“…It is currently understood that subcortical neuromodulatory neurons in the brainstem, midbrain, hypothalamus, and basal forebrain interact with each other, the thalamus, and the cortex to drive behavioral, physiological, and electrocortical sleep/wake states. Key components of the wake regulatory systems are the: (1) monoaminergic neurons (including noradrenergic, dopaminergic, serotonergic, and histaminergic) of the locus coeruleus (LC), ventral tegmental area (VTA), dorsal raphe nucleus (DRN), and tuberomammillary nucleus (TMN); (2) cholinergic neurons of the pedunculopontine and laterodorsal tegmental nuclei (PPT/LDT), and basal forebrain (BF), and (3) hypocretinergic (Hcrt; also known as orexinergic) neurons of the lateral hypothalamus (LH) [3]. A balance between activity in wake-promoting and sleep-promoting neurons [4 • ], such as the GABAergic neurons of the ventrolateral preoptic area (VLPO) and brainstem, has been hypothesized as a model to understand sleep-to-wake transitions [5].…”