Evidence map›Paper›PMID 28302453›Full record

ReviewAlzheimer's & dementia : the journal of the Alzheimer's Association2017

Brain rhythm attractor breakdown in Alzheimer's disease: Functional and pathologic implications.

Elissaios Karageorgiou, Keith A Vossel

Abstract readReview
In one paragraph

Review in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–field-weighted citation impact
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

15 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Deepen into sleep and wake patterns across Alzheimer's disease phenotypes.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2021
    Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Letter.Alzheimer's & dementia (Amsterdam, Netherlands) · 2017
    Article
  15. Review
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

2 authors.

Elissaios KarageorgiouDepartment of Neurology, Memory and Aging Center, University of California San Francisco, San Francisco, CA, USA; Neurological Institute of Athens, Athens, Greece. Electronic address: Elissaios.Karageorgiou@ucsf.edu.
Keith A VosselDepartment of Neurology, Memory and Aging Center, University of California San Francisco, San Francisco, CA, USA; Gladstone Institute of Neurological Disease, San Francisco, CA, USA.

Funding

Mechanisms and Treatment of Network Dysfunction in Alzheimer's DiseaseK23AG038357 · NIA · J. DAVID GLADSTONE INSTITUTES · PI VOSSEL, KEITH ALAN · 2011 to 2015
$764k
NIA NIH HHS K23 AG038357
6 · The paper itself

Abstract

This perspective binds emerging evidence on the bidirectional relationship between Alzheimer's disease (AD) and sleep disorders through a model of brain rhythm attractor breakdown. This approach explains behavioral-cognitive changes in AD across the sleep-wake cycle and supports a causal association between early brainstem tau pathology and subsequent cortical amyloid β accumulation. Specifically, early tau dysregulation within brainstem-hypothalamic nuclei leads to breakdown of sleep-wake attractor networks, with patients displaying an attenuated range of behavioral and electrophysiological activity patterns, a "twilight zone" of constant activity between deep rest and full alertness. This constant cortical activity promotes activity-dependent amyloid β accumulation in brain areas that modulate their activity across sleep-wake states, especially the medial prefrontal cortex. In addition, the accompanying breakdown of hippocampal-medial prefrontal cortex interplay across sleep stages could explain deficient memory consolidation through dysregulation of synaptic plasticity. Clinical implications include the potential therapeutic benefit of attractor consolidation (e.g., slow-wave sleep enhancers) in delaying AD progression.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesBrainCircadian RhythmHumansNeurofibrillary TanglesSleep Wake DisordersAmyloid beta-PeptidesAmyloid βAttractor systemsDefault mode networkFrontohippocampalMemory consolidationNeurofibrillary tanglesSleep

Identifiers

PMID28302453
PMCPMC5585024

What OpenQuestion holds

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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.