Evidence map›Paper›PMID 34313218›Full record

ArticleeLife2021

Cortical excitability signatures for the degree of sleepiness in human.

Chin-Hsuan Chia, Xin-Wei Tang, Yue Cao, Hua-Teng Cao, Wei Zhang, Jun-Fa Wu, Yu-Lian Zhu, Ying Chen, Yi Lin, Yi Wu and 3 more

Open access · goldAbstract read
In one paragraph

Article in eLife, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.5field-weighted citation impact, top 19% 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

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Inhibitory Decay and Supercritical Brain Dynamics During Sleep Deprivation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
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  8. Sleep deprivation drives brain-wide changes in cholinergic presynapse abundance inProceedings of the National Academy of Sciences of the United States of America · 2024
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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

13 authors at 3 institutions in 1 country.

Chin-Hsuan Chia *Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China.ORCID 0000-0002-3343-9541
Xin-Wei Tang *Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Yue Cao *Department of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Hua-Teng CaoInstitute of Neuroscience, State Key Laboratory of Neuroscience, Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai, China.
Wei ZhangInstitute of Brain Science, Fudan University, Shanghai, China.
Jun-Fa WuDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Yu-Lian ZhuDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Ying ChenDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Yi LinDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Yi WuDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China.
Zhe ZhangInstitute of Neuroscience, State Key Laboratory of Neuroscience, Center for Excellence in Brain Science and Intelligence Technology, Chinese Academy of Sciences, Shanghai, China.ORCID 0000-0002-0899-8077
Ti-Fei YuanShanghai Key Laboratory of Psychotic Disorders, Shanghai Mental HealthCenter, Shanghai Jiaotong University School of Medicine, Shanghai, China.ORCID 0000-0003-0510-715X
Rui-Ping HuDepartment of Rehabilitation Medicine, Huashan Hospital, Fudan University, Shanghai, China.ORCID 0000-0002-7626-2061
Fudan University · CNChinese Academy of Sciences · CNTongji University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sleep is essential in maintaining physiological homeostasis in the brain. While the underlying mechanism is not fully understood, a 'synaptic homeostasis' theory has been proposed that synapses continue to strengthen during awake and undergo downscaling during sleep. This theory predicts that brain excitability increases with sleepiness. Here, we collected transcranial magnetic stimulation measurements in 38 subjects in a 34 hr program and decoded the relationship between cortical excitability and self-report sleepiness using advanced statistical methods. By utilizing a combination of partial least squares regression and mixed-effect models, we identified a robust pattern of excitability changes, which can quantitatively predict the degree of sleepiness. Moreover, we found that synaptic strengthen occurred in both excitatory and inhibitory connections after sleep deprivation. In sum, our study provides supportive evidence for the synaptic homeostasis theory in human sleep and clarifies the process of synaptic strength modulation during sleepiness.

Indexed as

ElectroencephalographyTranscranial Magnetic StimulationAdultBrainCortical ExcitabilityFemaleHealthy VolunteersHumansMaleSleepSleep DeprivationSleepinessYoung Adulthumanmixed effect modelneurosciencesleepinesssynaptic homeostasistranscranial magnetic stimulationwakefulness

Identifiers

PMID34313218
PMCPMC8373378
OpenAlexW3186197101

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.