{"id":8401,"date":"2012-11-20T16:25:36","date_gmt":"2012-11-20T21:25:36","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=8401"},"modified":"2012-11-19T12:44:06","modified_gmt":"2012-11-19T17:44:06","slug":"study-identifies-brain-mechanism-mediating-breathing-muscle-paralysis-in-dreaming-sleep","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2012\/11\/study-identifies-brain-mechanism-mediating-breathing-muscle-paralysis-in-dreaming-sleep\/","title":{"rendered":"Study identifies brain mechanism mediating breathing muscle &#8220;paralysis&#8221; in dreaming sleep"},"content":{"rendered":"<p>From the American Thoracic Society press release via Newswise:<\/p>\n<blockquote><p><img class=\"alignright\" src=\"http:\/\/www.therapytoronto.ca\/images\/blogpics\/brain_scan.jpg\" alt=\"brain scan\" \/><strong>A novel brain mechanism mediating the inhibition of the critical breathing muscles during rapid eye movement (REM) sleep<\/strong> has been identified for the first time in a new study, offering the possibility of a new treatment target for sleep-related breathing problems.<\/p>\n<p>The findings were published online ahead of print publication in the American Thoracic Society\u2019s American Journal of Respiratory and Critical Care Medicine.<\/p>\n<p>\u201c<strong>REM sleep is accompanied by profound inhibition of muscle activity<\/strong>,\u201d said researcher Richard Horner, PhD, professor of medicine and physiology at the University of Toronto This \u201cparalysis\u201d affects breathing muscles and \u201cis a cause of snoring and other breathing problems in sleep, especially obstructive sleep apnea.\u201d<\/p>\n<p><strong>Sleep apnea is a common and serious problem<\/strong> that increases the risk for heart attacks, high blood pressure, stroke, diabetes and daytime sleepiness.<\/p>\n<p>According to Dr. Horner, \u201cthe brain mechanism mediating inhibition of the critical breathing muscles in REM sleep was unknown, but a novel and powerful inhibitory mechanism is identified for the first time in our study.\u201d<\/p>\n<p>In the study, performed by PhD student Kevin Grace, rats were studied across sleep-wake states. <strong>The researchers targeted manipulation of the brain region that controls tongue muscles during sleep<\/strong>.<\/p>\n<p>The tongue is an important breathing muscle because its activity keeps the airspace open behind the tongue to allow for the effective passage of air into the lungs. <strong>Inhibition of tongue muscle activity in sleep in some people leads to backward movement of the tongue and blockage of the airspace<\/strong>. This blockage in sleep leads to episodes of self-suffocation (sleep apnea) that are rescued by waking up from sleep. Such episodes can occur hundreds of times a night.<\/p>\n<p>Importantly, the muscle activating effects of these interventions were largest during REM sleep and minimal or absent in other sleep-wake states. The brain chemical mediating this powerful inhibition of breathing muscle activity in REM sleep is acetylcholine, acting via muscarinic receptors that are functionally linked to a particular class of potassium channel.<\/p>\n<p>&#8220;Since REM sleep recruits mechanisms that can abolish or suppress tongue muscle activity during periods of REM sleep and cause obstructive sleep apnea, identification of a mechanism mediating this inhibition is a significant discovery,&#8221; said Dr. Horner.<\/p>\n<p>\u201cThis newly identified process has fundamental implications for <strong>understanding the common and serious problems of snoring and other breathing problems such as obstructive sleep apnea, which are worse in REM sleep,<\/strong>\u201d said Dr. Horner. \u201cMoreover, identifying the fundamental mechanism responsible for the shutting down of a muscle in sleep that is critical for effective breathing also identifies a rational drug target designed to prevent this inactivity and so prevent obstructive sleep apnea and other sleep-related breathing problems.\u201d<\/p><\/blockquote>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the American Thoracic Society press release via Newswise: A novel brain mechanism mediating the inhibition of the critical breathing muscles during rapid eye movement (REM) sleep has been identified&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2012\/11\/study-identifies-brain-mechanism-mediating-breathing-muscle-paralysis-in-dreaming-sleep\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6],"tags":[42,12,362],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/8401"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=8401"}],"version-history":[{"count":3,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/8401\/revisions"}],"predecessor-version":[{"id":8459,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/8401\/revisions\/8459"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=8401"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=8401"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=8401"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}