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Barone DA. Secondary RBD: Not just neurodegeneration. Sleep Med Rev 2024; 76:101938. [PMID: 38657360 DOI: 10.1016/j.smrv.2024.101938] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2024] [Revised: 03/20/2024] [Accepted: 04/11/2024] [Indexed: 04/26/2024]
Abstract
Rapid eye movement sleep behavior disorder is a parasomnia characterized by excessive muscle activity during rapid eye movement sleep (rapid eye movement sleep without atonia), along with dream enactment behavior. Isolated rapid eye movement sleep behavior disorder tends to occur in older males and is of concern due to the known link to Parkinson's disease and other synucleinopathies. When rapid eye movement sleep behavior disorder occurs in association with other neurological or general medical conditions, or resulting from the use of various substances, it is called secondary rapid eye movement sleep behavior disorder; the most common cause is neurodegenerative illness, specifically the synucleinopathies. Here, the focus will be on the subset of secondary rapid eye movement sleep behavior disorder in which there is no neurodegenerative disease.
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Affiliation(s)
- Daniel A Barone
- Weill Cornell Center for Sleep Medicine, 425 East 61st Street, New York, NY, 10065, USA.
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Miletínová E, Kliková M, Dostalíková A, Bušková J. Morphological characteristics of cerebellum, pons and thalamus in Reccurent isolated sleep paralysis - A pilot study. Front Neuroanat 2024; 18:1396829. [PMID: 38962392 PMCID: PMC11219576 DOI: 10.3389/fnana.2024.1396829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2024] [Accepted: 05/27/2024] [Indexed: 07/05/2024] Open
Abstract
Introduction Recurrent isolated sleep paralysis (RISP) is a rapid eye movement sleep (REM) parasomnia, characterized by the loss of voluntary movements upon sleep onset and/or awakening with preserved consciousness. Evidence suggests microstructural changes of sleep in RISP, although the mechanism of this difference has not been clarified yet. Our research aims to identify potential morphological changes in the brain that can reflect these regulations. Materials and methods We recruited 10 participants with RISP (8 women; mean age 24.7 years; SD 2.4) and 10 healthy control subjects (w/o RISP; 3 women; mean age 26.3 years; SD 3.7). They underwent video-polysomnography (vPSG) and sleep macrostructure was analyzed. After that participants underwent magnetic resonance imaging (MRI) of the brain. We focused on 2-dimensional measurements of cerebellum, pons and thalamus. Statistical analysis was done in SPSS program. After analysis for normality we performed Mann-Whitney U test to compare our data. Results We did not find any statistically significant difference in sleep macrostructure between patients with and w/o RISP. No evidence of other sleep disturbances was found. 2-dimensional MRI measurements revealed statistically significant increase in cerebellar vermis height (p = 0.044) and antero-posterior diameter of midbrain-pons junction (p = 0.018) in RISP compared to w/o RISP. Discussion Our results suggest increase in size of cerebellum and midbrain-pons junction in RISP. This enlargement could be a sign of an over-compensatory mechanism to otherwise dysfunctional regulatory pathways. Further research should be done to measure these differences in time and with closer respect to the frequency of RISP episodes.
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Affiliation(s)
- Eva Miletínová
- National Institute of Mental Health, Klecany, Czechia
- Third Faculty of Medicine, Charles University, Praha, Czechia
| | | | | | - Jitka Bušková
- National Institute of Mental Health, Klecany, Czechia
- Third Faculty of Medicine, Charles University, Praha, Czechia
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Nobili L, Cordani R, Arnaldi D, Mattioli P, Veneruso M, Ng M. Rapid eye movement sleep and epilepsy: exploring interactions and therapeutic prospects. J Sleep Res 2024:e14251. [PMID: 38842061 DOI: 10.1111/jsr.14251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2024] [Revised: 03/21/2024] [Accepted: 05/07/2024] [Indexed: 06/07/2024]
Abstract
While research interest in the relationship between sleep and epilepsy is growing, it primarily centres on the effects of non-rapid eye movement (NREM) sleep in favouring seizures. Nonetheless, a noteworthy aspect is the observation that, in the lives of patients with epilepsy, REM sleep represents the moment with the least epileptic activity and the lowest probability of having a seizure. Studies demonstrate a suppressive effect of phasic REM sleep on interictal epileptiform discharges, potentially offering insights into epilepsy localisation and management. Furthermore, epilepsy impacts REM sleep, with successful treatment correlating with improved REM sleep quality. Novel therapeutic strategies aim to harness REM's anti-epileptic effects, including pharmacological approaches targeting orexinergic systems and neuromodulation techniques promoting cortical desynchronisation. These findings underscore the intricate relationship between REM sleep and epilepsy, highlighting avenues for further research and therapeutic innovation in epilepsy management.
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Affiliation(s)
- Lino Nobili
- Child Neuropsychiatry Unit, IRCCS Istituto Giannina Gaslini, Member of the European Reference Network EpiCARE, Genoa, Italy
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Child and Maternal Health (DINOGMI), University of Genoa, Genoa, Italy
| | - Ramona Cordani
- Child Neuropsychiatry Unit, IRCCS Istituto Giannina Gaslini, Member of the European Reference Network EpiCARE, Genoa, Italy
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Child and Maternal Health (DINOGMI), University of Genoa, Genoa, Italy
| | - Dario Arnaldi
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Child and Maternal Health (DINOGMI), University of Genoa, Genoa, Italy
- Neurophysiopathology Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Pietro Mattioli
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Child and Maternal Health (DINOGMI), University of Genoa, Genoa, Italy
- Neurophysiopathology Unit, IRCCS Ospedale Policlinico San Martino, Genoa, Italy
| | - Marco Veneruso
- Child Neuropsychiatry Unit, IRCCS Istituto Giannina Gaslini, Member of the European Reference Network EpiCARE, Genoa, Italy
- Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Child and Maternal Health (DINOGMI), University of Genoa, Genoa, Italy
| | - Marcus Ng
- Biomedical Engineering, University of Manitoba, Winnipeg, Manitoba, Canada
- Section of Neurology, University of Manitoba, Winnipeg, Manitoba, Canada
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Yuksel C, Watford L, Muranaka M, McCoy E, Lax H, Mendelsohn AK, Oliver KI, Daffre C, Acosta A, Vidrin A, Martinez U, Lasko N, Orr S, Pace-Schott EF. REM disruption and REM Vagal Activity Predict Extinction Recall in Trauma-Exposed Individuals. BIORXIV : THE PREPRINT SERVER FOR BIOLOGY 2024:2023.09.28.560007. [PMID: 37808660 PMCID: PMC10557699 DOI: 10.1101/2023.09.28.560007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/10/2023]
Abstract
Accumulating evidence suggests that rapid eye movement sleep (REM) supports the consolidation of extinction memory. REM is disrupted in PTSD, and REM abnormalities after traumatic events increase the risk of developing PTSD. Therefore, it was hypothesized that abnormal REM in trauma-exposed individuals may pave the way for PTSD by interfering with the processing of extinction memory. In addition, PTSD patients display reduced vagal activity. Vagal activity contributes to the strengthening of memories, including fear extinction memory, and recent studies show that the role of vagus in memory processing extends to memory consolidation during sleep. Therefore, it is plausible that reduced vagal activity during sleep in trauma-exposed individuals may be an additional mechanism that impairs extinction memory consolidation. However, to date, the contribution of sleep vagal activity to the consolidation of extinction memory or any emotional memory has not been investigated. To test these hypotheses, we examined the association of extinction memory with REM characteristics and REM vagal activity (indexed as heart rate variability) in a large sample of trauma-exposed individuals (n=113). Consistent with our hypotheses, REM disruption was associated with poorer physiological and explicit extinction memory. Furthermore, higher vagal activity during REM was associated with better explicit extinction memory, and physiological extinction memory in males. These findings support the notion that abnormal REM may contribute to PTSD by impairing the consolidation of extinction memory and indicate the potential utility of interventions that target REM sleep characteristics and REM vagal activity in fear-related disorders.
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Affiliation(s)
- Cagri Yuksel
- McLean Hospital, Belmont, MA
- Department of Psychiatry, Harvard Medical School, Boston, MA
| | | | | | | | - Hannah Lax
- McLean Hospital, Belmont, MA
- Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA
| | - Augustus Kram Mendelsohn
- Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA
- Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA
| | - Katelyn I. Oliver
- Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA
- Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA
| | - Carolina Daffre
- Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA
- Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA
| | - Alexis Acosta
- Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA
- Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA
| | - Abegail Vidrin
- Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA
- Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA
| | - Uriel Martinez
- Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA
- Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA
| | - Natasha Lasko
- Department of Psychiatry, Harvard Medical School, Boston, MA
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA
| | - Scott Orr
- Department of Psychiatry, Harvard Medical School, Boston, MA
- Department of Psychiatry, Massachusetts General Hospital, Boston, MA
| | - Edward F. Pace-Schott
- Department of Psychiatry, Harvard Medical School, Boston, MA
- Athinoula A. Martinos Center for Biomedical Imaging, Charlestown, MA
- Department of Psychiatry, Massachusetts General Hospital, Charlestown, MA
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Xu H, Dou Z, Luo Y, Yang L, Xiao X, Zhao G, Lin W, Xia Z, Zhang Q, Zeng F, Yu S. Neuroimaging profiles of the negative affective network predict anxiety severity in patients with chronic insomnia disorder: A machine learning study. J Affect Disord 2023; 340:542-550. [PMID: 37562562 DOI: 10.1016/j.jad.2023.08.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Revised: 05/05/2023] [Accepted: 08/03/2023] [Indexed: 08/12/2023]
Abstract
BACKGROUND Sleep is instrumental in safeguarding emotional well-being. While the susceptibility to both insomnia and anxiety has been demonstrated to involve intricate brain systems, the neuroimaging profile of chronic insomnia disorder with comorbid anxiety symptoms (CID-A) remains unexplored. Employing machine learning methodologies, this study aims to elucidate the distinct neural substrates underlying CID-A and to investigate whether these cerebral markers can prognosticate anxiety symptoms in patients with insomnia. METHODS Functional magnetic resonance imaging (fMRI) data were procured from a relatively large cohort (dataset 1) comprised of 47 CID-A patients, 49 CID patients without anxiety (CID-NA), and 48 good sleeper controls (GSC). Aberrant cerebral functional alterations were assessed through functional connectivity strength (FCS) and resting-state functional connectivity (rsFC). Subsequently, Support Vector Regression (SVR) models were constructed to predict anxiety symptoms in CID patients based on neuroimaging features, which were validated utilizing an external cohort (dataset 2). RESULTS In comparison to CID-NA and GSC subjects, CID-A patients exhibited heightened FCS in the right dorsomedial prefrontal cortex (DMPFC), a central hub within the negative affective network. Moreover, the SVR models revealed that DMPFC-related rsFC/FCS features could be employed to predict anxiety symptoms in two independent cohorts of CID patients. LIMITATION Modifications in brain functionality might vary across insomnia subtypes. CONCLUSION The present findings suggest a potential negative affective network model for the neuropathophysiology of CID accompanied by anxiety. Importantly, the negative affective network pattern may serve as a predictor for anxiety symptoms in CID patients.
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Affiliation(s)
- Hao Xu
- School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China; Center of Interventional Medicine, Affiliated Hospital of North Sichuan Medical College, Department of Interventional Radiology, School of Medical Imaging, North Sichuan Medical College, Nanchong, China
| | - Zeyang Dou
- School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Yucai Luo
- School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Lu Yang
- School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Xiangwen Xiao
- School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Guangli Zhao
- School of Rehabilitation and Health Preservation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Wenting Lin
- School of Rehabilitation and Health Preservation, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Zihao Xia
- School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Qi Zhang
- Chongqing Hospital of Traditional Chinese Medicine, Chongqing, China.
| | - Fang Zeng
- School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China; Acupuncture and Brain Science Research Center, Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Siyi Yu
- School of Acupuncture and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, China; Acupuncture and Brain Science Research Center, Chengdu University of Traditional Chinese Medicine, Chengdu, China.
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Yoshizawa M, Tamura Y, Yasuda-Ohata A, Yoshihara S, Takasaki H, Hashioka S. Video polysomnographic analysis of elevated EMG activity and rapid eye movements before abnormal behaviors in REM sleep behavior disorder. Sleep Biol Rhythms 2023; 21:455-460. [PMID: 38476183 PMCID: PMC10899964 DOI: 10.1007/s41105-023-00472-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2023] [Accepted: 06/12/2023] [Indexed: 03/14/2024]
Abstract
The pathogenesis of rapid eye movement (REM) sleep behavior disorder (RBD) is unclear. According to the cortical hypothesis, severe RBD episode (RBDE) occurs when spinal motoneurons are less inhibited and cortical and limbic systems are more active. We made this study to prove the hypothesis for the development of RBDE using video-polysomnography (VPSG). VPSG records of 35 patients with RBD were analyzed. According to severity, RBDEs were classified into three motor events (MEs): ME 1; small movements or jerks, ME 2; proximal movements including violent behavior, and ME 3; axial movements including bed falls. For each ME, we measured the number of MEs preceded or not preceded by both REM sleep without atonia (RWA) and REMs during the 10-s-period immediately before ME onset. In severe RBDE (ME 3), the number of MEs preceded by both RWA and REMs was significantly higher than that of MEs not preceded by both (0.8 vs. 0.2, P = 0.033). This was not the case for mild RBDE (ME 1) and moderate RBDE (ME 2). Our results suggest that both RWA and REMs are associated with the development of severe RBDE.
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Affiliation(s)
- Mondo Yoshizawa
- Department of Psychiatry, School of Medicine, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido 078-8510 Japan
| | - Yoshiyuki Tamura
- Department of Psychiatry, School of Medicine, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido 078-8510 Japan
| | - Asami Yasuda-Ohata
- Department of Psychiatry, School of Medicine, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido 078-8510 Japan
| | - Shinsuke Yoshihara
- Department of Psychiatry, School of Medicine, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido 078-8510 Japan
| | - Hideki Takasaki
- Department of Psychiatry, School of Medicine, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido 078-8510 Japan
| | - Sadayuki Hashioka
- Department of Psychiatry, School of Medicine, Asahikawa Medical University, Midorigaoka Higashi 2-1-1-1, Asahikawa, Hokkaido 078-8510 Japan
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Gao JX, Yan G, Li XX, Xie JF, Spruyt K, Shao YF, Hou YP. The Ponto-Geniculo-Occipital (PGO) Waves in Dreaming: An Overview. Brain Sci 2023; 13:1350. [PMID: 37759951 PMCID: PMC10526299 DOI: 10.3390/brainsci13091350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Revised: 09/11/2023] [Accepted: 09/18/2023] [Indexed: 09/29/2023] Open
Abstract
Rapid eye movement (REM) sleep is the main sleep correlate of dreaming. Ponto-geniculo-occipital (PGO) waves are a signature of REM sleep. They represent the physiological mechanism of REM sleep that specifically limits the processing of external information. PGO waves look just like a message sent from the pons to the lateral geniculate nucleus of the visual thalamus, the occipital cortex, and other areas of the brain. The dedicated visual pathway of PGO waves can be interpreted by the brain as visual information, leading to the visual hallucinosis of dreams. PGO waves are considered to be both a reflection of REM sleep brain activity and causal to dreams due to their stimulation of the cortex. In this review, we summarize the role of PGO waves in potential neural circuits of two major theories, i.e., (1) dreams are generated by the activation of neural activity in the brainstem; (2) PGO waves signaling to the cortex. In addition, the potential physiological functions during REM sleep dreams, such as memory consolidation, unlearning, and brain development and plasticity and mood regulation, are discussed. It is hoped that our review will support and encourage research into the phenomenon of human PGO waves and their possible functions in dreaming.
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Affiliation(s)
- Jin-Xian Gao
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, Departments of Neuroscience, Anatomy, Histology, and Embryology, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China; (J.-X.G.); (G.Y.); (X.-X.L.); (J.-F.X.)
| | - Guizhong Yan
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, Departments of Neuroscience, Anatomy, Histology, and Embryology, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China; (J.-X.G.); (G.Y.); (X.-X.L.); (J.-F.X.)
| | - Xin-Xuan Li
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, Departments of Neuroscience, Anatomy, Histology, and Embryology, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China; (J.-X.G.); (G.Y.); (X.-X.L.); (J.-F.X.)
| | - Jun-Fan Xie
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, Departments of Neuroscience, Anatomy, Histology, and Embryology, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China; (J.-X.G.); (G.Y.); (X.-X.L.); (J.-F.X.)
| | - Karen Spruyt
- NeuroDiderot-INSERM, Université de Paris, 75019 Paris, France;
| | - Yu-Feng Shao
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, Departments of Neuroscience, Anatomy, Histology, and Embryology, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China; (J.-X.G.); (G.Y.); (X.-X.L.); (J.-F.X.)
| | - Yi-Ping Hou
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, Departments of Neuroscience, Anatomy, Histology, and Embryology, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China; (J.-X.G.); (G.Y.); (X.-X.L.); (J.-F.X.)
- Sleep Medicine Center of Gansu Provincial Hospital, Lanzhou 730000, China
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8
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van den Berg NH, Gibbings A, Baena D, Pozzobon A, Al-Kuwatli J, Ray LB, Fogel SM. Eye movements during phasic versus tonic rapid eye movement sleep are biomarkers of dissociable electroencephalogram processes for the consolidation of novel problem-solving skills. Sleep 2023; 46:zsad151. [PMID: 37246548 DOI: 10.1093/sleep/zsad151] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 04/22/2023] [Indexed: 05/30/2023] Open
Abstract
The hallmark eye movement (EM) bursts that occur during rapid eye movement (REM) sleep are markers of consolidation for procedural memory involving novel cognitive strategies and problem-solving skills. Examination of the brain activity associated with EMs during REM sleep might elucidate the processes involved in memory consolidation, and may uncover the functional significance of REM sleep and EMs themselves. Participants performed a REM-dependent, novel procedural problem-solving task (i.e. the Tower of Hanoi; ToH) before and after intervals of either overnight sleep (n = 20) or a daytime 8-hour wake period (n = 20). In addition, event-related spectral perturbation of the electroencephalogram (EEG) time-locked to EMs occurring either in bursts (i.e. phasic REM), or in isolation (i.e. tonic REM), were compared to sleep on a non-learning control night. ToH improvement was greater following sleep compared to wakefulness. During sleep, prefrontal theta (~2-8 Hz) and central-parietal-occipital sensorimotor rhythm (SMR) activity (~8-16 Hz) time-locked to EMs, were greater on the ToH night versus control night, and during phasic REM sleep, were both positively correlated with overnight memory improvements. Furthermore, SMR power during tonic REM increased significantly from the control night to ToH night, but was relatively stable from night to night during phasic REM. These results suggest that EMs are markers of learning-related increases in theta and SMR during phasic and tonic REM sleep. Phasic and tonic REM sleep may be functionally distinct in terms of their contribution to procedural memory consolidation.
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Affiliation(s)
| | - Aaron Gibbings
- School of Psychology, University of Ottawa, Ottawa, Canada
| | - Daniel Baena
- School of Psychology, University of Ottawa, Ottawa, Canada
| | | | | | - Laura B Ray
- School of Psychology, University of Ottawa, Ottawa, Canada
- The Royal's Institute of Mental Health Research, University of Ottawa, Ottawa, Canada
- University of Ottawa Brain and Mind Research Institute, University of Ottawa, Ottawa, Canada
| | - Stuart M Fogel
- School of Psychology, University of Ottawa, Ottawa, Canada
- The Royal's Institute of Mental Health Research, University of Ottawa, Ottawa, Canada
- University of Ottawa Brain and Mind Research Institute, University of Ottawa, Ottawa, Canada
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Ungurean G, Behroozi M, Böger L, Helluy X, Libourel PA, Güntürkün O, Rattenborg NC. Wide-spread brain activation and reduced CSF flow during avian REM sleep. Nat Commun 2023; 14:3259. [PMID: 37277328 DOI: 10.1038/s41467-023-38669-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 05/03/2023] [Indexed: 06/07/2023] Open
Abstract
Mammalian sleep has been implicated in maintaining a healthy extracellular environment in the brain. During wakefulness, neuronal activity leads to the accumulation of toxic proteins, which the glymphatic system is thought to clear by flushing cerebral spinal fluid (CSF) through the brain. In mice, this process occurs during non-rapid eye movement (NREM) sleep. In humans, ventricular CSF flow has also been shown to increase during NREM sleep, as visualized using functional magnetic resonance imaging (fMRI). The link between sleep and CSF flow has not been studied in birds before. Using fMRI of naturally sleeping pigeons, we show that REM sleep, a paradoxical state with wake-like brain activity, is accompanied by the activation of brain regions involved in processing visual information, including optic flow during flight. We further demonstrate that ventricular CSF flow increases during NREM sleep, relative to wakefulness, but drops sharply during REM sleep. Consequently, functions linked to brain activation during REM sleep might come at the expense of waste clearance during NREM sleep.
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Affiliation(s)
- Gianina Ungurean
- Avian Sleep Group, Max Planck Institute for Biological Intelligence, Seewiesen, Germany.
| | - Mehdi Behroozi
- Department of Biopsychology, Institute of Cognitive Neuroscience, Faculty of Psychology, Ruhr-University Bochum, Bochum, Germany.
| | - Leonard Böger
- Max-Planck Research Group Neural Information Flow, Max Planck Institute for the Neurobiology of Behavior - caesar, Bonn, Germany
- Max-Planck Research Group Genetics of Behaviour, Max Planck Institute for the Neurobiology of Behavior - caesar, Bonn, Germany
| | - Xavier Helluy
- Department of Biopsychology, Institute of Cognitive Neuroscience, Faculty of Psychology, Ruhr-University Bochum, Bochum, Germany
- Department of Neurophysiology, Medical Faculty, Ruhr-University Bochum, Bochum, Germany
| | - Paul-Antoine Libourel
- CRNL, SLEEP Team, UMR 5292 CNRS/U1028 INSERM, Université Claude Bernard Lyon 1, Lyon, Bron, France
| | - Onur Güntürkün
- Department of Biopsychology, Institute of Cognitive Neuroscience, Faculty of Psychology, Ruhr-University Bochum, Bochum, Germany
- Research Center One Health Ruhr, Research Alliance Ruhr, Ruhr-University Bochum, Bochum, Germany
| | - Niels C Rattenborg
- Avian Sleep Group, Max Planck Institute for Biological Intelligence, Seewiesen, Germany
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10
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Tellenbach N, Schmidt MH, Alexiev F, Blondiaux E, Cavalloni F, Bassetti CL, Heydrich L, Bargiotas P. REM sleep and muscle atonia in brainstem stroke: A quantitative polysomnographic and lesion analysis study. J Sleep Res 2023; 32:e13640. [PMID: 35609965 DOI: 10.1111/jsr.13640] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Revised: 05/02/2022] [Accepted: 05/03/2022] [Indexed: 11/28/2022]
Abstract
Important brainstem regions are involved in the regulation of rapid eye movement sleep. We hypothesized that brainstem stroke is associated with dysregulated rapid eye movement sleep and related muscle activity. We compared quantitative/qualitative polysomnography features of rapid eye movement sleep and muscle activity (any, phasic, tonic) between 15 patients with brainstem stroke (N = 46 rapid eye movement periods), 16 patients with lacunar/non-brainstem stroke (N = 40 rapid eye movement periods), 15 healthy controls (N = 62 rapid eye movement periods), and patients with Parkinson's disease and polysomnography-confirmed rapid eye movement sleep behaviour disorder. Further, in the brainstem group, we performed a magnetic resonance imaging-based lesion overlap analysis. The mean ratio of muscle activity to rapid eye movement sleep epoch in the brainstem group ("any" muscle activity 0.09 ± 0.15; phasic muscle activity 0.08 ± 0.14) was significantly lower than in the lacunar group ("any" muscle activity 0.17 ± 0.2, p < 0.05; phasic muscle activity 0.16 ± 0.19, p < 0.05), and also lower than in the control group ("any" muscle activity 0.15 ± 0.17, p < 0.05). Magnetic resonance imaging-based lesion analysis indicated an area of maximum overlap in the medioventral pontine region for patients with reduced phasic muscle activity index. For all groups, mean values of muscle activity were significantly lower than in the patients with Parkinson's disease and polysomnography-confirmed REM sleep behaviour disorder group ("any" activity 0.51 ± 0.26, p < 0.0001 for all groups; phasic muscle activity 0.42 ± 0.21, p < 0.0001 for all groups). For the tonic muscle activity in the mentalis muscle, no significant differences were found between the groups. In the brainstem group, contrary to the lacunar and the control groups, "any" muscle activity index during rapid eye movement sleep was significantly reduced after the third rapid eye movement sleep phase. This study reports on the impact of brainstem stroke on rapid eye movement atonia features in a human cohort. Our findings highlight the important role of the human brainstem, in particular the medioventral pontine regions, in the regulation of phasic muscle activity during rapid eye movement sleep and the ultradian distribution of rapid eye movement-related muscle activity.
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Affiliation(s)
- Nathalie Tellenbach
- Department of Neurology, University Hospital (Inselspital) and University of Bern, Bern, Switzerland
| | - Markus H Schmidt
- Department of Neurology, University Hospital (Inselspital) and University of Bern, Bern, Switzerland
| | - Filip Alexiev
- Department of Neurology, University Hospital (Inselspital) and University of Bern, Bern, Switzerland.,Neurology Clinic, St Anna University Hospital, Sofia, Bulgaria
| | - Eva Blondiaux
- Laboratory of Cognitive Neuroscience, Center for Neuroprosthetics and Brain Mind Institute, Faculty of Life Sciences, Swiss Federal institute of Technology (EPFL), Geneva, Switzerland
| | - Fabian Cavalloni
- Department of Neurology, University Hospital (Inselspital) and University of Bern, Bern, Switzerland
| | - Claudio L Bassetti
- Department of Neurology, University Hospital (Inselspital) and University of Bern, Bern, Switzerland
| | - Lukas Heydrich
- Department of Neurology, University Hospital (Inselspital) and University of Bern, Bern, Switzerland
| | - Panagiotis Bargiotas
- Department of Neurology, University Hospital (Inselspital) and University of Bern, Bern, Switzerland.,Department of Neurology, Medical School, University of Cyprus, Nicosia, Cyprus
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11
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Benarroch E. What Is the Involvement of the Cerebellum During Sleep? Neurology 2023; 100:572-577. [PMID: 36941065 PMCID: PMC10033165 DOI: 10.1212/wnl.0000000000207161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Accepted: 01/19/2023] [Indexed: 03/17/2023] Open
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12
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Alachkar A, Lee J, Asthana K, Vakil Monfared R, Chen J, Alhassen S, Samad M, Wood M, Mayer EA, Baldi P. The hidden link between circadian entropy and mental health disorders. Transl Psychiatry 2022; 12:281. [PMID: 35835742 PMCID: PMC9283542 DOI: 10.1038/s41398-022-02028-3] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Revised: 06/12/2022] [Accepted: 06/16/2022] [Indexed: 12/22/2022] Open
Abstract
The high overlapping nature of various features across multiple mental health disorders suggests the existence of common psychopathology factor(s) (p-factors) that mediate similar phenotypic presentations across distinct but relatable disorders. In this perspective, we argue that circadian rhythm disruption (CRD) is a common underlying p-factor that bridges across mental health disorders within their age and sex contexts. We present and analyze evidence from the literature for the critical roles circadian rhythmicity plays in regulating mental, emotional, and behavioral functions throughout the lifespan. A review of the literature shows that coarse CRD, such as sleep disruption, is prevalent in all mental health disorders at the level of etiological and pathophysiological mechanisms and clinical phenotypical manifestations. Finally, we discuss the subtle interplay of CRD with sex in relation to these disorders across different stages of life. Our perspective highlights the need to shift investigations towards molecular levels, for instance, by using spatiotemporal circadian "omic" studies in animal models to identify the complex and causal relationships between CRD and mental health disorders.
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Affiliation(s)
- Amal Alachkar
- Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences, University of California, Irvine, CA, USA. .,Institute for Genomics and Bioinformatics, University of California, Irvine, CA, USA. .,Center for the Neurobiology of Learning and Memory, University of California, Irvine, CA, USA.
| | - Justine Lee
- grid.266093.80000 0001 0668 7243Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences, University of California, Irvine, CA USA
| | - Kalyani Asthana
- grid.266093.80000 0001 0668 7243Department of Computer Science, School of Information and Computer Sciences, University of California, Irvine, CA USA
| | - Roudabeh Vakil Monfared
- grid.266093.80000 0001 0668 7243Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences, University of California, Irvine, CA USA
| | - Jiaqi Chen
- grid.266093.80000 0001 0668 7243Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences, University of California, Irvine, CA USA
| | - Sammy Alhassen
- grid.266093.80000 0001 0668 7243Department of Pharmaceutical Sciences, School of Pharmacy and Pharmaceutical Sciences, University of California, Irvine, CA USA
| | - Muntaha Samad
- grid.266093.80000 0001 0668 7243Institute for Genomics and Bioinformatics, University of California, Irvine, CA USA ,grid.266093.80000 0001 0668 7243Department of Computer Science, School of Information and Computer Sciences, University of California, Irvine, CA USA
| | - Marcelo Wood
- grid.266093.80000 0001 0668 7243Institute for Genomics and Bioinformatics, University of California, Irvine, CA USA ,grid.266093.80000 0001 0668 7243Center for the Neurobiology of Learning and Memory, University of California, Irvine, CA USA ,grid.266093.80000 0001 0668 7243Department of Neurobiology and Behavior, School of Biological Sciences, University of California, Irvine, CA USA
| | - Emeran A. Mayer
- grid.266093.80000 0001 0668 7243Institute for Genomics and Bioinformatics, University of California, Irvine, CA USA ,grid.19006.3e0000 0000 9632 6718G. Oppenheimer Center of Neurobiology of Stress & Resilience and Goldman Luskin Microbiome Center, Vatche and Tamar Manoukian Division of Digestive Diseases, University of California, Los Angeles, CA USA
| | - Pierre Baldi
- Institute for Genomics and Bioinformatics, University of California, Irvine, CA, USA. .,Center for the Neurobiology of Learning and Memory, University of California, Irvine, CA, USA. .,Department of Computer Science, School of Information and Computer Sciences, University of California, Irvine, CA, USA.
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13
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Lassmann Ł, Pollis M, Żółtowska A, Manfredini D. Gut Bless Your Pain—Roles of the Gut Microbiota, Sleep, and Melatonin in Chronic Orofacial Pain and Depression. Biomedicines 2022; 10:biomedicines10071528. [PMID: 35884835 PMCID: PMC9313154 DOI: 10.3390/biomedicines10071528] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 06/22/2022] [Accepted: 06/23/2022] [Indexed: 11/18/2022] Open
Abstract
Background. Increased attention has been paid to the gut–brain axis recently, but little is known so far regarding how this translates into pain susceptibility. Aim. The aim of this review is to determine whether gastroenterological disorders and sleep disorders (directly or indirectly) contribute to an increased susceptibility to depression and chronic orofacial pain. Method. A search was performed in the U.S. National Library of Medicine (PubMed) database in order to find studies published before 19 December 2021. We used the following terms: gut microbiome, OR sleep quality, OR melatonin, OR GERD, OR IBS, AND: depression OR chronic pain, in different configurations. Only papers in English were selected. Given the large number of papers retrieved in the search, their findings were described and organized narratively. Results. A link exists between sleep disorders and gastroenterological disorders, which, by adversely affecting the psyche and increasing inflammation, disturb the metabolism of tryptophan and cause excessive microglial activation, leading to increased susceptibility to pain sensation and depression. Conclusions. Pain therapists should pay close attention to sleep and gastrointestinal disorders in patients with chronic pain and depression.
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Affiliation(s)
- Łukasz Lassmann
- Dental Sense Medicover, 80-283 Gdańsk, Poland
- Correspondence:
| | - Matteo Pollis
- Department of Medical Biotechnology, School of Dentistry, University of Siena, 53100 Siena, Italy; (M.P.); (D.M.)
| | - Agata Żółtowska
- Department of Conservative Dentistry, Faculty of Medicine, Medical University of Gdańsk, 80-210 Gdańsk, Poland;
| | - Daniele Manfredini
- Department of Medical Biotechnology, School of Dentistry, University of Siena, 53100 Siena, Italy; (M.P.); (D.M.)
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14
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Affiliation(s)
- Christian R Burgess
- From the Department of Molecular and Integrative Physiology and the Michigan Neuroscience Institute, University of Michigan, Ann Arbor (C.R.B.); and the Department of Neurology, Beth Israel Deaconess Medical Center, Boston (T.E.S.)
| | - Thomas E Scammell
- From the Department of Molecular and Integrative Physiology and the Michigan Neuroscience Institute, University of Michigan, Ann Arbor (C.R.B.); and the Department of Neurology, Beth Israel Deaconess Medical Center, Boston (T.E.S.)
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15
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Vitali H, Campus C, De Giorgis V, Signorini S, Gori M. The vision of dreams: from ontogeny to dream engineering in blindness. J Clin Sleep Med 2022; 18:2051-2062. [PMID: 35499135 PMCID: PMC9340600 DOI: 10.5664/jcsm.10026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
The mechanisms involved in the origin of dreams remain one of the great unknowns in science. In the 21st century, studies in the field have focused on 3 main topics: functional networks that underlie dreaming, neural correlates of dream contents, and signal propagation. We review neuroscientific studies about dreaming processes, focusing on their cortical correlations. The involvement of frontoparietal regions in the dream-retrieval process allows us to discuss it in light of the Global Workspace theory of consciousness. However, dreaming in distinct sleep stages maintains relevant differences, suggesting that multiple generators are implicated. Then, given the strong influence of light perception on sleep regulation and the mostly visual content of dreams, we investigate the effect of blindness on the organization of dreams. Blind individuals represent a worthwhile population to clarify the role of perceptual systems in dream generation, and to make inferences about their top-down and/or bottom-up origin. Indeed, congenitally blind people maintain the ability to produce visual dreams, suggesting that bottom-up mechanisms could be associated with innate body schemes or multisensory integration processes. Finally, we propose the new dream-engineering technique as a tool to clarify the mechanisms of multisensory integration during sleep and related mental activity, presenting possible implications for rehabilitation in sensory-impaired individuals. The Theory of Proto-consciousness suggests that the interaction of brain states underlying waking and dreaming ensures the optimal functioning of both. Therefore, understanding the origin of dreams and capabilities of our brain during a dreamlike state, we could introduce it as a rehabilitative tool. CITATION Vitali H, Campus C, De Giorgis V, Signorini S, Gori M. The vision of dreams: from ontogeny to dream engineering in blindness. J Clin Sleep Med. 2022;18(8):2051-2062.
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Affiliation(s)
- Helene Vitali
- U-VIP: Unit for Visually Impaired People, Istituto Italiano di Tecnologia, Genova, Italy
| | - Claudio Campus
- U-VIP: Unit for Visually Impaired People, Istituto Italiano di Tecnologia, Genova, Italy
| | | | | | - Monica Gori
- U-VIP: Unit for Visually Impaired People, Istituto Italiano di Tecnologia, Genova, Italy
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16
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Maranci JB, Nigam M, Masset L, Msika EF, Vionnet MC, Chaumereil C, Vidailhet M, Leu-Semenescu S, Arnulf I. Eye movement patterns correlate with overt emotional behaviours in rapid eye movement sleep. Sci Rep 2022; 12:1770. [PMID: 35110651 PMCID: PMC8810754 DOI: 10.1038/s41598-022-05905-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Accepted: 01/12/2022] [Indexed: 11/09/2022] Open
Abstract
Growing evidence suggests that sleep plays a key role in regulating emotions. Rapid eye movements (REMs) in REM sleep could be associated with dreams emotions, but supporting evidence is indirect. To highlight this association, we studied the REM sleep during video-polysomnography of 20 subjects with REM sleep behaviour disorder (RBD), a model of enacted dreams offering direct access to the emotional content of the sleeper (face expression, speeches, behaviour). Video and the electro-oculography recordings were divided into 3 s time intervals and classified as non-behavioural, or behavioural (neutral, positive or negative emotions), and as containing no eye movements (EMs), slow eye movements (SEMs) or REMs (isolated or bursts). Compared to the absence of EMs, neutral behaviours successively increased in the presence of SEMs (odd ratio, OR = 1.4), then isolated REMs (OR = 2.8) and then REM bursts (OR = 4.6). Positive behaviours increased with SEMs (OR = 2.8) but did not increase further with isolated REMs (OR = 2.8) and REM bursts (OR = 3). Negative behaviours were absent with SEMs, increased with isolated REMs (OR = 2.6) and further with REM bursts (OR = 10.1). These results support an association between REMs and SEMs, and dream emotions.
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Affiliation(s)
- Jean-Baptiste Maranci
- Sleep Disorder Unit, Pitie-Salpetriere University Hospital, APHP, Paris, France.,Center for Advanced Research in Sleep Medicine, Hôpital du Sacré-Coeur de Montréal, Montréal, Canada.,Paris Brain Institute, Paris, France
| | - Milan Nigam
- Sleep Disorder Unit, Pitie-Salpetriere University Hospital, APHP, Paris, France.,Center for Advanced Research in Sleep Medicine, Hôpital du Sacré-Coeur de Montréal, Montréal, Canada
| | - Luc Masset
- Sleep Disorder Unit, Pitie-Salpetriere University Hospital, APHP, Paris, France
| | - Eva-Flore Msika
- Sleep Disorder Unit, Pitie-Salpetriere University Hospital, APHP, Paris, France
| | | | | | - Marie Vidailhet
- Paris Brain Institute, Paris, France.,Sorbonne University, Paris, France
| | - Smaranda Leu-Semenescu
- Sleep Disorder Unit, Pitie-Salpetriere University Hospital, APHP, Paris, France.,Paris Brain Institute, Paris, France
| | - Isabelle Arnulf
- Sleep Disorder Unit, Pitie-Salpetriere University Hospital, APHP, Paris, France. .,Paris Brain Institute, Paris, France. .,Sorbonne University, Paris, France.
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17
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Hong CCH, Fallon JH, Friston KJ. fMRI Evidence for Default Mode Network Deactivation Associated with Rapid Eye Movements in Sleep. Brain Sci 2021; 11:brainsci11111528. [PMID: 34827529 PMCID: PMC8615877 DOI: 10.3390/brainsci11111528] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 11/12/2021] [Accepted: 11/16/2021] [Indexed: 11/25/2022] Open
Abstract
System-specific brain responses—time-locked to rapid eye movements (REMs) in sleep—are characteristically widespread, with robust and clear activation in the primary visual cortex and other structures involved in multisensory integration. This pattern suggests that REMs underwrite hierarchical processing of visual information in a time-locked manner, where REMs index the generation and scanning of virtual-world models, through multisensory integration in dreaming—as in awake states. Default mode network (DMN) activity increases during rest and reduces during various tasks including visual perception. The implicit anticorrelation between the DMN and task-positive network (TPN)—that persists in REM sleep—prompted us to focus on DMN responses to temporally-precise REM events. We timed REMs during sleep from the video recordings and quantified the neural correlates of REMs—using functional MRI (fMRI)—in 24 independent studies of 11 healthy participants. A reanalysis of these data revealed that the cortical areas exempt from widespread REM-locked brain activation were restricted to the DMN. Furthermore, our analysis revealed a modest temporally-precise REM-locked decrease—phasic deactivation—in key DMN nodes, in a subset of independent studies. These results are consistent with hierarchical predictive coding; namely, permissive deactivation of DMN at the top of the hierarchy (leading to the widespread cortical activation at lower levels; especially the primary visual cortex). Additional findings indicate REM-locked cerebral vasodilation and suggest putative mechanisms for dream forgetting.
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Affiliation(s)
- Charles Chong-Hwa Hong
- Patuxent Institution, Correctional Mental Health Center—Jessup, Jessup, MD 20794, USA
- Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University, Baltimore, MD 21205, USA
- Correspondence: ; Tel.: +1-410-596-1956
| | - James H. Fallon
- Department of Anatomy and Neurobiology, University of California, Irvine, CA 92697, USA;
- Department of Psychiatry and Human Behavior, University of California, Irvine, CA 92697, USA
| | - Karl J. Friston
- The Well Come Centre for Human Neuroimaging, Institute of Neurology, University College London, London WC1N 3AR, UK;
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18
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Simor P, Bogdány T, Bódizs R, Perakakis P. Cortical monitoring of cardiac activity during rapid eye movement sleep: the heartbeat evoked potential in phasic and tonic rapid-eye-movement microstates. Sleep 2021; 44:zsab100. [PMID: 33870427 PMCID: PMC8633618 DOI: 10.1093/sleep/zsab100] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Revised: 04/04/2021] [Indexed: 11/13/2022] Open
Abstract
Sleep is a fundamental physiological state that facilitates neural recovery during periods of attenuated sensory processing. On the other hand, mammalian sleep is also characterized by the interplay between periods of increased sleep depth and environmental alertness. Whereas the heterogeneity of microstates during non-rapid-eye-movement (NREM) sleep was extensively studied in the last decades, transient microstates during rapid-eye-movement (REM) sleep received less attention. REM sleep features two distinct microstates: phasic and tonic. Previous studies indicate that sensory processing is largely diminished during phasic REM periods, whereas environmental alertness is partially reinstated when the brain switches into tonic REM sleep. Here, we investigated interoceptive processing as quantified by the heartbeat evoked potential (HEP) during REM microstates. We contrasted the HEPs of phasic and tonic REM periods using two separate databases that included the nighttime polysomnographic recordings of healthy young individuals (N = 20 and N = 19). We find a differential HEP modulation of a late HEP component (after 500 ms post-R-peak) between tonic and phasic REM. Moreover, the late tonic HEP component resembled the HEP found in resting wakefulness. Our results indicate that interoception with respect to cardiac signals is not uniform across REM microstates, and suggest that interoceptive processing is partially reinstated during tonic REM periods. The analyses of the HEP during REM sleep may shed new light on the organization and putative function of REM microstates.
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Affiliation(s)
- Péter Simor
- Institute of Psychology, ELTE, Eötvös Loránd University, Budapest, Hungary
- Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary
- UR2NF, Neuropsychology and Functional Neuroimaging Research Unit at CRCN – Center for Research in Cognition and Neurosciences and UNI – ULB Neurosciences Institute, Université Libre de Bruxelles (ULB), Brussels, Belgium
| | - Tamás Bogdány
- Institute of Psychology, ELTE, Eötvös Loránd University, Budapest, Hungary
- Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary
| | - Róbert Bódizs
- Institute of Behavioural Sciences, Semmelweis University, Budapest, Hungary
- National Institute of Clinical Neurosciences, Budapest, Hungary
| | - Pandelis Perakakis
- Department of Social, Organisational, and Differential Psychology, Complutense University of Madrid, Madrid, Spain
- Brain, Mind, & Behavior Research Center, University of Granada, Granada, Spain
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19
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Konjedi S, Maleeh R. The dynamic framework of mind wandering revisited: How mindful meta-awareness affects mental states' constraints. Conscious Cogn 2021; 95:103194. [PMID: 34419729 DOI: 10.1016/j.concog.2021.103194] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2021] [Revised: 07/20/2021] [Accepted: 08/11/2021] [Indexed: 01/01/2023]
Abstract
The dynamic framework of mind wandering (Christoff, Irving, Fox, Spreng, & Andrews-Hanna, 2016) is reviewed and modified through integrating the construct of mindful meta-awareness. The dynamic framework maintains that mind wandering belongs to a family of spontaneous thought phenomena. The key defining feature of mind wandering is 'spontaneity' which characterizes the dynamic nature of thoughts in the framework. The argument is made that incorporating the mindful meta-awareness construct modifies the dynamic framework as follows: (1) the framework's criteria for mind wandering do not hold anymore as meta-awareness changes the relationship between thoughts and constraints, and (2) lucid dreaming can be categorized as unguided thought while at the same time being dependent on deliberate constraints. Finally, the application of this modified framework will be discussed in terms of the treatment of mental disorders related to spontaneous thought alterations, in particular depression and nightmares.
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Affiliation(s)
| | - Reza Maleeh
- Institute of Cognitive Science, University of Osnabrück, 49069 Osnabrück, Germany; School of Historical and Philosophical Inquiry, The University of Queensland, Brisbane, St Lucia, QLD 4072, Australia.
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20
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Simor P, Szalárdy O, Gombos F, Ujma PP, Jordán Z, Halász L, Erőss L, Fabó D, Bódizs R. REM Sleep Microstates in the Human Anterior Thalamus. J Neurosci 2021; 41:5677-5686. [PMID: 33863786 PMCID: PMC8244978 DOI: 10.1523/jneurosci.1899-20.2021] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Revised: 12/24/2020] [Accepted: 02/10/2021] [Indexed: 11/21/2022] Open
Abstract
Rapid eye movement (REM) sleep is an elusive neural state that is associated with a variety of functions from physiological regulatory mechanisms to complex cognitive processing. REM periods consist of the alternation of phasic and tonic REM microstates that differ in spontaneous and evoked neural activity. Although previous studies indicate, that cortical and thalamocortical activity differs across phasic and tonic microstates, the characterization of neural activity, particularly in subcortical structures that are critical in the initiation and maintenance of REM sleep is still limited in humans. Here, we examined electric activity patterns of the anterior nuclei of the thalamus as well as their functional connectivity with scalp EEG recordings during REM microstates and wakefulness in a group of epilepsy patients (N = 12, 7 females). Anterothalamic local field potentials (LFPs) showed increased high-α and β frequency power in tonic compared with phasic REM, emerging as an intermediate state between phasic REM and wakefulness. Moreover, we observed increased thalamocortical synchronization in phasic compared with tonic REM sleep, especially in the slow and fast frequency ranges. Wake-like activity in tonic REM sleep may index the regulation of arousal and vigilance facilitating environmental alertness. On the other hand, increased thalamocortical synchronization may reflect the intrinsic activity of frontolimbic networks supporting emotional and memory processes during phasic REM sleep. In sum, our findings highlight that the heterogeneity of phasic and tonic REM sleep is not limited to cortical activity, but is also manifested by anterothalamic LFPs and thalamocortical synchronization.SIGNIFICANCE STATEMENT REM sleep is a heterogeneous sleep state that features the alternation of two microstates, phasic and tonic rapid eye movement (REM). These states differ in sensory processing, awakening thresholds, and cortical activity. Nevertheless, the characterization of these microstates, particularly in subcortical structures is still limited in humans. We had the unique opportunity to examine electric activity patterns of the anterior nuclei of the thalamus (ANTs) as well as their functional connectivity with scalp EEG recordings during REM microstates and wakefulness. Our findings show that the heterogeneity of phasic and tonic REM sleep is not limited to cortical activity, but is also manifested in the level of the thalamus and thalamocortical networks.
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Affiliation(s)
- Péter Simor
- Institute of Psychology, ELTE, Eötvös Loránd University, Budapest 1064, Hungary
- Institute of Behavioural Sciences, Semmelweis University, Budapest 1089, Hungary
- UR2NF, Neuropsychology and Functional Neuroimaging Research Unit at CRCN, Center for Research in Cognition and Neurosciences and UNI-ULB Neurosciences Institute, Université Libre de Bruxelles, Brussels 1050, Belgium
| | - Orsolya Szalárdy
- Institute of Behavioural Sciences, Semmelweis University, Budapest 1089, Hungary
- Institute of Cognitive Neuroscience and Psychology, Research Centre for Natural Sciences, Budapest 1117, Hungary
| | - Ferenc Gombos
- MTA-PPKE, Hungarian Academy of Sciences, Pázmány Péter Catholic University, Adolescent Development Research Group, Budapest 1088, Hungary
| | - Péter Przemyslaw Ujma
- Institute of Behavioural Sciences, Semmelweis University, Budapest 1089, Hungary
- National Institute of Clinical Neurosciences, Budapest 1145, Hungary
| | - Zsófia Jordán
- National Institute of Clinical Neurosciences, Budapest 1145, Hungary
| | - László Halász
- National Institute of Clinical Neurosciences, Budapest 1145, Hungary
| | - Loránd Erőss
- National Institute of Clinical Neurosciences, Budapest 1145, Hungary
| | - Dániel Fabó
- National Institute of Clinical Neurosciences, Budapest 1145, Hungary
| | - Róbert Bódizs
- Institute of Behavioural Sciences, Semmelweis University, Budapest 1089, Hungary
- Institute of Cognitive Neuroscience and Psychology, Research Centre for Natural Sciences, Budapest 1117, Hungary
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21
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Song B, Zhu JC. A Narrative Review of Cerebellar Malfunctions and Sleep Disturbances. Front Neurosci 2021; 15:590619. [PMID: 34248474 PMCID: PMC8267147 DOI: 10.3389/fnins.2021.590619] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Accepted: 05/31/2021] [Indexed: 11/15/2022] Open
Abstract
Cerebellar malfunctions significantly impact the regulation of the sleep–wakefulness transition. The possible mechanism for this effect is still unknown. Evidence on the role of cerebellar processing in the sleep–wake cycle is derived mainly from animal studies, and clinical management of the sleep–wake cycle is also challenging. The purpose of this review is to investigate the role of cerebellar activity during normal sleep and the association between cerebellar dysfunction and sleep disorders. Large-scale, multicenter trials are still needed to confirm these findings and provide early identification and intervention strategies to improve cerebellar function and the sleep quality of patients.
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Affiliation(s)
- Bijia Song
- Department of Anesthesiology, Shengjing Hospital of China Medical University, Shenyang, China.,Department of Anesthesiology, Beijing Friendship Hospital of Capital Medical University, Beijing, China
| | - Jun-Chao Zhu
- Department of Anesthesiology, Shengjing Hospital of China Medical University, Shenyang, China
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22
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Valomon A, Riedner BA, Jones SG, Nakamura KP, Tononi G, Plante DT, Benca RM, Boly M. A high-density electroencephalography study reveals abnormal sleep homeostasis in patients with rapid eye movement sleep behavior disorder. Sci Rep 2021; 11:4758. [PMID: 33637812 PMCID: PMC7910582 DOI: 10.1038/s41598-021-83980-w] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Accepted: 01/27/2021] [Indexed: 01/31/2023] Open
Abstract
Rapid eye movement (REM) sleep behavior disorder (RBD) is characterized by disrupting motor enactments during REM sleep, but also cognitive impairments across several domains. In addition to REM sleep abnormalities, we hypothesized that RBD patients may also display EEG abnormalities during NREM sleep. We collected all-night recordings with 256-channel high-density EEG in nine RBD patients, predominantly early-onset medicated individuals, nine sex- and age- matched healthy controls, and nine additional controls with matched medications and comorbidities. Power spectra in delta to gamma frequency bands were compared during both REM and NREM sleep, between phasic and tonic REM sleep, and between the first versus last cycle of NREM sleep. Controls, but not RBD patients, displayed a decrease in beta power during phasic compared to tonic REM sleep. Compared to controls, RBD patients displayed a reduced decline in SWA from early to late NREM sleep. Overnight changes in the distribution of the amplitude of slow waves were also reduced in RBD patients. Without suppression of beta rhythms during phasic REM sleep, RBD patients might demonstrate heightened cortical arousal, favoring the emergence of behavioral episodes. A blunted difference between REM sleep sub-stages may constitute a sensitive biomarker for RBD. Moreover, reduced overnight decline in SWA suggests a reduced capacity for synaptic plasticity in RBD patients, which may favor progression towards neurodegenerative diseases.
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Affiliation(s)
- Amandine Valomon
- Psychiatry - Wisconsin Institute for Sleep and Consciousness, University of Wisconsin-Madison, 6001 Research Park Boulevard, Madison, WI, 53719, USA.
| | - Brady A Riedner
- Psychiatry - Wisconsin Institute for Sleep and Consciousness, University of Wisconsin-Madison, 6001 Research Park Boulevard, Madison, WI, 53719, USA
- School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA
| | - Stephanie G Jones
- Psychiatry - Wisconsin Institute for Sleep and Consciousness, University of Wisconsin-Madison, 6001 Research Park Boulevard, Madison, WI, 53719, USA
- School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA
| | | | - Giulio Tononi
- Psychiatry - Wisconsin Institute for Sleep and Consciousness, University of Wisconsin-Madison, 6001 Research Park Boulevard, Madison, WI, 53719, USA
| | - David T Plante
- Psychiatry - Wisconsin Institute for Sleep and Consciousness, University of Wisconsin-Madison, 6001 Research Park Boulevard, Madison, WI, 53719, USA
- School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA
| | - Ruth M Benca
- University of California Irvine, Psychiatry and Human Behavior, Irvine, CA, USA
| | - Melanie Boly
- Psychiatry - Wisconsin Institute for Sleep and Consciousness, University of Wisconsin-Madison, 6001 Research Park Boulevard, Madison, WI, 53719, USA
- Neurology, University of Wisconsin-Madison, Madison, WI, USA
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23
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Investigating the effect of a nap following experimental trauma on analogue PTSD symptoms. Sci Rep 2021; 11:4710. [PMID: 33633161 PMCID: PMC7907077 DOI: 10.1038/s41598-021-83838-1] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2020] [Accepted: 01/25/2021] [Indexed: 01/27/2023] Open
Abstract
Cognitive models assume that the incomplete integration of a traumatic experience into the autobiographical memory results in typical symptoms associated with post-traumatic stress disorder (PTSD) such as intrusive re-experiencing. Sleep supports the integration of new experiences into existing memory networks through memory consolidation. In fifty-six females, we investigated whether a 90-min daytime nap (n = 33) compared to a wake period (n = 23) after being exposed to an experimental trauma (i.e. a trauma film) prevents PTSD analogue symptoms. Intrusive memories were recorded for seven days using a diary, overall PTSD symptoms were assessed using the Impact of Event Scale (IES-R) and affective response to trauma cues were measured one week after experimental trauma. The two groups did not differ in any of the analogue PTSD symptoms. However, participants obtaining rapid eye movement (REM) sleep in the nap experienced less distressing intrusive memories. Moreover, the duration of REM sleep and slow wave activity was negatively correlated with analogue PTSD symptoms. Our findings suggest that even a short sleep period after experimental trauma can play a protective role in trauma memory formation but only if the nap contains REM sleep. Our data provide additional evidence for a critical role of REM sleep in PTSD development.
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24
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Carruthers G, Carls‐diamante S, Huang L, Rosen M, Schier E. How to operationalise consciousness. AUSTRALIAN JOURNAL OF PSYCHOLOGY 2020. [DOI: 10.1111/ajpy.12264] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
| | | | - Linus Huang
- Department of Philosophy, University of California at San Diego, CA & Institute of European and American Studies, Academia Sinica, Taipei,
| | - Melanie Rosen
- Department of Culture and Society, Aarhus University, Australia,
| | - Elizabeth Schier
- Department of Psychology, Charles Sturt University, Port Macquarie, Australia and Department of Philosophy, Macquarie University, Sydney, Australia,
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25
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Galbiati A, Sforza M, Fasiello E, Casoni F, Marrella N, Leitner C, Zucconi M, Ferini-Strambi L. The association between emotional dysregulation and REM sleep features in insomnia disorder. Brain Cogn 2020; 146:105642. [PMID: 33190030 DOI: 10.1016/j.bandc.2020.105642] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Accepted: 10/21/2020] [Indexed: 12/13/2022]
Abstract
Rapid Eye Movement (REM) sleep is involved in nightly emotional processing; therefore, its disruption might be associated with an impaired ability of emotional regulation during daytime. Accordingly, the aim of the present study was to evaluate the presence of emotional dysregulation in insomnia patients and to test its correlation with REM sleep features. Forty-six subjects (23 insomnia patients and 23 healthy controls) were enrolled. All subjects underwent an assessment for the evaluation of emotion dysregulation (Difficulties in Emotion Regulation Scale, DERS), sleep quality, insomnia severity, excessive daytime sleepiness, worry, rumination, depressive and anxious symptomatology. Insomnia patients underwent a nocturnal polysomnographic recording to characterize sleep macrostructure and REM sleep microstructure variables. Insomnia patients reported increased values of emotional dysregulation. REM sleep percentage and REM sleep latency significantly correlated with DERS total score, and with the subscales "Lack of Confidence in Emotional Regulation Skills", "Difficulties in Behavioral Control" and "Difficulty in recognizing emotions". Furthermore, positive correlations between REM arousal index and emotion dysregulation were found, whereas REM density negatively correlated with DERS. Our results suggest the presence of a relationship between REM sleep and emotional regulation in insomnia patients.
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Affiliation(s)
- Andrea Galbiati
- IRCCS San Raffaele Scientific Institute, Department of Clinical Neurosciences, Neurology - Sleep Disorders Center, Milan, Italy; "Vita-Salute" San Raffaele University, Faculty of Psychology, Milan, Italy.
| | - Marco Sforza
- IRCCS San Raffaele Scientific Institute, Department of Clinical Neurosciences, Neurology - Sleep Disorders Center, Milan, Italy; "Vita-Salute" San Raffaele University, Faculty of Psychology, Milan, Italy
| | - Elisabetta Fasiello
- IRCCS San Raffaele Scientific Institute, Department of Clinical Neurosciences, Neurology - Sleep Disorders Center, Milan, Italy
| | - Francesca Casoni
- IRCCS San Raffaele Scientific Institute, Department of Clinical Neurosciences, Neurology - Sleep Disorders Center, Milan, Italy
| | - Nadia Marrella
- IRCCS San Raffaele Scientific Institute, Department of Clinical Neurosciences, Neurology - Sleep Disorders Center, Milan, Italy
| | - Caterina Leitner
- IRCCS San Raffaele Scientific Institute, Department of Clinical Neurosciences, Neurology - Sleep Disorders Center, Milan, Italy
| | - Marco Zucconi
- IRCCS San Raffaele Scientific Institute, Department of Clinical Neurosciences, Neurology - Sleep Disorders Center, Milan, Italy
| | - Luigi Ferini-Strambi
- IRCCS San Raffaele Scientific Institute, Department of Clinical Neurosciences, Neurology - Sleep Disorders Center, Milan, Italy; "Vita-Salute" San Raffaele University, Faculty of Psychology, Milan, Italy
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26
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Ruby PM. The Neural Correlates of Dreaming Have Not Been Identified Yet. Commentary on "The Neural Correlates of Dreaming. Nat Neurosci. 2017". Front Neurosci 2020; 14:585470. [PMID: 33192271 PMCID: PMC7662438 DOI: 10.3389/fnins.2020.585470] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2020] [Accepted: 09/28/2020] [Indexed: 12/18/2022] Open
Affiliation(s)
- Perrine Marie Ruby
- Lyon Neuroscience Research Center, CNRS UMR 5292 - INSERM U1028 - Lyon 1 University, Lyon, France
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27
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Simor P, van der Wijk G, Nobili L, Peigneux P. The microstructure of REM sleep: Why phasic and tonic? Sleep Med Rev 2020; 52:101305. [DOI: 10.1016/j.smrv.2020.101305] [Citation(s) in RCA: 33] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2019] [Revised: 02/20/2020] [Accepted: 02/21/2020] [Indexed: 12/15/2022]
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28
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Zhu J, Lu L, Zhong M, Jiang X, Wu Z, Dong J, Pan Y, Zhang L. Increased rapid eye movement density in Chinese patients with Parkinson's disease and RBD. Neurol Sci 2020; 42:961-968. [PMID: 32676757 DOI: 10.1007/s10072-020-04597-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2020] [Accepted: 07/13/2020] [Indexed: 01/09/2023]
Abstract
OBJECTIVE Impaired rapid eye movement sleep is common among patients with Parkinson's disease (PD). However, information on rapid eye movement density (REM) among PD patients is currently lacking. The current study sought to characterize REM density in PD patients and to examine the associations between REM density sleep parameters and clinical manifestations. PARTICIPANTS AND METHODS We retrospectively recruited 172 PD patients. All participants were assessed with a two-night polysomnography, and REM density was calculated. Clinical assessments were completed in PD patients before polysomnography. RESULTS Rapid eye movement sleep behavior disorder (RBD) was observed in 93 patients (54.1%). The disease duration, UPDRS part III score, Hoehn and Yahr (H-Y) stage, and HAMA, HAMD, PDQ-39 scores, and REM density in the Parkinson's disease patients with rapid eye movement sleep behavior disorder (RBD) were significantly higher than in the patients without RBD (P < 0.05). However, NREM sleep stage 3 time (N3 time) and percentage of N3 time of total sleep time (N3%) were significantly lower in the RBD patients than in the patients without RBD (P < 0.05). The forward binary logistic regression model showed that REM density, UPDRS-III score, and N3 sleep time were associated with RBD in the PD patients. CONCLUSIONS Our results confirm the high prevalence of RBD in patients with PD. Increased REM density was the main risk factor of RBD.
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Affiliation(s)
- Jun Zhu
- Department of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, 264 Guangzhou Road, Nanjing, 210029, Jiangsu, People's Republic of China
| | - Liyu Lu
- Department of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, 264 Guangzhou Road, Nanjing, 210029, Jiangsu, People's Republic of China
| | - Min Zhong
- Department of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, 264 Guangzhou Road, Nanjing, 210029, Jiangsu, People's Republic of China
| | - Xu Jiang
- Department of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, 264 Guangzhou Road, Nanjing, 210029, Jiangsu, People's Republic of China
| | - Zhuang Wu
- Department of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, 264 Guangzhou Road, Nanjing, 210029, Jiangsu, People's Republic of China
| | - Jingde Dong
- Department of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, 264 Guangzhou Road, Nanjing, 210029, Jiangsu, People's Republic of China
| | - Yang Pan
- Department of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, 264 Guangzhou Road, Nanjing, 210029, Jiangsu, People's Republic of China
| | - Li Zhang
- Department of Geriatric Neurology, Nanjing Brain Hospital Affiliated to Nanjing Medical University, 264 Guangzhou Road, Nanjing, 210029, Jiangsu, People's Republic of China.
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29
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Uitermarkt BD, Bruss J, Hwang K, Boes AD. Rapid eye movement sleep patterns of brain activation and deactivation occur within unique functional networks. Hum Brain Mapp 2020; 41:3984-3992. [PMID: 32573885 PMCID: PMC7469766 DOI: 10.1002/hbm.25102] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2020] [Accepted: 06/07/2020] [Indexed: 12/19/2022] Open
Abstract
Rapid eye movement (REM) sleep is a paradoxical state where the individual appears asleep while the electroencephalogram pattern resembles that of wakefulness. Regional differences in brain metabolism have been observed during REM sleep compared to wakefulness, but it is not known whether the spatial distribution of metabolic differences corresponds to known functional networks in the brain. Here, we use a combination of techniques to evaluate the networks associated with sites of REM sleep activation and deactivation from previously published positron emission tomography studies. We use seed‐based functional connectivity from healthy adults acquired during quiet rest to show that REM‐activation regions are functionally connected in a network that includes retrosplenial cingulate cortex, parahippocampal gyrus, and extrastriate visual cortices, corresponding to components of the default mode network and visual networks. Regions deactivated during REM sleep localize to right‐lateralized fronto‐parietal and salience networks. A negatively correlated relationship was observed between REM‐activation and deactivation networks. Together, these findings show that regional activation and deactivation patterns of REM sleep tend to occur in distinct functional connectivity networks that are present during wakefulness, providing insights regarding the differential contributions of brain regions to the distinct subjective experiences that occur during REM sleep (dreaming) relative to wakefulness.
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Affiliation(s)
- Brandt D Uitermarkt
- Neuroimaging and Noninvasive Brain Stimulation Laboratory, Departments of Pediatrics, Neurology & Psychiatry, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
| | - Joel Bruss
- Neuroimaging and Noninvasive Brain Stimulation Laboratory, Departments of Pediatrics, Neurology & Psychiatry, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
| | - Kai Hwang
- Hwang Laboratory for Neurocognitive Dynamics, Department of Psychological & Brain Sciences, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
| | - Aaron D Boes
- Neuroimaging and Noninvasive Brain Stimulation Laboratory, Departments of Pediatrics, Neurology & Psychiatry, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
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30
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Zhang LB, Zhang J, Sun MJ, Chen H, Yan J, Luo FL, Yao ZX, Wu YM, Hu B. Neuronal Activity in the Cerebellum During the Sleep-Wakefulness Transition in Mice. Neurosci Bull 2020; 36:919-931. [PMID: 32430873 DOI: 10.1007/s12264-020-00511-9] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Accepted: 02/09/2020] [Indexed: 12/12/2022] Open
Abstract
Cerebellar malfunction can lead to sleep disturbance such as excessive daytime sleepiness, suggesting that the cerebellum may be involved in regulating sleep and/or wakefulness. However, understanding the features of cerebellar regulation in sleep and wakefulness states requires a detailed characterization of neuronal activity within this area. By performing multiple-unit recordings in mice, we showed that Purkinje cells (PCs) in the cerebellar cortex exhibited increased firing activity prior to the transition from sleep to wakefulness. Notably, the increased PC activity resulted from the inputs of low-frequency non-PC units in the cerebellar cortex. Moreover, the increased PC activity was accompanied by decreased activity in neurons of the deep cerebellar nuclei at the non-rapid eye-movement sleep-wakefulness transition. Our results provide in vivo electrophysiological evidence that the cerebellum has the potential to actively regulate the sleep-wakefulness transition.
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Affiliation(s)
- Li-Bin Zhang
- Department of Physiology, College of Basic Medical Sciences, Army Medical University, Chongqing, 400038, China.,State Key Laboratory of Trauma, Burns and Combined Injury, Daping Hospital/Research Institute of Surgery, Army Medical University, Chongqing, 400042, China
| | - Jie Zhang
- Department of Physiology, College of Basic Medical Sciences, Army Medical University, Chongqing, 400038, China
| | - Meng-Jia Sun
- Department of Physiology, College of Basic Medical Sciences, Army Medical University, Chongqing, 400038, China.,Squadron 10, Battalion 3, College of Basic Medical Sciences, Army Medical University, Chongqing, 400038, China
| | - Hao Chen
- Department of Physiology, College of Basic Medical Sciences, Army Medical University, Chongqing, 400038, China
| | - Jie Yan
- Department of Physiology, College of Basic Medical Sciences, Army Medical University, Chongqing, 400038, China
| | - Fen-Lan Luo
- Department of Physiology, College of Basic Medical Sciences, Army Medical University, Chongqing, 400038, China
| | - Zhong-Xiang Yao
- Department of Physiology, College of Basic Medical Sciences, Army Medical University, Chongqing, 400038, China
| | - Ya-Min Wu
- State Key Laboratory of Trauma, Burns and Combined Injury, Daping Hospital/Research Institute of Surgery, Army Medical University, Chongqing, 400042, China.
| | - Bo Hu
- Department of Physiology, College of Basic Medical Sciences, Army Medical University, Chongqing, 400038, China.
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31
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Koroma M, Lacaux C, Andrillon T, Legendre G, Léger D, Kouider S. Sleepers Selectively Suppress Informative Inputs during Rapid Eye Movements. Curr Biol 2020; 30:2411-2417.e3. [PMID: 32413310 DOI: 10.1016/j.cub.2020.04.047] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2020] [Revised: 03/20/2020] [Accepted: 04/20/2020] [Indexed: 10/24/2022]
Abstract
Sleep leads to a disconnection from the external world. Even when sleepers regain consciousness during rapid eye movement (REM) sleep, little, if any, external information is incorporated into dream content [1-3]. While gating mechanisms might be at play to avoid interference on dreaming activity [4], a total disconnection from an ever-changing environment may prevent the sleeper from promptly responding to informative events (e.g., threat signals). In fact, a whole range of neural responses to external events turns out to be preserved during REM sleep [5-9]. Thus, it remains unclear whether external inputs are either processed or, conversely, gated during REM sleep. One way to resolve this issue is to consider the specific impact of eye movements (EMs) characterizing REM sleep. EMs are a reliable predictor of reporting a dream upon awakening [10, 11], and their absence is associated with a lower arousal threshold to external stimuli [12]. We thus hypothesized that the presence of EMs would selectively prevent the processing of informative stimuli, whereas periods of REM sleep devoid of EMs would be associated with the monitoring of external signals. By reconstructing speech in a multi-talker environment from electrophysiological responses, we show that informative speech is amplified over meaningless speech during REM sleep. Yet, at the precise timing of EMs, informative speech is, on the contrary, selectively suppressed. These results demonstrate the flexible amplification and suppression of sensory information during REM sleep and reveal the impact of EMs on the selective gating of informative stimuli during sleep.
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Affiliation(s)
- Matthieu Koroma
- Brain and Consciousness Group (ENS, EHESS, CNRS), Département d'Études Cognitives, École Normale Supérieure - PSL Research University, 75005 Paris, France; Sorbonne Université, École Doctorale Cerveau Cognition Comportement, Université Pierre et Marie Curie, 9 Quai Saint Bernard, 75005 Paris, France
| | - Célia Lacaux
- Sorbonne Université, École Doctorale Cerveau Cognition Comportement, Université Pierre et Marie Curie, 9 Quai Saint Bernard, 75005 Paris, France; Sorbonne University, IHU@ICM, INSERM, CNRS UMR7225, 75013 Paris, France; AP-HP, Hôpital Pitié-Salpêtrière, Service des Pathologies du Sommeil, 75013 Paris, France
| | - Thomas Andrillon
- School of Psychological Sciences and Turner Institute for Brain and Mental Health, Monash University, Melbourne, VIC 3800, Australia
| | - Guillaume Legendre
- Department of Neuroscience, Faculty of Medicine, University of Geneva, 1211 Geneva, Switzerland
| | - Damien Léger
- Université de Paris, Paris Descartes, APHP, Hôtel Dieu, Centre du Sommeil et de la Vigilance et EA 7330 VIFASOM, 75004 Paris, France
| | - Sid Kouider
- Brain and Consciousness Group (ENS, EHESS, CNRS), Département d'Études Cognitives, École Normale Supérieure - PSL Research University, 75005 Paris, France.
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32
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Mota-Rolim SA. On Moving the Eyes to Flag Lucid Dreaming. Front Neurosci 2020; 14:361. [PMID: 32351360 PMCID: PMC7174658 DOI: 10.3389/fnins.2020.00361] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2019] [Accepted: 03/24/2020] [Indexed: 01/02/2023] Open
Affiliation(s)
- Sergio Arthuro Mota-Rolim
- Brain Institute, Department of Physiology and Behavior, and Onofre Lopes University Hospital - Federal University of Rio Grande Do Norte, Natal, Brazil
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33
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Goldstein-Piekarski AN, Holt-Gosselin B, O'Hora K, Williams LM. Integrating sleep, neuroimaging, and computational approaches for precision psychiatry. Neuropsychopharmacology 2020; 45:192-204. [PMID: 31426055 PMCID: PMC6879628 DOI: 10.1038/s41386-019-0483-8] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2019] [Revised: 06/21/2019] [Accepted: 07/22/2019] [Indexed: 12/13/2022]
Abstract
In advancing precision psychiatry, we focus on what imaging technology and computational approaches offer for the future of diagnostic subtyping and personalized tailoring of interventions for sleep impairment in mood and anxiety disorders. Current diagnostic criteria for mood and anxiety tend to lump different forms of sleep disturbance together. Parsing the biological features of sleep impairment and brain circuit dysfunction is one approach to identifying subtypes within these disorders that are mechanistically coherent and offer targets for intervention. We focus on two large-scale neural circuits implicated in sleep impairment and in mood and anxiety disorders: the default mode network and negative affective network. Through a synthesis of existing knowledge about these networks, we pose a testable framework for understanding how hyper- versus hypo-engagement of these networks may underlie distinct features of mood and sleep impairment. Within this framework we consider whether poor sleep quality may have an explanatory role in previously observed associations between network dysfunction and mood symptoms. We expand this framework to future directions including the potential for connecting circuit-defined subtypes to more distal features derived from digital phenotyping and wearable technologies, and how new discovery may be advanced through machine learning approaches.
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Affiliation(s)
- Andrea N Goldstein-Piekarski
- Department of Psychiatry and Behavioral Sciences, Stanford University, 401 Quarry Road, Stanford, CA, 94305, USA
- Sierra-Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, CA, 94304, USA
| | - Bailey Holt-Gosselin
- Department of Psychiatry and Behavioral Sciences, Stanford University, 401 Quarry Road, Stanford, CA, 94305, USA
| | - Kathleen O'Hora
- Sierra-Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, CA, 94304, USA
| | - Leanne M Williams
- Department of Psychiatry and Behavioral Sciences, Stanford University, 401 Quarry Road, Stanford, CA, 94305, USA.
- Sierra-Pacific Mental Illness Research, Education, and Clinical Center (MIRECC), Veterans Affairs Palo Alto Health Care System, 3801 Miranda Avenue, Palo Alto, CA, 94304, USA.
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34
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Sunwoo JS, Cha KS, Byun JI, Kim TJ, Jun JS, Lim JA, Lee ST, Jung KH, Park KI, Chu K, Kim HJ, Kim M, Lee SK, Kim KH, Schenck CH, Jung KY. Abnormal activation of motor cortical network during phasic REM sleep in idiopathic REM sleep behavior disorder. Sleep 2019; 42:5184577. [PMID: 30445515 DOI: 10.1093/sleep/zsy227] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Indexed: 11/14/2022] Open
Abstract
Study Objectives We investigated electroencephalography (EEG) power spectral density and functional connectivity during phasic and tonic rapid eye movement (REM) sleep, and examined any differences between patients with idiopathic REM sleep behavior disorder (iRBD) and controls. Methods EEG data from 13 people with iRBD (mean age, 66.3 years; men, 84.6%) and 10 controls (mean age, 62.3 years; men, 70%) were analyzed. We selected thirty 3 s miniepochs of both tonic and phasic REM sleep. We estimated relative power for six frequency bands. For functional connectivity analysis, we calculated weighted phase lag index (wPLI) and conducted pairwise comparisons between the two groups. Results EEG power spectral analysis revealed significant interactions between the REM sleep state (phasic vs. tonic) and group at sigma (p = 0.009) and beta (p = 0.002) bands. Sigma- and beta-power decrease during phasic REM sleep was more pronounced and extensive in people with iRBD than in controls. Regarding functional connectivity, there were significant interactions between the REM sleep state and group at alpha (p = 0.029), sigma (p = 0.047), beta (p = 0.015), and gamma (p = 0.046) bands. The average wPLI was significantly higher during phasic REM sleep than during tonic REM sleep, which was observed in people with iRBD but not in controls. The altered functional connections mainly involved the frontal and parietal regions at beta and gamma bands. Conclusions Our findings provide neurophysiological evidence for pathological motor cortex activation during phasic REM sleep which may be associated with generation of dream-enacting behaviors in iRBD.
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Affiliation(s)
- Jun-Sang Sunwoo
- Department of Neurology, Soonchunhyang University College of Medicine, Seoul, South Korea
| | - Kwang Su Cha
- Department of Neurology, Seoul National University Hospital, Seoul, South Korea
| | - Jung-Ick Byun
- Department of Neurology, Kyung Hee University Hospital at Gangdong, Seoul, South Korea
| | - Tae-Joon Kim
- Department of Neurology, National Center for Mental Health, Seoul, South Korea
| | - Jin-Sun Jun
- Department of Neurology, School of Medicine, Kyungpook National University, Kyungpook National University Chilgok Hospital, Daegu, South Korea
| | - Jung-Ah Lim
- Department of Neurology, Gangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, South Korea
| | - Soon-Tae Lee
- Department of Neurology, Seoul National University Hospital, Seoul, South Korea.,Program in Neuroscience, Seoul National University College of Medicine, Seoul, South Korea
| | - Keun-Hwa Jung
- Department of Neurology, Seoul National University Hospital, Seoul, South Korea.,Program in Neuroscience, Seoul National University College of Medicine, Seoul, South Korea
| | - Kyung-Il Park
- Department of Neurology, Seoul National University Hospital Healthcare System Gangnam Center, Seoul, South Korea
| | - Kon Chu
- Department of Neurology, Seoul National University Hospital, Seoul, South Korea.,Program in Neuroscience, Seoul National University College of Medicine, Seoul, South Korea
| | - Han-Joon Kim
- Department of Neurology, Seoul National University Hospital, Seoul, South Korea
| | - Manho Kim
- Department of Neurology, Seoul National University Hospital, Seoul, South Korea.,Program in Neuroscience, Seoul National University College of Medicine, Seoul, South Korea.,Protein Metabolism Medical Research Center, Seoul National University College of Medicine, Seoul, South Korea
| | - Sang Kun Lee
- Department of Neurology, Seoul National University Hospital, Seoul, South Korea.,Program in Neuroscience, Seoul National University College of Medicine, Seoul, South Korea.,Neuroscience Research Institute, Seoul National University College of Medicine, Seoul, South Korea
| | - Kyung Hwan Kim
- Department of Biomedical Engineering, College of Health Science, Yonsei University, Wonju, South Korea
| | - Carlos H Schenck
- Minnesota Regional Sleep Disorders Center, and Department of Psychiatry, Hennepin County Medical Center and University of Minnesota Medical School, Minneapolis, MN
| | - Ki-Young Jung
- Department of Neurology, Seoul National University Hospital, Seoul, South Korea.,Program in Neuroscience, Seoul National University College of Medicine, Seoul, South Korea.,Neuroscience Research Institute, Seoul National University College of Medicine, Seoul, South Korea
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35
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Simor P, van Der Wijk G, Gombos F, Kovács I. The paradox of rapid eye movement sleep in the light of oscillatory activity and cortical synchronization during phasic and tonic microstates. Neuroimage 2019; 202:116066. [DOI: 10.1016/j.neuroimage.2019.116066] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2018] [Revised: 06/21/2019] [Accepted: 08/01/2019] [Indexed: 10/26/2022] Open
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36
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van Wyk M, Solms M, Lipinska G. Increased Awakenings From Non-rapid Eye Movement Sleep Explain Differences in Dream Recall Frequency in Healthy Individuals. Front Hum Neurosci 2019; 13:370. [PMID: 31680920 PMCID: PMC6803546 DOI: 10.3389/fnhum.2019.00370] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2019] [Accepted: 09/30/2019] [Indexed: 11/28/2022] Open
Abstract
Background Dreaming is a universal experience, yet there is considerable inter-individual variability in dream recall frequency (DRF). One dominant model, the “arousal-retrieval” model, posits that intra-sleep wakefulness is required for dream traces to be encoded into long-term storage, essentially proposing that a better memory for dreams underlie increased DRF. A recent study utilizing polysomnography combined with an event-related potentials paradigm, provides direct support for this model by demonstrating increased intra-sleep wakefulness in a healthy population by comparing high frequency recallers (HFRs) and low frequency recallers (LFRs). Another study by the same group demonstrated increased regional cerebral blood flow in regions associated with dream production, supporting the premise that HFRs also may produce more dreams. Hypotheses This study investigated the profile of nocturnal awakenings and dream production in healthy HFRs and LFRs. Hypothesis (1a): HFRs will spend significantly more time awake after sleep onset; (1b): HFRs will experience significantly more awakenings across the night, and from rapid eye movement (REM) sleep in particular; (2) HFRs will have significantly higher rates of dream production across the night as measured by REM density. Methods We studied two groups of healthy adults: HFRs (n = 19) and LFRs (n = 17) who underwent polysomnographic recordings on two non-consecutive nights. Results Hypothesis (1a) was confirmed: HFRs spent significantly more time awake after sleep onset. Hypothesis (1b) was partially confirmed: HFRs experienced significantly more awakenings across the night; however, awakenings from REM sleep were comparable. Interestingly, HFRs had significantly more awakenings, as well as a higher number of longer awakenings, from non-rapid eye movement (NREM) stage 2 sleep. Hypothesis (2) was not confirmed: There was no significant difference in rates of REM density between groups. Conclusion This is the first study to provide evidence that awakenings from NREM 2 sleep might underlie increased DRF in HFRs. This finding coupled with null findings in relation to REM sleep variables, support the premise that inter-individual variability in DRF cannot be ascribed to differences in REM sleep parameters in healthy individuals. Instead, the data indicates that awakenings from NREM sleep is of particular importance in relation to DRF in a healthy population.
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Affiliation(s)
- Mariza van Wyk
- UCT Sleep Sciences, Department of Psychology, University of Cape Town, Cape Town, South Africa
| | - Mark Solms
- UCT Sleep Sciences, Department of Psychology, University of Cape Town, Cape Town, South Africa
| | - Gosia Lipinska
- UCT Sleep Sciences, Department of Psychology, University of Cape Town, Cape Town, South Africa
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Rousseau P, El Khoury-Malhame M, Reynaud E, Zendjidjian X, Samuelian J, Khalfa S. Neurobiological correlates of EMDR therapy effect in PTSD. EUROPEAN JOURNAL OF TRAUMA & DISSOCIATION 2019. [DOI: 10.1016/j.ejtd.2018.07.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Christensen JAE, Aubin S, Nielsen T, Ptito M, Kupers R, Jennum P. Rapid eye movements are reduced in blind individuals. J Sleep Res 2019; 28:e12866. [DOI: 10.1111/jsr.12866] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2018] [Revised: 02/20/2019] [Accepted: 04/01/2019] [Indexed: 11/28/2022]
Affiliation(s)
- Julie A. E. Christensen
- Danish Center for Sleep Medicine Department of Clinical Neurophysiology Rigshospitalet Glostrup Denmark
- Biomedical Engineering Department of Health Technology Technical University of Denmark Kongens Lyngby Denmark
| | - Sébrina Aubin
- Department of Neuroscience University of Montreal Montreal Quebec Canada
- Brain Research and Integrative Neuroscience Laboratory Danish Center for Sleep Medicine Department of Clinical Neurophysiology Rigshospitalet Glostrup Denmark
- Harland Sanders Chair in Visual ScienceSchool of Optometry University of Montreal Montreal Quebec Canada
| | - Tore Nielsen
- Dream and Nightmare Laboratory Center for Advanced Research in Sleep Medicine Department of Psychiatry University of Montreal Montreal Quebec Canada
| | - Maurice Ptito
- Brain Research and Integrative Neuroscience Laboratory Danish Center for Sleep Medicine Department of Clinical Neurophysiology Rigshospitalet Glostrup Denmark
- Harland Sanders Chair in Visual ScienceSchool of Optometry University of Montreal Montreal Quebec Canada
- Laboratory of Neuropsychiatry and Psychiatric Centre Copenhagen University of Copenhagen Copenhagen Denmark
| | - Ron Kupers
- Brain Research and Integrative Neuroscience Laboratory Danish Center for Sleep Medicine Department of Clinical Neurophysiology Rigshospitalet Glostrup Denmark
- Department of Radiology and Biomedical Imaging Yale University New Haven Connecticut USA
| | - Poul Jennum
- Danish Center for Sleep Medicine Department of Clinical Neurophysiology Rigshospitalet Glostrup Denmark
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Bernardi G, Betta M, Ricciardi E, Pietrini P, Tononi G, Siclari F. Regional Delta Waves In Human Rapid Eye Movement Sleep. J Neurosci 2019; 39:2686-2697. [PMID: 30737310 PMCID: PMC6445986 DOI: 10.1523/jneurosci.2298-18.2019] [Citation(s) in RCA: 74] [Impact Index Per Article: 14.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/05/2018] [Revised: 11/28/2018] [Accepted: 01/04/2019] [Indexed: 01/25/2023] Open
Abstract
Although the EEG slow wave of sleep is typically considered to be a hallmark of nonrapid eye movement (NREM) sleep, recent work in mice has shown that slow waves can also occur in REM sleep. Here, we investigated the presence and cortical distribution of negative delta (1-4 Hz) waves in human REM sleep by analyzing high-density EEG sleep recordings obtained in 28 healthy subjects. We identified two clusters of delta waves with distinctive properties: (1) a frontal-central cluster characterized by ∼2.5-3.0 Hz, relatively large, notched delta waves (so-called "sawtooth waves") that tended to occur in bursts, were associated with increased gamma activity and rapid eye movements (EMs), and upon source modeling displayed an occipital-temporal and a frontal-central component and (2) a medial-occipital cluster characterized by more isolated, slower (<2 Hz), and smaller waves that were not associated with rapid EMs, displayed a negative correlation with gamma activity, and were also found in NREM sleep. Therefore, delta waves are an integral part of REM sleep in humans and the two identified subtypes (sawtooth and medial-occipital slow waves) may reflect distinct generation mechanisms and functional roles. Sawtooth waves, which are exclusive to REM sleep, share many characteristics with ponto-geniculo-occipital waves described in animals and may represent the human equivalent or a closely related event, whereas medial-occipital slow waves appear similar to NREM sleep slow waves.SIGNIFICANCE STATEMENT The EEG slow wave is typically considered a hallmark of nonrapid eye movement (NREM) sleep, but recent work in mice has shown that it can also occur in REM sleep. By analyzing high-density EEG recordings collected in healthy adult individuals, we show that REM sleep is characterized by prominent delta waves also in humans. In particular, we identified two distinctive clusters of delta waves with different properties: a frontal-central cluster characterized by faster, activating "sawtooth waves" that share many characteristics with ponto-geniculo-occipital waves described in animals and a medial-occipital cluster containing slow waves that are more similar to NREM sleep slow waves. These findings indicate that REM sleep is a spatially and temporally heterogeneous state and may contribute to explaining its known functional and phenomenological properties.
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Affiliation(s)
- Giulio Bernardi
- Center for Investigation and Research on Sleep, Lausanne University Hospital, CH-1011 Lausanne, Switzerland,
- MoMiLab Research Unit, IMT School for Advanced Studies, IT-55100 Lucca, Italy, and
| | - Monica Betta
- MoMiLab Research Unit, IMT School for Advanced Studies, IT-55100 Lucca, Italy, and
| | - Emiliano Ricciardi
- MoMiLab Research Unit, IMT School for Advanced Studies, IT-55100 Lucca, Italy, and
| | - Pietro Pietrini
- MoMiLab Research Unit, IMT School for Advanced Studies, IT-55100 Lucca, Italy, and
| | - Giulio Tononi
- Department of Psychiatry, University of Wisconsin, Madison, Wisconsin 53719
| | - Francesca Siclari
- Center for Investigation and Research on Sleep, Lausanne University Hospital, CH-1011 Lausanne, Switzerland,
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Juvodden HT, Alnæs D, Lund MJ, Dietrichs E, Thorsby PM, Westlye LT, Knudsen S. Hypocretin-deficient narcolepsy patients have abnormal brain activation during humor processing. Sleep 2019; 42:5421840. [DOI: 10.1093/sleep/zsz082] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2018] [Revised: 02/19/2019] [Indexed: 01/31/2023] Open
Abstract
Abstract
Study Objectives
To assess brain activation patterns in response to fun-rated and neutral-rated movies we performed functional magnetic resonance imaging (fMRI) during a humor-paradigm in narcolepsy type 1 (NT1) patients with cataplexy (muscle atonia triggered by emotions) and controls.
Methods
The fMRI-humor-paradigm consisted of short movies (25/30 with a humorous punchline; 5/30 without a humorous punchline [but with similar build-up/anticipation]) rated by participants based on their humor experience. We included 41 NT1 patients and 44 controls. Group-level inferences were made using permutation testing.
Results
Permutation testing revealed no group differences in average movie ratings. fMRI analysis found no group differences in brain activations to fun-rated movies. Patients showed significantly higher activations compared to controls during neutral-rated movies; including bilaterally in the thalamus, pallidum, putamen, amygdala, hippocampus, middle temporal gyrus, cerebellum, brainstem and in the left precuneus, supramarginal gyrus, and caudate. We found no brain overactivation for patients during movies without a humorous punchline (89.0% neutral-rated). Group analyses revealed significantly stronger differentiation between fun-rated and neutral-rated movies in controls compared with patients (patients showed no significant differentiation), including bilaterally in the inferior frontal gyrus, thalamus, putamen, precentral gyrus, lingual gyrus, supramarginal gyrus, occipital areas, temporal areas, cerebellum and in the right hippocampus, postcentral gyrus, pallidum, and insula.
Conclusion
Patients showed significantly higher activations in several cortical and subcortical regions during neutral-rated movies, with no differentiation from activations during fun-rated movies. This lower threshold for activating the humor response (even during neutral-rated movies), might represent insight into the mechanisms associated with cataplexy.
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Affiliation(s)
- Hilde T Juvodden
- Norwegian Centre of Expertise for Neurodevelopmental Disorders and Hypersomnias (NevSom), Department of Rare Disorders, Oslo University Hospital, Ullevål, Norway
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway
| | - Dag Alnæs
- NORMENT, Division of Mental Health and Addiction, Oslo University Hospital, Ullevål, Norway
| | - Martina J Lund
- NORMENT, Division of Mental Health and Addiction, Oslo University Hospital, Ullevål, Norway
- NORMENT, KG Jebsen Centre for Psychosis Research, Institute of Clinical Medicine, University of Oslo, Oslo, Norway
| | - Espen Dietrichs
- Department of Neurology, Oslo University Hospital & University of Oslo, Oslo, Norway
| | - Per M Thorsby
- Hormone Laboratory, Department of Medical Biochemistry, Oslo University Hospital, Aker, Norway
| | - Lars T Westlye
- NORMENT, Division of Mental Health and Addiction, Oslo University Hospital, Ullevål, Norway
- Department of Psychology, University of Oslo, Oslo, Norway
| | - Stine Knudsen
- Norwegian Centre of Expertise for Neurodevelopmental Disorders and Hypersomnias (NevSom), Department of Rare Disorders, Oslo University Hospital, Ullevål, Norway
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Moehlman TM, de Zwart JA, Chappel-Farley MG, Liu X, McClain IB, Chang C, Mandelkow H, Özbay PS, Johnson NL, Bieber RE, Fernandez KA, King KA, Zalewski CK, Brewer CC, van Gelderen P, Duyn JH, Picchioni D. All-night functional magnetic resonance imaging sleep studies. J Neurosci Methods 2019; 316:83-98. [PMID: 30243817 PMCID: PMC6524535 DOI: 10.1016/j.jneumeth.2018.09.019] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2018] [Revised: 08/08/2018] [Accepted: 09/17/2018] [Indexed: 01/24/2023]
Abstract
BACKGROUND Previous functional magnetic resonance imaging (fMRI) sleep studies have been hampered by the difficulty of obtaining extended amounts of sleep in the sleep-adverse environment of the scanner and often have resorted to manipulations such as sleep depriving subjects before scanning. These manipulations limit the generalizability of the results. NEW METHOD The current study is a methodological validation of procedures aimed at obtaining all-night fMRI data in sleeping subjects with minimal exposure to experimentally induced sleep deprivation. Specifically, subjects slept in the scanner on two consecutive nights, allowing the first night to serve as an adaptation night. RESULTS/COMPARISON WITH EXISTING METHOD(S) Sleep scoring results from simultaneously acquired electroencephalography data on Night 2 indicate that subjects (n = 12) reached the full spectrum of sleep stages including slow-wave (M = 52.1 min, SD = 26.5 min) and rapid eye movement (REM, M = 45.2 min, SD = 27.9 min) sleep and exhibited a mean of 2.1 (SD = 1.1) nonREM-REM sleep cycles. CONCLUSIONS It was found that by diligently applying fundamental principles and methodologies of sleep and neuroimaging science, performing all-night fMRI sleep studies is feasible. However, because the two nights of the study were performed consecutively, some sleep deprivation from Night 1 as a cause of the Night 2 results is likely, so consideration should be given to replicating the current study with a washout period. It is envisioned that other laboratories can adopt the core features of this protocol to obtain similar results.
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Affiliation(s)
- Thomas M Moehlman
- Advanced Magnetic Resonance Imaging Section, National Institute of Neurological Disorders and Stroke, USA
| | - Jacco A de Zwart
- Advanced Magnetic Resonance Imaging Section, National Institute of Neurological Disorders and Stroke, USA
| | - Miranda G Chappel-Farley
- Advanced Magnetic Resonance Imaging Section, National Institute of Neurological Disorders and Stroke, USA
| | - Xiao Liu
- Advanced Magnetic Resonance Imaging Section, National Institute of Neurological Disorders and Stroke, USA; Department of Biomedical Engineering, Pennsylvania State University, USA
| | - Irene B McClain
- Office of the Clinical Director, National Institute of Neurological Disorders and Stroke, USA
| | - Catie Chang
- Advanced Magnetic Resonance Imaging Section, National Institute of Neurological Disorders and Stroke, USA; Department of Electrical Engineering and Computer Science, Vanderbilt University, USA
| | - Hendrik Mandelkow
- Advanced Magnetic Resonance Imaging Section, National Institute of Neurological Disorders and Stroke, USA
| | - Pinar S Özbay
- Advanced Magnetic Resonance Imaging Section, National Institute of Neurological Disorders and Stroke, USA
| | - Nicholas L Johnson
- Advanced Magnetic Resonance Imaging Section, National Institute of Neurological Disorders and Stroke, USA
| | - Rebecca E Bieber
- Audiology Unit, National Institute on Deafness and Other Communication Disorders, USA
| | - Katharine A Fernandez
- Section on Sensory Cell Biology, National Institute on Deafness and Other Communication Disorders, USA
| | - Kelly A King
- Audiology Unit, National Institute on Deafness and Other Communication Disorders, USA
| | | | - Carmen C Brewer
- Audiology Unit, National Institute on Deafness and Other Communication Disorders, USA
| | - Peter van Gelderen
- Advanced Magnetic Resonance Imaging Section, National Institute of Neurological Disorders and Stroke, USA
| | - Jeff H Duyn
- Advanced Magnetic Resonance Imaging Section, National Institute of Neurological Disorders and Stroke, USA
| | - Dante Picchioni
- Advanced Magnetic Resonance Imaging Section, National Institute of Neurological Disorders and Stroke, USA; Section on Neuroadaptation and Protein Metabolism, National Institute of Mental Health, USA.
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42
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Clé M, Maranci JB, Weyn Banningh S, Lanfranchi J, Vidailhet M, Arnulf I. Smiling asleep: A study of happy emotional expressions during adult sleep. J Sleep Res 2019; 28:e12814. [DOI: 10.1111/jsr.12814] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/27/2018] [Revised: 11/19/2018] [Accepted: 11/22/2018] [Indexed: 01/19/2023]
Affiliation(s)
- Marion Clé
- Sleep Disorder Unit; Pitie-Salpetriere University Hospital; APHP; Paris France
- Brain and Spine Institute - ICM, IHU@ICM; Paris France
| | - Jean-Baptiste Maranci
- Sleep Disorder Unit; Pitie-Salpetriere University Hospital; APHP; Paris France
- Brain and Spine Institute - ICM, IHU@ICM; Paris France
- Sorbonne University; Paris France
| | | | - Jade Lanfranchi
- Sleep Disorder Unit; Pitie-Salpetriere University Hospital; APHP; Paris France
- Sorbonne University; Paris France
| | - Marie Vidailhet
- Brain and Spine Institute - ICM, IHU@ICM; Paris France
- Sorbonne University; Paris France
| | - Isabelle Arnulf
- Sleep Disorder Unit; Pitie-Salpetriere University Hospital; APHP; Paris France
- Brain and Spine Institute - ICM, IHU@ICM; Paris France
- Sorbonne University; Paris France
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Hong CCH, Fallon JH, Friston KJ, Harris JC. Corrigendum: Rapid Eye Movements in Sleep Furnish a Unique Probe Into Consciousness. Front Psychol 2018; 9:2493. [PMID: 30585276 PMCID: PMC6295617 DOI: 10.3389/fpsyg.2018.02493] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2018] [Accepted: 11/23/2018] [Indexed: 11/17/2022] Open
Affiliation(s)
- Charles C.-H. Hong
- Patuxent Institution, Correctional Mental Health Center — Jessup, Jessup, MD, United States
- Department of Psychiatry and Behavioral Sciences, The Johns Hopkins Hospital, Baltimore, MD, United States
- *Correspondence: Charles C.-H. Hong
| | - James H. Fallon
- Department of Anatomy and Neurobiology, University of California, Irvine, Irvine, CA, United States
- Department of Psychiatry and Human Behavior, University of California, Irvine, Irvine, CA, United States
| | - Karl J. Friston
- The Wellcome Trust Centre for Neuroimaging, Institute of Neurology, University College London, London, United Kingdom
| | - James C. Harris
- Department of Psychiatry and Behavioral Sciences, The Johns Hopkins Hospital, Baltimore, MD, United States
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44
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Hong CCH, Fallon JH, Friston KJ, Harris JC. Rapid Eye Movements in Sleep Furnish a Unique Probe Into Consciousness. Front Psychol 2018; 9:2087. [PMID: 30429814 PMCID: PMC6220670 DOI: 10.3389/fpsyg.2018.02087] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2018] [Accepted: 10/10/2018] [Indexed: 01/07/2023] Open
Abstract
The neural correlates of rapid eye movements (REMs) in sleep are extraordinarily robust; including REM-locked multisensory-motor integration and accompanying activation in the retrosplenial cortex, the supplementary eye field and areas encompassing cholinergic basal nucleus (Hong et al., 2009). The phenomenology of REMs speaks to the notion that perceptual experience in both sleep and wakefulness is a constructive process - in which we generate predictions of sensory inputs and then test those predictions through actively sampling the sensorium with eye movements. On this view, REMs during sleep may index an internalized active sampling or 'scanning' of self-generated visual constructs that are released from the constraints of visual input. If this view is correct, it renders REMs an ideal probe to study consciousness as "an exclusively internal affair" (Metzinger, 2009). In other words, REMs offer a probe of active inference - in the sense of predictive coding - when the brain is isolated from the sensorium in virtue of the natural blockade of sensory afferents during REM sleep. Crucially, REMs are temporally precise events that enable powerful inferences based on time series analyses. As a natural, task-free probe, (REMs) could be used in non-compliant subjects, including infants and animals. In short, REMs constitute a promising probe to study the ontogenetic and phylogenetic development of consciousness and perhaps the psychopathology of schizophrenia and autism, which have been considered in terms of aberrant predictive coding.
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Affiliation(s)
- Charles C.-H. Hong
- Patuxent Institution, Correctional Mental Health Center — Jessup, Jessup, MD, United States
- Department of Psychiatry and Behavioral Sciences, The Johns Hopkins Hospital, Baltimore, MD, United States
| | - James H. Fallon
- Department of Anatomy and Neurobiology, University of California, Irvine, Irvine, CA, United States
- Department of Psychiatry and Human Behavior, University of California, Irvine, Irvine, CA, United States
| | - Karl J. Friston
- The Wellcome Trust Centre for Neuroimaging, Institute of Neurology, University College London, London, United Kingdom
| | - James C. Harris
- Department of Psychiatry and Behavioral Sciences, The Johns Hopkins Hospital, Baltimore, MD, United States
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45
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Frauscher B, Joshi S, von Ellenrieder N, Nguyen DK, Dubeau F, Gotman J. Sharply contoured theta waves are the human correlate of ponto-geniculo-occipital waves in the primary visual cortex. Clin Neurophysiol 2018; 129:1526-1533. [DOI: 10.1016/j.clinph.2018.04.605] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2017] [Revised: 03/21/2018] [Accepted: 04/04/2018] [Indexed: 12/18/2022]
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Taghdiri F, Chung J, Irwin S, Multani N, Tarazi A, Ebraheem A, Khodadadi M, Goswami R, Wennberg R, Mikulis D, Green R, Davis K, Tator C, Eizenman M, Tartaglia MC. Decreased Number of Self-Paced Saccades in Post-Concussion Syndrome Associated with Higher Symptom Burden and Reduced White Matter Integrity. J Neurotrauma 2018; 35:719-729. [DOI: 10.1089/neu.2017.5274] [Citation(s) in RCA: 25] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
Affiliation(s)
- Foad Taghdiri
- Tanz Centre for Research in Neurodegenerative Diseases, University of Toronto, Toronto, Ontario, Canada
- Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada
| | - Jonathan Chung
- Department of Electrical and Computer Engineering, University of Toronto, Toronto, Ontario, Canada
| | - Samantha Irwin
- Department of Neurology, Hospital for Sick Children, Toronto, Ontario, Canada
| | - Namita Multani
- Tanz Centre for Research in Neurodegenerative Diseases, University of Toronto, Toronto, Ontario, Canada
| | - Apameh Tarazi
- Division of Neurology, Toronto Western Hospital, Krembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada
- Canadian Concussion Centre, Toronto Western Hospital, Krembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada
| | - Ahmed Ebraheem
- Canadian Concussion Centre, Toronto Western Hospital, Krembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada
| | - Mozghan Khodadadi
- Canadian Concussion Centre, Toronto Western Hospital, Krembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada
| | - Ruma Goswami
- Canadian Concussion Centre, Toronto Western Hospital, Krembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada
- Krembil Research Institute, University Health Network, Toronto, Ontario, Canada
| | - Richard Wennberg
- Division of Neurology, Toronto Western Hospital, Krembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada
- Canadian Concussion Centre, Toronto Western Hospital, Krembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada
| | - David Mikulis
- Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada
- Canadian Concussion Centre, Toronto Western Hospital, Krembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada
- Division of Neuroradiology, Joint Department of Medical Imaging, University Health Network, Toronto, Ontario, Canada
| | - Robin Green
- Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada
- Canadian Concussion Centre, Toronto Western Hospital, Krembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada
- Department of Rehabilitation Sciences, University of Toronto, Toronto, Ontario, Canada
| | - Karen Davis
- Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada
- Canadian Concussion Centre, Toronto Western Hospital, Krembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada
- Krembil Research Institute, University Health Network, Toronto, Ontario, Canada
- Department of Surgery, University of Toronto, Toronto, Ontario, Canada
| | - Charles Tator
- Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada
- Canadian Concussion Centre, Toronto Western Hospital, Krembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada
- Krembil Research Institute, University Health Network, Toronto, Ontario, Canada
- Division of Neurosurgery, Toronto Western Hospital, Krembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada
| | - Moshe Eizenman
- Department of Electrical and Computer Engineering, University of Toronto, Toronto, Ontario, Canada
- Department of Ophthalmology, University of Toronto, Toronto, Ontario, Canada
- Institute of Biomaterials and Biomedical Engineering, University of Toronto, Toronto, Ontario, Canada
| | - Maria Carmela Tartaglia
- Tanz Centre for Research in Neurodegenerative Diseases, University of Toronto, Toronto, Ontario, Canada
- Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada
- Division of Neurology, Toronto Western Hospital, Krembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada
- Canadian Concussion Centre, Toronto Western Hospital, Krembil Neuroscience Centre, University Health Network, Toronto, Ontario, Canada
- Krembil Research Institute, University Health Network, Toronto, Ontario, Canada
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Sanz C, Zamberlan F, Erowid E, Erowid F, Tagliazucchi E. The Experience Elicited by Hallucinogens Presents the Highest Similarity to Dreaming within a Large Database of Psychoactive Substance Reports. Front Neurosci 2018; 12:7. [PMID: 29403350 PMCID: PMC5786560 DOI: 10.3389/fnins.2018.00007] [Citation(s) in RCA: 51] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2017] [Accepted: 01/04/2018] [Indexed: 01/19/2023] Open
Abstract
Ever since the modern rediscovery of psychedelic substances by Western society, several authors have independently proposed that their effects bear a high resemblance to the dreams and dreamlike experiences occurring naturally during the sleep-wake cycle. Recent studies in humans have provided neurophysiological evidence supporting this hypothesis. However, a rigorous comparative analysis of the phenomenology (“what it feels like” to experience these states) is currently lacking. We investigated the semantic similarity between a large number of subjective reports of psychoactive substances and reports of high/low lucidity dreams, and found that the highest-ranking substance in terms of the similarity to high lucidity dreams was the serotonergic psychedelic lysergic acid diethylamide (LSD), whereas the highest-ranking in terms of the similarity to dreams of low lucidity were plants of the Datura genus, rich in deliriant tropane alkaloids. Conversely, sedatives, stimulants, antipsychotics, and antidepressants comprised most of the lowest-ranking substances. An analysis of the most frequent words in the subjective reports of dreams and hallucinogens revealed that terms associated with perception (“see,” “visual,” “face,” “reality,” “color”), emotion (“fear”), setting (“outside,” “inside,” “street,” “front,” “behind”) and relatives (“mom,” “dad,” “brother,” “parent,” “family”) were the most prevalent across both experiences. In summary, we applied novel quantitative analyses to a large volume of empirical data to confirm the hypothesis that, among all psychoactive substances, hallucinogen drugs elicit experiences with the highest semantic similarity to those of dreams. Our results and the associated methodological developments open the way to study the comparative phenomenology of different altered states of consciousness and its relationship with non-invasive measurements of brain physiology.
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Affiliation(s)
- Camila Sanz
- Departamento de Física, Universidad de Buenos Aires, Buenos Aires, Argentina
| | | | | | | | - Enzo Tagliazucchi
- Departamento de Física, Universidad de Buenos Aires, Buenos Aires, Argentina.,Brain and Spine Institute, Paris, France
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Usami K, Matsumoto R, Kobayashi K, Hitomi T, Matsuhashi M, Shimotake A, Kikuchi T, Yoshida K, Kunieda T, Mikuni N, Miyamoto S, Takahashi R, Ikeda A. Phasic REM Transiently Approaches Wakefulness in the Human Cortex-A Single-Pulse Electrical Stimulation Study. Sleep 2017; 40:3804412. [PMID: 28482107 DOI: 10.1093/sleep/zsx077] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2016] [Accepted: 05/06/2017] [Indexed: 11/14/2022] Open
Abstract
Study Objectives To investigate the changes in cortical neural responses induced by external inputs during phasic rapid eye movement (p-REM) sleep. Methods Single-pulse electrical stimulation (SPES) was directly applied to the human cortex during REM sleep through subdural electrodes, in seven patients who underwent invasive presurgical evaluation for intractable partial epilepsy. SPES was applied to parts of the cortex through the subdural electrodes, and induced cortical responses were recorded from adjacent and remote cortical areas. Phase-locked corticocortical-evoked potentials (CCEPs) and nonphase-locked or induced CCEP-related high gamma activity (CCEP-HGA, 100-200 Hz), which are considered proxies for cortical connectivity and cortical excitability, respectively, were compared among wakefulness, p-REM (within ±2 seconds of significant bursts of REM), and tonic REM (t-REM) (periphasic REM) periods. Results During REM sleep, SPES elicited a transient increase in CCEP-HGA, followed by a subsequent decrease or suppression. The HGA suppression during both p-REM and t-REM was stronger than during wakefulness. However, its suppression during p-REM was weaker than during t-REM. On the other hand, the CCEP waveform did not show any significant difference between the two REM periods. Conclusions Cortical excitability to exogenous input was different between p-REM and t-REM. The change of the cortical excitability in p-REM was directed toward wakefulness, which may produce incomplete short bursts of consciousness, leading to dreams.
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Affiliation(s)
- Kiyohide Usami
- Department of Neurology, Kyoto University Graduate School of Medicine, Shogoin, Sakyo-ku, Kyoto, Japan
| | - Riki Matsumoto
- Department of Neurology, Kyoto University Graduate School of Medicine, Shogoin, Sakyo-ku, Kyoto, Japan
| | - Katsuya Kobayashi
- Department of Neurology, Kyoto University Graduate School of Medicine, Shogoin, Sakyo-ku, Kyoto, Japan
| | - Takefumi Hitomi
- Department of Clinical Laboratory Medicine, Kyoto University Graduate School of Medicine, Shogoin, Sakyo-ku, Kyoto, Japan.,Department of Respiratory Care and Sleep Control Medicine, Kyoto University Graduate School of Medicine, Shogoin, Sakyo-ku, Kyoto, Japan
| | - Masao Matsuhashi
- Research and Educational Unit of Leaders for Integrated Medical System, Kyoto University Graduate School of medicine, Shogoin, Sakyo-ku, Kyoto, Japan.,Human Brain Research Center, Kyoto University Graduate School of medicine, Shogoin, Sakyo-ku, Kyoto, Japan
| | - Akihiro Shimotake
- Department of Neurology, Kyoto University Graduate School of Medicine, Shogoin, Sakyo-ku, Kyoto, Japan
| | - Takayuki Kikuchi
- Department of Neurosurgery, Kyoto University Graduate School of Medicine, Shogoin, Sakyo-ku, Kyoto, Japan
| | - Kazumichi Yoshida
- Department of Neurosurgery, Kyoto University Graduate School of Medicine, Shogoin, Sakyo-ku, Kyoto, Japan
| | - Takeharu Kunieda
- Department of Neurosurgery, Kyoto University Graduate School of Medicine, Shogoin, Sakyo-ku, Kyoto, Japan
| | - Nobuhiro Mikuni
- Department of Neurosurgery, Kyoto University Graduate School of Medicine, Shogoin, Sakyo-ku, Kyoto, Japan.,Department of Neurosurgery, Sapporo Medical University, Chuo-ku, Sapporo, Japan
| | - Susumu Miyamoto
- Department of Neurosurgery, Kyoto University Graduate School of Medicine, Shogoin, Sakyo-ku, Kyoto, Japan
| | - Ryosuke Takahashi
- Department of Neurology, Kyoto University Graduate School of Medicine, Shogoin, Sakyo-ku, Kyoto, Japan
| | - Akio Ikeda
- Department of Epilepsy, Movement Disorders and Physiology, Kyoto University Graduate School of Medicine, Shogoin, Sakyo-ku, Kyoto,Japan
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Pace-Schott EF. Exploring the brain bases of dreaming. Commentary on “Beyond the neuropsychology of dreaming: Insights into the neural basis of dreaming with new techniques of sleep recording and analysis.” Sleep Medicine Reviews. Sleep Med Rev 2017; 35:124-126. [DOI: 10.1016/j.smrv.2016.11.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2016] [Accepted: 11/17/2016] [Indexed: 10/20/2022]
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Boyce R, Williams S, Adamantidis A. REM sleep and memory. Curr Opin Neurobiol 2017; 44:167-177. [DOI: 10.1016/j.conb.2017.05.001] [Citation(s) in RCA: 52] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2017] [Accepted: 05/01/2017] [Indexed: 01/26/2023]
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