Evidence map›Paper›PMID 26447948›Full record

ReviewSleep medicine reviews2016

Sleep function: Toward elucidating an enigma.

James M Krueger, Marcos G Frank, Jonathan P Wisor, Sandip Roy

Abstract readReview
In one paragraph

Review in Sleep medicine reviews, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 192 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
192citing papers in PubMed, 5 pooled it
11.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

192 citing papers in PubMed, 5 syntheses or guidelines pooled it, 420 citations in OpenAlex.

  1. Pooled it
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  6. Trial
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  9. Article
  10. Sleep homeostasis impairment across obstructive sleep apnea severity: findings from a population-based cohort study.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2026
    Article
  11. Review
  12. Review
  13. Nightly changes in neural activity and auditory processing of song control neurons depend on melatonin.Journal of comparative physiology. A, Neuroethology, sensory, neural, and behavioral physiology · 2026
    Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Review
  20. Article

132 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

James M KruegerCollege of Medical Sciences, Washington State University-Spokane, WA, USA. Electronic address: krueger@vetmed.wsu.edu.
Marcos G FrankCollege of Medical Sciences, Washington State University-Spokane, WA, USA.
Jonathan P WisorCollege of Medical Sciences, Washington State University-Spokane, WA, USA.
Sandip RoyDepartment of Electrical Engineering, Washington State University-Pullman, WA, USA.
Washington State University Spokane · USWashington State University · US

Funding

INTERLEUKIN-1--PROMOTER OF SLOW-WAVE SLEEPR01NS025378 · NINDS · WASHINGTON STATE UNIVERSITY · PI KRUEGER, JAMES MARTIN · 1987 to 2020
$6.3M
Molecular Mechanisms of Sleep Responses to Viral InfectionR01HD036520 · NICHD · WASHINGTON STATE UNIVERSITY · PI KRUEGER, JAMES MARTIN · 1997 to 2016
$5.4M
Sleep deprivation elevates, and sleep alleviates, oxidative stress in the brain.R01NS078498 · NINDS · WASHINGTON STATE UNIVERSITY · PI WISOR, JONATHAN P · 2012 to 2022
$3.0M
REM mechanisms in neocortical developmentR01HL114161 · NHLBI · WASHINGTON STATE UNIVERSITY · PI FRANK, MARCOS G · 2012 to 2015
$1.8M
Consolidation mechanisms in the developing visual cortexR01EY019022 · NEI · UNIVERSITY OF PENNSYLVANIA · PI FRANK, MARCOS G · 2008 to 2012
$1.7M
Optogenetic resource for studying cerebral cortex network functionR03NS082973 · NINDS · WASHINGTON STATE UNIVERSITY · PI WISOR, JONATHAN P · 2013 to 2014
$145k
NEI NIH HHS R01 EY019022NHLBI NIH HHS R01 HL114161NICHD NIH HHS R01 HD036520NINDS NIH HHS R01 NS025378NINDS NIH HHS R01 NS078498NINDS NIH HHS R03 NS082973
6 · The paper itself

Abstract

Sleep function remains controversial. Individual perspectives frame the issue of sleep function differently. We briefly illustrate how sleep measurement and the evolution, tissue organization levels, molecular mechanisms, and regulation of sleep could influence one's view of sleep function. Then we discuss six viable theories of sleep function. Sleep serves host-defense mechanisms and conserves caloric expenditures, but these functions likely are opportunistic functions evolving later in evolution. That sleep replenishes brain energy stores and that sleep serves a glymphatic function by removing toxic byproducts of waking activity are attractive ideas, but lack extensive supporting experimental evidence. That sleep restores performance is experimentally demonstrated and has obvious evolutionary value. However, this hypothesis lacks experimentally verified mechanisms although ideas relating to this issue are presented. Finally, the ideas surrounding the broad hypothesis that sleep serves a connectivity/plasticity function are many and attractive. There is experimental evidence that connectivity changes with sleep, sleep loss, and with changing afferent input, and that those changes are linked to sleep regulatory mechanisms. In our view, this is the leading contender for the primordial function of sleep. However, much refinement of ideas and innovative experimental approaches are needed to clarify the sleep-connectivity relationship.

Indexed as

BrainHumansSleepGlymphaticsHomeostasisImmuneInterleukin-1Local sleepMetabolismPerformancePlasticitySynapseTumor necrosis factor

Identifiers

PMID26447948
PMCPMC4769986
OpenAlexW1726094883

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.