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 Activation of the basal forebrain by the orexin/hypocretin neurones Arrigoni E; Mochizuki T; Scammell TEActa Physiol (Oxf)  2010[Mar]; 198 (3): 223-35The orexin neurones play an essential role in driving arousal and in maintaining  normal wakefulness. Lack of orexin neurotransmission produces a chronic state of  hypoarousal characterized by excessive sleepiness, frequent transitions between  wake and sleep, and episodes of cataplexy. A growing body of research now  suggests that the basal forebrain (BF) may be a key site through which the  orexin-producing neurones promote arousal. Here we review anatomical,  pharmacological and electrophysiological studies on how the orexin neurones may  promote arousal by exciting cortically projecting neurones of the BF. Orexin  fibres synapse on BF cholinergic neurones and orexin-A is released in the BF  during waking. Local application of orexins excites BF cholinergic neurones,  induces cortical release of acetylcholine and promotes wakefulness. The orexin  neurones also contain and probably co-release the inhibitory neuropeptide  dynorphin. We found that orexin-A and dynorphin have specific effects on  different classes of BF neurones that project to the cortex. Cholinergic neurones  were directly excited by orexin-A, but did not respond to dynorphin.  Non-cholinergic BF neurones that project to the cortex seem to comprise at least  two populations with some directly excited by orexin-A that may represent  wake-active, GABAergic neurones, whereas others did not respond to orexin-A but  were inhibited by dynorphin and may be sleep-active, GABAergic neurones. This  evidence suggests that the BF is a key site through which orexins activate the  cortex and promote behavioural arousal. In addition, orexins and dynorphin may  act synergistically in the BF to promote arousal and improve cognitive  performance.|Animals[MESH]|Arousal/physiology[MESH]|Cognition/physiology[MESH]|Drug Synergism[MESH]|Dynorphins/metabolism[MESH]|Electrophysiological Phenomena[MESH]|Glutamic Acid/metabolism[MESH]|Humans[MESH]|Hypothalamic Hormones/metabolism[MESH]|Intracellular Signaling Peptides and Proteins/*metabolism[MESH]|Melanins/metabolism[MESH]|Microdialysis[MESH]|Models, Neurological[MESH]|Neurons/*physiology[MESH]|Neuropeptides/*metabolism[MESH]|Neurotransmitter Agents/*metabolism[MESH]|Orexins[MESH]|Pituitary Hormones/metabolism[MESH]|Prosencephalon/*physiology[MESH]|Synaptic Transmission/physiology[MESH]
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