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Publication : Cerebral capillary blood flow upsurge during REM sleep is mediated by A2a receptors.

First Author  Tsai CJ Year  2021
Journal  Cell Rep Volume  36
Issue  7 Pages  109558
PubMed ID  34407410 Mgi Jnum  J:324790
Mgi Id  MGI:6876938 Doi  10.1016/j.celrep.2021.109558
Citation  Tsai CJ, et al. (2021) Cerebral capillary blood flow upsurge during REM sleep is mediated by A2a receptors. Cell Rep 36(7):109558
abstractText  Sleep is generally viewed as a period of recovery, but how the supply of cerebral blood flow (CBF) changes across sleep/wake states has remained unclear. Here, we directly observe red blood cells (RBCs) within capillaries, where the actual substance exchange between the blood and neurons/glia occurs, by two-photon microscopy. Across multiple cortical areas, average capillary CBF is largely increased during rapid eye movement (REM) sleep, whereas it does not differ between periods of active wakefulness and non-REM sleep. Capillary RBC flow during REM sleep is further elevated following REM sleep deprivation, suggesting that capillary CBF reflects REM sleep pressure. At the molecular level, signaling via adenosine A2a receptors is crucial; in A2a-KO mice, capillary CBF upsurge during REM sleep is dampened, and effects of REM sleep pressure are abolished. These results provide evidence regarding the dynamics of capillary CBF across sleep/wake states and insights to the underlying mechanisms.
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