Physiological review
New neurons in the adult brain: The role of sleep and consequences of sleep loss

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SUMMARY

Research over the last few decades has firmly established that new neurons are generated in selected areas of the adult mammalian brain, particularly the dentate gyrus of the hippocampal formation and the subventricular zone of the lateral ventricles. The function of adult-born neurons is still a matter of debate. In the case of the hippocampus, integration of new cells in to the existing neuronal circuitry may be involved in memory processes and the regulation of emotionality. In recent years, various studies have examined how the production of new cells and their development into neurons is affected by sleep and sleep loss. While disruption of sleep for a period shorter than one day appears to have little effect on the basal rate of cell proliferation, prolonged restriction or disruption of sleep may have cumulative effects leading to a major decrease in hippocampal cell proliferation, cell survival and neurogenesis. Importantly, while short sleep deprivation may not affect the basal rate of cell proliferation, one study in rats shows that even mild sleep restriction may interfere with the increase in neurogenesis that normally occurs with hippocampus-dependent learning. Since sleep deprivation also disturbs memory formation, these data suggest that promoting survival, maturation and integration of new cells may be an unexplored mechanism by which sleep supports learning and memory processes. Most methods of sleep deprivation that have been employed affect both non-rapid eye movement (NREM) and rapid eye movement (REM) sleep. Available data favor the hypothesis that decreases in cell proliferation are related to a reduction in REM sleep, whereas decreases in the number of cells that subsequently develop into adult neurons may be related to reductions in both NREM and REM sleep. The mechanisms by which sleep loss affects different aspects of adult neurogenesis are unknown. It has been proposed that adverse effects of sleep disruption may be mediated by stress and glucocorticoids. However, a number of studies clearly show that prolonged sleep loss can inhibit hippocampal neurogenesis independent of adrenal stress hormones. In conclusion, while modest sleep restriction may interfere with the enhancement of neurogenesis associated with learning processes, prolonged sleep disruption may even affect the basal rates of cell proliferation and neurogenesis. These effects of sleep loss may endanger hippocampal integrity, thereby leading to cognitive dysfunction and contributing to the development of mood disorders.

Section snippets

Neurogenesis in the adult brain

It has long been a central dogma in neuroscience that the mammalian brain can no longer generate new neurons once it reaches adulthood. However, contrary to this dogma, research over the last few decades has now firmly established that even the adult brain contains undifferentiated progenitor cells that give rise to new neurons.*1, *2, 3 While much of our current knowledge on neurogenesis in the adult mammalian brain is based on studies in laboratory rodents, the production of new neurons in

Daily rhythms in hippocampal cell proliferation

Sleep displays a clear circadian or daily rhythm that is governed by an endogenous biological clock located in the suprachiasmatic nucleus of the hypothalamus.31, 32 Therefore, if sleep plays a direct role in adult neurogenesis, one might expect to see a daily rhythm in cell proliferation and expression of neurogenic markers that parallels the sleep–wake rhythm. On the other hand, one has to bear in mind that a daily rhythm in cell proliferation would not necessarily be related to sleep per se

Effects of sleep deprivation and sleep disruption

To examine the role of sleep in neurogenesis, various studies have experimentally deprived or disrupted sleep in rodents for different durations, ranging from one to several days. While some of these studies applied prolonged total sleep deprivation for several days as a first approach to explore the relationship between sleep and neurogenesis, a number of experiments were specifically designed to better mimic sleep restriction or sleep disorders as they occur in humans, albeit in a severe

Sleep deprivation, the role of stress and other mechanisms

The finding of reductions in cell proliferation and neurogenesis after sleep deprivation or sleep disruption suggest that sleep itself promotes the production of new cells and neurons. However, the mechanisms by which sleep affects different aspects of neurogenesis are unknown. The fact that cell proliferation does not appear to be diminished by short sleep deprivation of less than a day,*34, 38, 39, *40 and the finding that reduced proliferation after prolonged sleep deprivation does not

Sleep deprivation, learning and neurogenesis

One important issue concerning the relationship between sleep and neurogenesis has only reached sparse attention. Most studies so far examined effects of sleep deprivation on basal rate of cell proliferation and neurogenesis. However, the importance of sleep may not just lie in regulating basal rates of neurogenesis but, rather, mediating changes in neurogenesis associated with, for example, learning.

Many studies suggest that sleep plays a role in learning and memory formation.67, 68, 69

Sleep disturbance and the human hippocampus

Although most of the current knowledge on adult neurogenesis is derived from studies in laboratory rodents, the generation of new neurons in the adult brain has been confirmed in humans as well.4 In elderly cancer patients that were injected with BrdU, postmortem analysis of brain tissue and immunostainings for BrdU together with specific neuronal markers unequivocally demonstrated the existence of proliferating cells and generation of new neurons in the DG of the hippocampus. Nonetheless,

Acknowledgments

This paper is the result of a joint symposium at the 5th World Sleep Congress in Cairns, Australia, September 2007. The writing of the manuscript was supported by the Netherlands Organization for Scientific Research (NWO grant 864.04.002 to PM).

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