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Am J Physiol Regul Integr Comp Physiol 275: R509-R514, 1998;
0363-6119/98 $5.00
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Vol. 275, Issue 2, R509-R514, August 1998

Epidermal growth factor enhances spontaneous sleep in rabbits

Tetsuya Kushikata1, Jidong Fang1, Zutang Chen1, Ying Wang2, and James M. Krueger1

1 Department of Veterinary and Comparative Anatomy, Pharmacology and Physiology, Washington State University, Pullman, Washington 99164-6520; and 2 Department of Physiology, The University of Tennessee-Memphis, Memphis, Tennessee 38163

    ABSTRACT
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Abstract
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Materials & Methods
Results
Discussion
References

Several growth factors are implicated in sleep regulation. Epidermal growth factor (EGF) is found in the brain, and it influences the production of several sleep-promoting substances. We determined, therefore, whether administration of exogenous EGF affected spontaneous sleep in rabbits. Twenty-five rabbits were implanted with electroencephalographic electrodes, a brain thermistor, and an intracerebroventricular guide cannula. Three doses of EGF (0.5, 5, and 25 µg) were used. The animals were injected intracerebroventricularly with saline as control and one dose of EGF on 2 separate days. Five and twenty-five micrograms of EGF enhanced non-rapid eye movement sleep and increased brain temperature. The 25-µg dose of EGF also inhibited rapid eye movement sleep across the 23-h postinjection recording period. Results are consistent with the hypothesis that EGF, like other growth factors, could be involved in sleep regulation.

fever; rapid eye movement sleep; slow-wave sleep; cytokine; electroencephalogram

    INTRODUCTION
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Abstract
Introduction
Materials & Methods
Results
Discussion
References

A VARIETY OF GROWTH FACTORS are implicated in sleep regulation; the list includes endocrine secretions such as growth hormone (GH), GH-releasing hormone (GHRH), prolactin (PRL), and insulin and autocrine or exocrine secretions such as interleukin (IL)-1beta , tumor necrosis factor-alpha (TNF-alpha ), acidic fibroblast growth factor (aFGF), and nerve growth factor (NGF) (reviewed in Refs. 6, 13, 14, 16, 18, 22, 25). All of these substances, if injected, have the capacity to enhance either non-rapid eye movement sleep (NREMS) (insulin, IL-1beta , TNF, aFGF) or rapid eye movement sleep (REMS) (GH, PRL) or both (GHRH, NGF). Inhibition of GH, IL-1, TNF, NGF, and GHRH inhibits spontaneous sleep, and in the case of GHRH, IL-1, and TNF, sleep rebound after sleep deprivation (reviewed in Ref. 19).

All of these substances are in the brain, and for some (i.e., GHRH, IL-1, and TNF) a diurnal rhythm and/or sleep-wake-related production in brain has been demonstrated (3, 9, 35). Consistent with these findings, it is hypothesized that sleep is regulated, in part, by growth factors whose rate of production is synaptic-use dependent. These growth factors are likely involved locally in the synaptic sculpturing process, which is hypothesized to represent a central nervous system manifestation of a wider growth function of sleep (reviewed in Ref. 20).

Epidermal growth factor (EGF) is one of the growth factors that has the ability to coordinate cell growth, proliferation, differentiation and multifunctional maintenance by inducing DNA synthesis and cell division (4). EGF has been isolated from the brain (7, 33), and its receptors are widely distributed in brain (36). EGF also acts as a neurotrophic survival and maintenance factor for neurons (31). EGF stimulates GH secretion (11), IL-1 biological activity, and IL-1beta mRNA levels (23). EGF also stimulates nitric oxide (NO) production (29); NO is also implicated in sleep regulation (15). The ability of EGF to influence substances known to be involved in sleep regulation and its general involvement in growth suggest that EGF may play a role in sleep regulation. We now report that administration of exogenous EGF to rabbits is associated with an enhancement of NREMS.

    MATERIALS AND METHODS
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Abstract
Introduction
Materials & Methods
Results
Discussion
References

Recombinant human EGF was purchased from Calbiochem Biochemicals (La Jolla, CA). This EGF is a single-chain polypeptide containing 54 amino acids identical to human EGF except for an additional NH2-terminal methionine. This material is mitogenic for a wide range of ectoderm-derived cells from various tissues, and it also acts as a survival factor in preventing apoptosis (24). Substances were dissolved in pyrogen-free isotonic NaCl (PFS; Abbott Laboratories, North Chicago, IL). Injections were done in a volume of 25 µl.

Animals. Male New Zealand White Pasteurella-free rabbits (4.0-5.0 kg) were implanted with a lateral ventricular guide cannula, stainless steel electroencephalographic (EEG) electrodes, and a brain thermistor using ketamine-xylazine (35 and 5 mg/kg ip) anesthesia as previously described (17). In brief, the guide cannula was placed in left lateral ventricle for intracerebroventricular injection. The EEG electrodes were placed over the frontal and parietal cortexes. A calibrated 30-kOmega thermistor (model no. 44008; Omega Engineering, Stamford, CT) was implanted on the dura mater over the parietal cortex to measure brain temperature (Tbr). The leads from EEG electrodes and the thermistor were routed to a Teflon pedestal (Plastics One, Roanoke, VA). The pedestal and the guide cannula were attached to the skull with dental acrylic (Duz-All; Cordite Dental Product, Skokie, IL). After a 2-wk recovery period, the animals were placed in sleep-recording chambers (Hot Pack 352600, Philadelphia, PA) for at least one 24-h habituation. The rabbits were kept on a 12:12-h light-dark cycle (lights on at 0600) at 21 ± 1°C ambient temperature. Water and food were available ad libitum throughout the experiment.

Experimental protocols. A total of 25 rabbits were used in these experiments. Each rabbit received an injection of 25 µl of PFS intracerebroventricularly on a separate day to obtain control values. The same animals were then injected intracerebroventricularly with one of three doses of EGF: group 1, 0.5 µg (n = 8); group 2, 5 µg (n = 9); group 3, 25 µg (n = 8). The injections took place between 0840 and 0915. After injections, EEG, Tbr, and motor activity were recorded for the next 23 h as described previously (17).

Recording and analysis. The rabbits were allowed relatively unrestricted movement inside the recording cages. A flexible tether connecting the electrodes and thermistor led to an electronic swivel (SL6C, Plastics One). Body movements were detected by ultrasonic detectors (Biomedical Instrumentation, University of Tennessee). The leads from the electronic swivel and movement detectors were routed to Grass 7D polygraphs (Grass, Quincy, MA) in an adjacent room. The EEG was filtered below 0.1 Hz and above 35 Hz. The amplified signals were digitized at the frequency of 128 Hz for the EEG and at 2 Hz for Tbr and motor activity. Tbr data were saved on the computer in 10-s intervals. Tbr values, averaged in 3-h intervals, were used for statistical analysis. Some of the Tbr data were lost because of technical problems; therefore, the sample sizes for Tbr were lower than for sleep data. Online Fourier analysis of the EEG was performed. The vigilance states were determined offline in 10-s epochs. The vigilance states of wakefulness (W), NREMS, and REMS were visually identified in 10-s epochs using criteria previously reported (34). Briefly, W was characterized by fast low-amplitude EEG waves, gradually increasing Tbr, and high incidence of gross body movements. NREMS was associated with slow (0.5-4 Hz) high-amplitude EEG waves, slowly decreasing Tbr, and lack of body movements. In contrast, REMS was characterized by fast low-amplitude EEG waves, the appearance of rhythmic theta activity in the EEG, rapidly increasing Tbr at REMS onset, and a lack of motor activity. The amount of time spent in each vigilance state was calculated for 1-h intervals and for the entire recording period. The percent of time spent in sleep for 3-h intervals was used for statistical analyses. In addition, the number of NREMS and REMS episodes, the mean episode lengths, and the mean lengths of sleep cycles (REMS-REMS interval) were determined using a computer program with the criterion that each episode lasted at least 30 s. The EEG power density values were summed in four frequency bands for each 10-s epoch; delta (0.5-4.0 Hz)-, theta (4.5-8.0 Hz)-, alpha (8.5- 12.0 Hz)-, and beta (12.5-30 Hz)-wave activity were calculated. Hourly averages of the EEG power density values in the four frequency bands were determined for W, NREMS, and REMS separately.

Statistical analysis. All analyses were performed with two-way ANOVA for repeated measures across the entire recording period followed by Student-Newman-Keuls test. A significance level of P < 0.05 was accepted.

    RESULTS
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Abstract
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Materials & Methods
Results
Discussion
References

Intracerebroventricular administration of the lowest dose of EGF tested in these experiments, 0.5 µg, did not affect NREMS, REMS, and Tbr. In contrast, intracerebroventricular administration of 5 µg of EGF significantly increased the amount of time spent in NREMS [ANOVA, treatment effect: F(1,8) = 6.30; P < 0.05] and elevated Tbr [ANOVA; treatment effect; F(1,5) = 14.47; P < 0.05] (Table 1, Fig. 1). The increase in NREMS occurred during the first 12 h postinjection, but did not persist into hours 13-23 postinjection (Table 1). In contrast, EGF-induced hyperthermia persisted across the 23-h recording period (Table 1). REMS was not affected by the 5-µg dose. Neither of the lower two doses of EGF significantly affected the number or duration of NREMS or REMS episodes (Table 2). The highest dose of EGF (25 µg) significantly increased the amount of time spent in NREMS [ANOVA; treatment effect: F(1,7) = 16.89; P < 0.01], the number of NREMS episodes [ANOVA; treatment effect: F(1,8) = 15.36; P < 0.01], and Tbr [ANOVA; treatment effect: F(1,5) = 20.70; P < 0.01]. The time course of EGF-induced NREMS and Tbr effects after the high dose was similar to that observed after the middle dose; NREMS was increased during the first 12 h postinjection and Tbr was increased across the 23-h recording period. The high dose also inhibited REMS across the 23-h recording period. The decrease in REMS resulted from a significant decrease in the number of REMS episodes [ANOVA; treatment effect: F(1,8) = 5.469; P < 0.05] (Table 2). All doses of EGF failed to affect EEG power density in the four frequency bands of the EEG during any of the vigilance states; results obtained after the 5-µg dose are shown on Fig. 2. Although not systematically quantified, EGF did not induce abnormal behavior in the sense that animals continued to cycle through sleep-wake episodes (Table 2), they were easily aroused if disturbed, and they failed to exhibit any gross abnormal motor behavior.

                              
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Table 1.   EGF enhances spontaneous sleep in rabbits


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Fig. 1.   Effects of intracerebroventricular injection of 0.5 (A), 5 (B), and 25 µg (C) epidermal growth factor (EGF) on time spent in non-rapid eye movement sleep (NREMS) and rapid eye movement sleep (REMS), slow wave activity (SWA), and brain temperature (Tbr) during the first 12 h postinjection. Error bars indicate SE. Five and twenty-five micrograms of EGF enhanced NREMS and increased Tbr.

                              
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Table 2.   EGF increases number of NREMS and decreases number of REMS episodes


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Fig. 2.   Effects of intracerebroventricular injection of EGF on electroencephalogram (EEG) power density values in 4 frequency bands during wakefulness (W), NREMS, and REMS. EEG power density values were summed in 4 frequency bands for each 10-s epoch; delta (0.5-4.0 Hz; A)-, theta (4.5-8.0 Hz; B)-, alpha (8.5- 12.0 Hz; C)-, and beta (12.5-30 Hz; D)-wave activity were calculated. Error bars indicate SE. All doses of EGF failed to affect EEG power density values during any vigilance state; results shown are those obtained after 5.0-µg EGF dose.

    DISCUSSION
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Abstract
Introduction
Materials & Methods
Results
Discussion
References

Current results clearly indicate that administration of exogenous EGF has the capacity to promote NREMS. Nevertheless, whether EGF normally plays a role in sleep regulation remains unknown. It is unlikely that EGF-induced sleep effects were secondary to EGF-induced changes in Tbr. There is a rather extensive literature describing the multiple links between thermoregulation and sleep. For example, there is a regulated decrease in Tbr during the entry into NREMS, and an acute mild increase in ambient temperature is a well-characterized somnogen. Nevertheless, under a variety of circumstances, thermoregulation can be separated from sleep regulation (reviewed in Ref. 21). For example, some substances enhance both NREMS and Tbr (e.g., TNF, IL-1beta , and PGD2), yet the pyrogenic actions of IL-1beta can be pharmacologically blocked without affecting sleep responses (22). In contrast, the somnogenic actions of IL-1beta , but not its pyrogenic actions, are blocked by central administration of nitric oxide synthase inhibitors (15). Other substances increase Tbr yet decrease NREMS (e.g., corticotropin-releasing hormone, PGE2). Yet other substances decrease Tbr and inhibit sleep (e.g., alpha -melanocyte-stimulating hormone). Collectively, such considerations clearly indicate separate, yet linked, mechanisms for sleep and body temperature.

EGF failed to enhance EEG delta-wave activity, also called EEG slow wave activity (SWA), during NREMS. In contrast, other somnogenic growth factors, such as IL-1beta , TNF-alpha , GHRH, aFGF, and NGF, all enhance EEG SWA at doses that also enhance duration of NREMS. The mechanisms responsible for EEG SWAs remain unknown, although there is extensive literature describing the separation of EEG SWA from state regulation and, conversely, the separation of the association of amplitudes of EEG slow waves with the intensity of NREMS. For example, systemic injection of atropine (32) or hyperventilation (37) in adolescents induces high-amplitude EEG slow waves during waking states. In contrast, after sleep deprivation, "supranormal" EEG slow waves characterize NREMS (30) and are associated with higher arousal thresholds (28). Experimental manipulation can induce separation of duration of NREMS and amplitudes of EEG slow waves. For example, intraperitoneal injections of IL-1beta or TNF induce increases in NREMS and decreases in EEG SWA in rats (10) and mice (8), whereas intracerebroventricular injections of IL-1 or TNF enhance both (11, 27). EGF also failed to affect EEG power density values in any of the other frequency bands measured. Some hypnotics, such as benzodiazepine derivatives, decrease low-frequency activity (0.25-10.0 Hz) while increasing high-frequency activity (17-25 Hz) during sleep (2).

Microbial products such as endotoxin are common contaminants of recombinant products. Endotoxin induces production of a variety of somnogenic cytokines and is itself somnogenic. It is thus possible that the observed EGF-induced sleep responses were due to endotoxin contaminants in the EGF preparation. Because EGF, like endotoxin, is heat stable (4), the often used, heat-inactivation control was not an experimental option. Nevertheless, it seems unlikely that results were due to endotoxin. Endotoxin induces increases in NREMS, EEG SWA, and Tbr at all somnogenic doses thus far tested. EGF induced increases in NREMS but not EEG SWA. Furthermore, after bolus intracerebroventricular injection of endotoxin, the duration of the somnogenic actions is only ~3 h; the effects of EGF were more prolonged.

Perspectives

The mechanisms by which EGF promotes NREMS are unknown. However, that EGF stimulates nuclear factor kappa B (NFkappa B) activation (26) was a motivating factor for these studies. Several substances implicated in physiological sleep regulation activate NFkappa B; the list includes IL-1beta , TNF-alpha , NGF, and FGF. Furthermore, some substances that inhibit spontaneous sleep, such as IL-4 and IL-10, inhibit NFkappa B activation (1). NFkappa B activation enhances production of yet other substances that have been linked to sleep regulation, such as NO synthase and IL-2. Finally, preliminary data from our laboratory suggest that NFkappa B is activated in the cerebral cortex by sleep deprivation (5). The hypothesis that NFkappa B is involved in the actions of EGF and in sleep regulation is attractive because, at least superficially, it provides a common mechanism for the actions of several sleep-promoting substances. However, it seems unlikely that there is any single central mechanism that, by itself, is necessary and sufficient for sleep regulation. Regardless of such speculation, results provided here and the previous findings that EGF is a brain product and that it stimulates production of other substances known to be involved in physiological sleep regulation provide reasons to further characterize the potential role of EGF in sleep regulation.

    ACKNOWLEDGEMENTS

This work was supported, in part, by National Institute of Neurological Disorders and Stroke Grants NS-25378, NS-27250, and NS-31453 and by Office of Naval Research Grant N00014-90-J-1069.

    FOOTNOTES

The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. §1734 solely to indicate this fact.

Address for reprint requests: J. M. Krueger, Dept. of Veterinary and Comparative Anatomy, Pharmacology and Physiology, Washington State Univ., 205 Wegner Hall, Pullman, WA 99164-6520.

Received 9 February 1998; accepted in final form 30 April 1998.

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Am J Physiol Regul Integr Compar Physiol 275(2):R509-R514
0002-9513/98 $5.00 Copyright © 1998 the American Physiological Society




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