Rem sleep is associated with increased Ach then how come there is loss of muscle tone in it?

While REM (Rapid Eye Movement) sleep is indeed associated with increased activity of acetylcholine (ACh), which plays a role in promoting brain activity during this stage, the loss of muscle tone during REM sleep is not directly caused by ACh alone. The phenomenon of muscle atonia (loss of muscle tone) during REM sleep is a result of complex interactions between neurotransmitters, brainstem structures, and motor neurons.

Here’s how it works:

  1. REM Sleep and Acetylcholine (ACh):
  • During REM sleep, there is indeed increased activity of ACh in the brain. ACh is involved in regulating various aspects of REM sleep, including the activation of the cortex (associated with dreaming), inhibition of motor neurons in the spinal cord, and stimulation of certain brainstem structures involved in generating REM sleep.
  1. Brainstem Control of Muscle Tone:
  • Muscle tone is regulated by a balance between excitatory and inhibitory signals from the brainstem to motor neurons in the spinal cord. During REM sleep, certain brainstem structures, including the pontine reticular formation, become active and send inhibitory signals to the spinal motor neurons, leading to muscle atonia.
  • These inhibitory signals override the normal excitatory signals that maintain muscle tone during wakefulness and non-REM sleep.
  1. Role of Gamma-Aminobutyric Acid (GABA):
  • In addition to ACh, the neurotransmitter gamma-aminobutyric acid (GABA) also plays a crucial role in promoting muscle atonia during REM sleep.
  • GABAergic neurons in the brainstem and basal forebrain inhibit motor neurons during REM sleep, contributing to muscle relaxation and atonia.
  1. Protective Mechanism:
  • Muscle atonia during REM sleep serves as a protective mechanism to prevent individuals from acting out their dreams and potentially injuring themselves or others.
  • While the cortex is highly active during REM sleep, voluntary muscle movements are suppressed, allowing for vivid dreaming without physical enactment.

In summary, while ACh is involved in promoting REM sleep and cortical activation, the loss of muscle tone during this stage is primarily mediated by inhibitory signals from brainstem structures and GABAergic neurons. This complex interplay of neurotransmitters and neural circuits ensures that REM sleep is characterized by both heightened brain activity and muscle atonia, facilitating the experience of vivid dreaming while preventing physical movement.