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Azeez IA, Igado OO, Olopade JO. An overview of the orexinergic system in different animal species. Metab Brain Dis 2021; 36:1419-1444. [PMID: 34224065 DOI: 10.1007/s11011-021-00761-0] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Accepted: 06/06/2021] [Indexed: 01/13/2023]
Abstract
Orexin (hypocretin), is a neuropeptide produced by a subset of neurons in the lateral hypothalamus. From the lateral hypothalamus, the orexin-containing neurons project their fibres extensively to other brain structures, and the spinal cord constituting the central orexinergic system. Generally, the term ''orexinergic system'' usually refers to the orexin peptides and their receptors, as well as to the orexin neurons and their projections to different parts of the central nervous system. The extensive networks of orexin axonal fibres and their terminals allow these neuropeptidergic neurons to exert great influence on their target regions. The hypothalamic neurons containing the orexin neuropeptides have been implicated in diverse functions, especially related to the control of a variety of homeostatic functions including feeding behaviour, arousal, wakefulness stability and energy expenditure. The broad range of functions regulated by the orexinergic system has led to its description as ''physiological integrator''. In the last two decades, the orexinergic system has been a topic of great interest to the scientific community with many reports in the public domain. From the documentations, variations exist in the neuroanatomical profile of the orexinergic neuron soma, fibres and their receptors from animal to animal. Hence, this review highlights the distinct variabilities in the morphophysiological aspects of the orexinergic system in the vertebrate animals, mammals and non-mammals, its presence in other brain-related structures, including its involvement in ageing and neurodegenerative diseases. The presence of the neuropeptide in the cerebrospinal fluid and peripheral tissues, as well as its alteration in different animal models and conditions are also reviewed.
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Affiliation(s)
- Idris A Azeez
- Department of Veterinary Anatomy, University of Jos, Jos, Nigeria
| | - Olumayowa O Igado
- Department of Veterinary Anatomy, University of Ibadan, Ibadan, Nigeria
| | - James O Olopade
- Department of Veterinary Anatomy, University of Ibadan, Ibadan, Nigeria.
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Williams VM, Bhagwandin A, Swiegers J, Bertelsen MF, Hård T, Thannickal TC, Siegel JM, Sherwood CC, Manger PR. Nuclear organization of orexinergic neurons in the hypothalamus of a lar gibbon and a chimpanzee. Anat Rec (Hoboken) 2021; 305:1459-1475. [PMID: 34535040 DOI: 10.1002/ar.24775] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 07/06/2021] [Accepted: 08/17/2021] [Indexed: 11/06/2022]
Abstract
Employing orexin-A immunohistochemical staining we describe the nuclear parcellation of orexinergic neurons in the hypothalami of a lar gibbon and a chimpanzee. The clustering of orexinergic neurons within the hypothalamus and the terminal networks follow the patterns generally observed in other mammals, including laboratory rodents, strepsirrhine primates and humans. The orexinergic neurons were found within three distinct clusters in the ape hypothalamus, which include the main cluster, zona incerta cluster and optic tract cluster. In addition, the orexinergic neurons of the optic tract cluster appear to extend to a more rostral and medial location than observed in other species, being observed in the tuberal region in the anterior ventromedial aspect of the hypothalamus. While orexinergic terminal networks were observed throughout the brain, high density terminal networks were observed within the hypothalamus, medial and intralaminar nuclei of the dorsal thalamus, and within the serotonergic and noradrenergic regions of the midbrain and pons, which is typical for mammals. The expanded distribution of orexinergic neurons into the tuberal region of the ape hypothalamus, is a feature that needs to be investigated in other primate species, but appears to correlate with orexin gene expression in the same region of the human hypothalamus, but these neurons are not revealed with immunohistochemical staining in humans. Thus, it appears that apes have a broader distribution of orexinergic neurons compared to other primate species, but that the neurons within this extension of the optic tract cluster in humans, while expressing the orexin gene, do not produce the neuropeptide.
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Affiliation(s)
- Victoria M Williams
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Republic of South Africa
| | - Adhil Bhagwandin
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Republic of South Africa.,Division of Clinical Anatomy and Biological Anthropology, Department of Human Biology, University of Cape Town, Cape Town, South Africa
| | - Jordan Swiegers
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Republic of South Africa
| | - Mads F Bertelsen
- Centre for Zoo and Wild Animal Health, Copenhagen Zoo, Frederiksberg, Denmark
| | | | - Thomas C Thannickal
- Department of Psychiatry, School of Medicine, and Brain Research Institute, University of California, Los Angeles, Los Angeles, California, USA.,Brain Research Institute, Neurobiology Research, Sepulveda VA Medical Center, Los Angeles, California, USA
| | - Jerome M Siegel
- Department of Psychiatry, School of Medicine, and Brain Research Institute, University of California, Los Angeles, Los Angeles, California, USA.,Brain Research Institute, Neurobiology Research, Sepulveda VA Medical Center, Los Angeles, California, USA
| | - Chet C Sherwood
- Department of Anthropology and Center for the Advanced Study of Human Paleobiology, The George Washington University, Washington, District of Columbia, USA
| | - Paul R Manger
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Republic of South Africa
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Bruguier H, Suarez R, Manger P, Hoerder-Suabedissen A, Shelton AM, Oliver DK, Packer AM, Ferran JL, García-Moreno F, Puelles L, Molnár Z. In search of common developmental and evolutionary origin of the claustrum and subplate. J Comp Neurol 2020; 528:2956-2977. [PMID: 32266722 DOI: 10.1002/cne.24922] [Citation(s) in RCA: 32] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2020] [Revised: 04/01/2020] [Accepted: 04/02/2020] [Indexed: 02/06/2023]
Abstract
The human claustrum, a major hub of widespread neocortical connections, is a thin, bilateral sheet of gray matter located between the insular cortex and the striatum. The subplate is a largely transient cortical structure that contains some of the earliest generated neurons of the cerebral cortex and has important developmental functions to establish intra- and extracortical connections. In human and macaque some subplate cells undergo regulated cell death, but some remain as interstitial white matter cells. In mouse and rat brains a compact layer is formed, Layer 6b, and it remains underneath the cortex, adjacent to the white matter. Whether Layer 6b in rodents is homologous to primate subplate or interstitial white matter cells is still debated. Gene expression patterns, such as those of Nurr1/Nr4a2, have suggested that the rodent subplate and the persistent subplate cells in Layer 6b and the claustrum might have similar origins. Moreover, the birthdates of the claustrum and Layer 6b are similarly precocious in mice. These observations prompted our speculations on the common developmental and evolutionary origin of the claustrum and the subplate. Here we systematically compare the currently available data on cytoarchitecture, evolutionary origin, gene expression, cell types, birthdates, neurogenesis, lineage and migration, circuit connectivity, and cell death of the neurons that contribute to the claustrum and subplate. Based on their similarities and differences we propose a partially common early evolutionary origin of the cells that become claustrum and subplate, a likely scenario that is shared in these cell populations across all amniotes.
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Affiliation(s)
- Hannah Bruguier
- Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK
| | - Rodrigo Suarez
- Queensland Brain Institute, The University of Queensland, Brisbane, Queensland, Australia
| | - Paul Manger
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | | | - Andrew M Shelton
- Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK
| | - David K Oliver
- Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK
| | - Adam M Packer
- Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK
| | - José L Ferran
- Department of Human Anatomy, Medical School, University of Murcia and Murcia Arrixaca Institute for Biomedical Research, Murcia, Spain
| | - Fernando García-Moreno
- Achucarro Basque Center for Neuroscience, Zamudio, Spain.,IKERBASQUE Foundation, Bilbao, Spain
| | - Luis Puelles
- Department of Human Anatomy, Medical School, University of Murcia and Murcia Arrixaca Institute for Biomedical Research, Murcia, Spain
| | - Zoltán Molnár
- Department of Physiology, Anatomy and Genetics, University of Oxford, Oxford, UK
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Spocter MA, Fairbanks J, Locey L, Nguyen A, Bitterman K, Dunn R, Sherwood CC, Geletta S, Dell LA, Patzke N, Manger PR. Neuropil Distribution in the Anterior Cingulate and Occipital Cortex of Artiodactyls. Anat Rec (Hoboken) 2018; 301:1871-1881. [DOI: 10.1002/ar.23905] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2017] [Revised: 02/14/2018] [Accepted: 02/26/2018] [Indexed: 01/18/2023]
Affiliation(s)
- Muhammad A. Spocter
- Department of Anatomy; Des Moines University; Des Moines Iowa
- College of Veterinary Medicine, Biomedical Sciences; Iowa State University; Ames Iowa
- School of Anatomical Sciences; University of the Witwatersrand; Johannesburg Republic of South Africa
| | | | - Lisa Locey
- Department of Anatomy; Des Moines University; Des Moines Iowa
| | - Amy Nguyen
- College of Pharmacy and Health Sciences, Drake University; Des Moines Iowa
| | | | - Rachel Dunn
- Department of Anatomy; Des Moines University; Des Moines Iowa
| | - Chet C. Sherwood
- Department of Anthropology and Center for the Advanced Study of Human Paleobiology; The George Washington University; Washington Washington, DC
| | - Simon Geletta
- Department of Public Health; Des Moines University; Des Moines Iowa
| | - Leigh-Anne Dell
- School of Anatomical Sciences; University of the Witwatersrand; Johannesburg Republic of South Africa
- Institute of Computational Neuroscience; University Medical Center Hamburg-Eppendorf; Hamburg Germany
| | - Nina Patzke
- School of Anatomical Sciences; University of the Witwatersrand; Johannesburg Republic of South Africa
- Department of Biology; Hokkaido University; Hokkaido Japan
| | - Paul R. Manger
- School of Anatomical Sciences; University of the Witwatersrand; Johannesburg Republic of South Africa
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Olateju OI, Bhagwandin A, Ihunwo AO, Manger PR. Changes in the Cholinergic, Catecholaminergic, Orexinergic and Serotonergic Structures Forming Part of the Sleep Systems of Adult Mice Exposed to Intrauterine Alcohol. Front Neuroanat 2017; 11:110. [PMID: 29230167 PMCID: PMC5711786 DOI: 10.3389/fnana.2017.00110] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2017] [Accepted: 11/13/2017] [Indexed: 11/16/2022] Open
Abstract
We examined the effect of chronic prenatal alcohol exposure on certain neuronal systems involved with the sleep-wake cycle of C57BL/6J mice exposed to prenatal alcohol once they had reached 56 days post-natal. Pregnant mice were exposed to alcohol, through oral gavage, on gestational days 7–16, with recorded blood alcohol concentration (BAC)s averaging 1.84 mg/ml (chronic alcohol group, CA). Two control groups, an oral gavage sucrose control group (chronic alcohol control group, CAc) and a non-treated control group (NTc), were also examined. At 56 days post-natal, the pups from each group were sacrificed and the whole brain sectioned in a coronal plane and immunolabeled for cholineacetyltransferase (ChAT), tyrosine hydroxylase (TH), serotonin (5HT) and orexin-A (OxA) which labels cholinergic, catecholaminergic, serotonergic and orexinergic structures respectively. The overall nuclear organization and neuronal morphology were identical in all three groups studied, and resemble that previously reported for laboratory rodents. Quantification of the estimated numbers of ChAT immunopositive (+) neurons of the pons, the TH+ neurons of the pons and the OxA+ neurons of the hypothalamus showed no statistically significant difference between the three experimental groups. The stereologically estimated areas and volumes of OxA+ neurons in the CA group were statistically significantly larger than the groups not exposed to prenatal alcohol, but the ChAT+ neurons in the CA group were statistically significantly smaller. The density of orexinergic boutons in the anterior cingulate cortex was lower in the CA group than the other groups. No statistically significant difference was found in the area and volume of TH+ neurons between the three experimental groups. These differences are discussed in relation to the sleep disorders recorded in children with fetal alcohol spectrum disorder (FASD).
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Affiliation(s)
- Oladiran I Olateju
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Adhil Bhagwandin
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Amadi O Ihunwo
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Paul R Manger
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
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Sleep and Development in Genetically Tractable Model Organisms. Genetics 2017; 203:21-33. [PMID: 27183564 DOI: 10.1534/genetics.116.189589] [Citation(s) in RCA: 49] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2015] [Accepted: 03/21/2016] [Indexed: 12/21/2022] Open
Abstract
Sleep is widely recognized as essential, but without a clear singular function. Inadequate sleep impairs cognition, metabolism, immune function, and many other processes. Work in genetic model systems has greatly expanded our understanding of basic sleep neurobiology as well as introduced new concepts for why we sleep. Among these is an idea with its roots in human work nearly 50 years old: sleep in early life is crucial for normal brain maturation. Nearly all known species that sleep do so more while immature, and this increased sleep coincides with a period of exuberant synaptogenesis and massive neural circuit remodeling. Adequate sleep also appears critical for normal neurodevelopmental progression. This article describes recent findings regarding molecular and circuit mechanisms of sleep, with a focus on development and the insights garnered from models amenable to detailed genetic analyses.
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Dell LA, Patzke N, Spocter MA, Bertelsen MF, Siegel JM, Manger PR. Organization of the sleep-related neural systems in the brain of the river hippopotamus (Hippopotamus amphibius): A most unusual cetartiodactyl species. J Comp Neurol 2016; 524:2036-58. [PMID: 26588600 DOI: 10.1002/cne.23930] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2015] [Revised: 11/13/2015] [Accepted: 11/16/2015] [Indexed: 11/09/2022]
Abstract
This study provides the first systematic analysis of the nuclear organization of the neural systems related to sleep and wake in the basal forebrain, diencephalon, midbrain, and pons of the river hippopotamus, one of the closest extant terrestrial relatives of the cetaceans. All nuclei involved in sleep regulation and control found in other mammals, including cetaceans, were present in the river hippopotamus, with no specific nuclei being absent, but novel features of the cholinergic system, including novel nuclei, were present. This qualitative similarity relates to the cholinergic, noradrenergic, serotonergic, and orexinergic systems and is extended to the γ-aminobutyric acid (GABA)ergic elements of these nuclei. Quantitative analysis reveals that the numbers of pontine cholinergic (259,578) and noradrenergic (127,752) neurons, and hypothalamic orexinergic neurons (68,398) are markedly higher than in other large-brained mammals. These features, along with novel cholinergic nuclei in the intralaminar nuclei of the dorsal thalamus and the ventral tegmental area of the midbrain, as well as a major expansion of the hypothalamic cholinergic nuclei and a large laterodorsal tegmental nucleus of the pons that has both parvocellular and magnocellular cholinergic neurons, indicates an unusual sleep phenomenology for the hippopotamus. Our observations indicate that the hippopotamus is likely to be a bihemispheric sleeper that expresses REM sleep. The novel features of the cholinergic system suggest the presence of an undescribed sleep state in the hippopotamus, as well as the possibility that this animal could, more rapidly than other mammals, switch cortical electroencephalographic activity from one state to another. J. Comp. Neurol. 524:2036-2058, 2016. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Leigh-Anne Dell
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Parktown 2193, Johannesburg, Republic of South Africa
| | - Nina Patzke
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Parktown 2193, Johannesburg, Republic of South Africa
| | - Muhammad A Spocter
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Parktown 2193, Johannesburg, Republic of South Africa.,Department of Anatomy, Des Moines University, Des Moines, Iowa, 50312
| | - Mads F Bertelsen
- Center for Zoo and Wild Animal Health, Copenhagen Zoo, 2000, Fredericksberg, Denmark
| | - Jerome M Siegel
- Department of Psychiatry, University of California, Los Angeles, Neurobiology Research 151A3, Veterans Administration Sepulveda Ambulatory Medical Center, North Hills, California, 91343
| | - Paul R Manger
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Parktown 2193, Johannesburg, Republic of South Africa
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Dell LA, Patzke N, Spocter MA, Siegel JM, Manger PR. Organization of the sleep-related neural systems in the brain of the harbour porpoise (Phocoena phocoena). J Comp Neurol 2016; 524:1999-2017. [PMID: 26588354 DOI: 10.1002/cne.23929] [Citation(s) in RCA: 43] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2015] [Revised: 11/13/2015] [Accepted: 11/16/2015] [Indexed: 11/10/2022]
Abstract
The present study provides the first systematic immunohistochemical neuroanatomical investigation of the systems involved in the control and regulation of sleep in an odontocete cetacean, the harbor porpoise (Phocoena phocoena). The odontocete cetaceans show an unusual form of mammalian sleep, with unihemispheric slow waves, suppressed REM sleep, and continuous bodily movement. All the neural elements involved in sleep regulation and control found in bihemispheric sleeping mammals were present in the harbor porpoise, with no specific nuclei being absent, and no novel nuclei being present. This qualitative similarity of nuclear organization relates to the cholinergic, noradrenergic, serotonergic, and orexinergic systems and is extended to the γ-aminobutyric acid (GABA)ergic elements involved with these nuclei. Quantitative analysis of the cholinergic and noradrenergic nuclei of the pontine region revealed that in comparison with other mammals, the numbers of pontine cholinergic (126,776) and noradrenergic (122,878) neurons are markedly higher than in other large-brained bihemispheric sleeping mammals. The diminutive telencephalic commissures (anterior commissure, corpus callosum, and hippocampal commissure) along with an enlarged posterior commissure and supernumerary pontine cholinergic and noradrenergic neurons indicate that the control of unihemispheric slow-wave sleep is likely to be a function of interpontine competition, facilitated through the posterior commissure, in response to unilateral telencephalic input related to the drive for sleep. In addition, an expanded peripheral division of the dorsal raphe nuclear complex appears likely to play a role in the suppression of REM sleep in odontocete cetaceans. Thus, the current study provides several clues to the understanding of the neural control of the unusual sleep phenomenology present in odontocete cetaceans. J. Comp. Neurol. 524:1999-2017, 2016. © 2016 Wiley Periodicals, Inc.
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Affiliation(s)
- Leigh-Anne Dell
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Parktown 2193, Johannesburg, Republic of South Africa
| | - Nina Patzke
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Parktown 2193, Johannesburg, Republic of South Africa
| | - Muhammad A Spocter
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Parktown 2193, Johannesburg, Republic of South Africa.,Department of Anatomy, Des Moines University, Des Moines, Iowa, 50312
| | - Jerome M Siegel
- Department of Psychiatry, University of California, Los Angeles, Neurobiology Research 151A3, Veterans Administration Sepulveda Ambulatory Care Center, North Hills, California, 91343
| | - Paul R Manger
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Parktown 2193, Johannesburg, Republic of South Africa
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Dell LA, Karlsson KA, Patzke N, Spocter MA, Siegel JM, Manger PR. Organization of the sleep-related neural systems in the brain of the minke whale (Balaenoptera acutorostrata). J Comp Neurol 2015; 524:2018-35. [PMID: 26588800 DOI: 10.1002/cne.23931] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2015] [Revised: 11/13/2015] [Accepted: 11/16/2015] [Indexed: 12/12/2022]
Abstract
The current study analyzed the nuclear organization of the neural systems related to the control and regulation of sleep and wake in the basal forebrain, diencephalon, midbrain, and pons of the minke whale, a mysticete cetacean. While odontocete cetaceans sleep in an unusual manner, with unihemispheric slow wave sleep (USWS) and suppressed REM sleep, it is unclear whether the mysticete whales show a similar sleep pattern. Previously, we detailed a range of features in the odontocete brain that appear to be related to odontocete-type sleep, and here present our analysis of these features in the minke whale brain. All neural elements involved in sleep regulation and control found in bihemispheric sleeping mammals and the harbor porpoise were present in the minke whale, with no specific nuclei being absent, and no novel nuclei being present. This qualitative similarity relates to the cholinergic, noradrenergic, serotonergic and orexinergic systems, and the GABAergic elements of these nuclei. Quantitative analysis revealed that the numbers of pontine cholinergic (274,242) and noradrenergic (203,686) neurons, and hypothalamic orexinergic neurons (277,604), are markedly higher than other large-brained bihemispheric sleeping mammals. Small telencephalic commissures (anterior, corpus callosum, and hippocampal), an enlarged posterior commissure, supernumerary pontine cholinergic and noradrenergic cells, and an enlarged peripheral division of the dorsal raphe nuclear complex of the minke whale, all indicate that the suite of neural characteristics thought to be involved in the control of USWS and the suppression of REM in the odontocete cetaceans are present in the minke whale. J. Comp. Neurol. 524:2018-2035, 2016. © 2015 Wiley Periodicals, Inc.
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Affiliation(s)
- Leigh-Anne Dell
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Republic of South Africa
| | - Karl Ae Karlsson
- Biomedical Engineering, Reykjavik University, Reykjavik, Iceland
| | - Nina Patzke
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Republic of South Africa
| | - Muhammad A Spocter
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Republic of South Africa.,Department of Anatomy, Des Moines University, Des Moines, Iowa, USA
| | - Jerome M Siegel
- Department of Psychiatry, University of California, Los Angeles, Neurobiology Research 151A3, Sepulveda VAMC, North Hills, California, USA
| | - Paul R Manger
- School of Anatomical Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Republic of South Africa
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