The main brain regions that control sleep include the hypothalamus, brainstem, pineal gland, and basal forebrain. These regions maintain the sleep wake cycle by secreting melatonin, regulating circadian rhythms, and inhibiting the arousal system.
1. Hypothalamus
The suprachiasmatic nucleus of the hypothalamus is the core area of the biological clock, which can receive light signals transmitted by the retina and regulate melatonin secretion. The activity of neurons in this region exhibits 24-hour periodic changes, inducing sleep by regulating physiological indicators such as body temperature and hormone secretion. The ventral lateral preoptic area of the hypothalamus contains sleep activated neurons that, when active, inhibit the arousal center.
2. The locus coeruleus and raphe nuclei in the brainstem reticular formation regulate sleep status through neurotransmitters such as norepinephrine and serotonin. The midbrain reticular activating system remains active during wakefulness and only enters sleep when its function is inhibited. The solitary tract nucleus in the medulla oblongata receives signals of physical fatigue and triggers sleep demands.
3. Pineal gland
The pineal gland is the main secretion organ of melatonin, and its secretion reaches its peak at night. This hormone acts on receptors in the hypothalamus and brainstem, lowering core body temperature and inducing drowsiness. Changes in light directly affect the secretion rhythm of the pineal gland, which is the physiological basis for the occurrence of jet lag.
4. Basal forebrain
Cholinergic neurons in the basal forebrain are active during rapid eye movement sleep, while gamma aminobutyric acid neurons play a role during non rapid eye movement sleep. The bidirectional connection between this region and the cerebral cortex is involved in both sleep initiation and affects sleep depth. Patients with Alzheimer's disease often experience damage to this area accompanied by sleep disturbances.
5. Cerebral cortex
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