Evidence map›Paper›PMID 32502393›Full record

ArticleCell2020

Sleep Loss Can Cause Death through Accumulation of Reactive Oxygen Species in the Gut.

Alexandra Vaccaro, Yosef Kaplan Dor, Keishi Nambara, Elizabeth A Pollina, Cindy Lin, Michael E Greenberg, Dragana Rogulja

Abstract read
PubMed Publisher
In one paragraph

Article in Cell, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 263 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
263citing papers in PubMed, 2 pooled it
–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

263 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Health Consequences of Intensive E-Gaming: A Systematic Review.International journal of environmental research and public health · 2023
    Pooled it
  3. Effects ofNutrients · 2024
    Trial
  4. Article
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  7. Article
  8. Article
  9. Article
  10. Article
  11. Progressive behavioral and cognitive decline inbioRxiv : the preprint server for biology · 2026
    Article
  12. International journal of molecular sciences · 2026
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. A molecular integrator of sleep duration and interruption.bioRxiv : the preprint server for biology · 2026
    Article
  18. Article
  19. Review
  20. Metabolites · 2026
    Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

Alexandra VaccaroDepartment of Neurobiology, Harvard Medical School, Boston, MA 02115, USA.
Yosef Kaplan DorDepartment of Neurobiology, Harvard Medical School, Boston, MA 02115, USA.
Keishi NambaraDepartment of Neurobiology, Harvard Medical School, Boston, MA 02115, USA.
Elizabeth A PollinaDepartment of Neurobiology, Harvard Medical School, Boston, MA 02115, USA.
Cindy LinDepartment of Neurobiology, Harvard Medical School, Boston, MA 02115, USA.
Michael E GreenbergDepartment of Neurobiology, Harvard Medical School, Boston, MA 02115, USA.
Dragana RoguljaDepartment of Neurobiology, Harvard Medical School, Boston, MA 02115, USA. Electronic address: dragana_rogulja@hms.harvard.edu.

Funding

Super-Resolution ImagingP30NS072030 · NINDS · HARVARD MEDICAL SCHOOL · PI REGEHR, WADE G · 2011 to 2020
$5.8M
NINDS NIH HHS P30 NS072030
6 · The paper itself

Abstract

The view that sleep is essential for survival is supported by the ubiquity of this behavior, the apparent existence of sleep-like states in the earliest animals, and the fact that severe sleep loss can be lethal. The cause of this lethality is unknown. Here we show, using flies and mice, that sleep deprivation leads to accumulation of reactive oxygen species (ROS) and consequent oxidative stress, specifically in the gut. ROS are not just correlates of sleep deprivation but drivers of death: their neutralization prevents oxidative stress and allows flies to have a normal lifespan with little to no sleep. The rescue can be achieved with oral antioxidant compounds or with gut-targeted transgenic expression of antioxidant enzymes. We conclude that death upon severe sleep restriction can be caused by oxidative stress, that the gut is central in this process, and that survival without sleep is possible when ROS accumulation is prevented. VIDEO ABSTRACT.

Indexed as

AnimalsAntioxidantsDrosophilaGastrointestinal TractMaleMiceMice, Inbred C57BLMice, Inbred CBAOxidative StressReactive Oxygen SpeciesSleepSleep DeprivationAntioxidantsReactive Oxygen Speciesantioxidantsfree radicalsgutoxidative stressreactive oxygen speciessleepsleep deprivationsurvival

Identifiers

What OpenQuestion holds

Textmetadata
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.