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ABSTRACT The use of glycine as a therapeutic option for improving sleep quality is a novel and safe approach. However, despite clinical evidence of its efficacy, the details of its mechanism

remain poorly understood. In this study, we investigated the site of action and sleep-promoting mechanisms of glycine in rats. In acute sleep disturbance, oral administration of

glycine-induced non-rapid eye movement (REM) sleep and shortened NREM sleep latency with a simultaneous decrease in core temperature. Oral and intracerebroventricular injection of glycine

elevated cutaneous blood flow (CBF) at the plantar surface in a dose-dependent manner, resulting in heat loss. Pretreatment with N-methyl-D-aspartate (NMDA) receptor antagonists AP5 and

CGP78608 but not the glycine receptor antagonist strychnine inhibited the CBF increase caused by glycine injection into the brain. Induction of c-Fos expression was observed in the

hypothalamic nuclei, including the medial preoptic area (MPO) and the suprachiasmatic nucleus (SCN) shell after glycine administration. Bilateral microinjection of glycine into the SCN

elevated CBF in a dose-dependent manner, whereas no effect was observed when glycine was injected into the MPO and dorsal subparaventricular zone. In addition, microinjection of D-serine

into the SCN also increased CBF, whereas these effects were blocked in the presence of L-701324. SCN ablation completely abolished the sleep-promoting and hypothermic effects of glycine.

These data suggest that exogenous glycine promotes sleep via peripheral vasodilatation through the activation of NMDA receptors in the SCN shell. SIMILAR CONTENT BEING VIEWED BY OTHERS THE

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SELECTIVE ANTAGONIST OF ADENOSINE A2A RECEPTOR, ENHANCES AROUSAL IN MICE Article 08 January 2025 INTRODUCTION Glycine, a non-essential amino acid, has two distinct properties as a

neurotransmitter: it operates through two different receptors and engages in several functions in the central nervous system (CNS). Glycine has long been known as an inhibitory

neurotransmitter in the brainstem and spinal cord (Curtis et al, 1968; Werman et al, 1968). In these areas, the activation of glycinergic premotoneurons triggers muscle atonia during rapid

eye movement (REM) sleep (Chase et al, 1989; Holstege and Bongers, 1991; Morales et al, 2006; Soja et al, 1991). By contrast, glycine acts allosterically as an excitatory modulator of the

N-methyl-D-aspartate (NMDA) subtype of ionotropic glutamate receptors (Johnson and Ascher, 1987; Kleckner and Dingledine, 1988). Although sufficient amounts of glycine are synthesized _de

novo_ or are taken up from the diet daily (Reeds, 2000), exogenous glycine passively diffuses across the blood-brain barrier and modulates neurotransmission in the CNS (Kawai et al, 2011;

Peterson, 1994; Toth and Lajtha, 1986). Because glutamatergic neurotransmission has been implicated in schizophrenia pathophysiology, oral administration of high-dose glycine—a mean dose of

∼60 g/day—has been reported to significantly improve cognition and reduce the negative symptoms of schizophrenia (Coyle and Tsai, 2004; Heresco-Levy et al, 1999). Conversely, low-dose

glycine at a dose of 3 g/day before bedtime subjectively improves sleep quality and reduces sleepiness and fatigue during the day in individuals with insomniac tendencies or restricted sleep

time (Bannai et al, 2012; Inagawa et al, 2006). A polysomnographic study also revealed that the same dose of glycine stabilizes sleep state and shortens the latency to slow-wave sleep, with

no alterations in sleep architecture (Yamadera et al, 2007). A recent study reported that the intraperitoneal injection of glycine inhibits the activity of orexin neurons, which are

critical for arousal, energy homeostasis, and reward-seeking (Sakurai et al, 2010) and induces non-REM (NREM) sleep with fragmented vigilance states in mice (Hondo et al, 2011). However,

Karnani et al (2011a) showed that orexin neurons are stimulated by nutritionally relevant amino acid mixtures, and of the amino acids tested, glycine had the highest potency. Thus, the site

of action and the sleep-promoting mechanism of glycine have remained controversial. A temporal relationship between the timing of sleep and core body temperature (Tb) rhythm has been

well-documented in humans (Barrett et al, 1993; Campbell and Broughton, 1994; Czeisler et al, 1980; Dijk and von Schantz, 2005; Zulley et al, 1981) and rats (Alfoldi et al, 1990). Some

hypnotics, such as benzodiazepines, zolpidem, and ramelteon, induce hypothermia within a physiological range (Elliot and White, 2001; Markwald et al, 2010). In some human studies, exogenous

melatonin has been shown to induce sleep and lower Tb (Lavie, 1997; Stone et al, 2000; Zhdanova et al, 1995). Similarly, glycine administration before bedtime decreases Tb in human subjects

(Nagao et al, 2007). In the present study, we aimed to elucidate the mechanisms involved in the sleep-promoting and hypothermic effects of glycine in rats. We first demonstrated that glycine

administration alleviates acute sleep disturbance. Laser-Doppler imaging was used to assess peripheral blood flow both before and after glycine injection into the stomach or brain. The site

of glycine action was determined by c-Fos immunohistochemical analysis and microinjection into the hypothalamic nuclei in the absence and presence of specific NMDA receptor antagonists.

Suprachiasmatic nucleus (SCN) ablation completely abolished the sleep-promoting and hypothermic effects of glycine. Our results consistently suggest that exogenous glycine promotes sleep via

peripheral vasodilatation through the activation of NMDA receptors in the SCN. MATERIALS AND METHODS ANIMALS Male Sprague–Dawley rats were purchased, weighing 250–300 _g_, from Charles

River Laboratories (Hollister, CA) for use in the sleep study (electroencephalogram/electromyogram, EEG/EMG recording). Male Wistar rats were purchased, weighing 250–300 _g_, from Charles

River Japan (Yokohama, Japan) and were also used for the other studies. The animals were housed individually in plastic cages and maintained under standard conditions in a 12-h light-dark

cycle with access to food and water _ad libitum_. All procedures were performed in accordance with the guidelines of National Institutes of Health and the Animal Care Committee of Ajinomoto.

SLEEP ANALYSIS Implant surgery, EEG/EMG monitoring, and EEG data acquisition were performed as previously described (Fujiki et al, 2009). To evaluate the effects of glycine administration

on locomotor activity and Tb, a telemetry device (G2 E-Mitter, Mini Mitter, OR; or TA-F40, DSI, St. Paul, MN) was implanted in the abdominal cavity of each rat. After 2 weeks of recovery,

the rats were acclimatized to the recording cable for at least 10 days in the individual recording cage. On the day of recording, 2 g/kg glycine (Sigma, St Louis, MO) or water (vehicle) was

orally administered 2 h after the onset of the light period (ZT2), and the rats were placed into a new, clean cage, which induces stress and acute sleep disturbance (Cano et al, 2008; Oka et

al, 2001). The dose administered is sufficient to cross the blood-brain barrier (Kawai et al, 2011). Sleep and telemetry data were recorded for 6 h. CORE BODY TEMPERATURE Core body

temperature was measured by the methods described above. 2 g/kg glycine or water (vehicle) was orally administered 4 h after the onset of the dark period (ZT16) in a habituated cage without

sleep recording (Figure 2a and b). LASER-DOPPLER IMAGING OF RAT SKIN BLOOD FLOW The units of laser-Doppler perfusion were used as an indicator of cutaneous blood flow (CBF) because they

closely correlate with CBF (Johnson et al, 1984). The rats were anesthetized by isoflurane (maintained with 1.5%, 1.0 ml/min) at ZT3-4 and placed on a heating pad (CMA-150;

CMA/Microdialysis, Stockholm, Sweden) to maintain a rectal temperature between 37.0 and 37.5 °C during the procedure. To measure CBF, the rats were fixed in a prone position, and the

laser-Doppler perfusion imager (Periscan PIMII; Perimed AB, Stockholm, Sweden) was set to a position ∼15 cm above the left plantar surface, upon which, the laser beam was directed. The

continuous perfusion units of the plantar surface were recorded every 3 min during the experimental periods. The mean values of the perfusion units of the whole-plantar surface were

automatically calculated as time-point data. After stabilization of the perfusion units of the plantar surface, 26 rats were administered two doses of glycine (1 or 2 g/kg) or water

(vehicle) via a gavage needle into the stomach. For intracerebroventricular (ICV) or intracerebral injections, 42 rats were surgically implanted with guide cannula (26 gauge; Plastics One,

Roanoke,VA) stereotaxically positioned 1 mm above the lateral ventricle or each hypothalamic area (MPO; dorsal subparaventricular zone, dSPZ; SCN) under pentobarbital anesthesia (50 mg/kg,

ip). The stereotaxic coordinates were anterior–posterior (AP) +0.8 (in mm, from bregma), medial–lateral (ML)+1.6, dorsal–ventral (DV) −4.0 (from the skull surface) for the lateral ventricle;

AP −0.7, ML±0.8, DV −8.8 for MPO; AP −1.8, ML±0.5, DV −8.0 for dSPZ; AP −0.7, ML±1.0 DV −9.4 with 5° angle for SCN (bilateral), according to the atlas of Paxinos and Watson (2004). After

recovery from surgery, 13, 65, or 130 nmol of glycine, 1000 nmol of D-serine, 130 or 1000 nmol of L-serine, or artificial cerebrospinal fluid (CMA/Microdialysis) was administered into the

lateral ventricle or hypothalamic area through an inserted guide cannulae, and the change in the perfusion units was evaluated. To antagonize either glycine receptors or NMDA receptors,

antagonists were applied through a cannulae 15 min before administration of vehicle, glycine, or D-serine (Sigma). The glycine receptor antagonist strychnine (30 nmol; Sigma), selective NMDA

receptor antagonist DL-AP5 (5 nmol; Sigma), glycine site-specific NMDA receptor antagonist CGP78608 (20 pmol; Tocris, Bristol, UK) and strychnine-insensitive NMDA receptor glycine site

antagonist L-701324 (1 nmol; Tocris) were used to antagonize glycine or NMDA receptors. The injection volume was 1 μl at a rate of 1 μl/min. C-FOS IMMUNOHISTOCHEMISTRY The rats were orally

administered glycine (2 g/kg, _n_=5) or vehicle (_n_=5) at ZT16 and were killed in the dark 30 min after administration. Whole brains were removed, postfixed overnight at 4 °C in 4%

paraformaldehyde, and then cryoprotected in 30% sucrose in PBS at 4 °C for 48 h. Cryoprotected whole brains were sliced coronally into 50-μm sections with a cryostat (Leica CM3050S, Leica

Microsystems, Wetzlar, Germany). The sections were incubated with 0.3% H2O2 for 30 min at room temperature to block endogenous peroxidase activities, followed by three washes in 0.3% Triton

PBS, then incubated overnight at 4 °C in 0.3% Triton PBS with 3% normal rabbit serum containing goat anti-c-Fos antibody (1 : 2000, sc-52-g, Santa Cruz Biotechnology, CA). After rinsing, the

sections were incubated for 1 h in 0.3% Triton PBS with 3% normal rabbit serum containing biotinylated rabbit anti-goat IgG, and incubated for (1 : 200, BA-5000, Vector Laboratories, CA)

followed by incubation with avidin-biotin complex (1 : 500, PK-6105, Vector Laboratories). Staining for c-Fos immunoreactivity was visualized with nickel-enhanced 3,3′-diaminobenzidine in

Tris-HCl (0.05 M, pH 7.6, SK-4100, Vector Laboratories), yielding a black reaction product that was produced by a modified glucose oxidase protocol that generates hydrogen peroxide in the

incubation solution. The sections were mounted on gelatin-coated slides, dehydrated, and coverslipped. A single observer, blinded for the treatment, counted c-Fos immunoreactive cells

manually using ImageJ (NIH software). The standard areas of analysis were determined in accordance with previously defined landmarks (Swanson, 2004). The areas were as follows: the medial

preoptic area (mPO, 400 × 400 μm); the periventricular/paraventricular hypothalamic nucleus (Pe/Pa, 400 × 400 μm); and the SCN (300-μm circle). The SCN subdivisions were defined as

previously described (Sumova et al, 1998). For each rat, the counts were averaged to derive the mean number of c-Fos-reactive cells per unilateral structure. SCN LESIONS Adult male rats were

randomly assigned to the sham (_n_=6) and the lesioned (_n_=14) group. The rats were anesthetized with 3% isoflurane and placed in a stereotaxic instrument. Bilateral radio frequency

lesions of the SCN were created by raising the probe tip temperature to 63 °C at each lesion site. To create a lesion, the tip of the probe was placed 0.8 mm caudal to the bregma, 0.3 mm

bilateral to the sagittal sinus, and 8.8 mm ventral to the dura. The probe was lowered 0.5 mm above the SCN but not heated to make sham lesions in the sham group. After surgery, successful

lesioning of the SCN was confirmed by the loss of circadian rhythms in Tb during constant dark conditions for 3 weeks. Behavioral arrhythmicity was tested by a χ2 periodogram using the Tb

data. The successful SCN-lesioned (SCNx, _n_=11) and sham (_n_=6) groups were implanted with EEG/EMG electrodes and used in the sleep study. The sham and SCNx groups received vehicle or

glycine (2 g/kg) orally at ZT2 once per week and were placed in a new, clean cage. At the end of the experiments, histological analysis of brain lesions was performed with cresyl violet

staining. MEASURING OF D-SERINE The CSF samples were mixed with twofold volumes of acetonitrile and centrifuged at 12 000 r.p.m. for 10 min at 20 °C. The supernatant was mixed with 200 mM

sodium borate buffer (pH 8.8), and 5 mg/ml (S)-NIFE ((S)-N-(4-nitrophenoxycarbonyl)-L-phenylalanine 2- methoxyethyl ester; Santa Cruz Biotechnology) in acetonitrile was then added. Then, HCL

aqueous solution was added, and 5 ml of the reaction mixture was subjected to the UPLC-MS/MS system. The quantitation method of D/L-amino acid is described previously (Visser et al, 2011)

and used in this study with minor modifications. The derivatized amino acids were separated on an Acquity UPLC system (Waters, Milford, MA), and analyzed with a triple-quadrupole mass

spectrometer, AB Sciex 5500QTRAP (AB Sciex, Framingham, MA). The AB Sciex Analyst 1.6.2 software was used to control these instruments and to quantitate each amino acid. DATA AND STATISTICAL

ANALYSES The results are expressed as the mean±SEM. The comparisons of sleep/wake changes were analyzed using a two-way ANOVA followed by a Holm–Sidak test, when appropriate. The Tb values

were expressed as an average for each 10-min period and were analyzed using a two-way repeated measure ANOVA followed by a Holm–Sidak test, when appropriate. The CBF values were converted

into the percentage of perfusion units between pre- and post-administration (the average value 15 min before administration was=100%) and expressed as an average from 30 to 45 min after

injection because the effects of the drugs were obvious at this range. The data were analyzed through one-way ANOVA followed by a Holm–Sidak test, when appropriate. All statistical analyses

were conducted using SigmaStat software version 11.2 (Systat Software, Chicago, IL). In all cases, differences were considered significant at a level of _p_<0.05. RESULTS GLYCINE INDUCES

NREM SLEEP ACCOMPANIED BY A DECREASE IN CORE TEMPERATURE The beneficial effects of glycine on subjective and objective sleep quality have been reported in subjects with insomniac tendencies

(Inagawa et al, 2006; Yamadera et al, 2007). Therefore, in this sleep study, the rats were subjected to mild sleep disturbance in a new cage environment. To confirm whether a new cage

environment induces acute sleep disturbance, the rats were transferred to a new, clean cage, and Tb and locomotor activity were compared with the values recorded when the rats were returned

to the habituated home cage. Compared with the habituated home cage, the new cage environment significantly elevated Tb and locomotor activity during the first 2 h after cage exchange

(Figure 1a and b), consistent with previous reports (Cano et al, 2008; Oka et al, 2001). The rats orally received vehicle or glycine (2 g/kg) at ZT2 with the cage exchange. Glycine treatment

significantly decreased wakefulness compared with vehicle during the first 90 min after administration (sum for 90 min in vehicle, 72.8 min±4.8; glycine, 53.6 min±2.5) and significantly

increased NREM sleep (vehicle, 15.8 min±4.1; glycine, 35.0 min±2.5; Figure 1c and d). Total episodes and mean duration of NREM sleep during the first 90 min also significantly increased with

glycine treatment compared with vehicle (Figure 1e and f). Total episodes of wakefulness during the first 90 min significantly increased, and the mean duration of wakefulness was

significantly decreased with glycine treatment compared with vehicle (Figure 1e and f). In addition, NREM sleep latency was significantly shortened by glycine administration (vehicle,

54.67±7.14 min; glycine, 36.79±4.71 min; Figure 1g). The reason for increasing wake episodes after glycine administration was not clear, but the experimental condition (ie, acute insomnia

model) and effects on NREM sleep (ie, increase in NREM episode) may influence on the observed effects. There was a moderate enhancement of theta power but no difference in EEG delta power in

the first 2 h of NREM sleep (Figure 1h). Despite the accumulating results showing glycinergic regulation of REM sleep (Chase et al, 1989; Holstege et al, 1991; Morales et al, 2006; Soja et

al, 1991), oral administration of glycine did not affect REM sleep in all cases. In accordance with the changes in sleep, oral administration of glycine significantly decreased Tb during the

first 90 min after manipulation compared with vehicle (Figure 1i). NMDA, BUT NOT GLYCINE RECEPTORS IN THE BRAIN MEDIATE GLYCINE-INDUCED PERIPHERAL HEAT LOSS The negative correlation between

sleep onset latency and peripheral heat loss via vasodilatation is a generally accepted model, as shown during natural sleep in humans (Krauchi et al, 1999, 2000; Krauchi and Wirz-Justice,

2001). Similarly in rats, Tb decreased, whereas tail-skin temperature increased at the initiation of NREM sleep (Alfoldi et al, 1990). We therefore examined the mechanisms that lower Tb

following glycine administration and their relationship to sleep effects. A dose-dependent effect of glycine on Tb was observed even in the habituated cage (Figures 2a and b). Tb is rigidly

regulated by the integration of heat production in the body’s core and heat loss from skin surfaces (Nakamura, 2011). To examine the thermoregulatory mechanism of exogenous glycine,

laser-Doppler imaging was used to measure blood flow in the plantar paw surface. Oral administration of glycine under anesthesia significantly increased CBF at 30–45 min (Figure 2c), over a

period during which the maximum decrease in Tb (Figure 2b) and the onset of sleep (NREM sleep latency, time from the injection to the first 1-min period of NREM sleep) was observed in the

sleep study (Figure 1). The change occurred in a dose-dependent manner (vehicle, 97.0%±3.8; 1 g/kg glycine, 101.3%±2.72; 2 g/kg glycine, 111.3%±3.2; Figure 2d). Our previous whole-body

autoradiography study showed that ingested glycine at a dose of 2 g/kg passively diffuses across the blood-brain barrier through non-specific transportation and significantly elevates CSF

glycine concentrations to a level higher than the ED50 of NMDA receptors and lower than that of glycine receptors (Kawai et al, 2011). We therefore performed ICV injection of glycine or

D-serine, a modulator of the glycine site of NMDA receptors. ICV injection of glycine increased CBF in a dose-dependent manner. A higher dose of D-serine elevated CBF equivalent to 130 nmol

of glycine (D-serine, 116.4%±3.7; glycine, 114.6%±4.3; Figure 2e). Pretreatment with the NMDA receptor antagonists AP5 or CGP78608 significantly attenuated the effect of glycine (glycine,

110.3%±3.0; in the presence of AP5, 98.8%±3.2; CGP78608, 87.5%±4.1; Figure 2e). The glycine receptor antagonist strychnine (30 nmol) did not inhibit the glycine (130 nmol)-induced increase

in CBF (glycine, 114.6%±4.3; strychnine, 112.9%±9.2; Figure 2e), suggesting that glycine induces peripheral vasodilatation via a glycine-binding site on NMDA receptors in the brain.

MICROINJECTION OF GLYCINE INTO THE SCN INCREASES CBF VIA NMDA RECEPTORS It is well known that hypothalamic nuclei are involved in thermoregulation. The preoptic area, especially the MPO,

functions as a thermoregulatory center by integrating afferent thermosensory signals and providing command signals to peripheral effectors through efferent neural and neuroendocrine pathways

(Nakamura, 2011). On the other hand, the SCN is a crucial structure for the regulation of circadian rhythms in sleep and Tb (Saper et al, 2005). The MPO and SCN are therefore believed to be

independently responsible for the homeostatic and circadian regulation of Tb, respectively. We hypothesized that glycine activates hypothalamic areas through NMDA receptors and mediates

sleep-promoting and hypothermic effects. To investigate this hypothesis, we examined c-Fos expression in the MPO, SCN, and periventricular/paraventricular nucleus of the hypothalamus.

Because baseline c-Fos expression was high during the light period, and the light period was not suitable for evaluating c-Fos enhancement, the rats were orally administered glycine (2 g/kg)

or vehicle at ZT16 and killed in the dark 30 min after administration. We had confirmed that oral administration of glycine at 1 and 2 g/kg at ZT 0, 4, 12, 16 significantly reduced Tb (30 

min after drug administration; Supplementary Figure 1). Glycine administration markedly increased the number of c-Fos positive neurons in the MPO (vehicle, 84±25 cells/mm2; glycine, 153±15 

cells/mm2); however, there was no difference in c-Fos expression levels in the periventricular/paraventricular nucleus of the hypothalamus (vehicle, 147±41 cells/mm2; glycine, 163±35 

cells/mm2). In the SCN, c-Fos expression significantly increased in the dorsomedial area (vehicle, 990±258 cells/mm2; glycine, 2541±554 cells/mm2) but not in the ventrolateral area (vehicle,

696±171 cells/mm2; glycine, 1294±316 cells/mm2; Figure 3). The c-Fos immunohistochemistry results raised the possibility that exogenous glycine can directly activate hypothalamic areas that

are functionally important for temperature control. To determine the primary action site of exogenous glycine, microinjection of glycine into the MPO, dSPZ, and SCN was performed in

combination with laser-Doppler imaging. Bilateral injection into the SCN but not the MPO or the dSPZ significantly increased CBF equivalent to an ICV injection of 130 nmol of glycine (MPO,

91.7%±10.1; dSPZ, 91.0%±11.8; SCN, 118.2%±1.9; ICV, 114.6%±4.3; Figure 4a), suggesting that the SCN is the primary target of glycine in the CBF increase. We further confirmed this result

through the selective blockade of the glycine site on NMDA receptors in the SCN. The effect of glycine was dose dependent and antagonized by pretreatment with L-701324, a potent and

selective antagonist of the glycine-binding site of NMDA receptors (130 nmol of glycine, 118.2%±1.9; in the presence of L-701324, 102.7%±3.7; Figure 4b). Likewise, CBF elevation by D-serine

was blocked by L-701324 (1000 nmol of D-serine, 122.8%±5.4; in the presence of L-701324, 103.8%±3.2). L-serine, which is an isomer of D-serine with reduced ability to activate NMDA receptors

(Kleckner and Dingledine, 1988), had less effect on CBF than glycine and D-serine. Moreover, we measured D-serine concentration in CSF after oral administration of 2 g/kg of glycine (Figure

5). The level of D-serine did not significantly increase in CSF after 30 min (vehicle, 1.79 μM±0.04; 2 g/kg glycine, 1.92 μM±0.14), 2 h (vehicle, 1.82 μM±0.18; 2 g/kg glycine, 1.95 μM±0.16)

and 8 h (vehicle, 2.25 μM±0.15; 2 g/kg glycine, 1.89 μM±0.08) after oral administration of glycine, supporting the minimum influence of D-serine by oral administration of glycine. Taken

together, our results strongly suggest that glycine acts primarily on NMDA receptors in the SCN and causes vasodilatation. EFFECTS OF GLYCINE ON BOTH CORE TEMPERATURE AND SLEEP ARE ABOLISHED

IN SCN-LESIONED RATS Although a series of microinjection experiments identified the SCN as the primary target of glycine in the brain for peripheral vasodilatation, it remains unclear

whether glycine acts directly on thermoeffector organs such as blood vessel muscles to induce heat loss and whether the SCN is also essential for the sleep-promoting effects of glycine. To

directly address these issues, we performed sleep recording following glycine administration in SCN-lesioned (SCNx) rats. Eleven out of fourteen rats that received bilateral radio frequency

lesions of the SCN showed loss of circadian rhythms in Tb during the constant dark condition, whereas sham-operated rats exhibited a stable free-running rhythm (Figure 6a). After recovery

from EEG/EMG surgery, SCNx and sham groups orally received vehicle or glycine (2 g/kg) with mild sleep disturbance. The hypothermic effect of glycine remained intact in the sham group,

whereas SCN lesions abolished the effect (Figure 6b). In addition to the hypothermic effect, glycine failed to affect sleep amount, number of episodes, and mean duration of NREM sleep in the

SCNx group (Figure 6c–e). The glycine-induced short NREM sleep latency observed in the sham group disappeared in the SCNx group (Figure 6f), suggesting that the SCN is a critical structure

required for the thermoregulatory and sleep-promoting effects of glycine. DISCUSSION Despite evidence from human trials that glycine intake before bedtime improves sleep quality both

subjectively and objectively (Bannai et al, 2012; Inagawa et al, 2006; Yamadera et al, 2007), details of its mechanism remain poorly understood. We have revealed the site of action of

glycine that promotes sleep and a novel mechanism for regulating sleep and temperature. In acute sleep disturbance during the resting period, glycine administration promoted sleep and

shortened NREM sleep latency associated with a decrease in Tb (Figure 1). The time course of the decrease in Tb correlated well with the timing of sleep onset and the rise in CBF (Figure 1g

and Figure 2a–d). Peripheral vasodilatation was mediated by activation of NMDA but not glycine receptors in the brain (Figure 2e and f). This finding is consistent with the pharmacokinetics

and distribution in the brain following glycine administration (Kawai et al, 2011). Glycine administration increases L-serine (Kawai et al, 2011) and L-serine can be converted to D-serine by

serine racemase. To exclude the possibility that the effects observed may partially be mediated by D-serine, we investigated D-serine concentrations in CSF 30 min, 2 and 8 h after the oral

administration of 2 g/kg glycine. We found no significant change in the CSF D-serine level (Figure 5). This result indicates that glycine itself acts on NMDA receptors. Among the

hypothalamic nuclei responsible for thermoregulation, the SCN was determined to be the primary action site of glycine (Figures 3 and 4). Because the MPO is influenced by the SCN directly

(Watts et al, 1987) or indirectly via projections from the dSPZ (Lu et al, 2001), MPO activation following glycine administration is most likely to be a secondary effect that is involved in

peripheral vasodilatation. The result that the sleep-promoting and hypothermic effects of glycine were abolished in the SCNx supports our hypothesis (Figure 6). We demonstrated that glycine

significantly increased the activity of SCN neurons by c-Fos immunostaining during the active period (Figure 3) and significantly reduced Tb both at day and night (Supplementary Figure 1).

As the c-fos expression in the SCN was maximally high during daytime in rats, we were unable to demonstrate by c-fos experiments that glycine administration further enhances the activity of

the SCN neurons during the resting period. We therefore conducted pharmacological study of neurotransmission of glycine via NMDA receptors (Figure 4) and investigated physiological evidence

of loss of Tb control by SCN lesions (Figure 6). All of these results support our hypothesis that increasing SCN activity by glycine mediates drop of Tb and the improvement in sleep during

the resting phase of rats. In view of energy conservation, a mutual interaction between sleep and thermoregulation is reasonable. Numerous neuroanatomical and electrophysiological studies

have demonstrated that sleep and temperature are predominantly regulated by the VLPO and MPO, respectively, under the influence of the SCN circadian rhythm (Saper et al, 2005). To initiate

and maintain sleep, VLPO efferent axons directly inhibit arousal-related monoaminergic neurons through GABAergic and galaninergic projections. On the other hand, to lower temperature, the

inhibitory circuit descending from the MPO is enhanced to suppress spinal motor outputs, resulting in skin vasodilatation and reduced thermogenesis (Nakamura, 2011). In addition, MPO neurons

with sleep-related discharge have projections to monoaminergic neurons (Alam et al, 1995; Steininger et al, 2001), implying an intimate link between sleep and temperature. Although we

elucidated the mechanism of action of exogenous glycine, these findings shed light on the potential role of endogenous glycine in sleep and thermoregulation. A substantial number of

glycine-immunoreactive fibers project to several structures of the hypothalamus (Rampon et al, 1996; van den Pol and Gorcs, 1988). Despite a weak glycinergic innervation of the SCN,

organotypic slice cultures of rat SCN showed a robust circadian rhythm in intrinsic release of glycine with 10 times higher levels than glutamate and aspartate (Shinohara et al, 1998). In

addition, several lines of evidence support the idea that glycine has a dual role as an excitatory modulator and an inhibitory neurotransmitter through NMDA and glycine receptors on SCN

neurons and modulates circadian phase shifting (Harrington et al, 1999; Ito et al, 1991; Kallingal and Mintz, 2010; Mordel et al, 2011). Considering that light entrains the circadian

oscillation by enhancing NMDA receptor activity in direct glutamatergic retinal inputs to the SCN (Colwell, 2001; Pennartz et al, 2001), endogenous glycine likely modulates sensitivity to

glutamate to synchronize circadian rhythms and influence phase resetting of the clock. Exogenous glycine may augment this modulatory action. In addition to its role in circadian

organization, glycine seems to be closely related to the neuropeptide arginine vasopressin (AVP). AVP is secreted from the SCN shell in autocrine and paracrine manners during the light

phase, in synchrony with glycine release (Kalsbeek et al, 1995; Shinohara et al, 1998). We have reported that AVP mRNA expression increases 4.2-fold with glycine administration during the

light but not the dark period (Bannai et al, 2012). Central infusion of AVP in nanogram quantities also reduces psychological stress-induced hyperthermia resulting from restrain stress

(Terlouw et al, 1996). Therefore, AVP may be partly involved in the decrease in Tb following glycine administration; however, the details of its mechanism remain to be elucidated. A recent

study using mice proposed different mechanisms of glycine action. Hondo et al (2011) reported that orexin neurons receive glycinergic innervations and that an intraperitoneal injection of 2 

g/kg glycine increases NREM sleep in the dark but not the light period by suppressing orexin neurons through strychnine-sensitive glycine receptors, in contrast with our results. Thus, we

performed sleep analysis using the same protocol as Hondo et al (2011) and observed that intraperitoneal injection of glycine caused severe hypothermia (<33 °C) for 5 h, continuous muscle

atonia accompanied with intermittent shivering and an abnormal EEG pattern (sporadic delta activity on a low amplitude mixed frequency EEG background) that does not occur during

physiological sleep during both the light and dark periods in not only wild-type but also in orexin/ataxin-3 transgenic mice, in which the orexin neurons degenerate (Hara et al, 2001; data

not shown). These observations might be caused by acute glycine toxicity. The dose used for ip injection was close to a lethal dose (LD), as the oral LD50 for mice has been reported to be

4.92 g/kg. By contrast, the glycine dose we used for the rat experiments was approximately 1/4 of the LD50 for rats (ie,7.93 g/kg). In the present study, we note that no rats exhibited these

abnormal EEG and behavioral changes, although a moderate enhancement of theta waves during sleep was observed through FFT analysis. However, _in vitro_ experiments clearly demonstrated that

glycine hyperpolarized orexin neurons (Hondo et al, 2011). Furthermore, in light of the glycinergic innervations and dual responses to glycine observed in electrophysiological studies

(Hondo et al, 2011; Karnani et al, 2011a, 2011b), it is possible that orexin neurons have physiological glycinergic regulation, and further studies are required. In summary, we conclude that

exogenous glycine promotes sleep by modulating thermoregulation and circadian rhythms through the activation of NMDA receptors in the SCN. Studies are required to further elucidate the

mechanisms by which glycine orchestrates SCN function with the proper timing and magnitude, which will provide a better understanding of the physiological role of glycine and its therapeutic

potential for improving sleep quality. FUNDING AND DISCLOSURE N.S., M.O., and S.N. are funded by Ajinomoto Co., Inc. N.K., S.K., Y.T., and T.T. are employees of Ajinomoto Co., Inc.

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Scholar  Download references ACKNOWLEDGEMENTS We thank Dr Yoichi Ueta and Dr Takashi Maruyama (University of Occupational and Environmental Health, Kitakyusyu, Japan) for their valuable

comments. AUTHOR INFORMATION Author notes * Nobuhiro Kawai and Noriaki Sakai: These authors contributed equally to the work. AUTHORS AND AFFILIATIONS * Institute for Innovation, Ajinomoto

Co., Inc., Kawasaki, Japan Nobuhiro Kawai, Sachie Karakawa, Yosuke Tsuneyoshi, Noriko Kawasaki, Tomoko Takeda & Makoto Bannai * Sleep and Circadian Neurobiology laboratory, Stanford

University School of Medicine, Stanford, CA, USA Noriaki Sakai, Masashi Okuro & Seiji Nishino * Department of Geriatric Medicine, Kanazawa Medical University, Kanazawa, Japan Masashi

Okuro Authors * Nobuhiro Kawai View author publications You can also search for this author inPubMed Google Scholar * Noriaki Sakai View author publications You can also search for this

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CORRESPONDING AUTHOR Correspondence to Makoto Bannai. ADDITIONAL INFORMATION Supplementary Information accompanies the paper on the Neuropsychopharmacology website SUPPLEMENTARY INFORMATION

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Hypothermic Effects of Glycine are Mediated by NMDA Receptors in the Suprachiasmatic Nucleus. _Neuropsychopharmacol_ 40, 1405–1416 (2015). https://doi.org/10.1038/npp.2014.326 Download

citation * Received: 15 May 2014 * Revised: 17 November 2014 * Accepted: 01 December 2014 * Published: 23 December 2014 * Issue Date: May 2015 * DOI: https://doi.org/10.1038/npp.2014.326

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