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Sleep disturbance is increasingly common both in patients with sleep-disturbing conditions and healthy people with sleep-disturbing events. It has been observed that patients with neurodegenerative diseases, chronic pain, emotional stress, respiratory system diseases, urinary system diseases, etc., usually complain about unpleasant sleep experiences1,2,3,4,5. Obstructive sleep apnea (OSA), periodic limb movements in sleep (PLMS), sleep maintenance insomnia among other sleep disorders are the most common causes, which induce sleep fragmentation6,7. In developed countries, OSA has over 5% to 9% prevalence in adult population and 2% in child population8,9,10. Meanwhile, there is an increasing proportion of the healthy population experiencing sleep disturbance due to the overuse of smart phones, irregular sleep habits, annoying noises, and work duties, such as night shifts for caregivers. Sleep is acknowledged to be important for brain waste clearance11,12, memory consolidation13,14, metabolic balance15,16, among many other physiological processes. Yet, it still remains largely unknown whether long-term sleep disturbance gives rise to irreversible pathogenesis alterations in healthy human beings, and whether it is the etiology or a contributing factor of developing central nervous system diseases, such as neurodegenerative diseases in a couple of years down the road. Our goal is to report an experimental model that generates stable and evident cognitive deficit and anxiety-like behavior in young wild-type mice after a 2-month sleep fragmentation treatment. This model would be applied for answering the scientific questions listed above.
Sleep disturbance is listed as a potential risk factor for developing Alzheimer’s disease (AD) or dementia. Kang et al. first found and described the exacerbation of AD pathology by 6 h acute sleep deprivation17. Thereafter, many other studies reported that sleep deprivation or fragmentation could aggravate pathogenesis in transgenic AD mice models18,19,20. However, very few researchers have studied the consequence of sleep disturbance in young wild type mice; that is, whether sleep disturbance gives rise to AD-like behavior or pathological changes in young wild-type mice. In our recent publication, we reported that 2 months of sleep fragmentation induced evident spatial memory deficit and anxiety-like behavior, as well as increased intracellular Amyloid-β (Aβ) accumulation both in cortex and hippocampus in 2–3 month-old wild-type mice21. We also observed altered expression levels of endosome-autophagosome-lysosome pathway markers and microglia activation, which was similar to the pathological changes reported in APP/PS1 mice21,22.
This presented sleep fragmentation (SF) protocol was validated by Sinton et al.23 and modified by Li et al.24. In brief, an orbital rotor vibrating at 110 rpm interrupts sleep for 10 s every 2 min during light-ON phase (8:00 AM–8:00 PM). Sleep structure alteration in this model was previously characterized with electrophysiological sleep recordings and reported by Li et al.24, indicating a significant increase in the wake time and decrease in rapid eye movement (REM) sleep during the light-ON phase, with the total sleep and wake times (in 24 hour) unaffected after more than 4 weeks’ modeling24. Currently, total sleep or partial sleep deprivation are the most commonly used sleep manipulation models. Total sleep deprivation is usually performed by sustained gentle handling or exposing the animal to novel objects, alternatively by continuously rotating a bar or a running treadmill25,26,27,28,29. Due to ethical reasons, total sleep deprivation is usually shorter than 24 h. The most commonly applied partial sleep deprivation model is the water platform method, which primarily ablating REM sleep30,31,32. Other approaches using either a treadmill or a bar that sweeps along the bottom of the cage, could induce sleep fragmentation when set on at fixed intervals33,34,35,36,37,38. It is noteworthy that SF interrupts sleep and intermittently causes arousals across all sleep stages24. One of the prominent advantages of this CSF model applying orbital rotor is that it can be performed continuously for months automatically controlled by machines, which avoids frequent processing labor daily except for regular monitoring. Furthermore, the apparatus would allow to simultaneously model multiple cages of mice under uniformed interventions. During entire modeling sessions, mice are housed in their home cages with usual bedding and nesting materials, while some other methods require exposure to diversified environments and inevitable stress.
Sleep fragmentation was previously characterized by the sleep manipulation method, which mimics frequent arousals during the sleep phase and substantial sleep rebound during the wake phase. In some literatures, CSF was regarded as the animal model for OSA39,40. In this study, the rationale of the chosen frequency of arousal to be 30 times per hour is based on the observation of arousal indices in patients with moderate-to-severe sleep apnea. It was observed that 4 weeks’ sleep fragmentation significantly increased hypercapnic arousal latency and the tactile arousal threshold, which could at least last 2 weeks after recovery24. This phenotype was explained by revealing c-fos activation reduction in noradrenergic, orexinergic, histaminergic, and cholinergic wake-active neurons in response to hypercapnia, as well as reduced catecholaminergic and orexinergic projections into the cingulate cortex24. However, it is necessary to note that the most important feature in OSA is hypoxia caused by airway obstruction, which results in sleep disruption41,42. Sleep disturbance and repetitive hypoxia reciprocally interact with each other in OSA pathogenesis. Therefore, sleep fragmentation alone might not be able to fully demonstrate all key features of OSA in mice.
Herein, we present a standardized protocol to model chronic sleep fragmentation in young wild-type mice. Cognitive deficit and anxiety-like as well as depression-like behaviors after CSF treatment were evaluated by Morris water maze, Novel object recognition, Open field test, and Forced swimming test. It is important to note that this model should be taken as a whole that generates phenotypes of dysregulated sleep pattern, cognitive deficit, and anxiety-like behavior. The current model could potentially be applied, but not be limited, to the following purposes: 1) Further investigating the functional or molecular pathogenesis mechanisms induced by chronic sleep disturbance in young mice without genetic predisposition, 2) Identifying the direct pathway leading to neurodegeneration initiated by sleep disturbance, 3) Exploring the therapeutics for improving phenotypes induced by chronic sleep disturbance, 4) Studying the intrinsic protective/compensatory mechanisms in wild-type mice upon chronic sleep disturbance, 5) To be applied for studying sleep-wake regulation and state-transition mechanisms.