The present data demonstrated that labored sleep loss in total and chronic partial forms in rat model causes memory impairment. In line with our results, there are considerable amount of experimental evidence denoting that memory functions could be negatively influenced by sleep loss. These impairments were evident in inhibitory avoidance and conditioned fear (
5,
7,
33,
34), place learning and spatial memory (
6,
35), trace conditioned memory (
36), working memory (
37) and state-dependent memory (
38). A recent study has clearly reported the crucial role of sleep in fear-cued memory consolidation (
33).
Sleep plays a pivotal role in learning and memory processes (
2,
3). Therefore, SD may affect the subsequent learning capacity and the ability to form new memories (
3). The effect of sleep loss on synaptic plasticity and memory function has been deeply articulated in a recent report (
10). Furthermore, sleep loss is shown to result in memory deficits, particularly in hippocampus-dependent tasks (
37). This is proposed to be at least partly due to the SD-resultant oxidative stress and meanwhile, is attributed to excessive corticosteroid levels, arguably, and the depression-like symptoms. SD is shown to considerably reduce the hippocampal antioxidant markers including glutathione, catalase, and superoxide dismutase (
20,
39), which negatively affect synaptic plasticity (
20). On cellular level, sleep loss is shown to deleteriously affect synaptic plasticity (
10,
37). The hippocampal long-term potentiation deficit results in short-term and long-term memory impairments (
10,
37). Our results indicated that even partially, the chronic exposure to this oxidative stress (CPSR) might drastically affect memory function.
We tested the aversive-associated memory by EPM; however, other types of memory tests with various methods have similarly shown post-SD memory impairments (
5-
7,
34-
38).
Although in rat model of SD, TSD and CPSR induced a broad spectrum of cognitive, behavioral, and cellular changes, short-term sleep loss (six hours) is reported to trigger compensatory mechanisms (eg, increased antioxidant responses) that prevent initial deterioration in working memory (
39). Taken together, TSD and CPSR can potentially result in considerable impairment in memory function and the learning process. Further research is needed to test the cellular and molecular hypotheses regarding the mechanisms involved in the abovementioned process.
To the best of our knowledge, there was no study that had addressed the influence of SD on the memory impairments and the anxiety state simultaneously. Our results indicated that when testing the exploratory behavior of experimental rats in EPM after SD (T3), TSD and CPSR could induce immediate anxiolytic-like effects. Despite the increased grooming, which could be due to increased release of histamine and endogenous peptide and the environment per se, the increased OAT% and decreased rearing and defecation support the anxiolytic-like effects of the interventions. Our data indicated that TSD and to a greater extent CPSR, induced anxiolytic-like effect. This is in contrary to some reports showing that multiple platform method-induced SD was anxiogenic that might be due to the induced-oxidative damage in the brain (
40,
41); however, our results replicated and extended findings of Tartar et al. indicating that 24 hours of treadmill-induced TSD increases exploratory behavior in an open-field test of anxiety (OAT%) in comparison to cage or exercise controls (
42). Therefore, it is plausible that the anxiolytic-like effect of SD, which might be due to the method we used for SD induction, made the animals exercise while being sleep deprived. A recent report has shown that the regular treadmill exercise regimen in rats prevents the SD-associated decline in BDNF expression in CA1 (hippocampus) (
43). Moreover, it has been proposed that the antioxidant and anxiolytic-like effect of exercise may ameliorate the stress-induced damages to the brain (
44).
On the other hand, TSD could increase serotonin concentrations in different areas of the brain including hippocampus (
45). Behavioral tests have also shown the antidepressant effects of TSD in animal models (
46). The antidepressant effect of SD is, however, not believed to be related to the associated anxiolytic-like process (
47). In addition, abovementioned effects may partly be attributed to the release of endogenous peptides in response to stress following SD (
48).
In our biochemical assessments, results showed the increased serum corticosterone in SD groups in comparison to controls. This suggested that the observed increased exploration in the sleep-deprived rats was not primarily due to a hypothalamic-pituitary-adrenal stress response. Serum and salivary cortisol were shown to be increased in animal and human subjected to SD (
42,
49,
50); however, this cannot be explained by the possible anxiolytic-like effect, which SD might induce.
In our experiment, the increase in corticosterone level was more pronounced in CPSR. In this experimental group, circadian rhythm was reversed (ie, rats were forced to stay awake during the day and compensate their sleep debt at night) and serum corticosterone as a circadian hormone was notably affected. What we examined and interpreted as anxiolytic-like effect of SD was seen after the third EPM session (T3); however, serum corticosterone was checked after T4. This might arguably indicate that the immediate anxiolytic-like effect might be eliminated and turned to long-term anxiogenic-like effects. Further research is required to support this hypothesis.
Earlier findings have reported that TSD and CPSR can decrease the activity of the antioxidant enzyme, ie, superoxide dismutase, in the brainstem and hippocampus (
20). Based on this, it was hypothesized that these conditions, which activate the reactive oxygen species, can trigger cascade of events that facilitate the release of proinflammatory factors such as TNF-α and interleukins (IL-1 and IL-6) in different brain areas including the hippocampal region. These are shown to attenuate the secretion of BDNF, which is a neuroprotective factor (
9,
20,
22). Based on the established positive correlation between the circulating BDNF level and its secretion in various brain regions (
51), we measured the serum BDNF. Even though the cause of this positive correlation is not clearly known, our data might partly elucidate the contribution of peripheral and central BDNF changes in possible brain insults following sleep loss. Our results showed decreased BDNF in post-TSD and CPSR conditions in comparison with controls. Hippocampal BDNF plays a critical role in synaptic plasticity, hippocampal long-term potentiation and consequently, memory function (
9,
10,
21,
22,
52). There are reports indicating that after SD, BDNF secretion and consequently, its concentration are diminished in some areas of the brain including brain stem, hippocampus, and cerebellum (
52,
53). This suggests that sleep plays an important role in secretion of BDNF. Due to the BDNF contribution to learning and memory processes, SD is perceived to affect memory function negatively. This is in line with what we found in our behavioral and neurochemical approach. Nevertheless, the association between BDNF, corticosterone, and the impaired memory caused by SD needs to be addressed more thoroughly in further studies.
Similar to many investigations, our work faced some limitations. Firstly, we drew blood sample once (following T4); however, taking separate blood samples for corticosterone and BDNF following respectively T3(upon testing anxiety) and T4 (upon testing aversive memory) could have yielded more specific results. Secondly, ethical issue was a major concern and the necessity of assuring general wellbeing of animals and the relatively harsh situation per se, made evaluating the effects of longer durations for TSD or CPSR impossible. Thirdly, memory and anxiety levels could be measured following longer periods post-SD. finally, the possible behavioral differences between sexes when experiencing SD is an important issue. Future studies, which include both sexes, are needed to elaborate on these differences.
In conclusion, our results, along with the insights from earlier research, further suggested the cardinal role of sleep in learning, memory function, and anxiety state. Decreased BDNF and increased corticosterone can be cues to further investigate whether and how inflammatory biomarkers (eg, interleukins, TNF-α, and interferon gamma) can possibly trigger neurodegenerative processes following acute or chronic SD.