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肾上腺素β受体阻断药对小鼠睡眠结构的影响

Effect of β-adrenergic receptor blockers on the sleep architecture of mice

  • 摘要: 肾上腺素β1受体基因的错义突变(ADRB1-A187V)导致人类自然短睡眠现象,并且导致体内该受体丰度下降。在临床使用中,睡眠障碍是β受体阻断药的常见不良反应之一。本研究评估了几类β受体阻断药对小鼠睡眠的影响。研究结果表明,多数β受体阻断药会引起不同程度的觉醒、睡眠片段化和快速动眼睡眠(rapid eye movement sleep,REM睡眠)的减少。同时,本研究还比较了β受体阻断药美托洛尔和奈必洛尔(Nebivolol)对野生型和Adrb1-A187V突变小鼠模型睡眠结构和心脏功能剂量依赖性的影响。研究数据表明,与心脏效应相比,睡眠结构在更高剂量的美托洛尔下才受到显著影响。但是美托洛尔在睡眠结构或心脏功能方面未观察到显著的基因型间的差异。相比之下,突变小鼠对奈必洛尔的敏感性增加,这表现为睡眠片段化的加剧以及REM睡眠发生的减少。本研究结果将为最大程度避免睡眠障碍的发生和减轻药物的不良反应提供参考。

     

    Abstract: Recent studies have identified a missense mutation in the β1-receptor (ADRB1-A187V) that exerts a pronounced impact on human sleep, with a noted decrease in protein abundance in vivo. The administration of β-blockers is frequently associated with sleep disturbances in clinical settings. In this study, we assessed the influence of various β-blockers on sleep within mouse models. Our findings indicated that β-blockers could induce varying degrees of arousal, sleep disruption, and a decrease in REMS (rapid eye movement sleep). We examined the dose-dependent effects of metoprolol and nebivolol on both sleep and cardiac functionality in both wild-type and Adrb1-A187V mutant mice. Our data suggested that, in contrast to cardiac effects, higher doses of metoprolol are required to have noted impact on sleep. No genotype effect was observed with metoprolol in terms of sleep or cardiac function. In contrast, the mutant mice demonstrated increased sensitivity to nebivolol, which exacerbated sleep fragmentation and impeded the onset of REMS. This study is expected to provide some reference for minimizing the occurrence of sleep disorders and reducing the adverse reactions of drugs to the greatest extent.

     

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