Evidence map›Paper›PMID 32250301›Full record

Trial reportJournal of Alzheimer's disease : JAD2020

Increased Cerebrospinal Fluid Amyloid-β During Sleep Deprivation in Healthy Middle-Aged Adults Is Not Due to Stress or Circadian Disruption.

Margaret S Blattner, Sunil K Panigrahi, Cristina D Toedebusch, Terry J Hicks, Jennifer S McLeland, Ian R Banks, Claire Schaibley, Vitaliy Ovod, Kwasi G Mawuenyega, Randall J Bateman and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of Alzheimer's disease : JAD, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Sleep Abnormalities and Risk of Alzheimer's Disease.Current neurology and neuroscience reports · 2025
    Review
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  9. Chronic sleep fragmentation impairs brain interstitial clearance in young wildtype mice.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2024
    Article
  10. Review
  11. Article
  12. Article
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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

12 authors at 3 institutions in 1 country.

Margaret S BlattnerDepartment of Neurology, Washington University School of Medicine, St Louis, MO, USA.
Sunil K PanigrahiDepartment of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.
Cristina D ToedebuschDepartment of Neurology, Washington University School of Medicine, St Louis, MO, USA.
Terry J HicksDepartment of Neurology, Washington University School of Medicine, St Louis, MO, USA.
Jennifer S McLelandDepartment of Neurology, Washington University School of Medicine, St Louis, MO, USA.
Ian R BanksDepartment of Neurology, Washington University School of Medicine, St Louis, MO, USA.
Claire SchaibleyDepartment of Neurology, Washington University School of Medicine, St Louis, MO, USA.
Vitaliy OvodDepartment of Neurology, Washington University School of Medicine, St Louis, MO, USA.
Kwasi G MawuenyegaDepartment of Neurology, Washington University School of Medicine, St Louis, MO, USA.
Randall J BatemanDepartment of Neurology, Washington University School of Medicine, St Louis, MO, USA.
Sharon L WardlawDepartment of Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.
Brendan P LuceyDepartment of Neurology, Washington University School of Medicine, St Louis, MO, USA.
Washington University in St. Louis · USColumbia University · USHope Center for Neurological Disorders · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
WASHINGTON UNIVERSITY ALZHEIMERS DISEASE RESEARCH CENTERP50AG005681 · NIA · WASHINGTON UNIVERSITY · PI FAGAN, ANNE · 1985 to 2019
$52.1M
The natural history of AB accumulation in preclinical ADP01AG026276 · NIA · WASHINGTON UNIVERSITY · PI XIONG, CHENGJIE · 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
Research Education ComponentP30AG066444 · NIA · WASHINGTON UNIVERSITY · PI DAVID M. HOLTZMAN · 2020 to 2026
$28.7M
Washington University Institute of Clinical and Translational Sciences (KL2) KL2TR002346 · NCATS · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 2017 to 2026
$14.0M
Washington University Institute of Clinical and Translational SciencesKL2TR000450 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$8.8M
CNS and Plasma Amyloid--Beta Kinetics in Alzheimer's DiseaseR01NS065667 · NINDS · WASHINGTON UNIVERSITY · PI BATEMAN, RANDALL J · 2008 to 2016
$4.6M
CSF Neuropeptide, Hormonal and Metabolomic Analysis in Human Energy BalanceR01DK093920 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI WARDLAW, SHARON L. · 2011 to 2019
$3.4M
SLEEP QUALITY AND HUMAN AMLYOID-BETA KINETICSK76AG054863 · NIA · WASHINGTON UNIVERSITY · PI LUCEY, BRENDAN PATRICK · 2016 to 2020
$982k
SLEEP: A POTENTIAL NOVEL MODULATOR OF ALZHEIMER'S DISEASE PATHOLOGYR03AG047999 · NIA · WASHINGTON UNIVERSITY · PI LUCEY, BRENDAN PATRICK · 2014 to 2015
$225k
NCATS NIH HHS KL2 TR000450NCATS NIH HHS KL2 TR002346NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345NIA NIH HHS K76 AG054863NIA NIH HHS P01 AG026276NIA NIH HHS P30 AG066444NIA NIH HHS P50 AG005681NIA NIH HHS R03 AG047999NIDDK NIH HHS R01 DK093920NINDS NIH HHS R01 NS065667
6 · The paper itself

Abstract

backgroundConcentrations of soluble amyloid-β (Aβ) oscillate with the sleep-wake cycle in the interstitial fluid of mice and cerebrospinal fluid (CSF) of humans. Further, the concentration of Aβ in CSF increases during sleep deprivation. Stress and disruption of the circadian clock are additional mechanisms hypothesized to increase CSF Aβ levels. Cortisol is a marker for stress and has an endogenous circadian rhythm. Other factors such as glucose and lactate have been associated with changes in sleep-wake activity and/or Aβ.

objectiveIn this exploratory study, we used samples collected in a previous study to examine how sleep deprivation affects Aβ, cortisol, lactate, and glucose in plasma and CSF from healthy middle-aged adults (N = 11).

methodsEleven cognitively normal participants without evidence of sleep disturbance were randomized to sleep deprivation or normal sleep control. All participants were invited to repeat the study. Cortisol, lactate, glucose, and Aβ were measured in 2-h intervals over a 36-h period in both plasma and CSF. All concentrations were normalized to the mean prior to calculating mesor, amplitude, acrophase, and other parameters.

resultsOne night of sleep deprivation increases the overnight concentration of Aβ in CSF approximately 10%, but does not significantly affect cortisol, lactate, or glucose concentrations in plasma or CSF between the sleep-deprived and control conditions.

conclusionThese data suggest that sleep deprivation-related changes in CSF Aβ are not mediated by stress or circadian disruption as measured by cortisol.

Indexed as

AdultAmyloid beta-PeptidesCircadian RhythmCognitionFemaleGlucoseHumansHydrocortisoneLactic AcidMaleMiddle AgedSleepSleep DeprivationStress, PhysiologicalStress, PsychologicalAmyloid beta-PeptidesGlucoseHydrocortisoneLactic AcidAmyloid-βcortisolsleep deprivation

Identifiers

PMID32250301
PMCPMC7246155
OpenAlexW3015021169

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.