakefulness and REM sleep. J. Neurophysiol. 77: 2975–2988, 1997. Considerable evidence suggests that brain stem pedunculopontine tegmentum (PPT) cholinergic cells are critically involved in the normal regulation of wakefulness and rapid eye movement (REM) sleep. However, much of this evidence comes from indirect studies. Thus, although involvement of PPT cholinergic neurons has been suggested by numerous investigations, the excitation of PPT cholinergic neurons causal to the behavioral state of wakefulness and REM sleep has never been directly demonstrated. In the present study we examined the effects of three different levels of activation of PPT cholinergic cells in wakefulness and sleep behavior. The effects of glutamate on the activity of PPT cholinergic cells were studied by microinjection of one of the three different doses of l-glutamate (0.3, 1.0, and 3.0 μg) or saline (vehicle control) into the PPT cholinergic cell compartment while quantifying the effects on wakefulness and sleep in free moving chronically instrumented cats. All microinjections were made during wakefulness and were followed by 4 h of recording. Polygraphic records were scored for wakefulness, slow-wave sleep states 1 and 2, slow-wave sleep with pontogeniculooccipital waves, and REM sleep. Dependent variables quantified after each microinjection included the percentage of recording time spent in each state, the latency to onset of REM sleep, the number of episodes per hour for REM sleep, and the duration of each REM sleep episode. A total of 48 microinjections was made into 12 PPT sites in six cats. Microinjection of 0.3- and 1.0-μg doses of l-glutamate into the cholinergic cell compartment of the PPT increased the total amount of REM sleep in a dose-dependent manner. Both doses of l-glutamate increased REM sleep at the expense of slow-wave sleep but not wakefulness. Microinjection of 3.0 μg l-glutamate kept animals awake for 2–3 h by eliminating slow-wave and REM sleep. The results show that the microinjection of the excitatory amino acid l-glutamate into the PPT cholinergic cell compartments can increase wakefulness and/or REM sleep depending on the l-glutamate dosage. These findings unambiguously confirm the hypothesis that the excitation of the PPT cholinergic cells is causal to the generation of wakefulness and REM sleep.
INTRODUCTION
Rapid eye movement (REM) sleep is a distinctive sleep stage that alternates periodically with episodes of slow-wave sleep (S) and is normally preceded by periods of S in which pontogeniculooccipital (PGO) waves become apparent during the transition from S to REM sleep. PGO waves are phasic field potentials recorded from the pontine tegmentum, lateral geniculate body, and occipital cortex. These waves constitute one of the distinguishing features of REM sleep. Brain stem cholinergic mechanisms have long been thought to play a major role in the generation of REM sleep, cortical activation, and the genesis of PGO waves (Datta 1995, 1997; Gillin et al. 1985; Jones 1991; Morrison 1979; Vanderwolf 1988). The cholinergic hypothesis of REM sleep generation comes from microinjection studies showing that centrally administered cholinomimetics evoke a state that is behaviorally and electrophysiologically similar to REM sleep (Baghdoyan et al. 1993; Datta et al. 1992; Gnadt and Pegram 1986; Hernandez-Peon et al. 1962). Furthermore, spontaneous release of acetylcholine (ACh) in the pontine reticular formation is greater during REM sleep than it is during waking (W) and S (Kodama et al. 1990; Lydic et al. 1991). The concept of a brain stem cholinergic mechanism in cortical activation was first proposed by Shute and Lewis (1967) and has been supported by many pharmacological studies (reviewed in Datta 1995; Vanderwolf 1988). The hypothesis that the brain stem cholinergic system contributes to neocortical activation receives additional support from the finding that the levels of ACh in the thalamus are higher during the cortically activated states of W and REM sleep than they are during S (Williams et al. 1994). Like REM sleep and cortical activation, the role of cholinergic mechanisms in the generation of PGO wave activity was also demonstrated by studies involving systemic and intracerebral injection of cholinergic agents (Datta et al. 1991–1993; Henriksen et al. 1972; Jacobs et al. 1972; Magherini et al. 1971; Ruch-Monachon et al. 1976). Taken together, these results strongly support the suggestion that ACh is involved in the generation of REM sleep, cortical activation, and the genesis of PGO waves.
Identification of brain stem cholinergic neurons in the pedunculopontine tegmentum (PPT) has generated a new impetus to study the direct involvement of PPT neurons in the generation of REM sleep, cortical activation, and the genesis of PGO waves (Mesulam et al. 1983, 1984, 1989; Shiromani et al. 1988; Vincent and Reiner 1987). Recent brain stem lesion studies have demonstrated that lesions of the PPT cholinergic neurons reduced and/or eliminated REM sleep, cortical activation, muscle atonia during REM sleep, and PGO waves (Datta and Hobson 1995; Shouse and Siegel 1992; Webster and Jones 1988). Electrical stimulation of the PPT causes increased ACh release in the cholinoceptive REM-sleep-generating region of the pontine reticular formation (Lydic and Baghdoyan 1993). Recordings from the PPTs of behaving cats have identified several different classes of neurons whose firing rates correlate with REM sleep, cortical activation, and PGO waves (Datta 1995, 1997; Datta and Hobson 1994; Datta et al. 1989; El-Mansari et al. 1989; McCarley et al. 1978; Nelson et al. 1983; Sakai and Jouvet 1980; Steriade et al. 1990). Some tonically discharging PPT neurons called REM-on cells progressively increase their firing rates as the animal moves from wakefulness to S and then to REM sleep. Other PPT neurons called W-REM-on cells are tonically active during both cortically activated states of W and REM sleep. A small population of REM-on and W-REM-on cells discharges phasically with phasic PGO waves (called PGO-on cells). Collectively these observations suggest that the PPT and its neurotransmitter ACh are involved in the generation of REM sleep, cortical activation, and the genesis of PGO waves. There is no single study that directly shows that the excitation of PPT cholinergic cells is causal to the generation of REM sleep, cortical activation, and the genesis of PGO waves.
In the present study we examined the hypothesis that the activation of PPT cells is causal to the generation of REM sleep and cortical activation. This was tested by microinjection of the excitatory amino acid l-glutamate into the PPT while simultaneously quantifying wake-sleep signs. Three different levels of activation of PPT cells were achieved by varying the concentration of injected l-glutamate to see whether different levels of activation cause different behaviors (Mayer and Westbrook 1987).
METHODS
Animals
Six male cats weighing 2.5–3.5 kg were used for these experiments. The animals were kept under regular lighting conditions (light on at 7:00 h and off at 19:00 h) in a temperature-controlled environment, with free access to food and water. Principles for the care and use of laboratory animals in research, as outlined by the National Institutes of Health (1985), were strictly followed.
Surgical procedure
Treatment of the animals and surgical procedures were in accordance with an approved animal welfare protocol. Cats were first sedated with acepromazine (0.1 mg/kg im) and then anesthetized with inhaled halothane (2.0–3.0% in O2). With the use of sterile procedures, a standard set of recording electrodes was chronically implanted to objectively measure states of sleep and wakefulness (Ursin and Sterman 1981). Stainless steel bilateral guide tubes were also implanted to permit directed intracranial drug administration. Bipolar electrodes were implanted in the skull over the frontal and parietal cortices to record the electroencephalogram (EEG) and in the posterior orbital bone to record the electrooculogram (EOG). Multipolar electrodes were implanted stereotaxically in each lateral geniculate body (A6.5, L10.0, H2.0) (Berman 1968) to record the geniculate component of the PGO waves. Monopolar electrodes were implanted bilaterally in the dorsal cervical neck muscles to record the electromyogram (EMG). These four variables (EEG, EMG, EOG, and PGO waves) were used to score W and sleep stages. In addition, bilateral stainless steel guide tubes (26 gauge) were stereotaxically implanted 5 mm above the PPT (AP0.5 to −0.5, L3.5–4.0, H−2.0 to −2.5) (Berman 1968) as described previously (Datta et al. 1992). The tips of the guide tubes were left 5 mm above the targets to minimize cellular damage at the injection sites (Baghdoyan et al. 1993; Datta et al. 1992).
Postsurgical treatment
Cats were treated with butorphanol (0.4 mg/kg im) every 6 h for ≥24 h postsurgery to control any possible pain on recovery from anesthesia. To prevent possible infection due to surgery, the cats were also treated with amoxicillin (10 mg/kg sc) immediately after surgery and for 5 days postoperatively (5 mg/kg po).
Adaptation to recording conditions
Seven to 10 days after recovery from surgery, cats were adapted for 2–3 wk to the free-moving polygraphic recording conditions (size of recording cage: 4 × 2 × 2 ft) before microinjection sessions began. After ∼2–3 wk of adaptation, cats were able to sleep in the laboratory for recording sessions ≥4 h in duration (between 12:00 and 16:00 h). The endpoints of adaptation recording sessions were determined when animals showed a consistent REM sleep latency and total REM sleep duration for at least three consecutive recording sessions.
Intracerebral microinjections and experimental design
After the adaptation recording sessions, microinjection sessions began. The microinjection procedure has been previously described in detail (Baghdoyan et al. 1993; Datta et al. 1992). Briefly, microinjections were always made during wakefulness, and the cats were head restrained for the 3–5 min necessary for microinjection as previously described (Datta and Hobson 1994). Four-hour control recording sessions were begun after a single, unilateral microinjection of 0.25 μl saline into the PPT. All microinjections were made with a 32-gauge stainless steel injector cannula that was 5 mm longer than the implanted guide tube. On completion of the microinjection procedure, cats were released from head restraint and placed in the recording chamber, where they were free to move, eat, and drink. Polygraphic variables were recorded continuously for 4 h beginning at the onset of injection, and behavior was observed on a video monitor. Two days after the control recording, a single dose of monosodium l-glutamate (0.3, 1.0, or 3.0 μg in 0.25 μl sterile saline) was injected unilaterally into the control saline injection site with the use of the same injector cannula. After microinjections of glutamate, cats were placed in the recording chamber and polygraphic variables were recorded continuously for 4 h. Glutamate microinjections and recordings were made during the same 4-h period as control recordings (12:00–16:00 h) to quantify the glutamatergic stimulation effects at the same point in the circadian cycle. Each PPT site received one control saline and three glutamate microinjections in four different recording sessions 48 h apart. In six cats, a total of 12 PPT sites was microinjected (1 in the left and the other in the right side of each cat; for a summary of the sequence of injections see Table 1). In 4 of those 12 sites, glutamate microinjection doses were arranged in the following order: 0.3, 1.0, and 3.0 μg. In another four sites, the sequence of glutamate microinjection doses was 1.0, 3.0, and 0.3 μg. The other four sites received 3.0, 0.3, and 1.0 μg. In 6 of those 12 PPT sites, control saline microinection sessions were given first, with the second, third, and fourth microinjections being glutamate. In the other six PPT sites, the first, second, and third microinjections were glutamate and the fourth was control saline. At the end of all experimental sessions and before perfusion, with the use of the same injector used for glutamate microinjection, 0.25 μl of black ink was microinjected 1 mm dorsal to each injection site for localizing glutamate injection sites. In Fig. 1A, the arrow points to the ink injection mark. Thus the true position of the glutamate injection is 1 mm below the ink mark.
| Site | First Injection | Second Injection | Third Injection | Fourth Injection |
|---|---|---|---|---|
| 1 | Saline (C) | 0.3 μg l-glut. | 1.0 μg l-glut. | 3.0 μg l-glut. |
| 2 | Saline (C) | 0.3 μg l-glut. | 1.0 μg l-glut. | 3.0 μg l-glut. |
| 3 | Saline (C) | 0.3 μg l-glut. | 1.0 μg l-glut. | 3.0 μg l-glut. |
| 4 | Saline (C) | 0.3 μg l-glut. | 1.0 μg l-glut. | 3.0 μg l-glut. |
| 5 | Saline (C) | 1.0 μg l-glut. | 3.0 μg l-glut. | 0.3 μg l-glut. |
| 6 | Saline (C) | 1.0 μg l-glut. | 3.0 μg l-glut. | 0.3 μg l-glut. |
| 7 | 1.0 μg l-glut. | 3.0 μg l-glut. | 0.3 μg l-glut. | Saline (C) |
| 8 | 1.0 μg l-glut. | 3.0 μg l-glut. | 0.3 μg l-glut. | Saline (C) |
| 9 | 3.0 μg l-glut. | 0.3 μg l-glut. | 1.0 μg l-glut. | Saline (C) |
| 10 | 3.0 μg l-glut. | 0.3 μg l-glut. | 1.0 μg l-glut. | Saline (C) |
| 11 | 3.0 μg l-glut. | 0.3 μg l-glut. | 1.0 μg l-glut. | Saline (C) |
| 12 | 3.0 μg l-glut. | 0.3 μg l-glut. | 1.0 μg l-glut. | Saline (C) |

Fig. 1.Histological localization of glutamate injection sites in the pedunculopontine tegmentum (PPT) of the cat that produced changes in wakefulness and sleep. A: coronal histological section of cat brain stem at stereotaxic coordinates AP0.0 showing a black ink mark (arrow) for localization of glutamate microinjection site. With the use of the same injector used for glutamate microinjection, 0.25 μl of black ink was microinjected 1 mm dorsal to the glutamate injection site. B: magnified photomicrograph of injection site showing a cluster of nicotinamide-adenine dinucleotide phosphate (NADPH)-diaphorase-positive cholinergic cells in and around glutamate microinjection site. Scale bars: 1,000 μm (A), 200 μm (B).
Scoring and analysis of behavioral states
Polygraphic data were scored for W, S state 1 (S1), S state 2 (S2), S with PGO waves (SP), and REM sleep according to standard criteria (Datta 1995; Datta and Hobson 1994, 1995; Ursin and Sterman 1981). All states were scored in 15-s epochs, yielding a total of 960 bins after each microinjection trial. The polygraphic and behavioral measures provided the following dependent variables that were quantified for each microinjection trial: 1) percentage of recording time spent in W, S1, S2, SP, and REM sleep per hour and 2) latency to onset of the first episode of REM sleep after the onset of injection. Statistical analyses were performed with the use of StatView statistical software (Abacus Concepts, Berkeley, CA, 1994). Analyses of variance and paired t-tests were used to examine the effects of microinjection of glutamate versus control saline on behavioral states of W, S1, S2, SP, and REM sleep.
Histological localization of injection sites
At the conclusion of the microinjection experiments, cats were deeply reanesthetized with pentobarbital sodium (50 mg/kg iv) and perfused transcardially with heparinized cold phosphate buffer (0.1 M, pH 7.4) followed by 4% paraformaldehyde in 0.1 M phosphate buffer. The brains were removed, and trimmed brain stem blocks were postfixed for 3–4 h in the paraformaldehyde phosphate buffer perfusion fluid. Trimmed brain stem blocks were then stored overnight in a solution of 0.1 M phosphate buffer and 5% sucrose as a cryoprotectant. The brains were then cut in the transverse plane in 40-μm-thick sections with the use of a freezing microtome. To visualize the cholinergic neurons in the PPT, sections werestained for nicotinamide-adenine dinucleotide phosphate (NADPH)diaphorase. Free floating sections were then incubated at 37°C in a solution made up of 50 ml of 0.1 M phosphate buffer (pH 7.4) containing 100 mg of NADPH, 45 mg Nitro Blue Tetrazolium, and 6 ml dimethyl sulfoxide (Sandell et al. 1986). The reaction was terminated after 30 min of incubation. After termination of the reaction, sections were washed in 0.1 M phosphate buffer and mounted on gelatin-coated glass slides. NADPH-diaphorase-stained sections were then counterstained with a 1% neutral red staining solution, dehydrated, cleared, mounted, and coverslipped with the use of Permount. All histological sections were examined under the microscope to localize the injection sites and the NADPH-diaphorase-positive PPT cells.
RESULTS
A total of 48 microinjections was made in 12 PPT injection sites. Histological identification showed that 8 of the 12 sites were placed within NADPH-diaphorase-positive cell compartments (Figs. 1 and 2), and thus were considered to be within the cholinergic cell compartments of the PPT. The remaining four injection sites were placed into NADPH-diaphorase-negative, noncholinergic compartments in the PPT. Only glutamate injections placed in the cholinergic compartment of PPT increased the cortical activated states of W and REM sleep. Because the four glutamate injections into noncholinergic PPT regions did not cause changes in W or REM sleep, those results were not included in the analyses of the data. The analysis below quantifies the effects of differing concentrations of glutamate injected into the PPT cholinergic cell compartment on the W, S, and REM sleep states. Fig. 2.Anatomic location of glutamate injection sites. Schematic coronal sections of cat brain stem are illustrated at levels A0.6, P0.2, P0.9, and P1.5 (labeled at right). Dorsoventral stereotaxic coordinates (in mm) at left. Injection sites, represented by circles, are plotted on the left sides of sections. Filled circles (n = 8): sites of injections that produced changes in wakefulness and sleep after glutamate microinjection. Open circles (n = 4): sites of injection that did not induce any change in wakefulness and sleep after glutamate microinjection. 5N, trigeminal nerve; AQ, aqueduct; BCX, decussation of brachium conjunctivum; BP, brachium pontis; CNF, cuneiform nucleus; CS, superior central nucleus; DR, dorsal nucleus of raphe; FTC, central tegmental field; FTP, paralemniscal tegmental field; IC, inferior colliculus; ICO, commissure of IC; ICP, pericentral nucleus of IC; LC, nucleus locus coeruleus; LDT, laterodorsal tegmental nucleus; LLD, dorsal nucleus of lateral lemniscus; LLV, ventral nucleus of lateral lemniscus; PAG, periaqueductal gray; PG, pontine gray; SC, superior colliculus.
Effects of glutamate on W state
After glutamate microinjections, behavioral and polygraphic signs of W (Fig. 3A) did not show any significant qualitative differences compared with behavioral and polygraphic signs of W following control saline injections (Fig. 3B). Quantitatively, 3.0-μg doses of glutamate applied into the cholinergic cell compartments of the PPT produced short, robust changes in the percentage of time spent in W compared with microinjections of control saline. Analysis across the entire duration of the recording sessions provides only a limited picture because of glutamate's short duration of effect. Therefore analyses were performed with the recording sessions divided into four 1-h periods. Because all microinjections were made during W, there was no measure of W latency. As shown in Fig. 4, microinjection of 0.3 and 1.0 μg glutamate into the cholinergic cell compartments of the PPT did not change the percentage of time in W compared with control microinjection of saline into the same sites. When the concentration of injected glutamate was increased to 3.0 μg, animals spent the first 2 h in W. Compared with the control microinjection, the glutamate-induced changes were highly significant both during the 1st h (df = 7; t = −13.62; P = 0.0001) and the 2nd h (df = 7; t = −42.48; P = 0.0001) of postinjection recording. During the 3rd h, W was 46.00 ± 5.45% (mean ± SD), but these changes were still significantly (df = 7; t = −6.69; P = 0.0003) higher than the 3rd h postcontrol saline injection value (27.50 ± 3.96%). Four hours after glutamate application, the W percentage (24.86 ± 3.18%) came back to its control level (28.75 ± 2.92%). Because for the first 2 h the threshold dose of glutamate (3.0 μg) saturated the percentage of time spent in W, the data on W were not subjected to further analysis of frequency and duration of individual episode. Fig. 3.Polygraphic appearance of wakefulness obtained from same cat 30 min after PPT microinjection of control saline (A) and 3.0 μg l-glutamate (B). Note similarity in both records showing characteristic electrographic signs of wakefulness: low-voltage, high-frequency or desynchronized waves recorded from the frontal cortex (electroencephalogram) (EEG); presence of muscle tone (electromyogram) (EMG); presence of eye movements (electrooculogram) (EOG); absence of pontogeniculooccipital (PGO) spikes in the lateral geniculate body EEG (LGB). Calibration bar: 5 s.

Fig. 4.Effect of saline and 3 doses of l-glutamate during each of the 4 h after injection on % (mean ± SD) (ordinate) and time course (abscissa) of wakefulness. Key: dose of l-glutamate (μg). Saline: values for saline-injected controls. Note that wakefulness increased with 3.0-μg doses and did not change with 0.3- and 1.0-μg doses. Percentage of time spent in wakefulness for every h after microinjection of each dose of l-glutamate is compared with saline-injected control; asterisks indicate statistically significant differences. Double asterisk: P < 0.001. Triple asterisk: P < 0.0001.
Effects of glutamate on S
The results show that microinjection of glutamate into the cholinergic cell compartment of the PPT decreased and/or eliminated S for 2–3 h of postinjection recording. To demonstrate glutamate-induced changes in S, the percentage of time after glutamate application spent in S was compared with control measurements obtained after saline injection.
S1.
The beginning of S1 is recognized by the presence of spindling in the cortical EEG. The effects of microinjection of different doses of glutamate on the percentage of time spent in S1 are summarized in Fig. 5. A dose-dependent reduction in the percentage of time spent in S1 after glutamate microinjection was only evident during the 1st h of recording. The mean percentages of time spent in S1 after control injections of saline were 24.75 ± 5.82% (mean ± SD), 4.75 ± 1.83%, 26.25 ± 5.73%, and 23.50 ± 6.67% during postinjection recordings of the 1st, 2nd, 3rd, and 4th h, respectively. After the application of 0.3 μg glutamate, the S1 percentage during the 1st h dropped to 20.00 ± 4.90%, and this reduction was slightly significant (df = 7; t = 2.04; P = 0.08) compared with its control value. The percentage of S1 values during the 2nd, 3rd, and 4th h of recording were not significantly different when compared with their control values. Similarly, 1.0 μg glutamate significantly reduced the percentage of time spent in S1 (5.23 ± 1.28%; df = 7; t = 10.17; P = 0.0001) compared with the 1st h control value. Again, postinjection values for the percentage of S1 during the 2nd, 3rd, and 4th h after application of 1.0 μg glutamate were not significantly different when compared with the control values. As the dose of glutamate microinjection was increased to 3.0 μg, S1 sleep was completely eliminated during the first 2 h of recording. But, during the 3rd and 4th h of postinjection recording, S1 sleep returned to its control level. Fig. 5.Effect of saline and 3 doses of l-glutamate on % (mean ± SD) of slow-wave sleep state 1 (S1). Note dose-dependent decrease of S1 after l-glutamate microinjection. Percentage of time spent in S1 for every h after microinjection of each dose of l-glutamate was compared with saline-injected controls; asterisks indicate statistically significant differences. Triple asterisk: P < 0.0001.
S2.
The deep stage of S in the cat is called S2. During this stage cortical EEG shows high-amplitude, low-frequency (synchronized) waves. The effects of microinjection of different doses of glutamate on the percentage of time spent in S2 are summarized in Fig. 6. During the control recording period, the percentage of time spent in S2 increased slowly throughout the 4 h of recordings. The control percentages of S2 for the 1st, 2nd, 3rd, and 4th h of recording were 4.13 ± 1.64%, 18.00 ± 2.88%, 20.88 ± 3.36%, and 28.75 ± 2.92%, respectively. After microinjection of 0.3 μg glutamate, the percentage of time spent in S2 was reduced during the 1st h (0.63 ± 1.77%) and 2nd h (11.38 ± 1.69%) of recording. The reductions of S2 values were significantly lower than their control values during the 1st h (df = 7; t = 5.58; P = 0.0008) and 2nd h (df = 7; t = 4.96; P = 0.0016) of recording. During the 3rd and 4th h of recording, the percentages of time spent in S2 after application of 0.3 μg glutamate were similar to the control values. As the glutamate dosage increased to 1.0 μg, the percentage of time spent in S2 was reduced to zero for the 1st and 2nd h of recordings. During the 3rd h, the percentage of time in S2 (13.75 ± 2.32%) was also significantly (df = 7; t = 5.31; P = 0.0011) less than its control value. But during the 4th h, the S2 percentage was comparable with its control value. When the glutamate dose was further increased to 3.0 μg, the percent of time spent in S2 was nil for the first 2 h. During the 3rd h (15.25 ± 3.24%) and 4th h (22.75 ± 3.73%) of recording, the percentages of time spent in S2 were reduced compared with the control values. These reductions in S2 were significant both during the 3rd h (df = 7; t = 3.35; P = 0.012) and 4th h (df = 7; t = 4.09; P = 0.0046) of recording compared with control values. Fig. 6.Effect of saline and 3 doses of l-glutamate on % (mean ± SD) of slow-wave sleep state 2 (S2). Note dose-dependent decrease in S2 after l-glutamate microinjection. Percentage of time spent in S2 for every h after microinjection of each dose of l-glutamate was compared with saline-injected controls; asterisks indicate statistically significant differences. Single asterisk: P < 0.01. Double asterisk:P < 0.001. Triple asterisk: P < 0.0001.
SP.
SP is a transitional stage from S to REM sleep. During this stage cortical EEG is less synchronized compared with the S2 phase. The effects of microinjection of different doses of glutamate on the percentage of time spent in SP are summarized in Fig. 7. During control recording periods, the percentages of SP for the 1st, 2nd, 3rd, and 4th h of recording were 1.38 ± 1.18%, 6.63 ± 2.50%, 6.86 ± 1.89%, and 5.88 ± 1.55%, respectively. After microinjection of 0.3 μg glutamate, the percentage of time spent in SP (3.88 ± 1.13%) was increased (df = 7; t = −5.40; P = 0.001) significantly during the 1st h of recordings compared with its control value. But for the next 3 h of recording, the percentages of time spent in SP were comparable with control values. With increased dosages of glutamate (1.0 and 3.0 μg), the percentage of time spent in SP was reduced to zero for the 1st and 2nd h of recording. For 1.0 μg glutamate, the SP percentage during the 3rd h (3.88 ± 1.25%) was significantly (df = 7; t = 6.0; P = 0.0005) less compared with its control value. The SPvalues in hour 4 after injection of 1.0 μg glutamate,and in hours 3 and 4 after injection of 3.0 μg glutamate, were not significantly different compared with controlvalues. Fig. 7.Effect of saline and 3 doses of l-glutamate on % (mean ± SD) of slow-wave sleep with PGO waves (SP). Note increase of SP after 0.3 μg and decrease after microinjection of 1.0 and 3.0 μg l-glutamate. Percentage of time spent in SP for every h after microinjection of each dose of l-glutamate was compared with saline-injected controls; asterisks indicate statistically significant differences. Single asterisk: P < 0.01. Double asterisk: P < 0.001. Triple asterisk: P < 0.0001.
Effects of glutamate on REM sleep
The changes in the percentage of time spent in REM sleep after microinjection of different dosages of glutamate are summarized in Fig. 8. Glutamate, at lower concentrations, enhanced REM sleep during the first 2 h of postinjection recordings, whereas at the higher concentrations it eliminated REM sleep by enhancing wakefulness. Fig. 8.Effect of saline and 3 doses of l-glutamate on % (mean ± SD) of rapid eye movement (REM) sleep. Note increase of REM sleep after microinjection of 0.3 and 1.0 μg l-glutamate, and decrease after microinjection of 3.0 μg l-glutamate. Percentage of time spent in REM sleep for every h after microinjection of each dose of l-glutamate was compared with saline-injected control; asterisks indicate statistically significant differences. Single asterisk: P < 0.01. Double asterisk: P < 0.001. Triple asterisk: P < 0.0001.
Microinjections of 0.3 μg glutamate facilitated the first episode of REM sleep (latency 38.01 ± 5.85 min, mean ± SD), compared with a REM sleep latency of 52.83 ± 11.56 min in saline controls (df = 7; t = 5.00; P = 0.0016). In addition to reduced REM sleep latency, 0.3 μg glutamate increased the mean duration of REM sleep (4.04 ± 0.30 min), compared with a REM sleep duration of 1.94 ± 0.27 min after control saline injections (df = 7; t = −12.053; P = 0.0001). During the first 2 h postinjection, the numbers of REM sleep episodes after injection of either 0.3 μg glutamate (2.38 ± 0.74) or control saline (2.63 ± 0.74) did not differ significantly (df = 7; t = 0.683; P = 0.517). This reduced latency and increased duration of REM sleep episodes increased the total percentage of time spent in REM sleep during the first 2 h after injection of 0.3 μg glutamate. During the 1st h after application of 0.3 μg glutamate, REM sleep percentages increased to 10.5 ± 2.07% (mean ± SD) compared with control saline (1.38 ± 1.06%; df = 7; t = −9.974; P = 0.0001). In the 2nd h, the increased REM sleep percentage (30.00 ± 2.78%) remained significantly higher (df = 7; t = −12.204; P = 0.0001) compared with control saline (19.75 ± 2.66%). During the 3rd h (18.38 ± 2.33%) and 4th h (18.50 ± 1.51%) of recordings, the REM sleep percentage did not change significantly compared with the control saline.
When the glutamate dosage was increased to 1.0 μg, the latency of REM sleep was further reduced to 24.54 ± 3.55 min. This reduction was highly significant (df = 7; t = 7.623; P = 0.0001) compared with REM sleep latency after control saline injection. Increased glutamate dosages also increased the mean duration of the REM sleep events to 5.91 ± 0.34 min (df = 7; t = −26.553; P = 0.0001). Like 0.3 μg glutamate, 1.0 μg glutamate did not change the frequency of REM sleep episodes (2.5 ± 0.54) compared with control saline (2.63 ± 0.74; df = 7; t = 0.552, P = 0.598). An increased glutamate dosage of 1.0 μg also increased the total percentage of time in REM sleep during the 1st, 2nd, and 3rd h to 24.88 ± 4.67% (df = 7; t = −14.655; P = 0.0001), 34.13 ± 3.48% (df = 7; t = −11.347; P = 0.0001), and 34.25 ± 6.96% (df = 7; t = −5.349; P = 0.0011), respectively. During the 4th h postinjection, the total percentage of time spent in REM sleep (14.13 ± 3.04%) was comparable with control values (18.14 ± 2.03%).
In contrast, a higher dosage of glutamate (3.0 μg) produced the opposite type of REM sleep response compared with lower doses (0.3 and 1.0 μg). Microinjection of 3.0 μg glutamate suppressed REM sleep completely for the first 2 h of the postinjection periods. During the 3rd h postinjection, REM sleep began to reappear, but the total percentage of REM sleep (9.14 ± 5.28%) was significantly less (df = 7; t = 3.935; P = 0.0058) compared with its control saline value. During the 4th h, this REM sleep percentage (20.13 ± 5.44%) returned to its control level.
Figure 9 shows representative polygraphic signs of REM sleep after control saline (Fig. 9A) and glutamate microinjections (Fig. 9B) into the cholinergic cell compartment of the PPT. Behavioral and polygraphic signs of REM sleep after glutamate application resembled those signs during REM sleep after control saline microinjections. During REM sleep, cortical EEG is activated (desynchronized), and is similar to a cortical EEG during W. Fig. 9.Sample of polygraphic recording obtained from same cat during REM sleep 90 min after PPT microinjection of control saline (A) and 1.0 μg l-glutamate (B). Note similarity in both records showing characteristic electrographic signs of REM sleep: low-voltage, high-frequency or desynchronized waves recorded from frontal cortex (EEG); muscular atonia (EMG); rapid eye movements (EOG); and PGO waves in lateral geniculate body EEG (LGB). Conventions as in Fig. 3.
DISCUSSION
The principal findings of this study are that 1) microinjection of low and medium dosages of the excitatory amino acid l-glutamate into the cholinergic cell compartment of the PPT increases the total amount of REM sleep, and 2) a higher dosage of l-glutamate increases the total amount of wakefulness when injected into the same site. As a consequence of this glutamate-induced increase in wakefulness and REM sleep, S is suppressed and/or eliminated. The results show for the first time that the excitation of the cholinergic cells of the PPT causes wakefulness and/or REM sleep depending on levels of activity relative to baseline. The results presented here strengthen and extend the hypothesis that the activity of PPT cholinergic cells is important for the generation of REM sleep as well as wakefulness (Datta 1995, 1997).
Methodological considerations
We chose to study freely moving unanesthetized cats under chronic conditions because this preparation provides for the most physiological approach to a longitudinal analysis of the behavioral and electrographic events related to the wake-sleep cycle (Siegel 1979; Siegel and McGinty 1977). After the habituation period of each experimental condition, the cats demonstrated regular values of W and sleep stages. Thus pharmacological manipulations that affected electrographic signs of wake-sleep patterns could be evaluated accurately.
Current concepts of brain stem cholinergic cells' involvement in behavioral state control are based in large part on spontaneous activity patterns of PPT cells across the wake-sleep cycle (Datta 1995). Modulation of these PPT cholinergic cells' activity correlates highly with changes in behavioral state, but is not definitive evidence of causality. Barring more direct evidence, the correlative behavior of PPT cholinergic neurons across states cannot be considered as causative with complete confidence. In this study, we used local microinjections of l-glutamate to increase the activity of cells located within the cholinergic cell compartments of the PPT. In the study of the structure-function relationship at the system level, cerebral microinjection of the excitatory amino acid l-glutamate has certain advantages over traditional lesion and electrical stimulation techniques, especially in the study of the wake-sleep cycle. Local application of l-glutamate excites mostly cell bodies of that particular diffusion site, but electrolytic lesion and electrical stimulation includes not only a larger area, it also includes processes of the cell body and fibers passing through that particular region (Mayer and Westbrook 1987; Sakai et al. 1976). The level of excitation of a population of neurons (multiunit activity) could be changed in a dose-dependent manner by changing the concentration of injected l-glutamate (Mayer and Westbrook 1987). Thus l-glutamate application to excite particular cell groups that affect wake-sleep patterns could be accurately evaluated for causality.
A major limitation of the l-glutamate microinjection method relates to the diversity in the neurochemical nature of the neuronal population affected by the application (Mayer and Westbrook 1987). l-glutamate is a nonspecific excitatory amino acid that excites all types of neuronal cells with different neurochemical signatures. In this study, we injected glutamate into the part of the PPT where most cells are cholinergic (Jones and Beaudet 1987; Shiromani et al. 1988; Vincent and Reiner 1987). But we acknowledge that if there are noncholinergic cells within those cholinergic cell groups, they would also be excited by the application of glutamate.
Anatomic considerations
With the use of specific monoclonal antibodies to choline acetyltransferase (ChAT), the laterodorsal tegmental nucleus and PPT have been shown to be the major aggregations of cholinergic neurons in the mammalian brain stem (Armstrong et al. 1983; Jones and Beaudet 1987; Kimura et al. 1981; Mesulam et al. 1983, 1984, 1989; Satoh and Fibiger 1985; Shiromani et al. 1988; Vincent and Reiner 1987). All of these ChAT-positive cells also displayed intense NADPH-diaphorase activity (Vincent et al. 1983, 1986). Thus mesopontine NADPH-diaphorase-positive cells are unequivocally considered to be the cholinergic cells (Luebke et al. 1992, 1993; Steriade et al. 1990; Vincent et al. 1983, 1986; Williams and Reiner 1993). All of our eight positive injection sites were located within the cluster of NADPH-diaphorase-positive cells of the PPT at stereotaxic levels A0.5–P0.5. At this stereotaxic level 95% of those cells are cholinergic (Reiner and Vincent 1987; Steriade et al. 1990; Webster and Jones 1988). Four other injection sites were close to these positive sites but were not effective in changing electrographic events related to the wake-sleep cycle. In fact, in these injection sites, very few cells were NADPH-diaphorase positive. These results indicate that electrographic changes in the wake-sleep cycle observed after glutamate microinjection into the PPT were mainly due to the excitation of cholinergic cells.
Role of the PPT in REM sleep generation
The results of the present study demonstrate that the microinjection of l-glutamate into the cholinergic cell compartments of the PPT increases REM sleep in a dose-dependent manner. These results are consistent with the hypothesis that the activity of mesencephalic cholinergic neurons is involved in the generation of REM sleep (Datta 1995).
Histological identifications of glutamate injection sites were shown to be within the cluster of the cholinergic cell compartment of the PPT. We suggest that the glutamatergic stimulation of those cells caused release of ACh. In support of our suggestion, one earlier electrical stimulation study has shown that the stimulation of PPT cells in an anesthetized preparation releases ACh (Lydic and Baghdoyan 1993).
In the last decade, evidence has accumulated indicating that each of the events of REM sleep is generated by distinct cell groups in the brain stem (reviewed in Datta 1995). Although these cell groups are distinct, they are components of a widely distributed network (Datta and Hobson 1994, 1995; Jones 1991; Morrison 1979; Sakai 1985; Vertes 1984). Cortical EEG desynchronization of REM sleep is controlled by the peribrachial area; muscle atonia by nucleus locus coeruleus-alpha; rapid eye movements by the rostral periabducens reticular formation; PGO waves by the caudolateral peribrachial area; the hippocampal theta rhythm by the pontis oralis; muscle twitches by the nucleus giganto cellularis, especially the caudal part; and increases in brain temperature and cardiorespiratory fluctuations by the parabrachial nucleus (Bertrand and Hugelin 1971; Datta 1995, 1996; Datta and Hobson 1994, 1995; Datta et al. 1989; El-Mansari et al. 1989; Gottesmann 1992; Jones 1991; Morrison 1979; Sakai 1985; Shouse and Siegel 1992; Steriade et al. 1990; Vertes 1984). We suggest that the glutamate induced low to medium levels of excitation of the PPT cholinergic cells, resulting in release of ACh into all of the above REM-sleep-sign-generating structures of the brain stem.
Neuroanatomic studies in which retrograde tracers were used have shown that the axons of PPT cholinergic cells project to the REM-sleep-sign-generating structures of the brain stem (Jones 1991; Leichnetz et al. 1989; Mitani et al. 1988; Satoh and Fibiger 1986; Semba 1993; Semba et al. 1990; Shiromani et al. 1988). These anatomic connectivity studies indicate that the PPT cholinergic cells could release ACh to the cholinoceptive REM-sleep-generating structures of the brain stem. The present study also suggests that the glutamatergic stimulation of the PPT cholinergic cells excites REM-sleep-sign-generating cells by releasing ACh and ultimately induces REM sleep. In support of this suggestion, several studies have shown that the local microinjection of cholinomimetics into the many discrete parts of the pons evoke a state that is behaviorally and electrophysiologically similar to REM sleep (Baghdoyan et al. 1993; Baxter 1969; Chase and Morales 1990; Datta et al. 1992; Gnadt and Pegram 1986; Mitler and Dement 1974; Vanni-Mercier et al. 1989; Velazquez-Moctezuma et al. 1989). Also, it has been shown that each of these REM sleep signs could be triggered individually by microinjection of a cholinergic agonist into its respective triggering structure in the brain stem (Datta 1996; Datta et al. 1991, 1992; Magherini et al. 1971; Nunez et al. 1991; Reid et al. 1994; Vertes et al. 1993).
Another line of evidence supporting the notion that the PPT neurons are involved in the generation of REM sleep comes from extracellular single-cell recording studies (Datta 1995; Datta et al. 1989; El-Mansari et al. 1989; Kayama et al. 1992; Steriade et al. 1990). These studies recorded the activity of a group of PPT cholinergic neurons that increased their firing rates during REM sleep. The results of the present study are direct evidence implicating the excitation of PPT cholinergic cells in the generation of REM sleep.
On the basis of single-cell recording studies (Datta 1995; El-Mansari et al. 1989), we expected to see some changes in PGO wave density after glutamatergic excitation of the PPT cells. To our surprise, we did not observe any differences in PGO wave density or any state-independent PGO waves after glutamatergic stimulation. This observation suggests that activation of PPT cells alone is insufficient to induce PGO waves; however, it seems clear that these cells do play an important role in PGO wave generation and modulation (Datta 1997; Datta and Hobson 1994).
Role of the PPT in wakefulness
At present there are only two lines of evidence implicating involvement of the PPT cholinergic cells in wakefulness. The first comes from extracellular single-cell recording studies. One group of PPT cholinergic cells is active both during wakefulness and REM sleep (Datta 1995; Datta et al. 1989; El-Mansari et al. 1989; Saito et al. 1977). These cells have a much higher firing rate during active W than during REM sleep. The second line of evidence comes from local microinjection studies. Microinjection of a cholinergic agonist into the locus coeruleus excites noradrenergic cells and activates cortical EEG (Berridge and Foote 1991). From these studies, we hypothesized that the maximal level of activity of the mesencephalic cholinergic neurons would induce wakefulness (Datta 1995). The results of the present study demonstrate that a higher dose of l-glutamate microinjection into the cholinergic cell compartments of the PPT induces wakefulness. This finding directly supports the hypothesis that the maximal level of activity of the cholinergic neurons induces and sustains wakefulness.
To explain the observation, we suggest that the high dose of l-glutamate maximally activates PPT cholinergic cells. Maximal excitation of cholinergic cells released ACh to the locus coeruleus and other structures involved in wakefulness. It is already known that the locus coeruleus receives afferent inputs from the PPT cholinergic cells (Jones 1991; McBride and Sutin 1976; Sakai et al. 1977). It is also known that the cholinergic agonist directly excites locus coeruleus cells (Berridge and Foote 1991). Excitation of the locus coeruleus noradrenergic cells causes inhibition of REM-sleep-sign-generating cells and ultimately causes wakefulness (Aston-Jones and Bloom 1981; Hobson et al. 1975; Karczmar et al. 1970; McCarley and Hobson 1975). Indeed, noradrenergic agonists suppressed REM sleep by inhibiting REM-sleep-sign-generating cells (Bier and McCarley 1994; Tononi et al. 1989, 1991; Williams and Reiner 1993).
Role of the PPT in cortical activation
Cortical activation is a prerequisite for perceptual processes and purposeful behaviors. The replacement of high-amplitude synchronized EEG waves by low-voltage, high-frequency desynchronized waves in the neocortex is now recognized as a reliable indicator of cortical activation (Berridge and Foote 1991; Buzsaki et al. 1988; Jacobs 1986; Jasper and Carmichael 1935; Moruzzi and Magoun 1949; Rheinberger and Jasper 1937; Steriade et al. 1990; Vanderwolf 1988; Whalen et al. 1994). Cortical activation is a striking characteristic of wakefulness and REM sleep (Aserinsky and Kleitman 1953; Dement and Kleitman 1957). The cellular, molecular, and network mechanisms for cortical activation are different during wakefulness and REM sleep (reviewed and modeled in Datta 1995).
Given the long-term association of ACh with neocortical activation or arousal (Celesia and Jasper 1966; Jasper and Tessier 1971; Longo 1966; Szerb 1967; Wikler 1952), very little research has been directed toward the contribution of the brain stem cholinergic system to neocortical activation (Datta 1995; Steriade et al. 1990; Williams et al. 1994). Single-cell recording studies in behaving cats have shown that a group of PPT cholinergic cells is active both during wakefulness and REM sleep. These cells' firing rates began to increase 20–60 s before the onset of both wakefulness and REM sleep in the transition from S (reviewed in Datta 1995). The increased neuronal activity of the PPT cholinergic cells that heralds cortical (EEG) activated states (wakefulness and REM sleep) implicates these neurons as causal elements for the cortical activation. By demonstrating that glutamatergic stimulation of PPT cholinergic cells increases cortically activated states of wakefulness and REM sleep by suppressing S, the present study supports the idea that PPT cholinergic cells are causal to the cortical activation.
Limitations and future studies
The present data cannot address the involvement of specific glutamate receptor subtypes by which PPT cholinergic cells were stimulated to produce their effects on sleep and wakefulness. The excitatory amino acid glutamate is a mixed agonist for the N-methyl-d-aspartate (NMDA) and non-NMDA receptors (Mayer and Westbrook 1987). The present results point to the need for future studies to specify the receptor subtypes involved in the glutamatergic excitation of the PPT cholinergic cell.
Another limitation, which can be confirmed and quantified by future studies, is the amount of ACh release in the locus coeruleus and REM-sleep-sign-generating structures of the brain stem after glutamate microinjection into the PPT cholinergic cell compartments. The present results also encourage the measurement of norepinephrine levels in the REM-sleep-sign-generating structures of the brain stem after microinjection of a high dose of l-glutamate into the cholinergic cell compartments of the PPT.
Despite the above limitations, our results show for the first time that the increased activity of cholinergic cells of the PPT is causal for the generation of REM sleep as well as for wakefulness. The present study also contributes, currently, the most direct evidence for the role of the brain stem cholinergic system in cortical activation.
We thank P. B. Cipolloni, J. R. Galler, J. A. Hobson, J. I. Luebke, P. J. Morgane, D. N. Pandya, E. Patterson, J. Rushmore, and J. Tonkiss for helpful discussion and critical comments on this manuscript.
This research was supported by National Institutes of Health Grants NS-34004 to S. Datta and HD-22539 to J. R. Galler, and the William F. Milton award from Harvard Medical School to S. Datta.
REFERENCES
- 1 Distribution of cholinergic neurons in the rat brain demonstrated by the immunohistochemical localization of choline-acetyltransferase.J. Comp. Neurol.20019835363
Crossref | ISI | Google Scholar - 2 Regularly occurring periods of eye motility, and concomitant phenomena during sleep.Science Wash. DC1181953273274
Crossref | PubMed | ISI | Google Scholar - 3 Activity of norepinephrine-cntaining locus coeruleus neurons in behaving rats anticipates fluctuations in the sleep-waking cycle.J. Neurosci.11981876886
Crossref | PubMed | ISI | Google Scholar - 4 Simultaneous pontine and basal forebrain microinjections of carbachol suppress REM sleep.J. Neurosci.131993229242
Crossref | PubMed | ISI | Google Scholar - 5 Induction of both emotional behavior and a novel form of REM sleep by chemical stimulation applied to cat mesencephalon.Exp. Neurol.231969220229
Crossref | PubMed | ISI | Google Scholar - 6 The Brainstem of the Cat. A Cytoarchitectonic Atlas With Stereotaxic Coordinates.1968Univ. of Wisconsin PressMadison, WI
Google Scholar - 7 Effects of locus coeruleus activation on electroencephalographic activity in neocortex and hippocampus.J. Neurosci.11199131353145
Crossref | PubMed | ISI | Google Scholar - 8 Respiratory synchronizing function of the nucleus parabrachialis medialis: pneumotaxic mechanism.J. Neurophysiol.341971189207
Link | ISI | Google Scholar - 9 REM-enhancing effects of the adrenergic antagonist idazoxan infused into the medial pontine reticular formation of the freely moving cat.Brain Res.6341994333338
Crossref | PubMed | ISI | Google Scholar - 10 Nucleus basalis and thalamic control of neocortical activity in the freely moving rat.J. Neurosci.8198840074026
Crossref | PubMed | ISI | Google Scholar - 11 Acetylcholine released from cerebral cortex in relation to state of activation.Neurology16196610531064
Crossref | PubMed | ISI | Google Scholar - 12 The atonia and myoclonia of active (REM) sleep.Annu. Rev. Psychol.411990557584
Crossref | PubMed | ISI | Google Scholar - 13 Neuronal activity in the peribrachial area: relationship to behavioral state control.Neurosci. Biobehav. Rev.1919956784
Crossref | PubMed | ISI | Google Scholar - 14 Datta, S. Cellular basis of pontine ponto-geniculo-occipital wave generation and modulation. Cell. Mol. Neurobiol. In press.
Google Scholar - 15 Long-term enhancement of REM sleep following cholinergic stimulation.Neuroreport21991619622
Crossref | PubMed | ISI | Google Scholar - 16 Cholinergic microstimulation of the peribrachial nucleus in the cat. I. Immediate and prolonged increases in ponto-geniculo-occipital waves.Arch. Ital. Biol.1301992263284
PubMed | ISI | Google Scholar - 17 Neuronal activity in the caudo-lateral peribrachial pons: relationship to PGO waves and rapid eye movements.J. Neurophysiol.71199495109
Link | ISI | Google Scholar - 18 Suppression of ponto-geniculo-occipital waves by neurotoxic lesions of pontine caudo-lateral peribrachial cells.Neuroscience671995703712
Crossref | PubMed | ISI | Google Scholar - 19 Thalamic-projecting neurons in brainstem cholinergic nuclei increase their firing rates one minute in advance of EEG desynchronization associated with REM sleep.Soc. Neurosci. Abstr.151989452
Google Scholar - 20 Effect of specific muscarinic M2 receptor antagonist on carbachol induced long-term REM sleep.Sleep161993814
PubMed | ISI | Google Scholar - 21 Cyclic variations in EEG during sleep and their relation to eye movements, body motility and dreaming.Electroencephalogr. Clin. Neurophysiol.91957673690
Crossref | PubMed | Google Scholar - 22 Unitary characteristics of presumptive cholinergic tegmental neurons during the sleep-waking cycle in freely moving cats.Exp. Brain Res.761989519529
Crossref | PubMed | ISI | Google Scholar - 23 Cholinergic mechanisms in REM sleep.Sleep: Neurotransmitters and Neuromodulators, Wauquier A.1985153164RavenNew York
Google Scholar - 24 Cholinergic brainstem mechanism of REM sleep in the rat.Brain Res.38419862941
Crossref | PubMed | ISI | Google Scholar - 25 Theta rhythm: the brain stem involvement.Neurosci. Biobehav. Rev.1619922530
Crossref | PubMed | ISI | Google Scholar - 26 Dependence of REM sleep PGO waves on cholinergic mechanisms.Brain Res.481972412416
Crossref | PubMed | ISI | Google Scholar - 27 Cholinergic pathways for sleep, alertness and rage in the limbic midbrain circuit.Acta Neurol. Latinoam.819629396
Google Scholar - 28 Sleep cycle oscillations: reciprocal discharge by two brainstem neuronal groups.Science Wash. DC18919755558
Crossref | PubMed | ISI | Google Scholar - 29 Single unit activity of locus coeruleus neurons in behaving animals.Prog. Neurobiol.271986183194
Crossref | PubMed | ISI | Google Scholar - 30 Neurochemical basis of the PGO wave.Brain Res.481972406411
Crossref | PubMed | ISI | Google Scholar - 31 Electrical potentials from the intact human brain.Science Wash. DC8119355153
Crossref | PubMed | Google Scholar - 32 Acetylcholine liberation from cerebral cortex during paradoxical (REM) sleep.Science Wash. DC1721971601602
Crossref | PubMed | ISI | Google Scholar - 33 Paradoxical sleep and its chemical/structural substrates in the brain.Neuroscience401991637656
Crossref | PubMed | ISI | Google Scholar - 34 Distribution of acetylcholine and catecholamine neurons in the cat brain stem studied by choline acetyltransferase and tyrosine hydroxylase immunohistochemistry.J. Comp. Neurol.26119871532
Crossref | PubMed | ISI | Google Scholar - 35 pharmacological model of paradoxical sleep: the role of cholinergic and monoamine systems.Physiol. Behav.51970175182
Crossref | PubMed | ISI | Google Scholar - 36 Firing of “possibly” cholinergic neurons in the rat laterodorsal tegmental nucleus during sleep and wakefulness.Brain Res.5691992210220
Crossref | PubMed | ISI | Google Scholar - 37 The central cholinergic system studied by choline acetyltransferase immunohistochemistry in the cat.J. Comp. Neurol.2001981151201
Crossref | PubMed | ISI | Google Scholar - 38 Enhancement of acetylcholine release during paradoxical sleep in the dorsal tegmental field of the cat brain stem.Neurosci. Lett.1141990277282
Crossref | PubMed | ISI | Google Scholar - 39 Afferent and efferent connections of the cholinoceptive medial pontine reticular formation (region of the ventral tegmental nucleus) in the cat.Brain Res. Bull.221989665688
Crossref | PubMed | ISI | Google Scholar - 40 Effects of scopolamine and atropine on electroencephalographic and behavioral reactions due to hypothalamic stimulation.J. Pharmacol.1161966198208
Google Scholar - 41 Serotonin hyperpolarizes cholinergic low-threshold burst neurons in the rat laterodorsal tegmental nucleus in vitro.Proc. Natl. Acad. Sci. USA891992743747
Crossref | PubMed | ISI | Google Scholar - 42 Inhibitory action of muscarinic agonists on neurons in the rat laterodorsal tegmental nucleus in vitro.J. Neurophysiol.70199321282135
Link | ISI | Google Scholar - 43 Pedunculopontine stimulation alters respiration and increases Ach release in the pontine reticular formation.Am. J. Physiol.264Regulatory Integrative Comp. Physiol. 331993R544R554
Abstract | ISI | Google Scholar - 44 Microdialysis of cat pons reveals enhanced acetylcholine release during state-dependent respiratory depression.Am. J. Physiol.261Regulatory Integrative Comp. Physiol. 301991R766R770
Abstract | ISI | Google Scholar - 45 The neurochemical basis of REM sleep: a cholinergic mechanism responsible for rhythmic activation of the vestibulo-oculomotor system.Brain Res.351971565569
Crossref | PubMed | ISI | Google Scholar - 46 The physiology of excitatory amino acids in the vertebrate central nervous system.Prog. Neurobiol.281987197276
Crossref | PubMed | ISI | Google Scholar - 47 Projections of the locus coeruleus and adjacent pontine tegmentum in the cat.J. Comp. Neurol.1651976265284
Crossref | PubMed | ISI | Google Scholar - 48 Neuronal excitability modulation over the sleep cycle: a structural and mathematical model.Science Wash. DC18919755860
Crossref | PubMed | ISI | Google Scholar - 49 Ponto-geniculo-occipital (PGO) burst neurons: correlative evidence for neuronal generators of PGO waves.Science Wash. DC2011978269272
Crossref | PubMed | ISI | Google Scholar - 50 Human reticular formation: cholinergic neurons of the pedunculopontine and laterodorsal tegmental nuclei and some cytochemical comparisons to forebrain cholinergic neurons.J. Comp. Neurol.2811989611633
Crossref | ISI | Google Scholar - 51 Atlas of cholinergic neurons in the forebrain and upper brainstem of the macaque based on monoclonal choline acetyltransferase immunohistochemistry and acetylcholinesterase histochemistry.Neuroscience121984669686
Crossref | PubMed | ISI | Google Scholar - 52 Central cholinergic pathways in the rat: an overview based on an alternative nomenclature (Ch1–Ch6).Neuroscience10198311851201
Crossref | PubMed | ISI | Google Scholar - 53 Cholinergic projections from the laterodorsal and pedunculopontine tegmental nuclei to the pontine gigantocellular tegmental field in the cat.Brain Res.4511988397402
Crossref | PubMed | ISI | Google Scholar - 54 Cataplectic-like behavior in cats after microinjections of carbachol in pontine reticular formation.Brain Res.681974335343
Crossref | PubMed | ISI | Google Scholar - 55 Brainstem regulation of behavior during sleep and wakefulness.Prog. Neurobiol. Physiol. Psychol.8197991131
Google Scholar - 56 Brainstem reticular formation and activation of the EEG.Electroencephalogr. Clin. Neurophysiol.11949455473
Crossref | PubMed | Google Scholar - 57 REM sleep burst neurons, PGO waves, and eye movement information.J. Neurophysiol.501983784797
Link | ISI | Google Scholar - 58 Relationships of nucleus reticularis pontis oralis discharge with sensory and carbachol evoked hippocampal theta rhythm.Exp. Brain Res.871991303308
Crossref | PubMed | ISI | Google Scholar - 59 Cholinergic regulation of cataplexy in canine narcolepsy in the pontine reticular formation is mediated by M2 muscarinic receptors.Sleep171994424435
PubMed | ISI | Google Scholar - 60 Topographic relations of cholinergic and noradrenergic neurons in the feline pontomesencephalic tegmentum: an immunohistochemical study.Brain Res. Bull.191987705714
Crossref | PubMed | ISI | Google Scholar - 61 Electrical activity of the cerebral cortex in the unanesthetized cat.Am. J. Physiol.1191937186196
Abstract | Google Scholar - 62 Drugs and PGO waves in the lateral geniculate body of the curarized cat. IV. The effects of acetylcholine, GABA and benzodiazepines on PGO wave activity.Arch. Int. Pharmacodyn. Ther.2191976308325
PubMed | Google Scholar - 63 Discharge patterns of the nucleus parabrachialis lateralis neurons of the cat during sleep and waking.Brain Res.13419775972
Crossref | PubMed | ISI | Google Scholar - 64 Anatomical and physiological basis of paradoxical sleep.Brain Mechanisms of Sleep, McGinty R., Drucker-Colin R., Morrison A., Parmeggiani L.1985111137RavenNew York
Google Scholar - 65 Brainstem PGO-on cells projecting directly to the cat dorsal lateral geniculate nucleus.Brain Res.1941980500505
Crossref | PubMed | ISI | Google Scholar - 66 Effects of pontomesencephalic lesions and electrical stimulation upon PGO waves and EMPs in unanesthetized cats.Electroencephalogr. Clin. Neurophysiol.419764963
Crossref | Google Scholar - 67 Afferent projections to the cat locus coeruleus as visualized by the horseradish peroxidase technique.Brain Res.11919772141
Crossref | PubMed | ISI | Google Scholar - 68 new enzyme marker for striatal compartmentalization: NADPH diaphorase activity in the caudate nucleus and putamen of the cat.J. Comp. Neurol.2431986326339
Crossref | PubMed | ISI | Google Scholar - 69 Distribution of central cholinergic neurons in the baboon (Papio papio). II. A topographic atlas correlated with catecholamine neurons.J. Comp. Neurol.2361985215233
Crossref | PubMed | ISI | Google Scholar - 70 Cholinergic neurons of the laterodorsal tegmental nucleus: efferent and afferent connections.J. Comp. Neurol.2531986277302
Crossref | PubMed | ISI | Google Scholar - 71 Aminergic and cholinergic afferents to REM sleep induction regions of the pontine reticular formation in the rat.J. Comp. Neurol.3301993543556
Crossref | PubMed | ISI | Google Scholar - 72 Single cholinergic mesopontine tegmental neurons project to both the pontine reticular formation and the thalamus in the rat.Neuroscience381990643654
Crossref | PubMed | ISI | Google Scholar - 73 Distribution of acetyltransferase immunoreactive somata in the feline brainstem: implications for REM sleep generation.Sleep111988116
Crossref | PubMed | ISI | Google Scholar - 74 Pontine regulation of REM sleep components in cats: PPT is important for phasic events but unneccessary for atonia during REM sleep.Brain Res.57119925063
Crossref | PubMed | ISI | Google Scholar - 75 The ascending cholinergic reticular system: neocortical, olfactory, and subcortical projections.Brain901967497520
Crossref | PubMed | ISI | Google Scholar - 76 Behavioral functions of the reticular formation.Brain Res. Rev.1197969105
Crossref | Google Scholar - 77 Pontine reticular formation neurons: relationship of discharge to motor activity.Science Wash. DC1961977678680
Crossref | PubMed | ISI | Google Scholar - 78 Neuronal activities in brain-stem cholinergic nuclei related to tonic activation processes in thalamocortical systems.J. Neurosci.10199025412559
Crossref | PubMed | ISI | Google Scholar - 79 Cortical acetylcholine release and electroencephalographic arousal.J. Physiol. Lond.1921967329343
Crossref | Google Scholar - 80 Suppression of desynchronized sleep through microinjection of alpha-2-adrenergic agonists and antagonists in the dorsal pontine tegmentum of the cat.Pfluegers Arch.4181991512518
Crossref | PubMed | ISI | Google Scholar - 81 Modulation of desynchronized sleep through microinjection of beta-adrenergic agonists and antagonists in the dorsal pontine tegmentum of the cat.Pfluegers Arch.4151989142149
Crossref | PubMed | ISI | Google Scholar - 82 A Manual for Standardized Scoring of Sleep and Waking States in the Adult Cat.1981Univ. of California, Brain Information Service, Brain Research InstituteLos Angeles, CA
Google Scholar - 83 Cerebral activity and behavior: control by central cholinergic and serotonergic systems.Int. Rev. Neurobiol.301988225340
Crossref | PubMed | ISI | Google Scholar - 84 Mapping of cholinoceptive brainstem structures responsible for the generation of paradoxical sleep in the cat.Arch. Ital. Biol.1271989133164
PubMed | ISI | Google Scholar - 85 Effect of specific M1, M2 muscarinic receptor agonists on REM sleep generation.Brain Res.5031989128131
Crossref | PubMed | ISI | Google Scholar - 86 Brainstem control of the events of REM sleep.Prog. Neurobiol.221984241288
Crossref | PubMed | ISI | Google Scholar - 87 Brainstem sites for the carbachol elicitation of the hippocampal theta rhythm in the rat.Exp. Brain Res.961993419429
Crossref | PubMed | ISI | Google Scholar - 88 The immunohistochemical localization of choline acetyltransferase in the cat brain.Brain Res. Bull.181987371415
Crossref | PubMed | ISI | Google Scholar - 89 NADPH-diaphorase: a selective histochemical marker for the cholinergic neurons of the pontine reticular formation.Neurosci. Lett.4319833136
Crossref | PubMed | ISI | Google Scholar - 90 Neuropeptides and NADPH-diaphorase activity in the ascending cholinergic reticular system of the rat.Neuroscience171986167182
Crossref | PubMed | ISI | Google Scholar - 91 Neurotoxic lesions of the dorsolateral pontomesencephalic tegmentum cholinergic cell area in the cat.II. Effects upon sleep-waking states.Brain Res.4581988285302
Crossref | PubMed | ISI | Google Scholar - 92 Neuronal activity within the nucleus basalis and conditioned neocortical electroencephalographic activation.J. Neurosci.14199416231633
Crossref | PubMed | ISI | Google Scholar - 93 Pharmacologic dissociation on behavior and EEG sleep patterns in dogs: morphine, N-allylnormorphine and atropine.Proc. Soc. Exp. Biol. Med.791952261265
Crossref | PubMed | ISI | Google Scholar - 94 State-dependent release of acetylcholine in rat thalamus measured by in vivo microdialysis.J. Neurosci.14199452365242
Crossref | PubMed | ISI | Google Scholar - 95 Noradrenaline hyperpolarizes identified rat mesopontine cholinergic neurons in vitro.J. Neurosci.13199338783883
Crossref | PubMed | ISI | Google Scholar

