Little is known at present about the physiology of sleep. The proximity of centres which probably control sleep and wakefulness with centres of autonomic activity suggests a functional connexion. We have therefore investigated the effect of natural sleep on the concentration of catechol amines in plasma.
METHODSTwo or three blood samples were collected from each subject, the first during sleep, the second 5-10 min. later when the subject was awake and the third on the following morning before breakfast. The first sample was collected as follows: a sphygmomanometer cuff was tied round the subject's arm above the elbow when he went to bed. The cuff was rapidly inflated while he was asleep and, though this usually woke him, the arterial circulation of the forearm was arrested; a venous blood sample was taken without delay. With one exception, of which particular mention will be made, the first and second blood samples were collected between the hours of 11 p.m. and 3 a.m.; before inflating the cuff the investigator satisfied himself, by watching respiration and facial expression, that the subject was actually asleep at the time.Most subjects were voluntary patients suffering from psychoneurotic disorders, but in good physical health, capable ofrational behaviour and willing to co-operate. The purpose ofthe investigation and its experimental nature were fully explained to them. Some members of the nursing staff were also included in the series. Particular care was taken to have all sedative medication stopped during the 3 days preceding the experiment.Treatment of blood samples. Five ml. anticoagulant solution were mixed in a 20 ml. syringe with 15 ml. venous blood. In most experiments the fluoride-thiosulphate solution previously described (Weil-Malherbe & Bone, 1952) was used, but it was later replaced by a more nearly isotonic solution containing 1% (w/v) sodium ethylenediaminetetraacetate pH 7 0 (EDTA) and 2 % (w/v) sodium thiosulphate. Preliminary experiments had indicated that identical results were obtained when consecutive blood samples were collected from the same donor in the two solutions.The packed-cell volume of the diluted blood was determined on a small sample by centrifugation in Wintrobe tubes at 2000 g for 45 min. The rest of the sample was centrifuged at 1000 g for 15 min and the plasma removed by suction.Preparation of platelet-poor plasma and of platelet suspension. Blood (15 ml.) was collected in silicone-coated glass-stoppered test-tubes through serum needles (18 gauge x 11 in) mounted on a short length (approx. 7 cm) of' Portex' elastic drainage tubing, size 10 (Portland Plastics Ltd.). The test-tube contained 500 units of heparin (Boots Pure Drug Co.) in 0-1 ml. solution. The sample was centrifuged in silicone-coated centrifuge tubes, first at about 1000 g for 15 min, and again,