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SLEEP 2011 Abstract Supplement

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A. Basic Science XI. Sleep Deprivation<br />

0263<br />

CHRONIC <strong>SLEEP</strong> FRAGMENTATION INCREASES<br />

MITOCHONDRIAL REACTIVE OXYGEN SPECIES<br />

PRODUCTION AND OXIDATIVE STRESS IN CORTEX<br />

Kaushal N, Ramesh V, Zhang S, Wang Y, Gozal D<br />

Pediatrics, University of Chicago, Chicago, IL, USA<br />

Introduction: Sleep fragmentation (SF) is an important component of<br />

many sleep disorders, including obstructive sleep apnea and is believed<br />

to contribute to end-organ morbidity. However, the mechanisms underlying<br />

SF-associated functional alterations remain elusive.<br />

Methods: C57BL/6 mice (n=7) were chronically implanted with telemetric<br />

transponders to measure EEG, EMG, body temperature (Tb) and<br />

gross activity (Ag) at 8 months. After surgical recovery, the mice were<br />

acclimatized in a custom developed SF chamber. Following that, the<br />

mice were subjected to 15 days of chronic SF for 12 hours/day from<br />

7am to 7pm (every 2 min). Sleeping mice served as control. After the<br />

SF procedure the mice were sacrificed, and the brain was harvested<br />

and dissected. The cortex was assayed for the oxidative markers malondialdehyde<br />

(MDA) and 8-hydroxy-2’-deoxyguanosine (8-OHdG). In<br />

addition, mitochondrial isolation was conducted in cortices from SF<br />

and control and ROS production was determined using flow cytometric<br />

approaches.<br />

Results: Following 15 days of SF, there were significant increases in<br />

both MDA and 8-OHdG in the cortex. In live isolated mitochondria, a<br />

marked increase in ROS production was apparent.<br />

Conclusion: SF induces oxidative stress in cortex via mechanisms that<br />

involve excessive production of ROS in mitochondria.<br />

Support (If Any): NIH grant HL 086662 (DG)<br />

0264<br />

<strong>SLEEP</strong> DEPRIVATION UNDER SUSTAINED HYPOXIA<br />

PROTECTS AGAINST OXIDATIVE STRESS<br />

Ramanathan L 1,2 , Siegel J 1,2<br />

1<br />

Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA,<br />

USA, 2 Neurobiology Research, VAGLAHS, North Hills, CA, USA<br />

Introduction: We previously showed that sleep deprivation alters antioxidant<br />

responses in several rat brain regions. We also reported that<br />

chronic hypoxia modifies antioxidant responses and increases oxidative<br />

stress in rat cerebellum and pons, relative to normoxic conditions. In the<br />

current study, we exposed rats to (6h) sleep deprivation under sustained<br />

hypoxia (SDSH), and compared changes in antioxidant responses and<br />

oxidative stress, in the neocortex, hippocampus, brainstem and cerebellum,<br />

to those occurring in control animals subjected to the same level of<br />

sustained hypoxia but left undisturbed (UCSH).<br />

Methods: We measured changes in total nitrite levels, as an indicator<br />

of nitric oxide production, superoxide dismutase (SOD) activity and total<br />

glutathione (GSHt) levels as markers of antioxidant responses, and<br />

levels of thiobarbituric acid reactive substances (TBARS) and protein<br />

carbonyls, as signs of lipid and protein oxidation products, respectively.<br />

We also measured changes in the activity of hexokinase (HK), the rate<br />

limiting enzyme in glucose metabolism.<br />

Results: We found that SDSH increased nitric oxide levels and decreased<br />

the levels of TBARS in the rat hippocampus relative to control<br />

hypoxic conditions. On the other hand, SDSH decreased nitric oxide<br />

levels and increased GSHt levels in the rat cerebellum relative to UCSH.<br />

Furthermore, SDSH increased GSHt levels, without affecting the levels<br />

of either nitric oxide, TBARS or carbonyl proteins in the rat neocortex<br />

and brainstem, compared to UCSH. SOD activity was not affected in<br />

any of the brain regions studied here. Additionally, we observed an increase<br />

in HK activity in the neocortex of SDSH rats compared to UCSH<br />

rats, suggesting that elevated glucose metabolism may be a potential<br />

source of increased free radical production in this brain region.<br />

Conclusion: We conclude that acute (6h) SDSH differentially affects<br />

various rat brain regions, but overall it protects against oxidative stress.<br />

Short term insomnia may therefore serve as an adaptive response to prevent<br />

sustained hypoxia-induced cellular injury.<br />

Support (If Any): Research supported by NS14610, MH64109 and the<br />

Medical Research Service of the Department of Veterans Affairs.<br />

0265<br />

<strong>SLEEP</strong>LESS NIGHTS AND STRESSFUL DAYS: <strong>SLEEP</strong><br />

DEPRIVATION AND MENTAL STRESS AMPLIFY SURGES IN<br />

BLOOD PRESSURE<br />

Franzen PL 1 , Gianaros PJ 1 , Marsland AL 2 , Hall MH 1,2 , Siegle GJ 1 ,<br />

Dahl R 3 , Buysse DJ 1<br />

1<br />

Department of Psychiatry, University of Pittsburgh School of<br />

Medicine, Pittsburgh, PA, USA, 2 Department of Psychology,<br />

University of Pittsburgh, Pittsburgh, PA, USA, 3 Department of Public<br />

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

Introduction: Sleep disturbances and psychological stress are highly<br />

prevalent, and both are implicated in the etiology of cardiovascular diseases.<br />

Given their tendency to co-occur, they may act synergistically in<br />

cardiovascular pathogenesis. To test for additive effects of sleep deprivation<br />

and psychological stress on blood pressure, we examined acute<br />

stress reactivity following rested and sleep-deprived experimental conditions<br />

in healthy young adults.<br />

Methods: Participants included 20 young adults 20-25 years old free<br />

from current or past sleep, psychiatric, or major medical disorders. Using<br />

a within-subjects crossover design, we examined acute stress reactivity<br />

under two experimental conditions: following a night of normal<br />

sleep in the laboratory and following a night of total sleep deprivation.<br />

Two standardized psychological stress tasks were administered, a Stroop<br />

color-word naming interference task and a speech task, which were preceded<br />

by a pre-stress baseline and followed by a post-stress recovery<br />

period. Each period was 10 minutes in duration, and blood pressure<br />

recordings were collected every 2.5 minutes throughout each period.<br />

Mean blood pressure responses during the stress and recovery periods<br />

were examined with a mixed effects analysis of covariance, controlling<br />

for baseline blood pressure.<br />

Results: There was a significant interaction between sleep deprivation<br />

and stress on systolic blood pressure, F(2,83.4)=4.35, p=0.016. Systolic<br />

blood pressure was higher in the sleep deprivation condition compared<br />

with the normal sleep condition during the speech task, t(18)=2.93,<br />

p=0.009), whereas blood pressure did not differ between the sleep conditions<br />

during the Stroop task or the post-stress recovery period.<br />

Conclusion: Sleep deprivation amplified systolic blood pressure increases<br />

to psychological stress. Sleep loss may increase cardiovascular<br />

risk by dysregulating stress physiology. Based on these data, stress may<br />

be particularly important to address in individuals with sleep problems<br />

and vice versa in reducing cardiac vulnerability. Educational or behavioral<br />

interventions to prevent sleep loss could buffer the adverse health<br />

outcomes associated with stress.<br />

Support (If Any): K01 MH077106 UL1 RR024153 National Sleep<br />

Foundation Pittsburgh Mind-Body Center Health Research Formula<br />

Funds from the Pennsylvania Department of Health (Act 2001-77)<br />

0266<br />

INCREASES IN NOREPINEPHRINE ARE ASSOCIATED<br />

WITH FEWER MICRO<strong>SLEEP</strong>S DURING SUSTAINED<br />

WAKEFULNESS<br />

Simpson N, Cahalan C, Haack M, Mullington JM<br />

Neurology, Beth Israel Deaconess Medical Center/Harvard Medical<br />

School, Boston, MA, USA<br />

Introduction: Sleep loss is a significant and unique stressor, as sleep<br />

itself is a biological resource necessary to regulate multiple physiological<br />

systems. It was hypothesized that levels of norepinephrine, a marker<br />

of autonomic activation, would increase in response to sleep loss while<br />

levels of self-reported stress would not.<br />

A93<br />

<strong>SLEEP</strong>, Volume 34, <strong>Abstract</strong> <strong>Supplement</strong>, <strong>2011</strong>

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