Sleep deprivation leads to cognitive impairments in humans and, if sustaine
d for 2-3 weeks in rats, it is invariably fatal. It has been suggested that
neural activity associated with waking, if it is not interrupted by period
s of sleep, may damage brain cells through excitotoxic or oxidative mechani
sms and eventually lead to cell death. To determine whether sustained wakin
g causes brain cell degeneration, three parallel strategies were used. The
presence and extent of DNA fragmentation was analyzed with the TUNEL techni
que on brain sections from rats sleep deprived for various periods of time
(from 8 h to 14 days) and From their respective controls. Adjacent sections
from the same animals were stained with a newly developed fluorochrome (Fl
uoro-Jade) specific for degenerating neurons. Finally, total RNA from the c
erebral cortex of the same animals was used to determine whether the expres
sion of several stress response genes and apoptosis-related genes is modifi
ed after sustained waking. In most long-term sleep deprived rats only a few
scattered TUNEL positive nuclei (1-3) were found in any given brain sectio
n. The overall number, distribution, and morphology of TUNEL positive cells
in long-term sleep deprived rats did not differ significantly from yoked c
ontrols, shea-term sleep deprived rats, and sleep controls. No evidence of
degenerating neurons as detected by Fluoro-Jade was found in any experiment
al group. mRNA levels of all the stress response genes and apoptosis-relate
d genes tested did not differ between long-term sleep deprived rats and the
ir yoked controls. These results argue against the hypothesis that sustaine
d waking can significantly damage brain cells through excitotoxic or oxidat
ive mechanisms and that massive cell death may explain the fatal consequenc
es of sleep deprivation. (C) 1999 Elsevier Science B.V. All rights reserved
.