Theme : Dreams
Changes in Sleep in Response to Intracerebral Injection of Insulin-Like
Growth Factor-1 (IGF-1) in the Rat
Ferenc Obál Jr.1, Levente Kapás2, Balazs Bodosi1 and James
M. Krueger3
1Department of Physiology, Albert Szent-Györgyi Medical University,
Szeged 6720, Hungary, 2Department of Biological Sciences, Fordham University,
Bronx, New York 10458, USA, 3Department of Veterinary and Comparative
Anatomy, Pharmacology and Physiology, Washington State University, Pullman,
Washington 99164, USA
Abstract
Changes in sleep were studied during 6 hours after intracerebroventricular
(ICV) administration of Insulin-like growth factor-1 (IGF-1) or the structurally
related insulin. IGF-1 was injected either at dark onset (0.05 or 0.5
µg) or 6 hours after light onset (0.05, 0.5, or 5.0 µg). The
small dose of IGF-1 consistently, albeit modestly, enhanced NREMS over
the 6 hour postinjection period in both the dark and the light cycles
(REMS increased only at night). The NREMS-promoting activity vanished
when the dose was increased to 0.5 µg, and 5.0 µg IGF-1 elicited
a marked and prompt suppression in NREMS. Heat-inactivated IGF-1 (0.05
µg) did not alter sleep. On a molar base, the NREMS-promoting dose
of insulin was higher than that of IGF-1. Late (hours 7-17 postinjection)
enhancements in EEG slow wave activity during NREMS were observed after
5.0 µg IGF-1. The results indicate that IGF-1 can promote NREMS
and may contribute to the mediation of the effects of GH on sleep. The
acute sleep-suppressive activity of the high dose of IGF-1 is attributed
to an inhibition of endogenous growth hormone-releasing hormone (GHRH).
Current Claim: IGF-1 may contribute to the mediation of the effects of
the somatotropic axis on sleep.
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Insulin-like growth factor-1 is a hormone secreted by the liver, and an
autocrine/paracrine substance produced in various tissues, including the
brain. IGF-1 is structurally related to IGF-2 and insulin. IGF-1 has a
low affinity to insulin receptors and a high affinity to type-1 IGF receptors.
The same receptors are, however, also implicated in the mediation of the
growth promoting and proliferative activity of IGF-2, and they may also
bind insulin though with significantly less affinity than IGF-1 or IGF-2
(reviewed in Sara et al., 1996; Stewart and Rotwein, 1996).
IGF-1 is a component of the somatotropic axis which mediates many effects
of pituitary growth hormone (GH), such as regulation of tissue growth,
cell differentiation and metabolic activity. In addition to IGF-1, the
somatotropic axis includes hypothalamic growth hormone-releasing hormone
(GHRH) and somatostatin, which stimulate and inhibit pituitary GH secretion,
respectively. Several members of the somatotropic axis exhibit sleep-modulating
activity. Exogenous GHRH enhances sleep, particularly NREMS, in rats (Ehlers
et al., 1986; Obál et al., 1988), rabbits (Obál et al.,
1988) and humans (Steiger et al., 1992; Kerkhofs et al., 1993), whereas
inhibition of endogenous GHRH is followed by suppression of spontaneous
sleep (Obál et al., 1991; 1992). Somatostatin stimulates REMS (Danguir,
1986) and decreases NREMS (Beranek et al., 1997). Acute administration
of GH stimulates REMS in rats (Drucker-Colín et al.,1975), cats
(Stern et al., 1975) and humans (Mendelson et al., 1980). The sleep findings
in patients with chronic alterations in GH secretion are variable. Recent
observations, however, indicate that chronic overproduction or deficiency
in GH is associated with enhancements and decreases in the intensity of
NREMS, respectively, as assessed by determining the slow wave activity
in the EEG (Åström and Jochumsen, 1989; Åström and
Trojaborg, 1992). Immunoneutralization of GH is followed by decreases
in sleep in the rat (Obál et al., 1997). Transgenic mice with excess
GH production sleep more than normal mice (Lacmanshing and Rollo, 1994).
In contrast, mice deficient in the entire somatotropic axis sleep less
than their littermates (Zhang et al., 1996). These findings suggest that,
particularly in chronic conditions, GH may have NREMS promoting activities,
possibly via some metabolic actions, but the responsiveness of NREMS to
GH varies with the species and the age of the subjects (reviewed in Obál
et al., 1997). Sleep-associated variations in plasma IGF-1 concentrations
have been detected in humans (Prinz et al., 1995). The effects of IGF-1
on sleep, however, have not been studied, and therefore it is not known
whether IGF-1 has any role in the mediation of the GH-induced sleep alterations.
The aim of our experiments was to study changes in sleep in response to
intracerebroventricular (ICV) injection of IGF-1 in rats. To determine
if insulin receptors are involved in the mediation of the sleep responses,
sleep-wake activity was also recorded after ICV injection of insulin.
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Animals, surgery
Male Sprague-Dawley rats (300-350 g b.w.) were used. Under ketamine-xylazine
anesthesia (87 and 13 mg/kg intraperitoneally, respectively), the rats
were implanted with stainless steel jewelry screws as electrodes for EEG
recording, and a thermistor for recording cortical brain temperature (Tcrt).
A guide cannula was implanted into the left lateral ventricle. The position
of the cannula was verified during implantation by a sudden drop in resistance
against inflow of physiological saline. The placement of the cannula and
the drainage of the lateral ventricle was verified by means of the drinking
response elicited by ICV injection of angiotensin II (200 ng, 2 µl)
a few days before the sleep experiment. At the termination of the sleep
recording, trypan blue was injected into the cannula, and the ventricular
system was checked for staining. Data were used only from those rats in
which the angiotensin tests were positive and the postmortem examination
of the brain also confirmed the proper position of the cannula.
Recording
The rats were housed in individual Plexiglas cages in the recording chambers.
The ambient temperature was regulated at 26°C, and a 12-12-hour light-dark
cycle was maintained with light on at 8:30 a.m. Food and water were continuously
available. The rats were allowed 7 to 10 days to recover after surgery.
During recovery, the rats were housed in the recording chambers, and they
were connected to the recording tethers for habituation. The tethers were
attached to commutators. The movements of the rats were recorded by means
of electromagnetic transducers attached to the tethers. Cables from the
commutators and electromagnetic transducers were connected to amplifiers
in an adjacent room. The signals were digitized by an AD converter (64
Hz sampling rate) and stored on a computer. For the evaluation of the
states of vigilance, the EEG, motor activity and Tcrt signals were displayed
on the computer screen. For each 8-s epoch, the power density spectra
were also computed from the EEG. The power density values were determined
and displayed in 0.5 Hz bins between 0.5 and 20 Hz. The states of vigilance
were scored visually in 8-s intervals (NREMS: high-amplitude EEG slow
waves, lack of body movements, and declining Tcrt upon entry; REMS: highly
regular theta activity in the EEG, general lack of body movements with
occasional twitches, and rapid rise in Tcrt at onset; wakefulness: EEG
amplitudes similar but less regular than in REMS, frequent movements,
and a gradual increase in Tcrt after arousal). The duration of the states
of vigilance was expressed as percent of recording time each hour. Power
density values between 0.5 and 4.0 Hz were integrated to characterize
EEG slow wave activity (SWA). SWA belonging to artifact-free uninterrupted
8-s epochs of NREMS were averaged and thereby mean SWA during NREMS was
computed for each hour. Occasionally, the rats failed to sleep for 1 hour
or longer at night. In these particular cases, the mean of the preceding
and following hourly SWA was used to fill the missing value for the statistics.
The 8-s Tcrt values were averaged for 1 hour intervals.
Experimental protocol
Eight groups of rats were used as follows: Three groups were injected
in the light period 6 hours after light onset: 0.05 µg IGF-1 (n=10),
0.5 µg IGF-1 (n=6), and 5.0 IGF-1 (n=10); and five groups were injected
at dark onset: 0.05 µg IGF-1 (n=10), 0.5 IGF-1 (n=12), heat-inactivated
0.05 µg IGF-1 (n=7), 0.04 µg insulin (n=8); 0.4 µg insulin
(n=8). The doses of insulin (0.04 and 0.4 µg) were selected to match
the molar dose of 0.05 and 0.5 µg IGF (0.0065 nmol and 0.065 nmol),
respectively. In the rat, sleep propensity is highest at light onset,
declines during the day, and is at minimum levels at the beginning of
the dark period. Injections at dark and light onsets are generally used
to demonstrate increases and decreases in NREMS, respectively, in response
to a particular substance (Inoué et al., 1984). It was anticipated
that duration of NREMS during the second portion of the light period might
be still high enough to detect sleep suppression and already low enough
to pick up sleep promotion if IGF-1 exerts these activities. IGF-1 (human
recombinant IGF-1) and insulin (human, enzymatically derived from porcin
insulin) was obtained from Peninsula Lab, Inc. (CA). For heat inactivation,
the IGF-1 solution was exposed to 75°C for 30 min. Both IGF-1 and
insulin were dissolved in physiological saline and injected in a volume
of 2 µl. Each rat received 2 ICV injections: physiological saline
on day 1 (baseline day), and IGF-1 or insulin on day 2 (experimental day).
As a growth factor and metabolic hormone, IGF-1 may elicit long-term effects
in both glial cells and neurons. IGF-1 or insulin was, therefore, always
administered on day 2 of the recording.
ICV injections were performed 10 min before dark onset or 10 min before
hour 6 of the light period. The groups injected at dark onset were recorded
from for 12 hours in the dark period, and for 11 hours during the subsequent
light period. In the groups injected during the light period, recording
was started in the morning with light onset, interrupted for injections
and then continued during the 6 hours of the second portion of the light
period, and for 11 hours at night. If not mentioned otherwise, only the
values for a 6 hour postinjection period are reported herein irrespective
of the time of the injection; the IGF-1-induced alterations in sleep were
over during this period.
Statistics
Two-way analysis of variance (ANOVA) for repeated measures were used
to determine the effects of IGF-1 or insulin on a state of vigilance,
SWA during NREMS, and Tcrt in a group of rats. Time (6 hour blocks) and
treatment (physiological saline or IGF or insulin) were the 2 factors
of the ANOVA. Only the results with significant treatment-effects are
provided in the current report. Intergroup comparisons (evaluation of
the differences in the effects of the various doses of IGF-1) were performed
by means of one-way ANOVA followed by the Student-Newman-Keuls test in
the light period (3 groups) or by the Student t-test in the dark period
(2 groups). The Student t-test was used to analyze the effects of IGF-1
on the states of vigilance in postinjection hour 1. In all tests, an alpha
level of p<0.05 was taken as an indication of statistical significance.
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Figure 1
The lowest dose of IGF-1 enhanced NREMS during a 6 hour time block after
injection in both the light (ANOVA, F(1,9)=11.717, p<0.05) and the
dark periods (F(1,9)=13.673, p<0.05) (Table 1, Fig. 1). The increases
in NREMS were modest and occurred between hours 1 and 4 postinjection
with the most consistent enhancements in hour 2 (dark) or hour 3 (light)
postinjection. NREMS was not significantly altered in hour 1 (Student
t-test). The NREMS-promoting activity of IGF-1 vanished when the dose
was raised to 0.5 µg. Although the mean duration of NREMS per 6
hours did not change in response to 5.0 µg IGF-1, this large dose
elicited a prompt and significant suppression in NREMS in postinjection
hour 1 (% recording time; baseline: 51.7 ± 1.96, IGF-1: 33.0 ±
4.21; p< 0.05, Student t-test). The NREMS loss was recovered in hour
3 postinjection. There were significant differences in the effects on
NREMS among the three doses of IGF-1 injected during the light period
(one-way ANOVA: F(2,23)=5.26, p<0.05; Student-Newman-Keuls test: significant
difference between the effects of 0.05 µg and 5.0 µg IGF-1)
and between the doses administered at dark onset (Student t-test).
SWA in NREMS did not change during 6 hours after IGF-1 injection. Interestingly,
consistent (+10.4 ± 1.92%) and statistically significant (F(1,9)=27.424,
p<0.05) enhancements in NREMS-associated SWA were found throughout
the 11 hour recording during the dark period when 5.0 µg IGF-1 was
injected 6 hours after light onset. These changes in SWA were not accompanied
by changes in the duration of NREMS.
In general, REMS was not altered by ICV administration of IGF-1 during
the day or at night. Increases in REMS were observed after the 0.05 µg
IGF-1 injected at dark onset (F(91,9)=8.457, p<0.05). This group of
rats, however, produced less REMS on the baseline day than the rat injected
with the larger dose (Table 1).
The low dose of insulin did not alter sleep (Table 1). Although NREMS
obviously tended to increase after the administration of 0.4 µg
insulin (NREMS enhanced in 6 out of the 7 rats) these changes did not
reach the level of statistical significance.
Courses of Tcrt did not differ after physiological saline and IGF-1 or
insulin injections.
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The low dose of ICV IGF-1 elicited modest enhancements of sleep. Increases
in NREMS were also reported in response to ICV infusion of insulin (Danguir
and Nicolaidis, 1984). The molar dose of IGF-1 was, however, lower than
that of insulin required for stimulation of NREMS in our experiments.
Therefore, the NREMS-promoting activity of IGF-1 is attributed to stimulation
of type-1 IGF-1 receptors and not to insulin receptors. Enhancements in
NREMS developed slowly and persisted for several hours after the administration
of IGF-1 in both the dark and the light period. This suggests that stimulation
of sleep elicited by GHRH is not mediated via GH-IGF-1 for GHRH has a
prompt and relatively short-lasting sleep-promoting activity in rats (Ehlers
et al., 1986; Obál et al., 1988). In fact, GH-deficiency created
by hypophysectomy fails to interfere with the enhancements in NREMS elicited
by GHRH (Obál et al., 1996). It was suggested, therefore, that
the NREMS-promoting activities of GHRH and GH are independent: GHRH stimulates
NREMS via a neurotransmitter-like action in the basal forebrain, whereas
GH alters sleep through some metabolic action. Although the mechanisms
might be slightly different, GH, IGF-1, and insulin are all characterized
by protein anabolic (Russell-Jones and Umpleby, 1996) and NREMS-promoting
activities. NREMS is associated with increased rates of cerebral protein
synthesis in the rat (Ramm and Smith, 1990) and monkey (Nakanishi et al.,
1997). It cannot be excluded that these phenomena are not only correlative,
but causally related. Also, the GH-induced rise in the concentration of
IGF-1 in the brain or in the blood (IGF-1 seems to be transported from
blood into the brain via the choroid plexus [Reinhardt and Bondy, 1994;
Davidson et al., 1990]) may contribute to the sleep alterations found
in patients with chronic overproduction of GH. In this respect, the late
increases in SWA observed after the high dose of IGF-1 might have particular
significance: enhanced NREMS intensity is reported to be a characteristic
symptom of patients with high plasma GH concentrations (Åström
and Trojaborg, 1992).
Acute administration of GH increases REMS in three species (Drucker-Colín
et al., 1975; Stern et al., 1975; Mendelson et al., 1980). The low dose
of IGF-1, however, stimulated REMS modestly only in the dark period and
failed to do so in the afternoon when REMS is normally high. The time
of the day variations in the REMS responses to IGF-1 suggest that IGF-1
has no specific REMS-promoting activity. The increases in REMS at night
might result from the combined effects of the low baseline and the increases
in NREMS. If this speculation is correct then the mechanism of stimulation
of REMS by acute GH injection is independent from IGF-1.
The NREMS-promoting effects of IGF-1 vanished when the dose was increased,
and the high dose, in fact, elicited an acute suppression in NREMS in
postinjection hour 1. IGF-1 acts as a negative feedback in the somatotropic
axis inhibiting GH secretion at levels of both the pituitary and the hypothalamus.
In the hypothalamus, IGF-1 stimulates somatostatin (Berelowitz et al.,
1981; Becker et al., 1995; Gil Ad et al., 1996; Ghigo et al., 1997). Although
an acute release of GHRH is also occasionally found in response to IGF-1
(Aguilla et al., 1993), other papers report that IGF-1 suppresses GHRH
secretion (Shibasaki et al., 1986; Becker et al., 1995) and GHRH mRNA
levels (Sato and Frohman, 1993; Uchiyama et al., 1994). Inhibition of
GHRH might require stronger IGF-1 stimulation than the release of somatostatin
(Ghigo et al., 1997). Irrespective of which event occurs first, both an
inhibition of GHRH and a stimulation of somatostatin are associated with
decreases in NREMS. It seems that it is not the blood-borne IGF-1, but
the hypothalamic IGF-1 stimulated by pituitary GH which is involved in
the hypothalamic inhibition of the somatotropic axis (Sato and Frohman,
1993). The importance of the intracerebral IGF-1 in the regulation of
GH secretion is supported by the observation that ICV administration of
IGF-1 in itself (Abe et al., 1983; Tannenbaum et al., 1983) or in combination
with IGF-2 (Harel and Tannenbaum, 1992) inhibits GH secretion in the rat.
The dose of ICV-injected IGF-1 suppressing GH secretion is 0.5 µg
or higher (Becker et al., 1995), i.e., in the dose range of IGF-1 that
failed to enhance NREMS or caused a suppression in our experiments. It
is suggested therefore, that the attenuation of the sleep-promoting activity
of IGF-1, and the appearance of NREMS suppression when the dose of ICV
IGF-1 is high is due to a gradually developing inhibition of GHRH and/or
stimulation of somatostatin.
In conclusion, in addition to the acute NREMS suppressive effect of IGF-1,
our experiments indicate that IGF-1 has a sleep-promoting potential. Experiments
with chronic administration of IGF-1 can reveal whether this activity
of IGF-1 is involved in the mechanisms of sleep alterations in conditions
with permanent overproduction of GH.
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The authors thank Ms. I. Ponicsan, Mr. Sz. Toth, and Mr. Y. Wang for technical
assistance. This work was supported by the Hungarian Science Foundation
(OTKA-16080) and the National Institutes of Health (NS-30514, NS-27250
and NS-31453).
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