Skip to main content
Log in

Sleep-related vagotonic effect of zolpidem in rats

  • Original Investigation
  • Published:
Psychopharmacology Aims and scope Submit manuscript

Abstract

Rationale

Zolpidem is a relatively new nonbenzodiazepine sedative–hypnotic. The effects of zolpidem on autonomic functions remain unclear.

Objectives

The aim of this study was to evaluate the effects of zolpidem on sleep and related cardiac autonomic modulations as compared with triazolam in Wistar–Kyoto rats.

Methods

Continuous power spectral analyses of electroencephalogram (EEG), electromyogram, and heart rate variability were performed on freely moving rats during daytime sleep. The consciousness states were classified into active waking (AW), quiet sleep (QS), and paradoxical sleep (PS). Drugs were administered via gavage and data within 2 h were analyzed.

Results

All zolpidem (ZP3, 3 mg/kg; ZP30, 30 mg/kg) and triazolam (TZ0.075, 0.075 mg/kg; TZ0.75, 0.75 mg/kg) groups had longer accumulated QS time and averaged QS duration as compared with the vehicle control. The accumulated QS time and averaged QS duration of ZP3 were similar to those of TZ0.075. Significant suppressions of PS time were noted in all drug groups except ZP3. During QS, ZP3 and ZP30 exhibited significant increases of magnitude and percentage of EEG δ power, whereas TZ0.075 and TZ0.75 did not. Heart period and high-frequency power of heart rate variability increased significantly in ZP3 during all sleep–wake states. Both parameters, however, did not increase but even decreased in ZP30, TZ0.075, and TZ0.75.

Conclusions

Zolpidem not only caused a longer and deeper sleep but also led to an elevated cardiac vagal activity at a specific dose in the rat.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  • Baharav A, Kotagal S, Gibbons V, Rubin BK, Pratt G, Karin J, Akselrod S (1995) Fluctuations in autonomic nervous activity during sleep displayed by power spectrum analysis of heart rate variability. Neurology 45:1183–1187

    PubMed  CAS  Google Scholar 

  • Belozeroff V, Berry RB, Khoo MC (2003) Model-based assessment of autonomic control in obstructive sleep apnea syndrome. Sleep 26:65–73

    PubMed  Google Scholar 

  • Bonnet MH, Arand DL (1998) Heart rate variability in insomniacs and matched normal sleepers. Psychosom Med 60:610–615

    PubMed  CAS  Google Scholar 

  • Cajochen C, Pischke J, Aeschbach D, Borbely AA (1994) Heart rate dynamics during human sleep. Physiol Behav 55:769–774

    Article  PubMed  CAS  Google Scholar 

  • Chouinard G (2004) Issues in the clinical use of benzodiazepines: potency, withdrawal, and rebound. J Clin Psychiatry 65 Suppl 5:7–12

    PubMed  CAS  Google Scholar 

  • Declerck AC, Ruwe F, O’Hanlon JF, Vermeeren A, Wauquier A (1992) Effects of zolpidem and flunitrazepam on nocturnal sleep of women subjectively complaining of insomnia. Psychopharmacology 106:497–501

    Article  PubMed  CAS  Google Scholar 

  • Delamont RS, Julu POO, Jamal GA (1998) Sleep deprivation and its effect on an index of cardiac parasympathetic activity in early nonREM sleep in normal and epileptic subjects. Sleep 21:493–498

    PubMed  CAS  Google Scholar 

  • Farmer MR, Ross HF, Chowdhary S, Osman F, Townend JN, Coote JH (2003) GABAergic mechanisms involved in the vagally mediated heart rate response to muscle contraction as revealed by studies with benzodiazepines. Clin Auton Res 13:45–50

    Article  PubMed  Google Scholar 

  • Franco P, Seret N, Van Hees JN, Lanquart JP Jr, Groswasser J, Kahn A (2003) Cardiac changes during sleep in sleep-deprived infants. Sleep 26:845–848

    PubMed  Google Scholar 

  • Frisina N, Pedulla M, Mento G, Morano E, Lanuzza B, Buemi M (1998) Normotensive offspring with non-dipper hypertensive parents have abnormal sleep pattern. Blood Press 7:76–80

    Article  PubMed  CAS  Google Scholar 

  • Ganzoni E, Santoni JP, Chevillard V, Sebille M, Mathy B (1995) Zolpidem in insomnia: a 3-year post-marketing surveillance study in Switzerland. J Int Med Res 23:61–73

    PubMed  CAS  Google Scholar 

  • Gottesmann C (1999) Neurophysiological support of consciousness during waking and sleep. Prog Neurobiol 59:469–508

    Article  PubMed  CAS  Google Scholar 

  • Huikuri HV, Pikkujamsa SM, Airaksinen KE, Ikaheimo MJ, Rantala AO, Kauma H, Lilja M, Kesaniemi YA (1996) Sex-related differences in autonomic modulation of heart rate in middle-aged subjects. Circulation 94:122–125

    PubMed  CAS  Google Scholar 

  • Irwin M, Clark C, Kennedy B, Christian Gillin J, Ziegler M (2003) Nocturnal catecholamines and immune function in insomniacs, depressed patients, and control subjects. Brain Behav Immun 17:365–372

    Article  PubMed  CAS  Google Scholar 

  • Jouvet M (1967) Neurophysiology of the states of sleep. Physiol Rev 47:117–177

    PubMed  CAS  Google Scholar 

  • Kanno O, Sasaki T, Watanabe H, Takazawa S, Nakagome K, Nakajima T, Ichikawa I, Akaho R, Suzuki M (2000) Comparison of the effects of zolpidem and triazolam on nocturnal sleep and sleep latency in the morning: a cross-over study in healthy young volunteers. Prog Neuro-psychopharmacol Biol Psychiatry 24:897–910

    Article  CAS  Google Scholar 

  • Kripke DF, Simons RN, Garfinkel L, Hammond EC (1979) Short and long sleep and sleeping pills. Is increased mortality associated? Arch Gen Psychiatry 36:103–116

    PubMed  CAS  Google Scholar 

  • Kripke DF, Garfinkel L, Wingard DL, Klauber MR, Marler MR (2002) Mortality associated with sleep duration and insomnia. Arch Gen Psychiatry 59:131–136

    Article  PubMed  Google Scholar 

  • Kuo TBJ, Chan SHH (1993) Continuous, on-line, real-time spectral analysis of arterial blood pressure using a personal computer. Am J Physiol 264:H2208–H2213

    PubMed  CAS  Google Scholar 

  • Kuo TBJ, Yang CCH (2004) Scatterplot analysis of EEG slow-wave magnitude and heart rate variability: an integrative exploration of cerebral cortical and autonomic functions. Sleep 27:648–656

    PubMed  Google Scholar 

  • Kuo TBJ, Lin T, Yang CCH, Li CL, Chen CF, Chou P (1999) Effect of aging on gender differences in neural control of heart rate. Am J Physiol 277:H2233–H2239

    PubMed  CAS  Google Scholar 

  • Kuo TBJ, Lai CJ, Shaw FZ, Lai CW, Yang CCH (2004a) Sleep-related sympathovagal imbalance in SHR. Am J Physiol 286:H1170–H1176

    CAS  Google Scholar 

  • Kuo TBJ, Shaw FZ, Lai CJ, Lai CW, Yang CCH (2004b) Changes in sleep patterns in spontaneously hypertensive rats. Sleep 27:406–412

    PubMed  Google Scholar 

  • Lavery CE, Mittleman MA, Cohen MC, Muller JE, Verrier RL (1997) Nonuniform nighttime distribution of acute cardiac events: a possible effect of sleep states. Circulation 96:3321–3327

    PubMed  CAS  Google Scholar 

  • Mailliet F, Galloux P, Poisson D (2001) Comparative effects of melatonin, zolpidem and diazepam on sleep, body temperature, blood pressure and heart rate measured by radiotelemetry in Wistar rats. Psychopharmacology (Berl) 156:417–426

    Article  CAS  Google Scholar 

  • McCann CC, Quera-Salva MA, Boudet J, Frisk M, Barthouil P, Borderies P, Meyer P (1993) Effect of zolpidem during sleep on ventilation and cardiovascular variables in normal subjects. Fundam Clin Pharmacol 7:305–310

    Article  PubMed  CAS  Google Scholar 

  • Muller JE, Stone PH, Turi ZG, Rutherford JD, Czeisler CA, Parker C, Poole WK, Passamani E, Roberts R, Robertson T et al (1985) Circadian variation in the frequency of onset of acute myocardial infarction. N Engl J Med 313:1315–1322

    Article  PubMed  CAS  Google Scholar 

  • Peppard PE, Young T, Palta M, Skatrud J (2000) Prospective study of the association between sleep-disordered breathing and hypertension. N Engl J Med 342:1378–1384

    Article  PubMed  CAS  Google Scholar 

  • Rumble R, Morgan K (1992) Hypnotics, sleep, and mortality in elderly people. J Am Geriatr Soc 40:787–791

    PubMed  CAS  Google Scholar 

  • Salo TM, Jula AM, Piha JS, Kantola IM, Pelttari L, Rauhala E, Metsala TH, Jalonen JO, Voipio-Pulkki LM, Viikari JS (2000) Comparison of autonomic withdrawal in men with obstructive sleep apnea syndrome, systemic hypertension, and neither condition. Am J Cardiol 85:232–238

    Article  PubMed  CAS  Google Scholar 

  • Saper CB, Chou TC, Scammell TE (2001) The sleep switch: hypothalamic control of sleep and wakefulness. Trends Neurosci 24:726–731

    Article  PubMed  CAS  Google Scholar 

  • Schwartz S, McDowell Anderson W, Cole SR, Cornoni-Huntley J, Hays JC, Blazer D (1999) Insomnia and heart disease: a review of epidemiologic studies. J Psychosom Res 47:313–333

    Article  PubMed  CAS  Google Scholar 

  • Shaw FZ, Lai CJ, Chiu TH (2002) A low-noise flexible integrated system for recording and analysis of multiple electrical signals during sleep–wake states in rats. J Neurosci Methods 118:77–87

    Article  PubMed  Google Scholar 

  • Shi SJ, Garcia KM, Meck JV (2003) Temazepam, but not zolpidem, causes orthostatic hypotension in astronauts after spaceflight. J Cardiovasc Pharmacol 41:31–39

    Article  PubMed  CAS  Google Scholar 

  • Spicuzza L, Bernardi L, Calciati A, Di Maria GU (2003) Autonomic modulation of heart rate during obstructive versus central apneas in patients with sleep-disordered breathing. Am J Respir Crit Care Med 167:902–910

    Article  PubMed  Google Scholar 

  • Suka M, Yoshida K, Sugimori H (2003) Persistent insomnia is a predictor of hypertension in Japanese male workers. J Occup Health 45:344–350

    Article  PubMed  Google Scholar 

  • Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology (1996) Heart rate variability: standards of measurement, physiological interpretation and clinical use. Circulation 93:1043–1065

    Google Scholar 

  • Trevor AJ, Way WL (2004) Sedative–hypnotic drugs. In: Katzung BG (ed) Basic and clinical pharmacology. McGraw Hill, New York, pp 351–366

    Google Scholar 

  • Uchino BN, Uno D, Holt-Lunstad J, Flinders JB (1999) Age-related differences in cardiovascular reactivity during acute psychological stress in men and women. J Gerontol B Psychol Sci Soc Sci 54:P339–P346

    PubMed  CAS  Google Scholar 

  • Vanoli E, Adamson PB, Lin B, Pinna GD, Lazzara R, Orr WC (1995) Heart rate variability during specific sleep stages. A comparison of healthy subjects with patients after myocardial infarction. Circulation 91:1918–1922

    PubMed  CAS  Google Scholar 

  • Vaughn BV, Quint SR, Messenheimer JA, Robertson KR (1995) Heart period variability in sleep. Electroencephalogr Clin Neurophysiol 94:155–162

    Article  PubMed  CAS  Google Scholar 

  • Viola AU, Simon C, Ehrhart J, Geny B, Piquard F, Muzet A, Brandenberger G (2002) Sleep processes exert a predominant influence on the 24-h profile of heart rate variability. J Biol Rhythms 17:539–547

    Article  PubMed  Google Scholar 

  • Yang CCH, Lai C-W, Lai HY, Kuo TBJ (2002) Relationship between electroencephalogram slow-wave magnitude and heart rate variability during sleep in humans. Neurosci Lett 329:213–216

    Article  PubMed  CAS  Google Scholar 

  • Yang CCH, Shaw FZ, Lai CJ, Lai CW, Kuo TBJ (2003) Relationship between electroencephalogram slow-wave magnitude and heart rate variability during sleep in rats. Neurosci Lett 336:21–24

    Article  PubMed  CAS  Google Scholar 

  • Zemaityte D, Varoneckas G, Sokolov E (1984) Heart rhythm control during sleep. Psychophysiology 21:279–289

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgements

H.Y. Chen and T.B J. Kuo contributed equally to this study. This study was supported by National Science Council (Taiwan) through grants NSC-93-2314-B-320-008 and a research grant (TCMRC-93-33A-01) from the Tzu Chi Charity Foundation. We thank Ms. Y.C. Lee for her excellent technical support.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Cheryl C. H. Yang.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Chen, H.Y., Kuo, T.B.J., Shaw, FZ. et al. Sleep-related vagotonic effect of zolpidem in rats. Psychopharmacology 181, 270–279 (2005). https://doi.org/10.1007/s00213-005-2236-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00213-005-2236-0

Keywords

Navigation