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Recent research has shed light on the profound effects of sleep disruption during early life, particularly its connection to autism spectrum disorder (ASD) and other neurodevelopmental challenges.

Sleep deprivation is a well-known contributor to various mental and physical health issues in adults, leading to weakened immune systems, weight gain, depression, and an increased risk of dementia. However, new insights reveal that the consequences of sleep disruption may be even more severe in children, whose brains are still developing crucial neural connections.

A study led by Sean Gay, a graduate student in the lab of Graham Diering, Ph.D., at the UNC School of Medicine, has brought to light the vulnerabilities of developing brains to sleep loss. The research was published in the Proceedings of the National Academy of Sciences.

The unique effects of sleep loss during development are largely unexplored,” said Diering. “Our data show that babies and children are more vulnerable to the negative effects of sleep disruption. We also found that sleep loss during this crucial period can negatively interact with underlying genetic risk for autism spectrum disorder.”

Sleep Disruption and Autism

Sleep disturbances are prevalent among children with neurodevelopmental disorders, with over 80% of individuals with ASD reporting sleep issues. However, whether these sleep disruptions cause or result from ASD remains a critical area of investigation. Understanding the relationship between sleep and ASD could lead to earlier diagnoses and innovative treatment strategies.

Diering’s lab previously discovered that sleep disruption during early development could lead to lasting behavioral changes. Using mouse models, they found that sleep loss in the third week of life, analogous to ages 1–2 in humans, caused significant social behavior deficits in male mice genetically predisposed to ASD.

Sleep Rebound and Its Implications

To explore these findings further, the researchers examined how both adult and developing mouse models compensated for sleep loss. By utilizing specialized housing equipped with sensitive sensors, they meticulously tracked the mice’s movements and sleep patterns.

While adult mice exhibited a “sleep rebound,” increasing sleep during their active hours to compensate for lost sleep, younger mice showed no such recovery. This lack of rebound confirmed their hypothesis: younger mice are more susceptible to the adverse effects of sleep deprivation. Notably, sleep-deprived young mice performed poorly on memory tasks, unlike their adult counterparts, who displayed greater resilience.

The lab subsequently focused on the impact of sleep loss on neuronal synapses—critical structures that facilitate communication between neurons and are essential for memory formation. Their advanced protein analysis revealed that sleep deprivation in young mice significantly impaired synapse formation, a vital process in brain development.

“This now provides one of the largest and most comprehensive datasets to examine the molecular effects of sleep loss across the lifespan,” noted Diering.

Future Treatment Avenues for Autism

Looking ahead, the Diering lab aims to develop next-generation sleep-based therapies for children. Rather than acting as mere sedatives, these potential treatments would target synapses to restore normal sleep function.

“Development is not something that one can go back and do again,” Diering emphasized. “Sleep is crucial for life, especially during development. Understanding what we know now will enhance our focus on sleep issues in ASD and could lead to significant therapeutic breakthroughs for ASD and other developmental conditions.”

As the scientific community continues to unravel the complexities of sleep’s role in brain development, this research underscores the urgent need to prioritize healthy sleep habits in early childhood to safeguard mental health and cognitive functioning throughout life.

For more information, refer to the study: Sean M. Gay et al, Developing forebrain synapses are uniquely vulnerable to sleep loss, Proceedings of the National Academy of Sciences (2024). DOI: 10.1073/pnas.2407533121.

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