Progesterone induces changes in sleep comparable to those of agonistic gabaa receptor modulators. Lancel, Marike, Johannes Faulhaber, Florian Holsboer, and Rainer Rupprecht. Max Planck Institute of Psychiatry, Clinical Institute, Munich, Germany
APStracts 3:0165E, 1996.
There is much evidence that progesterone (P) has hypnotic-anesthetic properties. In this vehicle-controlled study we examined the effects of three doses of P (30, 90 and 180 mg/kg) administered intraperitoneally at light onset on sleep in rats. P dose-dependently shortened non-rapid-eye-movement sleep (nonREMS) latency, lengthened REMS latency, decreased the amount of wakefulness and REMS and markedly increased preREMS, an intermediate state between nonREMS and REMS. P also elicited dose-related changes in sleep state-specific EEG power densities. Within nonREMS, EEG activity was reduced in the lower frequencies ( 7 Hz) and enhanced in the higher frequencies. Within REMS, EEG activity was markedly enhanced in the higher frequencies. The effects were maximal during the first post injection hours. The concentrations of P and the P-metabolites 3a-hydroxy-5a -pregnan-20-one and 3a-hydroxy-5b-pregnan-20-one, both positive allosteric modulators of GABAA receptors, were determined at different time intervals following vehicle, 30 or 90 mg/kg of P. P administration resulted in dose-dependent, initially supraphysiological elevations of P and its metabolites in the plasma and brain, which were most prominent during the first post injection hour. The effects of P on sleep closely resemble those of agonistic modulators of GABAA receptors such as benzodiazepines and correlate well with the increases in the levels of its GABAA-agonistic metabolites. These observations suggest that the hypnotic effects of P are mediated by the facilitating action of its neuroactive metabolites on GABAA receptor functioning.

Received 8 May 1996; accepted in final form 12 July 1996.
APS Manuscript Number E226-6.
Article publication pending Am. J. Physiol. (Endocrinol. Metab.).
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 21 August 1996