Evidence map›Paper›PMID 29402935›Full record

ArticleNature communications2018

Ventromedial medulla inhibitory neuron inactivation induces REM sleep without atonia and REM sleep behavior disorder.

Sara Valencia Garcia, Frédéric Brischoux, Olivier Clément, Paul-Antoine Libourel, Sébastien Arthaud, Michael Lazarus, Pierre-Hervé Luppi, Patrice Fort

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed
7.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 123 citations in OpenAlex.

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  17. Neural Control of REM Sleep and Motor Atonia: Current Perspectives.Current neurology and neuroscience reports · 2023
    Review
  18. REM Behavior Disorder: Implications for PD Therapeutics.Current neurology and neuroscience reports · 2023
    Review
  19. [Sleep and dementia].Zeitschrift fur Gerontologie und Geriatrie · 2023
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 3 countries.

Sara Valencia GarciaSLEEP Team, Neuroscience Research Center of Lyon - CRNL, CNRS UMR 5292, INSERM U1028, Lyon, France.ORCID http://orcid.org/0000-0002-1886-7601
Frédéric BrischouxSLEEP Team, Neuroscience Research Center of Lyon - CRNL, CNRS UMR 5292, INSERM U1028, Lyon, France.
Olivier ClémentSLEEP Team, Neuroscience Research Center of Lyon - CRNL, CNRS UMR 5292, INSERM U1028, Lyon, France.
Paul-Antoine LibourelSLEEP Team, Neuroscience Research Center of Lyon - CRNL, CNRS UMR 5292, INSERM U1028, Lyon, France.
Sébastien ArthaudSLEEP Team, Neuroscience Research Center of Lyon - CRNL, CNRS UMR 5292, INSERM U1028, Lyon, France.
Michael LazarusInternational Institute for Integrative Sleep Medicine, University of Tsukuba, Tsukuba, Japan.ORCID http://orcid.org/0000-0003-4700-7894
Pierre-Hervé LuppiSLEEP Team, Neuroscience Research Center of Lyon - CRNL, CNRS UMR 5292, INSERM U1028, Lyon, France.ORCID http://orcid.org/0000-0002-0503-423X
Patrice FortSLEEP Team, Neuroscience Research Center of Lyon - CRNL, CNRS UMR 5292, INSERM U1028, Lyon, France. patrice.fort@univ-lyon1.fr.ORCID http://orcid.org/0000-0003-1211-8631
Université Claude Bernard Lyon 1 · FRUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite decades of research, there is a persistent debate regarding the localization of GABA/glycine neurons responsible for hyperpolarizing somatic motoneurons during paradoxical (or REM) sleep (PS), resulting in the loss of muscle tone during this sleep state. Combining complementary neuroanatomical approaches in rats, we first show that these inhibitory neurons are localized within the ventromedial medulla (vmM) rather than within the spinal cord. We then demonstrate their functional role in PS expression through local injections of adeno-associated virus carrying specific short-hairpin RNA in order to chronically impair inhibitory neurotransmission from vmM. After such selective genetic inactivation, rats display PS without atonia associated with abnormal and violent motor activity, concomitant with a small reduction of daily PS quantity. These symptoms closely mimic human REM sleep behavior disorder (RBD), a prodromal parasomnia of synucleinopathies. Our findings demonstrate the crucial role of GABA/glycine inhibitory vmM neurons in muscle atonia during PS and highlight a candidate brain region that can be susceptible to α-synuclein-dependent degeneration in RBD patients.

Indexed as

Animalsgamma-Aminobutyric AcidGene Knockdown TechniquesGlycineMaleMedulla OblongataMuscle HypotoniaNeuronsPolysomnographyProto-Oncogene Proteins c-fosRats, Sprague-DawleyREM Sleep Behavior DisorderSleep, REMSynaptic TransmissionVesicular Inhibitory Amino Acid Transport Proteinsgamma-Aminobutyric AcidGlycineProto-Oncogene Proteins c-fosSlc32a1 protein, ratVesicular Inhibitory Amino Acid Transport Proteins

Identifiers

PMID29402935
PMCPMC5799338
OpenAlexW2803478986

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.