Theme : Dreams
Brainstem Origin for a New Very Slow (1mHz) Oscillation in the Human
Non-REM Sleep Episode
Helli Merica1 and Ronald D. Fortune2
1Geneva University Hospital, Neurophysiology Unit, Geneva, Switzerland
2CERN European Organization for Nuclear Research, Geneva, Switzerland
Abstract
The time-courses of power in the different frequency bands (1-40 Hz) within
the non-rapid-eye-movement (NREM) episode of the human sleep electroencephalogram
have provided for many years a fascinating window into the sleep process.
Here our analysis of the slow-wave band (1-4 Hz) reveals a hitherto unrecognized
very slow oscillation of power with mean period ~15 minutes, an instability
that appears to be an integral characteristic of the early NREM episode.
The neuronal transition probability (NTP) model has already given a mechanism
explaining how power in the spindle band peaks consistently before that
of slow wave activity. Here we show that an extension of the model, with
the hypothesis of a population of sleep neurons alternating between two
steady probability states, can simulate the very slow oscillation. In
doing so it gives not only the time course of power in the slow wave band,
but also the simultaneous time-courses in the spindle and in the fast
frequency bands. Animal data suggest that a brainstem neuronal population,
toggled by an external switching source, generates these time-courses
and dictates them to the thalamus and thence to the cortex. The discovery
of the very slow oscillation and the success of the NTP model in interpreting
the overall NREM structure may have important implications for both clinical
and fundamental sleep research.
Current Claim: A new insight into the structure of the NREM episode of
human sleep follows from the revelation of a very slow power oscillation
(~1mHz) and its interpretation in the light of the neuronal transition
probability model.
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The cellular basis of the electroencephalogram (EEG) has been for many
years the subject of intense study. Considerable advances have been made
over the past decade in establishing the sites of origin and the basic
mechanisms that underlie well-defined EEG patterns in sleep. These range
from individual waves (Steriade et al., 1993a, 1993b, 1993c; McCormick
and Bal, 1997) to complex wave sequences such as spindles (Contreras et
al., 1997) or K-complexes (Amzica and Steriade, 1997), where the functional
interaction of neural substrates plays an important role in grouping and
shaping the various rhythms or wave-sequences (Steriade and Amzica, 1998).
These basic findings shed light on events of the order of milliseconds
to several seconds in duration and provide building blocks with which
the dynamic changes that operate across a night of sleep can be investigated.
In addition to the patterns observed directly on the EEG, however, there
are derived patterns such as the time-courses of power in the major frequency
bands: beta (15-30 Hz) characterizing activity during wake or rapid eye
movement (REM) sleep; sigma (12-15 Hz) characterizing spindle activity
in light non-rapid-eye-movement (NREM) sleep and delta (0.5-4 Hz) characterizing
slow-wave activity in deep NREM sleep. This slow-wave activity includes
three different oscillations (Amzica and Steriade, 1998): a thalamically
generated delta 1-4 Hz, arising from the interplay of two intrinsic currents
of thalamocortical (TC) neurons; a cortically generated delta 3-4 Hz that
survives thalamectomy but "takes place on a limited scale;"
and a cortically generated slow oscillation 0.1-1 Hz, involved mainly
in "triggering, shaping and synchronizing" spindles and delta
waves. It is the thalamically generated delta only that concerns us here.
The power time-courses provide a means to examine the mechanisms that
underlie EEG changes occurring on the longer time-scale of minutes rather
than seconds. The evolution of the delta and of the sigma power spectra
has been widely studied and the former, in particular, has been successfully
used as a basis for the modeling of the homeostatic regulation of sleep
(Borbély, 1982). Observations have also been made of the relationship
between sigma and delta power time courses (Lancel et al., 1992; Aeschbach
and Borbély, 1993; Uchida et al., 1994; Merica and Blois, 1997).
The neuronal transition probability (NTP) model provided, for the first
time, a mechanism by which these observations could be explained (Merica
and Fortune, 1997). A description of the NTP mechanism is given in the
Appendix. This model was conceived on the basis of findings on the generating
mechanisms giving rise to the various sleep EEG rhythms, in particular
the existence of different modes of oscillation of TC neurons (Steriade
et al., 1993a; McCormick and Bal, 1997). The model, supported by observations
at the thalamic level of the simultaneous occurrence of spindle and slow
wave power and of the temporal precedence of spindle power over delta
(Lancel et al., 1992), dealt with the single delta-process (DP) within
the early NREM episode. The DP is defined as the simultaneous evolution
of power in the delta (d), sigma (s) and beta (ß) frequency bands
during one polarizing-depolarizing cycle (i.e., a move towards followed
by a move away from deep sleep) of a fixed-size generating population
of sleep-associated neurons. Henceforth we shall refer to this population
simply as the generating neuronal population. This model revealed the
fundamental relationship between all three of these time-courses and answered
the question of how, in NREM, power in the sigma band peaks systematically
before that in delta. Fitting averaged data from selected individuals,
the single DP study was a necessary first step after preliminary indications
of the systematic multi-peaking of delta activity within NREM (Sinha et
al., 1972; Feinberg and March, 1988; Merica et al., 1997). Feinberg and
March (1988) were, in their "pulsatile" theory, probably the
first to see the delta-peak as the basic building block of the NREM episode.
Here we take up the question of the detailed structure of the spectral
power time-courses over the typical NREM episode. This can be done only
on data from individual subjects. The distinction is important: averaged
data often show only a single delta-peak and, although they give the general
behavior of the time-courses, they effectively conceal the structure of
the individual courses constituting the average. This is especially true
whenas in the NREM episodethere is a wide variation in their
shapes. It is perhaps because of a tendency to focus on averaged data
that the complex character of the NREM spectral evolution has received
little attention. In fact, the simplified qualitative descriptions of
the NREM episode given in the literature are applicable, not to the entire
episode, but only to the DP within the episode. We will show that in fitting
individual subject data, the shapes of the early NREM episode spectral
time-courses can be simulated on a neurophysiological basis by an extended
version of the NTP model. In doing so, we reveal the systematic oscillatory
character of these time-courses.
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The study uses data from 14 healthy young subjects (mean age 26±3
years) who were paid volunteers from whom informed consent was obtained
in accordance with established ethical principles. The data were selected
randomly from our large data bank of all-night sleep recordings carried
out under controlled environmental conditions. For each subject, the EEG
signal recorded between electrode pairs F4-Cz was digitized at a 128 Hz
sampling rate and power spectra were computed by fast Fourier transform,
for consecutive 4-second epochs over a frequency range 0.5-30 Hz. This
range was divided into the three bands, delta, sigma and beta, as defined
above. The NREM duration was normalized to 100% and average power calculated
for each 2% time bin. An initial value for the delta power normalization
factor was chosen so as to put the maximum delta power at about 0.9 on
the vertical scale. The DPs were then identified in an objective manner:
initial values for the times at which there was a switch between moving
towards and moving away from deep sleep were determined by peak and trough
detection using three-point moving average smoothing of the delta time-course.
The NTP model was then fitted to each process in turn, with starting power
values for each polarizing or depolarizing phase taken as equal to the
end values of the previous phase. The free fitting parameters were thus
the beta, sigma and delta power normalization factors common to all DPs
in the episode, and for each DP the probabilities for the four transitions
(ß>s, s>d, d>s, s>ß) and
the switchover times. Since delta power was more precisely measured than
either sigma or beta, delta was fitted first. Fine-tuning of the delta
parameters was carried out using the coefficient of determination R2 as
a goodness-of-fit criterion. The power normalization factors for the sigma
and beta curves were then fitted, while retaining the values of the other
parameters as already determined for delta. In order to fit beta, we subtracted
from the data a constant power (bias) which varied from subject to subject.
The durations of individual DPs were then measured and the mean and standard
deviation of the oscillation period calculated.
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Figure 1
Figure 2
Initial results showed, rather surprisingly, that the optimally fitted
sets of probability values were very similar for all DPs in all of the
fourteen subjects studied. Fixing the probabilities at the mean-values
obtained enabled a considerable reduction in the number of free parameters
with very little loss of goodness-of-fit. The common transition probability
parameters used for all fittings are: Pßs=0.13, Psd=0.13, Pds=0.20
and Psß=0.60 per 1% of the NREM duration. The first pair of probabilities
defines a polarizing steady-state of the generating neuronal population,
and the second pair a depolarizing steady-state.
The fit of the NTP model to the data of six representative subjects,
out of the total of 14 analyzed, is shown in Figures 1 and 2, and Table
1. As for these six subjects, the results for all 14 show that the overall
quality-of-fit for delta is very good, and for sigma and beta is sufficient
for the model to bring out their salient features. The average goodness-of-fit
R2 values over all 14 subjects, calculated from the sums of squares of
the deviations, are 81.4% for delta, 39.2% for sigma and 43.3% for beta.
The average number of DPs per NREM episode is 4.6±0.5 and the average
duration of the NREM episode is 67.7±16 minutes. The average oscillation
period is 14.6±6 minutes (variations given as standard deviations).
The sigma time-course is the central element in the frequency cascade
both towards and away from deep sleep, and as such it has the most complicated
shape. The extended NTP model is nevertheless able to account for the
complex detail of this time-course. The model predicts that throughout
the NREM episode: (a) sigma-peaks will generally precede the delta-peaks;
(b) the time-course of delta is roughly the mirror image of beta; (c)
delta-peaks have starting-slopes depending on their starting-magnitudes;
and (d) sigma will go through its first maximum at that instant where
beta falls to about one third (1/e) of its original power. These predictions
are all verified in our data.
The central feature of our results is that, as in the case of overnight
sleep having an average of about four NREM-REM cycles, the first NREM
episode itself has an average of about four delta-processes or polarizing-depolarizing
cycles of the generating neuronal population. This corresponds to a hitherto
unrecognized very slow oscillation (VSO) with a period of about 15 minutes.
This result demonstrates that within the early NREM episode, getting to
deep slow-wave sleep and returning to REM-sleep or wake is by no means
as straightforward as depicted in the literature. This process is random
in time with repeated alternations towards and away from deep sleep as
the system oscillates between the two steady probability states. The concept
of intrinsic instability and oscillation within the NREM episode is supported
by recent work on the incursion of beta frequencies into slow-wave sleep
(Destexhe et al., 1999).
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Figure 3
Figure 4
Although the VSO can be seen by peak-and-trough analysis of the delta
time-course without recourse to any model, the population-statistical
considerations inherent in the NTP theory allow us to go much further.
They explain not only the delta time-course, but the concomitant beta
and sigma time-courses as well. Governed throughout the entire NREM episode
by a constant probability set, this triple agreement between our theory
and the data implies directly that there exist two steady-state environments
between which a fixed-size neuronal population oscillates. Each of these
environments supplies a statistical tendency for the population neurons
to make frequency transitions and is applied simultaneously to each of
these neurons. For one environment, this tendency is in the sense of encouraging
polarization (cascade ß>s>d), and for the other
is in the sense of encouraging depolarization (cascade d>s>ß).
Each of the two environments has an associated pair of constant transition
probabilities, with each probability applicable to transitions from a
particular frequency band. Only toggling commands external to the population,
with their associated probabilities, are required to switch between the
two environments and thereby produce the observed VSO. This summarizes
a top-down deductive approach based on data at the cortical (EEG) and
at the thalamic level. The strength of the NTP model lies in the solidity
of the tenets on which it is based and on the good agreement between theory
and data, and is independent of the location of the generating population
and switch system or of the origin of the probabilities. These are matters
for future experimentation.
Nevertheless, there are clear pointers to the location of the generating
population: it is generally believed that the gradual hyperpolarization
of the TC neurons leading to deep slow-wave sleep is due to the progressive
decrease in the firing-rate of the brainstem cholinergic, glutamatergic
and monoaminergic neurons. Conversely, that increased brainstem excitatory
input depolarizes the TC cell membranes producing a transition to wake
or REM sleep (Steriade and McCarley, 1990). If the changes in the TC neuronal
frequencies thus parallel the firing-rate changes of the brainstem-thalamus
projecting neurons, then the spectral power time-courses of the NTP model
cannot be determined at the thalamus but only upstream of it, i.e., at
a brainstem sleep neuronal population. This is a hierarchical step up
from our previous way of looking at the model, where we considered the
thalamus to contain the generating neuronal population (Merica and Fortune,
1997). As we see it now, the brainstem generated firing-rate mode time-courses
are reflected in target thalamic and cortical neurons. On this hypothesis,
the transitions inherent in the NTP model are brainstem neuron firing-rate
transitions and the firing-rate modes have a one-to-one correspondence
with the TC neuron oscillation modes they induce (Figure 3). Thus, at
any one time within the NREM episode, there should exist in the brainstem
population a mixture of firing-rate modes with the relative number of
neurons in each mode given by the NTP theory. The thalamus in collaboration
with the cortex then has the crucial role of translating the overall brainstem
control of TC neuron frequency and power into the production of the observed
sequences of spindles and slow-waves (Steriade et al., 1993b, 1993c; Steriade
and Amzica, 1998). In fact, animal data directly show the parallelism
between brainstem firing-rate change and the move at the EEG both from
fast to spindle rhythm (Steriade, 1984) and from NREM to wake or REM sleep
(Steriade et al., 1997, p. 304, Fig. 4.15). This implies that there does
exist a brainstem firing-rate mode corresponding exactly to each neuronal
oscillation mode: beta, sigma and delta. These data, however, focus essentially
on differences in firing-rates at state transitions over a time scale
of only a minute or so. To verify our hypothesis that the VSO exists at
the brainstem, similar experiments are needed over a longer time interval
including several NREM episodes. Animal data also show that characteristic
NTP cortical time-courses, with the temporal precedence of the sigma power
peak over delta, are mirrored at the thalamus (Lancel et al., 1992). While
so far we have stressed the brainstem-thalamic-cortical pathways in the
control of cortical EEG, it should be kept in mind that there also exists,
in parallel, a basal forebrain control which exerts its action via the
brainstem-basalo-cortical pathway driven by cholinergic-glutamatergic
neurons (Jones, 1993). However, it is as yet unclear how this pathway
enters into our theoretical interpretation of the observed time-courses.
From these several arguments, we propose that the VSO time-course characteristics
observed at the EEG and described by the NTP model are generated at the
brainstem and transmitted via the thalamus to the cortex.
Lastly, we may speculate on the location of the DP switch system that
toggles the tendency to increase or decrease brainstem firing-rates, and
on the mechanism for the probabilistic control of the firing-rate modes.
In other words, on where are triggered and how are created and maintained
the two steady probability states between which the VSO occursquestions
that are immediately posed by the success of our model in fitting the
data. The first question is of intense topical interest. It has been suggested
thatunder the influence of the suprachiasmatic nucleus and homeostatic/sensory
inputsthe arousal system in interaction with sleep promoting neurons,
may provide the switch between sleep deepening and sleep lightening (Szymusiak,
1995; Shiromani, 1998; Halász, 1998; Gallopin et al., 2000). The
arousal system is largely contained in the brainstem reticular formation,
and the sleep promoting neurons in the ventrolateral preoptic nucleus.
Their interaction may well provide the DP switch system leading to the
VSO in NREM. In the context of the NTP model, this switch system (M in
Figure 3) radiates, simultaneously to all neurons of the brainstem sleep
neuronal population, the signals to initiate the decrease or increase
of the firing-rates. On the mechanism for the probabilistic control of
the brainstem firing-rate modes, we may speculate that the firing-rates
are modulated by the neurotransmitter release probabilities (Katz, 1969)
at the synapses (S in Figure 3) linking the switch system to the brainstem
sleep neuronal population. The probabilities in the NTP model would then
equate to the probabilities of releasing sufficient neurotransmitter to
effect the appropriate firing-rate mode transitions. The corresponding
time constants, to match EEG data, would have to be of the order of several
minutes.
Conclusions
A new very slow oscillation of EEG spectral power within the NREM episode
has been revealed and, in addition, the NTP theory has provided a coherent
physiological interpretation of it. Animal studies suggest that this oscillation
occurs, not only in the cortex and in the thalamus, but also in the brainstem.
Moreover, the parsimonious characterization of NREM by the NTP model parameters
gives the possibility of clinical applications in the diagnostics and
comprehension of sleep disorders.
APPENDIX
The NTP model was conceived in order to solve a problem that had defied
solution for nearly 10 years: how does spindle power consistently peak
before delta power in NREM? The model was inspired by the resemblance
between the EEG power time-course curves for beta, sigma and delta in
the first part of the DP and those for the activities in a three-element
radioactive decay chain. These curves are expressed mathematically by
exactly the same formulae. The fundamental idea behind both processes
is that the rate of decrease of a quantity N is proportional to the quantity
itself. This is expressed by the equation: dN/dT= -pN, where N=quantity
at time (T) and p=constant=transition probability per unit time. This
integrates to N=N0 exp(-pT) where N0=quantity at start time (T=0). Single
unit measurements have shown that TC sleep neurons oscillate in different
frequency modes depending on the degree of their cell membrane polarization
and that there are corresponding firing-rate modes in the brainstem. The
sleep-deepening phase of the DP can thus be described as a cascade of
neuronal transitions ß>s>d, with starting equations:
Nß=N0ß exp(-Pß sT) and dNs/dT=-dNß/dTNsPsd
where N0ß is the fixed population size and Ni is the number of neurons
oscillating in ith frequency mode at time (T). Solving for Nsand Nd we
obtain the equations: Ns=(PßsN0ß/(Psd-Pßs)) (exp(-PßsT)
-exp(-PsdT)) and Nd=N0ßNßNs. For the reverse phasemoving
away from deep sleepin the second part of the DP with transitions
d>s>ß, similar formulae apply, with transition
probabilities Pds and Psß.
The rule that transitions from a given state take place at a rate proportional
to the amount of that state present also applies to water running out
of a tank: it runs out quickly at first then more and more slowly, i.e.,
the water level drops exponentially.
This enables us to conceive a simple way of getting an intuitive feel
for the dynamics of the NTP mechanism. Suppose that three water tanks,
beta, sigma and delta, are placed so that beta can pour into sigma and
sigma can pour into delta. Initially only the top tank is filled with
water and all taps are closed. The amount by which a tap is opened determines
the rate of transition from one tank to the next and is therefore analogous
to P.
In Figure 4 the system (at T=0) has all water molecules in the beta state,
i.e., a brainstem volume with all sleep neurons firing at a rate corresponding
to the beta frequency band. If the top and middle taps are opened simultaneously
by suitable amounts, the level in the top tank will drop exponentially.
In the middle tank, the level will rise to a maximum, occurring when the
amount coming in equals the amount going out, and then fall. In the bottom
tank, the water will rise slowly at first, then faster, then less fast
(an s-shape). The water levels correspond to the amount of sleep neurons
in the firing-rate modes beta, sigma and delta. At all times, the total
amount of water, i.e., the total number of sleep neurons involved, remains
constant. This cascade, beta>sigma>delta corresponds
to the neuronal polarization phase. This phase ends when all taps are
simultaneously closed at delta peak time, i.e., at the time of switchover
from a move towards to a move away from deep sleep.
At this switchover time, the reverse phase is initiated by interchanging
the top and the bottom tanks, i.e., a depolarization command is received
by the brainstem sleep neuron population. If the top and middle taps are
then opened simultaneously by suitable amounts, the levels will change,
but this time with delta as the cascade source instead of beta. These
reversals can be repeatedeach new pair of phases constituting a
new delta processup to the last depolarization phase. At the end
of the NREM episode, most of the water will finish up in the beta tank,
i.e., most sleep neurons in the beta firing-rate mode (REM sleep or wake).
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We thank Dr. R. Blois for providing the data, and B. Bertram and A. Lalji
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by the Swiss National Science Foundation. Grant No: 3100-050765.97/1.
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