Neuronal regulation of sleep and wakefulness during sickness

Name of applicant

Birgitte Rahbek Kornum

Institution

University of Copenhagen

Amount

DKK 4,481,103

Year

2019

Type of grant

Semper Ardens: Accelerate

What?

Most people know how it feels to be sick. The sickness response includes fatigue, changes in sleep pattern, lack of interest in daily activities, decreases in appetite, weight loss, and unspecific pain. This is believed to be beneficial for survival of the individual and/or the species. By causing the sick individual to rest in a safe place and not search for food, it maximizes chance of survival and minimizes disease spread. Excessive sleepiness and anorexia will however become problematic after a while, and for this reason the brain needs to balance behaviors during sickness to optimize survival. My project aims to understand the basic biological mechanisms of how activation of the immune system affects the brain and its homeostatic regulation of rest and activity.

Why?

Symptoms of sickness such as sleepiness is the primary patient concern in many diseases as diverse as brain trauma, infection, various cancers, inflammatory and autoimmune diseases. In chronic/long lasting disorders, sickness behavior no longer aids recovery, but can none the less still be present and markedly reduce quality of life and work ability among the patients. Tackling this societal challenge starts with a better understanding of the basic biological principles of the neuronal response to an activated immune system, and our hope is to eventually develop a better treatment for excessive daytime sleepiness in cronically ill patients.

How?

We will study sick and healthy mice and measure their behavioural response to immune activation. We will also examine the brains and determine what neuronal pathways becomes activated following immune activation. We will quantify both short- and long-term effects.

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