Evidence map›Paper›PMID 29426848›Full record

ArticleNPJ schizophrenia2018

Sleep endophenotypes of schizophrenia: slow waves and sleep spindles in unaffected first-degree relatives.

Armando D'Agostino, Anna Castelnovo, Simone Cavallotti, Cecilia Casetta, Matteo Marcatili, Orsola Gambini, Mariapaola Canevini, Giulio Tononi, Brady Riedner, Fabio Ferrarelli and 1 more

Abstract read
In one paragraph

Article in NPJ schizophrenia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

  1. Article
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  5. Sleep Spindle Abnormalities in Preschool Children With Autism Spectrum Disability: Insights From Nap Polysomnography.Autism research : official journal of the International Society for Autism Research · 2025
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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

11 authors.

Armando D'AgostinoDepartment of Health Sciences, University of Milan, Milan, Italy. armando.dagostino@unimi.it.ORCID http://orcid.org/0000-0002-2126-799X
Anna CastelnovoDepartment of Health Sciences, University of Milan, Milan, Italy.
Simone CavallottiDepartment of Mental Health, San Paolo Hospital, Milan, Italy.
Cecilia CasettaDepartment of Health Sciences, University of Milan, Milan, Italy.
Matteo MarcatiliDepartment of Health Sciences, University of Milan, Milan, Italy.
Orsola GambiniDepartment of Health Sciences, University of Milan, Milan, Italy.
Mariapaola CaneviniDepartment of Health Sciences, University of Milan, Milan, Italy.
Giulio TononiDepartment of Psychiatry, University of Wisconsin, Madison, USA.
Brady RiednerDepartment of Psychiatry, University of Wisconsin, Madison, USA.
Fabio FerrarelliDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, USA.
Simone Sarasso'L. Sacco' Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy. simone.sarasso@unimi.it.ORCID http://orcid.org/0000-0001-9984-4710

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sleep spindles and slow waves are the main brain oscillations occurring in non-REM sleep. Several lines of evidence suggest that spindles are initiated within the thalamus, whereas slow waves are generated and modulated in the cortex. A decrease in sleep spindle activity has been described in Schizophrenia (SCZ), including chronic, early course, and early onset patients. In contrast, slow waves have been inconsistently found to be reduced in SCZ, possibly due to confounds like duration of illness and antipsychotic medication exposure. Nontheless, the implication of sleep spindles and slow waves in the neurobiology of SCZ and related disorders, including their heritability, remains largely unknown. Unaffected first-degree relatives (FDRs) share a similar genetic background and several neurophysiological and cognitive deficits with SCZ patients, and allow testing whether some of these measures are candidate endophenotypes. In this study, we performed sleep high-density EEG recordings to characterise the spatiotemporal features of sleep spindles and slow waves in FDRs of SCZ probands and healthy subjects (HS) with no family history of SCZ. We found a significant reduction of integrated spindle activity (ISAs) in FDRs relative to HS, whereas spindle density and spindle duration were not different between groups. FDRs also had decreased slow wave amplitude and slopes. Altogether, our results suggest that ISAs deficits might represent a candidate endophenotype for SCZ. Furthermore, given the slow wave deficits observed in FDRs, we propose that disrupted cortical synchronisation increases the risk for SCZ, but thalamic dysfunction is necessary for the disorder to fully develop.

Identifiers

PMID29426848
PMCPMC5807540

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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.