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1 Department of Veterinary and Comparative Anatomy, Pharmacology, and Physiology, Washington State University College of Veterinary Medicine, Pullman, Washington 99164-6520; and 2 Department of Biological Science, Fordham University, Bronx, New York 10458
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ABSTRACT |
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Both tumor necrosis factor (TNF) and interleukin (IL)-1 are somnogenic cytokines. They also induce each other's production and both induce nuclear factor kappa B activation, which in turn enhances IL-1 and TNF transcription. We hypothesized that TNF and IL-1 could influence each other's somnogenic actions. To test this hypothesis, we determined the effects of blocking both endogenous TNF and IL-1 on spontaneous sleep and on sleep rebound after sleep deprivation in rabbits. Furthermore, the effects of inhibition of TNF on IL-1-induced sleep and the effects of blocking IL-1 on TNF-induced sleep were determined. A TNF receptor fragment (TNFRF), as a TNF inhibitor, and an IL-1 receptor fragment (IL-1RF), as an IL-1 inhibitor, were used. Intracerebroventricular injection of a combination of the TNFRF plus the IL-1RF significantly reduced spontaneous non-rapid eye movement sleep by 87 min over a 22-h recording period. Pretreatment of rabbits with the combination of TNFRF and IL-1RF also significantly attenuated sleep rebound after sleep deprivation. Furthermore, the TNFRF significantly attenuated IL-1-induced sleep but not fever. Finally, the IL-1RF blocked TNF-induced sleep responses but not fever. Results indicate that TNF and IL-1 cooperate to regulate physiological sleep.
cytokine; fever; electroencephalogram; rabbit
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INTRODUCTION |
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TUMOR NECROSIS FACTOR (TNF)-
and
interleukin (IL)-1
are involved in sleep regulation (reviewed in
Ref. 24). TNF-
mRNA, IL-1
mRNA, and their receptor mRNAs are
constitutively expressed in brain (3, 4; reviewed in Ref. 25). TNF-
mRNA and IL-1
mRNA and TNF bioactivity (10) levels in rat brain vary
with the sleep-wake cycle (5, 46); highest levels occur during light
hours (the sleep period). In cats, IL-1 cerebrospinal fluid levels (33) vary with the sleep-wake cycle, and in rats, IL-1
mRNA levels in
brain increase during sleep deprivation (34, 47). Furthermore, human
plasma levels of IL-1 and TNF and the ability of circulating white
blood cells to produce these cytokines increase after sleep deprivation
and vary with the normal sleep-wake cycle (reviewed in Ref. 24).
Administration of exogenous TNF or IL-1 induces increases in non-rapid
eye movement sleep (NREMS) and electroencephalographic (EEG) slow-wave
activity (SWA) in species such as rats (31, 35, 38, 55), rabbits (18,
28, 44), mice (8, 9), cats (45), and monkeys (11). Furthermore,
inhibition of endogenous TNF or IL-1 attenuates various sleep
responses. TNF inhibitors, e.g., TNF antibodies (49), the TNF soluble
receptor I (53), or a fragment of the TNF soluble receptor
(50-52), attenuate physiological sleep, sleep responses after
sleep deprivation, muramyl dipeptide (MDP)-induced sleep, and warm
environmental temperature-induced sleep. Blocking IL-1 using IL-1
antibodies (36), the IL-1-receptor antagonist (37), or an IL-1 soluble
receptor fragment (48, 50) also reduces spontaneous sleep, sleep
rebound after sleep deprivation, and MDP-induced sleep. Finally, TNF
55-kDa receptor knockout mice (8) or IL-1 type 1 receptor knockout mice
(9) sleep less than control strains. Collectively, these data suggest that both TNF and IL-1 are involved in sleep regulation.
Although IL-1 and TNF induce each other's production (1, 7, 41) and
possess similar biological activities, the relationships between the
somnogenic actions of TNF and IL-1 remain unknown. In IL-1 type 1 receptor knockout mice, TNF-
is somnogenic (9); conversely, in TNF
55-kDa receptor knockout mice, IL-1 is somnogenic (8). Nevertheless, we
hypothesized that under normal circumstances TNF and IL-1 work together
to regulate sleep. If this hypothesis is correct, inhibition of both
IL-1 and TNF should reduce physiological sleep to a greater extent than
inhibition of either alone. Furthermore, blocking endogenous IL-1
should attenuate TNF-induced sleep and inhibition of endogenous TNF
should alter IL-1-induced sleep. We report herein that TNF and IL-1 are
closely linked to regulate sleep.
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MATERIALS AND METHODS |
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Materials
A TNF receptor fragment (TNFRF), which corresponds to amino acid residues 119-138 of the human recombinant TNF soluble receptor I (32), was synthesized by Dr. J. M. Seyer (Department of Biochemistry, University of Tennessee, Memphis, TN). Its amino acid sequence is QEKQN
FLRENE(G); the
underlined alanines were used as substitutes for cysteine. The terminal
glycine was used to simplify synthesis (32). Inhibitory activity of the
peptide against TNF cytotoxicity in mouse L-M cells was previously used to characterize this peptide (32). An IL-1 receptor fragment (IL-1RF),
which is a synthetic peptide corresponding to the amino acid residues
86-95 of the human type I IL-1 receptor, was also synthesized by
J. M. Seyer. Its amino acid sequence is YCLRIKISAK (54). It has binding
sites of the parent molecule and inhibits IL-1 actions (54). A dose of
25 µg for both the TNFRF and the IL-1RF was used because
previously we showed that this dose significantly inhibited
spontaneous sleep and the sleep induced by the respective cytokines
(50, 53). Human recombinant TNF-
and human recombinant IL-1
were
obtained from R&D Systems (Minneapolis, MN). All substances were
dissolved in pyrogen-free isotonic saline (PFS) from Abbott Laboratories (North Chicago, IL). Intracerebroventricular injections were done using a volume of 25 µl between 0830 and 0930.
Animals
Male New Zealand White Pasteurella-free rabbits (3.5-5.5 kg) were implanted using ketamine-xylazine (35 and 5 mg/kg) anesthesia with stainless steel EEG electrodes, a brain thermistor to measure brain temperature (Tbr), and an intracerebroventricular guide cannula as previously described (44, 48). In brief, the EEG electrodes were placed over the frontal and parietal cortices. A calibrated 30-k
thermistor (model 44008; Omega
Engineering, Stanford, CT) was implanted on the dura mater over the
parietal cortex. The intracerebroventricular guide cannula was placed
in the left lateral ventricle using a stereotaxis. 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; Coralite Dental
Product, Skokie, IL).
After a 2-wk recovery period, the rabbits were placed in sleep recording chambers (Hot Pack 352600) for at least one 24-h habitation period. The animals were kept on a 12:12-h light-dark cycle (light on at 0600) at 21 ± 1°C ambient temperature. Water and food were available ad libitum throughout the experiment.
Experimental Protocols
Experiment 1: Effects of the TNFRF and the IL-1RF on spontaneous sleep in rabbits. Seven rabbits received two intracerebroventricular injections of PFS (25 µl) 10 min apart on the control day. On an experimental day (2 days after the control day), the same rabbits were injected 10 min apart with the TNFRF (25 µg) and the IL-1RF (25 µg). We previously showed that repeated intracerebroventricular injections of PFS 1 day apart have no effects on rabbit sleep, EEG SWA, and Tbr (51). After injections, EEG, Tbr, and motor activity were recorded for 22 h.Experiment 2: Effects of the TNFRF and the IL-1RF on sleep rebound after sleep deprivation. Sleep recordings were performed under three different conditions. For baseline recordings, animals (n = 6) were injected twice with 25 µl icv PFS 10 min apart. EEG, Tbr, and motor activity were recorded for 23 h postinjection without sleep deprivation (SD) in the sleep recording chamber (non-SD). The effects of SD alone were evaluated by 6-h SD, which started at 0930 after two intracerebroventricular injections of PFS (SD with PFS). The effects of intracerebroventricular injections of the TNFRF and the IL-1RF on SD-induced sleep responses were studied by injecting 25 µg icv of the TNFRF and 25 µg icv of the IL-1RF at the beginning of the 6-h SD period (SD with TNFRF plus IL-1RF). We injected the receptor fragments before SD started because we hypothesized that the amount of IL-1 and TNF synthesized would increase during the course of the SD; we wished to block these substances before they bound to cellular receptors. SD started immediately after injections and was performed by gentle handling on a table for 6 h. During the SD, the EEG and Tbr were recorded from each animal to allow quantitation of the effectiveness of the deprivation procedure. When SD was finished, rabbits were placed back into the environmental chambers and EEG, Tbr, and motor activity were recorded for an additional 17 h. A minimum of 1 wk was allowed between the two deprivation periods. Three rabbits received SD with PFS first, and the other three received SD with the TNFRF and the IL-1RF first. Tbr data were lost from one animal due to mechanical failure.
Experiment 3: Effects of the TNFRF on
IL-1
-induced sleep and fever. Rabbits
(n = 6) received two
intracerebroventricular injections of 25 µl PFS 10 min apart on the
control day (PFS). On the first experimental day, they were injected
intracerebroventricularly with 25 µl PFS and IL-1
(10 ng) 10 min
apart (IL-1
). One week later, they received two injections: first 25 µg of the TNFRF followed 10 min later by 10 ng IL-1
(pretreatment
with TNFRF). After the second injection, EEG,
Tbr, and motor activity were recorded for 23 h.
Experiment 4: Effects of the IL-1RF on TNF-
-induced
sleep and fever. The rabbits
(n = 6) received two
intracerebroventricular injections of PFS 10 min apart on the control
day (PFS). On the first experimental day, they were injected
intracerebroventricularly with PFS and TNF-
(250 ng) 10 min apart
(TNF-
). One week later, they received two injections: first, 25 µg
of the IL-1RF followed 10 min later by 250 ng TNF-
(pretreatment
with IL-1RF). After the second injection, animals' EEG,
Tbr, and motor activity were recorded for 23 h.
Recording and Analysis
The rabbits were allowed relatively unrestricted movement inside the recording cages. A flexible tether connected the EEG electrodes and thermistor leads to an electronic swivel. 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 in an adjacent room. EEG was filtered below 0.1 Hz and above 35 Hz. The amplified signals were digitized at a frequency of 128 Hz for EEG and at 2 Hz for Tbr and motor activity. Tbr data were saved on the computer in 10-s intervals. Tbr values sampled in 10-min intervals were used for statistical analyses. Online Fourier analysis of the EEG was performed. Vigilance states were determined offline in 10-s epochs by individuals unaware of the treatment. The vigilance states wakefulness (W), NREMS, and rapid eye movement sleep (REMS) were visually identified using criteria previously reported (18, 44, 49). 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, high-amplitude EEG waves, slowly decreasing Tbr, and lack of body movements. In contrast, REMS was characterized by fast, low-amplitude EEG waves, appearance of rhythmic theta-EEG, rapidly increasing Tbr at REMS onset, and lack of motor activity. Time spent in each vigilance state was calculated for 1- and 2-h intervals and for the entire recording periods. 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 activities were calculated. Hourly average of the EEG delta-wave activity during NREMS (EEG SWA) was determined. Percent changes in EEG SWA from time-matched values during the baseline period were calculated.Statistical Analysis
In experiment 1, the differences between the effects of PFS injections and TNFRF and IL-1RF injections were evaluated. In experiment 2, the differences among the effects of non-SD with PFS, SD with PFS, and SD with TNFRF and IL-1RF were evaluated. In experiment 3, the differences between PFS, IL-1
, and IL-1
plus pretreatment with TNFRF were evaluated. In
experiment
4, the differences between PFS,
TNF-
, and TNF-
plus pretreatment with IL-1RF were evaluated. All
analyses were performed with two-way ANOVA for repeated measures across
the entire recording period. The first independent variable is
treatment and the second independent variable is time. These were
followed by the Student-Newman-Keuls (SNK) test. A significant level of
P < 0.05 was accepted.
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RESULTS |
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Experiment 1: Effects of the TNFRF and the IL-1RF on Spontaneous Sleep and Tbr
Rabbits receiving control injections displayed the typical daily variations of sleep; e.g., NREMS and REMS were greater during daylight hours than during dark hours, and at the transition between daylight and dark hours there was a decrease in NREMS. If animals were pretreated with both the TNFRF and the IL-1RF, NREMS was suppressed across the 22-h recording period (Fig. 1; Table 1). Control animals spent 535 min in NREMS; after pretreatment with the receptor fragments, the animals only spent 448 min in NREMS. Although daytime values of REMS were lower after pretreatment with the receptor fragments, this decrease did not reach statistical significance. Neither EEG SWA nor Tbr was affected by the receptor fragments.
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Experiment 2: Effects of the TNFRF and the IL-1RF on Sleep and Tbr After 6 h of Sleep Deprivation
The 6-h SD with PFS induced a significant NREMS rebound that occurred across the 17-h recording period after SD (Fig. 2). EEG SWA during NREMS was also significantly enhanced after SD. However, the amount of time spent in REMS was not affected by SD in PFS-treated rabbits. Pretreatment with the TNFRF plus the IL-1RF significantly suppressed NREMS rebound after SD (Fig. 2; Table 2). Furthermore, in the SD receptor fragment-treated rabbits, the time spent in NREMS did not differ from that observed in non-SD controls. SD-enhanced EEG SWAs also were significantly inhibited by the receptor fragments; however, EEG SWAs were still enhanced compared with non-SD controls. In contrast, pretreatment with the receptor fragments induced significant increases in REMS after SD. Tbr was significantly elevated during SD, from a baseline of 38.3 ± 0.06°C to 39.7 ± 0.10°C [ANOVA during the 6-h SD: treatment effects F(2,8) = 38.27, P < 0.0001; SNK test: non-SD vs. SD with PFS q(3,8) = 11.12, P < 0.05]. Pretreatment with the receptor fragments did not affect the increases in Tbr during SD (39.6 ± 0.07°C) [SNK test: non-SD vs. SD with TNFRF and IL-1RF q(2,8) = 10.26, P < 0.05; SD with PFS vs. SD with TNFRF and IL-1RF q(2,8) = 0.09, NS]. There were no significant differences in Tbr among the three treatment groups after SD.
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Experiment 3: Effects of the TNFRF on IL-1
-Induced
Sleep and Fever
itself significantly increased the amount of NREMS, decreased
REMS, enhanced EEG SWA, and induced fever during the 23-h postinjection
period (Fig. 3; Table
3). Pretreatment with the TNFRF
significantly attenuated the IL-1-induced increases in NREMS and EEG
SWA. The onsets of TNFRF-induced attenuation of IL-1-induced NREMS and
EEG SWAs were delayed by ~4 h after IL-1 injection but then persisted
throughout much of the remaining recording period. IL-1
-suppressed
REMS was slightly reversed by pretreatment with the TNFRF, but not
significantly, across the 23-h recording period. Pretreatment with the
TNFRF did not affect IL-1
-induced fever.
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Experiment 4: Effects of the IL-1RF on TNF-
-Induced
Sleep and Fever
itself significantly increased the amount of NREMS, decreased
REMS, enhanced EEG SWA, and induced fever during the 23-h postinjection
period (Fig. 4; Table
4). The magnitudes of these effects were
similar to those induced by IL-1
in
experiment
3. The IL-1RF almost completely
blocked the effects of TNF-
on NREMS; these effects were evident in
the first postinjection hour, then persisted throughout the recording
period. TNF-
-enhanced EEG SWAs were also suppressed by pretreatment
with the IL-1RF (Fig. 4; Table 4); these effects were also evident in
the first postinjection hour. Furthermore, TNF-
-induced suppression
of REMS duration was significantly attenuated by pretreatment with the
IL-1RF. However, TNF-
-induced fever was not attenuated by
pretreatment of IL-1RF.
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DISCUSSION |
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Results presented here are consistent with earlier findings.
Previously, the somnogenic actions of IL-1
and TNF-
have been described (reviewed in Ref. 25). Furthermore, inhibition of either IL-1
or TNF reduces spontaneous sleep and attenuates sleep rebound after SD
(24). Current data extend those findings by showing that the inhibition
of both IL-1 and TNF results in a slightly greater sleep loss than
inhibition of either one alone [NREMS loss of 87 min over 22 h
after inhibition of both IL-1 and TNF vs. 68 min over 21 h after TNFRF
(51) and 57 min over 23 h after IL-1RF (50)]. Although these
differences are small, they suggest some degree of interaction between
IL-1 and TNF because the individual inhibitory effects were not
additive and simultaneously that they act independently because, after
inhibition of both cytokines, sleep loss was greater than after
inhibition of either alone. Regardless, the inhibition of both IL-1 and
TNF did not completely eliminate sleep; that result is consistent with
the previous hypothesis that redundant, interacting, biochemical
pathways regulate sleep (24).
The intracerebral administration of the IL-1RF plus the TNFRF blocked
sleep rebound after SD, thereby suggesting that central pools of
cytokines play an important role in sleep responses to sleep loss.
Previously, we had shown that central injection of the IL-1RF, but not
intravenous injection of the IL-1RF, attenuated sleep rebound after SD
(48). Furthermore, the TNF soluble receptor is a normal component of
cerebrospinal fluid (42); comparative data for the IL-1 soluble
receptor have not been published. It is thus possible that the
physiological role of these soluble receptors is to act as endogenous
inhibitors of these proinflammatory cytokines in brain. A different
line of evidence also suggests that central cytokines are important to
sleep physiology. Rats fed a palatable diet increase their time spent
in NREMS; if they are vagotomized they still eat more yet do not
exhibit the NREMS responses (12). The palatable diet also induces
increases in IL-1
mRNA levels in the liver and in the brain (13).
Intraperitoneal injection of IL-1
also induces increases in NREMS
and increases in liver and brain production of IL-1
mRNA; these
responses are blocked or attenuated (depending on dose) after vagotomy
(14). These data suggest that peripheral somnogenic signals, including IL-1
, elicit sleep via central changes in cytokine levels.
The inhibition of spontaneous NREMS by the IL-1RF and TNFRF was not associated with an inhibition of EEG SWAs. In contrast, after SD, the enhanced EEG slow waves were attenuated if rabbits were pretreated with the receptor fragments. These results are consistent with those previously published in which either IL-1RF or TNFRF were used alone (51, 52). EEG SWAs are thought to be indicative of the intensity of sleep (2) because "supranormal" EEG slow waves characterize NREMS after SD (40). Several lines of evidence indicate that the regulation of NREMS duration is independent, in part, from the regulation of EEG SWAs. For example, after immunotoxin lesion of basal forebrain cholinergic neurons, NREMS duration remains relatively normal whereas EEG SWAs decrease (21). In contrast, some drugs (e.g., atropine) or manipulations (e.g., hyperventilation) induce high-amplitude EEG slow waves disassociated from sleep. Regardless, current data are consistent with the notion that after SD the increased EEG slow-wave power reflects the intensity of NREMS (2) and that IL-1 and TNF play a role in this association.
In the sleep-deprived control rabbits, there was not an increase in REMS after the 6-h SD period. This result is consistent with what we have previously published (48, 51). In contrast, after pretreatment with the receptor fragments, REMS increased after SD; this also is consistent with our previous studies in which either the IL-1RF or the TNFRF was used. These results suggest that the NREMS pressure, occurring after SD, suppresses REMS. Finally, these data clearly indicate that the IL-1RF and TNFRF effects on sleep are not the result of nonspecific activation because, after their injection, increases in REMS were observed.
Current results suggest that the somnogenic actions of TNF and IL-1 are independent of their effects on Tbr. Thus inhibition of both cytokines inhibited sleep but failed to affect Tbr. Furthermore, the pyrogenic actions of IL-1 were not blocked by the TNFRF nor were those of TNF blocked by the IL-1RF. These results are consistent with previous data (reviewed in Ref. 27). For example, low doses of IL-1 enhance sleep without affecting Tbr (38). Furthermore, these sleep-promoting actions of IL-1 are not affected by antipyretics (22, 28). Finally, nitric oxide synthase (NOS) inhibitors, if given centrally, block IL-1-induced sleep responses, but not fevers (23). Collectively, these data clearly indicate that sleep and fever mechanisms are separate. Regardless, other aspects of the relationships between sleep, cytokines, and Tbr regulation are not so clearly separate. Thus the increases in NREMS induced by acute mild increases in ambient temperature are blocked if animals are pretreated with the TNFRF, although the ambient temperature-induced changes in Tbr are not (52). In contrast, the IL-1RF does not block ambient temperature-induced sleep responses but does block Tbr responses to ambient temperature (29).
In addition to the apparent independent IL-1 and TNF mechanisms
involved in sleep responses to ambient temperature, other data suggest
that these cytokines can independently affect sleep. Thus, as already
mentioned, in IL-1 type I receptor knockout mice TNF, but not IL-1, is
somnogenic (9). Similarly, in TNF 55-kDa receptor knockout mice, IL-1,
but not TNF, is somnogenic (8). Furthermore, the current results
indicate that there are differences in the time courses of inhibition
after giving IL-1 plus TNFRF versus TNF plus IL-1RF. The IL-1RF
inhibition of TNF-
-induced sleep occurred rapidly, whereas the TNFRF
inhibition of IL-1
-induced sleep was delayed by ~4 h before it
became manifest. Because IL-1 and TNF not only induce each other's
production but also induce their own production and may do so via
neuronal signals (1, 7, 14, 41), the potential for nonlinear
amplifications and asymmetries of inhibition abound.
Inherent within the concept of sleep homeostasis is the idea that
sleep-regulatory substance(s) increase as a result of the neuronal
activity of W and act on populations of neurons to alter input-output
relationships (26). Thus the propensity for sleep and its intensity and
duration are dependent on prior neuronal activity. There is much
evidence suggesting that humoral factors are involved in the induction
of state shifts. Many studies have demonstrated that the transfer of
cerebrospinal fluid from sleep-deprived animals to control animals
enhances sleep in the recipient (reviewed in Ref. 25). It is likely
that IL-1
and TNF-
are two endogenous substances involved in
physiological sleep regulation (see introduction). Results from this
study suggest they act in concert to affect sleep, although under
certain experimental conditions they can act independently to promote
sleep. Both IL-1 and TNF must interact with other molecules to elicit
sleep, and several mechanisms have been identified via which one or
both of these cytokines could affect sleep. For example, both IL-1
and TNF-
enhance nitric oxide (NO) production. Inhibition of NOS
inhibits sleep (17, 23), whereas NO donor substances enhance sleep (6,
20). Other putative sleep-regulatory substances also affect sleep
either by directly affecting IL-1 or TNF or by affecting downstream
events. For example, adenosine augments IL-1-enhanced NO production
(43), and in astrocytes and other tissues adenosine enhances NO
production (15, 16). IL-4 and IL-10 inhibit sleep and inhibit
production of IL-1 and TNF (29, 39). It is likely that the biochemical orchestration of sleep is complex, involving many substances. Although
none may be necessary for sleep, several, such as IL-1 and TNF, are
important components of normal sleep regulation as evidenced by
findings such as those described in this report.
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ACKNOWLEDGEMENTS |
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We thank Ying Wang for excellent technical assistance.
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FOOTNOTES |
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This work was supported by National Institutes of Health Grants NS-27250, NS-25378, and NS-31453.
Permanent address of S. Takahashi: Dept. of Anesthesiology, Univ. of Hirosaki School of Medicine, Hirosaki 036, Japan.
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 and other correspondence: J. M. Krueger, Dept. of Veterinary Comparative Anatomy, Pharmacology and Physiology, Washington State Univ. College of Veterinary Medicine, Pullman, WA 99164-6520 (E-mail: krueger{at}vetmed.wsu.edu).
Received 22 July 1998; accepted in final form 4 January 1999.
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