The diverse cell-types of the basal forebrain control sleep-wake states,
cortical activity and reward processing. Large, slow-firing, cholinergic neurons
suppress cortical delta activity and promote cortical plasticity in response to
reinforcers. Large, fast-firing, cortically-projecting GABAergic neurons promote
wakefulness and fast cortical activity. In particular, parvalbumin/GABAergic
neurons promote neocortical gamma band activity. Conversely, excitation of
slower-firing somatostatin/GABAergic neurons promotes sleep through inhibition
of cortically-projecting neurons. Activation of glutamatergic neurons promotes
wakefulness, likely by exciting other cortically-projecting neurons. Similarly,
cholinergic neurons indirectly promote wakefulness by excitation of
wake-promoting, cortically-projecting GABAergic neurons and/or inhibition of
sleep-promoting somatostatin/GABAergic neurons. Both glia and neurons increase
the levels of adenosine during prolonged wakefulness. Adenosine presynaptically
inhibits glutamatergic inputs to wake-promoting cholinergic and
GABAergic/parvalbumin neurons, promoting sleep.