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Clinical trial of early morning shift workers shows promise of new drug for reducing excessive sleepiness

A new clinical trial found that solriamfetol helped early morning shift workers with shift work disorder stay more alert and report better overall functioning. The study, published in NEJM Evidence, enrolled 78 early-morning shift workers and showed significant improvement in sleepiness and daily activities after four weeks of treatment.

SourceBrigham and Women's Hospital·JournalNew England Journal of Medicine·TypeRandomized controlled/clinical trial·DateJan 28, 2026

Groundbreaking review reveals how gut microbiota influences sleep disorders through the brain-gut axis

A comprehensive review synthesizes current insights into the intricate connections between gut microbiota and sleep regulation, highlighting the crucial role of peripheral organs in modulating brain function and behavior. Disruptions in gut microbiota composition are closely linked to sleep disturbances across multiple disorders.

SourceGenomic Press·JournalBrain Medicine·TypeLiterature review·DateNov 4, 2025

Nixing narcolepsy nightmares

A new therapeutic approach combining cognitive behavioral therapy (CBT) and lucid dreaming has shown promise in reducing nightmare severity and frequency in patients with narcolepsy. The study, published in the Journal of Sleep Research, found overall reductions in nightmare symptoms in all six participants tested.

SourceNorthwestern University·JournalJournal of Sleep Research·DateOct 23, 2024

Sport or snack? How our brain decides

Studies in mice reveal that orexin plays a key role in deciding between physical activity and consuming food, particularly when both options are available. By understanding this process, scientists aim to develop strategies to overcome exercise barriers and address the global obesity epidemic.

SourceETH Zurich·JournalNature Neuroscience·TypeExperimental study·DateAug 6, 2024

Orexin influences pupil size

Researchers at ETH Zurich discovered that orexin neurons directly influence emotional state through pupil size. This finding opens new avenues for medical treatment and diagnosis of sleep disorders like narcolepsy and other neurological conditions.

SourceETH Zurich·JournalNature Neuroscience·TypeExperimental study·DateJul 11, 2023

New sleep molecule discovered: “It shows just how complex the machinery of sleep is”

Researchers have discovered a new sleep molecule, microRNA-137 (miR-137), that regulates hypocretin levels for normal sleep. The study found that miR-137 is associated with hypocretin regulation and sleep disorders such as narcolepsy and insomnia.

SourceUniversity of Copenhagen - The Faculty of Health and Medical Sciences·JournalProceedings of the National Academy of Sciences·TypeExperimental study·DateApr 29, 2022

Dopamine triggers sleep state transitions

Researchers found that a temporary increase in dopamine levels in the basolateral amygdala initiates transitions from non-rapid eye movement (NREM) to rapid eye movement (REM) sleep. This discovery may have important implications for understanding changes in sleep state and treating conditions like cataplexy and narcolepsy.

SourceUniversity of Tsukuba·JournalScience·DateMar 14, 2022

Illuminating real-time brain dynamics of neuropeptides with a fluorescent biosensor

Scientists have developed a genetically encoded biosensor called OxLight1, which enables them to study the action and release mechanisms of neuropeptides like orexin in living mice. The researchers found that the level of orexin release correlates with neuronal activity, revealing previously invisible aspects of healthy brain function.

SourceUniversity of Zurich·JournalNature Methods·TypeObservational study·DateFeb 10, 2022

UCLA researchers find that removing brain cells linked to wakefulness and addiction may lessen symptoms of opioid withdrawal

UCLA researchers found that removing brain cells linked to wakefulness and addiction reduces both physical and emotional symptoms of opioid withdrawal. The study suggests that drug therapies regulating hypocretin production may be an effective treatment for opiate addiction and withdrawal.

SourceUniversity of California - Los Angeles Health Sciences·JournalJNeurosci·TypeExperimental study·DateJan 12, 2022

Wake-promoting compound validated

Researchers have successfully developed a non-peptide compound that promotes wakefulness and remedies narcoleptic symptoms in mouse models. The compound, YNT-185, penetrates the blood-brain barrier and induces significant wakefulness without desensitization or sleep rebounds.

SourceUniversity of Tsukuba·JournalProceedings of the National Academy of Sciences·DateMay 29, 2017

Identification of the neuronal suppressor of cataplexy, sudden weakening of muscle tone

A recent study led by Kanazawa University has discovered that serotonin neurons in the dorsal raphe nucleus inhibit catalepsy by reducing activities of the amygdala that controls emotion. This finding provides new insights into the narcolepsy mechanism and holds promise for developing new therapies for cataplexy.

SourceKanazawa University·JournalProceedings of the National Academy of Sciences·DateMay 13, 2017

Why narcoleptics get fat

Researchers found that narcoleptic patients have a deficiency of the neuropeptide hormone orexin, leading to impaired brown fat activity. This can result in excessive weight gain despite reduced caloric intake.

SourceCell Press·JournalCell Metabolism·DateOct 4, 2011

Study finds narcolepsy cases in China peak in early spring

Researchers found a seasonal pattern of narcolepsy onset in China, most frequent in April, with a significant spike following the H1N1 pandemic. The study suggests that flu vaccination was unlikely to cause the increase and points towards an autoimmune disease trigger.

SourceWiley·JournalAnnals of Neurology·DateAug 22, 2011

The high price of sleep disorders

The study found that individuals with untreated hypersomnia incur significant economic costs, including increased medication use, hospital admissions, and unemployment. The researchers estimate that each person with violent snoring or narcolepsy costs society approximately €10,223 per year.

SourceUniversity of Copenhagen·JournalActa Neurologica Scandinavica·DateDec 17, 2010

Immune system turns on the body in narcolepsy

A new study identifies autoantibodies targeting Trib2 protein in narcolepsy patients with cataplexy, supporting the theory that narcolepsy is an autoimmune disorder. Elevated levels of these antibodies were found in narcolepsy patients, furthering research on the underlying causes of the condition.

SourceJCI Journals·JournalJournal of Clinical Investigation·DateFeb 15, 2010

What happens when we sleep

A new study from McGill University finds that MCH neurons are activated during sleep and could be important in regulating the sleep state. The study provides deeper understanding of the sleep-wake cycle and vital insight into the basis of sleep disorders such as narcolepsy.

SourceMcGill University·JournalProceedings of the National Academy of Sciences·DateJan 28, 2009

Practice parameters discuss treatment for narcolepsy, other hypersomnias of central origin

The American Academy of Sleep Medicine has updated its practice parameters for the treatment of narcolepsy and other central hypersomnias. The guidelines recommend a comprehensive approach to managing symptoms, including modafinil, sodium oxybate, and tricyclic antidepressants. Regular follow-up with healthcare providers is crucial to ...

UT Southwestern research halts narcolepsy symptoms

Researchers at UT Southwestern Medical Center have discovered a potentially new avenue for treating human narcolepsy by introducing the brain chemical orexin into genetically engineered mice. The study, which uses knockout mice that lack orexin-producing cells, finds that artificially reintroducing orexin alleviates narcoleptic symptom...

SourceUT Southwestern Medical Center·JournalProceedings of the National Academy of Sciences·DateMar 15, 2004