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SLEEP 2011 Abstract Supplement

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A. Basic Science VIII. Behavior<br />

0185<br />

OVERNIGHT THERAPY? <strong>SLEEP</strong> DE-POTENTIATES<br />

EMOTIONAL BRAIN REACTIVITY<br />

van der Helm E, Yao J, Rao V, Saletin JM, Dutt S, Walker MP<br />

Psychology, University of California Berkeley, Berkeley, CA, USA<br />

Introduction: While the benefit of sleep on various neurocognitive processes<br />

has been established, a role for sleep in emotional brain regulation<br />

remains largely uncharacterized. This is surprising considering that<br />

nearly all clinical mood disorders express co-occurring abnormalities of<br />

sleep, most commonly in the amount and timing of rapid eye movement<br />

(REM) sleep. Using fMRI in combination with EEG sleep physiology,<br />

here we test the hypothesis that sleep, and specific aspects of REM sleep,<br />

de-potentiates the behavioral and neural reactivity associated with prior<br />

affective experiences.<br />

Methods: Thirty-three healthy young adults were randomly assigned<br />

to either the Sleep or Wake group. Both groups performed two fMRI<br />

sessions, separated by a 12hr period containing either a full night of<br />

physiologically recorded sleep (Sleep-group), or a normal waking day<br />

(Wake-group). At each session, participants rated affective picture-stimuli<br />

on a 1-5 scale (corresponding to increasing emotional intensity).<br />

Results: In contrast to equivalent time awake, sleep resulted in a selective<br />

and significant palliative overnight reduction in extreme emotion<br />

intensity ratings (P≤0.04). This behavioral de-potentiation was<br />

further associated with an interaction effect in the amygdala, showing<br />

overnight decreases in reactivity in the Sleep-group (P=0.004), while<br />

no such decrease was observed in the Wake-group. Additionally, this<br />

sleep-dependent reduction in amygdala reactivity was associated with<br />

enhanced ventromedial prefrontal cortex (vmPFC) functional connectivity<br />

(P=0.005). Moreover, the overnight increase in amygdala-vmPFC<br />

connectivity correlated significantly with the speed of entry into REM<br />

sleep (R=0.53, P=0.025). Importantly, no between-group differences in<br />

neural or behavioral reactivity were observed in a circadian-control task,<br />

which entailed rating a novel set of affective pictures, providing a timeof-day<br />

baseline reference.<br />

Conclusion: Taken together, these findings support a homeostatic role<br />

for sleep, and especially REM sleep, in the optimal regulation of limbic<br />

brain networks, de-potentiating next-day emotional reactivity and<br />

re-establishing vmPFC top-down control. Such experimental findings<br />

may hold translational implications for a collection of clinical mood disorders<br />

associated with maladaptive affective reactivity, especially major<br />

depression and PTSD, both of which express concomitant REM sleep<br />

abnormalities and dysfunctional amygdala-PFC emotional activity.<br />

0186<br />

α-1 ADRENOCEPTOR ANTAGONIST PRAZOSIN REDUCES<br />

REM <strong>SLEEP</strong> (REMS) FRAGMENTATION AND NON-REM<br />

<strong>SLEEP</strong> (NREMS) LATENCY IN FEAR-CONDITIONED<br />

WISTAR-KYOTO RATS (WKY)<br />

Laitman BM 1 , Gajewski ND 1 , Mann GL 1 , Kubin L 1 , Ross RJ 1,2,3 ,<br />

Morrison AR 1<br />

1<br />

Animal Biology, University of Pennsylvania School of Veterinary<br />

Medicine, Philadelphia, PA, USA, 2 Psychiatry, University of<br />

Pennsylvania School of Medicine, Philadelphia, PA, USA, 3 Behavioral<br />

Health Service, Philadelphia VA Medical Center, Philadelphia, PA,<br />

USA<br />

Introduction: The α-1 adrenoceptor antagonist prazosin reduces nightmares<br />

in posttraumatic stress disorder (PTSD), which has been associated<br />

with REMS fragmentation. Defining REMS fragmentation in rats<br />

as a shift in the distribution of sequential REMS (seq-REMS, inter-<br />

REMS episode interval ≤3 min) and single REMS (si-REMS, inter-<br />

REMS episode interval >3 min) towards seq-REMS, we demonstrated<br />

greater REMS fragmentation following fear conditioning (FC) in WKY<br />

compared to Wistar rats. We hypothesized that prazosin would reduce<br />

FC-elicited REMS fragmentation and other sleep disturbances in WKY.<br />

Methods: Male WKY were habituated and received a prazosin (0.01<br />

mg/kg, i.p.; n=4) or vehicle (n=4) injection followed 15 min later by a<br />

4-h baseline sleep recording. Two days later they were presented with 10<br />

tones (800 Hz, 90 dB, 5 s; 30 s interval), each co-terminating with a foot<br />

shock (1.0 mA, 0.5 s). The following day (Day 1), and again 6 days (Day<br />

7), and 13 days (Day 14) later, prazosin or vehicle was administered, 3<br />

tones were presented without foot shock, and sleep was recorded for 4<br />

h. Waking, NREMS, and REMS were manually scored. Seq-REMS and<br />

si-REMS episodes were distinguished.<br />

Results: WKY given prazosin had a shorter sleep latency (min ±SEM)<br />

on Day 1 (Prazosin: 9.9 ±2.1; Vehicle: 29.0 ±9.1; p=0.01) and a decreased<br />

percentage of seq-REMS relative to total REMS time on Day 14<br />

(Prazosin: 36.3% ±4.5; Vehicle: 67.1% ±6.1; p=0.02).<br />

Conclusion: Prazosin-treated WKY had reduced time to sleep onset<br />

compared to vehicle-treated WKY on Day 1 after FC and, by Day 14,<br />

had reduced REMS fragmentation. Prazosin may facilitate REMS consolidation<br />

in fear-conditioned WKY. These findings strengthen the rationale<br />

for using WKY in the modeling of sleep in PTSD and may lead to<br />

insights into the mechanisms of prazosin action in the disorder.<br />

Support (If Any): Research funded by USPHS Grant MH072897 to<br />

A.R.M.<br />

0187<br />

EXPERIMENTAL <strong>SLEEP</strong> RESTRICTION IN ADOLESCENTS:<br />

CHANGES IN BEHAVIORAL AND PHYSIOLOGICAL<br />

MEASURES OF EMOTIONAL REACTIVITY<br />

Cousins JC 1 , McMakin D 1 , Dahl R 2 , Forbes E 1 , Silk J 1 , Siegle GJ 1 ,<br />

Franzen PL 1<br />

1<br />

Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA, 2 School of<br />

Public Health, University of California, Berkeley, Berkeley, CA, USA<br />

Introduction: The myriad biological and social changes that occur during<br />

adolescence contribute to later and erratic sleep times and insufficient<br />

sleep. Reduced sleep may impact behavioral, emotional, and social<br />

functioning at this key period of development. We examined how sleep<br />

restriction and sleep extension influenced behavioral and physiological<br />

measures of affective function in adolescents.<br />

Methods: Sixteen healthy adolescents (ages 12-15) were studied in<br />

groups of 2-4 friends during a within-subject sleep restriction manipulation<br />

over two 48-hour laboratory visits, using crossover design. Sleep<br />

restriction consisted of six hours in bed on night 1 and two hours in bed<br />

on night 2. Sleep extension consisted of 10 hours in bed for both nights.<br />

Physiological and behavioral testing occurred on day 2 of each condition.<br />

Responses to positive, negative, and neutral auditory stimuli were<br />

examined with pupil dilation—a physiological measure of emotional<br />

reactivity. Pairs of friends completed a 5-minute videotaped discussion<br />

about resolving a conflict in their relationship. Interactions were coded<br />

for negative and positive affect using the International Dimensions Coding<br />

System-revised (IDCS-R).<br />

Results: Compared to the sleep extension condition, adolescents showed<br />

larger pupil dilation responses to negative sounds relative to neutral<br />

sounds after sleep restriction (M±SD=0.137±.21 mm, and 0.306±.225<br />

mm, respectively; F(1,14)=6.49, p=0.02). Adolescents displayed more<br />

negative affect during peer interactions following sleep restriction<br />

(M±SD=7.3 ±1.8) compared to the well-rested condition (M=6.4±1.2),<br />

F(1,14.9)=5.45, p=0.03. Further, after sleep restriction but not sleep extension,<br />

negative affect during peer interactions was correlated (r2=0.42,<br />

p

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