Reduced Number of Hypocretin
Neurons in Human Narcolepsy
TC Thannickal et al., Neuron 27; 469 2000
Distribution of Cells in Perifornical and
Dorsomedial Hypothalamic Regions of
Normal and Narcoleptic Humans
• On average, narcoleptics have 7% of the
Hcrt cells seen in normals
• C and D – low power covering regions
shown in grey at top
• E and G – normal subjects
• F and H – narcoleptic subjects
• Most human narcolepsy is NOT familial;
is discordant in identical twins; and NOT
linked to mutations in hypocretin.