EXPERIMENTAL evidence in canine narcolepsy suggests that central choli
nergic systems are critically involved in the regulation of cataplexy,
an abnormal manifestation of REM sleep atonia. In the current study,
we found that intracerebroventricular perfusion of methyl-B-12, (10(-5
)-10(-2)M), significantly aggravated cataplexy and enhanced REM sleep
in narcoleptic dogs. Choline, a direct precursor of acetylcholine, was
also found to aggravate cataplexy, while cyano-B-12, a vitamin B-12 a
nalog without methyl donating abilities, had no effect on cataplexy. S
ince both methyl-B-12 and choline are reported to enhance acetylcholin
e synthesis, enhancement of the biosynthesis of acetylcholine may be i
nvolved in the effects observed in canine narcolepsy. Our results sugg
est that central administration of methyl-B-12 has the potential to mo
dulate both normal and pathological REM sleep.