“…The VLPO sends inhibitory projections to the areas of the pontine tegmentum (as well as the ventrolateral periaqueductal gray area) not active during REM, thus "REM-off" neurons. These neurons then project to other "REM-on" areas of the brain, including glutamatergic neurons that send inhibitory messages to the spine, contributing to the muscle atonia associated with REM sleep (Clement, Sapin, Berod, Fort, & Luppi, 2011;Fuller & Lu, 2009;. In fact, recent evidence suggests that damage to the glutamatergic regions projecting to the spine may have some involvement in REM behavior disorder, a sleep dysfunction that exhibits signs of REM sleep without muscle atonia, as well as the cataplexy associated with the most well-known REM disorder, narcolepsy Luppi et al, 2011).…”