Neurochemistry and Biomarkers of Narcolepsy and Other Primary and Secondary Hypersomnias

被引:3
|
作者
Nishino, Seiji [1 ]
Deguzman, Carl [1 ]
Yamadera, Wataru [1 ]
Chiba, Shintaro [1 ]
Kanbayashi, Takashi [2 ]
机构
[1] Stanford Univ, Sleep & Circadian Neurobiol Lab, Dept Psychiat & Behav Sci, Sch Med, 3165 Porter Dr,Room 1195, Palo Alto, CA 94304 USA
[2] Akita Univ, Dept Neuropsychiat, Grad Sch Med, Akita 0108543, Japan
关键词
Narcolepsy; Biomarkers; Hypocretin/orexin; EDS; Idiopathic hypersomnia; Histamine; CSF;
D O I
10.1016/j.jsmc.2012.03.015
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Narcolepsy with cataplexy, narcolepsy without cataplexy, and idiopathic hypersomnia are 3 major primary hypersomnias that are currently diagnosed mostly by sleep phenotypes. Diagnostic tests are needed to understand the mechanisms of disease and provide better treatments. Recent progress for understanding the pathophysiology of excessive daytime sleepiness (EDS) comes particularly from the discovery of narcolepsy genes (ie, hypocretin receptor and peptide genes) in animals in 1999 and the subsequent discovery of hypocretin ligand deficiency in idiopathic cases of human narcolepsy-cataplexy. Changes in other neurotransmitter systems may also mediate sleep abnormalities in hypocretin-deficient narcolepsy and other hypersomnias.
引用
收藏
页码:233 / +
页数:17
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