Evidence map›Paper›PMID 30626715›Full record

Observational studyScience translational medicine2019

Reduced non-rapid eye movement sleep is associated with tau pathology in early Alzheimer's disease.

Brendan P Lucey, Austin McCullough, Eric C Landsness, Cristina D Toedebusch, Jennifer S McLeland, Aiad M Zaza, Anne M Fagan, Lena McCue, Chengjie Xiong, John C Morris and 2 more

Erratum issued Registry-linked trialOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in Science translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT05568381 (Sleep Disturbance in MCI), which is not on this map. Cited by 231 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
231citing papers in PubMed, 8 pooled it
20.8field-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.

NCT05568381 nacompletednot on this mapstarted 2023, after this paper: background citation

Sleep Disturbance in MCI: A Pilot Study of a Cognitive Behavioural Therapy Digital Intervention (SUCCEED)

TypeinterventionalSponsorUniversity of SydneyRan2023 to 2023Enrolled40ConditionsCognitive Dysfunction, Insomnia, Mild Cognitive Impairment, Cognitive DisorderArmsdigital CBT-I, Online Sleep Health Education package
3 · Its place in the literature

Who cites it

231 citing papers in PubMed, 8 syntheses or guidelines pooled it, 346 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Tracking electrophysiological signatures of Alzheimer's disease: a systematic review of multimodal studies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Pooled it
  4. Pooled it
  5. Pooled it
  6. Sleep disturbances in Lewy body dementia: A systematic review.International journal of geriatric psychiatry · 2022
    Pooled it
  7. Pooled it
  8. Pooled it
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Are infraslow oscillations the missing link between sleep and Alzheimer's?Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Brendan P LuceyDepartment of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA. luceyb@wustl.edu holtzman@wustl.edu.ORCID 0000-0001-5400-825X
Austin McCulloughDepartment of Radiology, Washington University School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0001-9192-111X
Eric C LandsnessDepartment of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Cristina D ToedebuschDepartment of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Jennifer S McLelandDepartment of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Aiad M ZazaDepartment of Radiology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Anne M FaganDepartment of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Lena McCueDivision of Biostatistics, Washington University School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0001-9869-6736
Chengjie XiongDivision of Biostatistics, Washington University School of Medicine, St. Louis, MO 63110, USA.
John C MorrisDepartment of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA.
Tammie L S BenzingerDepartment of Radiology, Washington University School of Medicine, St. Louis, MO 63110, USA.ORCID 0000-0002-8114-0552
David M HoltzmanDepartment of Neurology, Washington University School of Medicine, St. Louis, MO 63110, USA. luceyb@wustl.edu holtzman@wustl.edu.ORCID 0000-0002-3400-0856
Washington University in St. Louis · US

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Smartphone-Based "Burst" Cognitive AssessmentsP01AG003991 · NIA · WASHINGTON UNIVERSITY · PI Suzanne Elizabeth Schindler · 1985 to 2026
$69.5M
WASHINGTON UNIVERSITY ALZHEIMERS DISEASE RESEARCH CENTERP50AG005681 · NIA · WASHINGTON UNIVERSITY · PI MORRIS, JOHN · 1985 to 2019
$52.1M
The natural history of AB accumulation in preclinical ADP01AG026276 · NIA · WASHINGTON UNIVERSITY · PI SCHINDLER, SUZANNE ELIZABETH · 2005 to 2025
$49.5M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University Institute of Clinical and Translational Sciences (KL2) KL2TR002346 · NCATS · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 2017 to 2026
$14.0M
Viral Vectors CoreP01NS074969 · NINDS · WASHINGTON UNIVERSITY · PI SNIDER, BARBARA JOY · 2012 to 2021
$13.0M
THE XNAT IMAGING INFORMATICS PLATFORMR01EB009352 · NIBIB · WASHINGTON UNIVERSITY · PI Daniel Scott Marcus · 2009 to 2026
$9.3M
Washington University Institute of Clinical and Translational SciencesKL2TR000450 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$8.8M
Imaging CoreU01AG032438 · NIA · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2008 to 2009
$6.1M
PET Imaging of Neuroinflammation in Genetic Alzheimer's DiseaseR01AG052550 · NIA · WASHINGTON UNIVERSITY · PI Beau M Ances, Tammie Lee Smith Benzinger · 2018 to 2026
$4.2M
NCATS NIH HHS KL2 TR000450NCATS NIH HHS KL2 TR002346NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345NCI NIH HHS P30 CA091842NIA NIH HHS K76 AG054863NIA NIH HHS P01 AG003991NIA NIH HHS P01 AG026276NIA NIH HHS P50 AG005681NIA NIH HHS R01 AG052550NIA NIH HHS R01 AG054567NIA NIH HHS RF1 AG053550NIA NIH HHS U01 AG032438NIBIB NIH HHS R01 EB009352NIBIB NIH HHS T32 EB021955NINDS NIH HHS P01 NS074969NINDS NIH HHS P30 NS098577
6 · The paper itself

Abstract

In Alzheimer's disease (AD), deposition of insoluble amyloid-β (Aβ) is followed by intracellular aggregation of tau in the neocortex and subsequent neuronal cell loss, synaptic loss, brain atrophy, and cognitive impairment. By the time even the earliest clinical symptoms are detectable, Aβ accumulation is close to reaching its peak and neocortical tau pathology is frequently already present. The period in which AD pathology is accumulating in the absence of cognitive symptoms represents a clinically relevant time window for therapeutic intervention. Sleep is increasingly recognized as a potential marker for AD pathology and future risk of cognitive impairment. Previous studies in animal models and humans have associated decreased non-rapid eye movement (NREM) sleep slow wave activity (SWA) with Aβ deposition. In this study, we analyzed cognitive performance, brain imaging, and cerebrospinal fluid (CSF) AD biomarkers in participants enrolled in longitudinal studies of aging. In addition, we monitored their sleep using a single-channel electroencephalography (EEG) device worn on the forehead. After adjusting for multiple covariates such as age and sex, we found that NREM SWA showed an inverse relationship with AD pathology, particularly tauopathy, and that this association was most evident at the lowest frequencies of NREM SWA. Given that our study participants were predominantly cognitively normal, this suggested that changes in NREM SWA, especially at 1 to 2 Hz, might be able to discriminate tau pathology and cognitive impairment either before or at the earliest stages of symptomatic AD.

Indexed as

AgedAlzheimer DiseaseAmyloidAmyloid beta-PeptidesEye MovementsFemaleHumansMalePositron-Emission TomographySleepSleep, Slow-Wavetau ProteinsAmyloidAmyloid beta-Peptidestau Proteins

Identifiers

PMID30626715
PMCPMC6342564
OpenAlexW2910774779

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.