Orexin, also known as hypocretin, is a neuropeptide produced by neurons in the lateral hypothalamus that plays a critical and non-negotiable role in promoting and stabilizing wakefulness, alertness, and energy balance. Its function is to keep the brain awake and prevent inappropriate transitions into sleep. The interaction between orexin and wakefulness is central to the regulation of the sleep-wake cycle and is vital for sustained daytime vigilance.
Origin
Orexin was discovered in the late 1990s, and its function immediately provided a crucial link between energy metabolism, arousal, and the sleep-wake cycle. The term “orexin” derives from the Greek orexis, meaning appetite, reflecting its initial link to feeding behavior, while “hypocretin” reflects its hypothalamic origin and structural similarity to secretin. Its dysfunction is directly implicated in narcolepsy.
Mechanism
Orexin neurons project widely throughout the brain, activating key monoaminergic and cholinergic nuclei, including the locus coeruleus and the tuberomammillary nucleus, which are essential for maintaining arousal. These projections stimulate the release of wake-promoting neurotransmitters, effectively stabilizing the “wake state.” Orexin neurons are also metabolically sensitive, linking the body’s energy status—such as low glucose levels during fasting—to increased wakefulness and energy expenditure, thereby coordinating metabolic and behavioral rhythms.
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