Evidence map›Paper›PMID 36335579›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2023

Fragmentation of rest periods, astrocyte activation, and cognitive decline in older adults with and without Alzheimer's disease.

Rebecca Wu, Shreejoy Tripathy, Vilas Menon, Lei Yu, Aron S Buchman, David A Bennett, Philip L De Jager, Andrew S P Lim

Open access · greenAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. The Effects ofNutrients · 2025
    Article
  7. Article
  8. Article
  9. Astrocyte Reactivity Polygenic Risk Score May Predict Cognitive Decline in Alzheimer's Disease.Pacific Symposium on Biocomputing. Pacific Symposium on Biocomputing · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Restless nights, cold hearts: Poor sleep causally blunts empathy.International journal of clinical and health psychology : IJCHP
    Article
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

8 authors at 4 institutions in 2 countries.

Rebecca WuDivision of Neurology, Department of Medicine, Hurvitz Brain Sciences Program, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-8065-4498
Shreejoy TripathyInstitute of Medical Sciences, University of Toronto, Toronto, Ontario, Canada.
Vilas MenonCenter for Translational & Computational Neuroimmunology, Department of Neurology, Columbia University Irving Medical Center and the Taub Institute for Research on Alzheimer's Disease and the Aging Brain, New York, New York, USA.
Lei YuRush Alzheimer Disease Center, Rush University Medical Center, Chicago, Illinois, USA.
Aron S BuchmanRush Alzheimer Disease Center, Rush University Medical Center, Chicago, Illinois, USA.
David A BennettRush Alzheimer Disease Center, Rush University Medical Center, Chicago, Illinois, USA.
Philip L De JagerCenter for Translational & Computational Neuroimmunology, Department of Neurology, Columbia University Irving Medical Center and the Taub Institute for Research on Alzheimer's Disease and the Aging Brain, New York, New York, USA.
Andrew S P LimDivision of Neurology, Department of Medicine, Hurvitz Brain Sciences Program, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0003-2179-1553
Rush University Medical Center · USColumbia University · USSunnybrook Health Science Centre · CACentre for Addiction and Mental Health · CA

Funding

SUPPLEMENT TO RUSH ALZHEIMERS DISEASE CENTER COREP30AG010161 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI LEURGANS, SUE E. · 1991 to 2020
$49.1M
EPIDEMIOLOGY OF NEURAL RESERVE AND NEUROBIOLOGY IN AGINGR01AG017917 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 2001 to 2023
$43.3M
RISK FACTORS, PATHOLOGY, AND CLINICAL EXPRESSIONS OF ADR01AG015819 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 1998 to 2024
$21.4M
Multi-omic network-directed proteoform discovery, dissection and functional validation to prioritize novel AD therapeutic targetsU01AG061356 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BENNETT, DAVID ALAN, DE JAGER, PHILIP L · 2018 to 2022
$13.7M
Pathway discovery, validation and compound identification for Alzheimer's disease - SupplementU01AG046152 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BENNETT, DAVID ALAN, DE JAGER, PHILIP L · 2013 to 2017
$13.6M
Establishing Sleep Apnea as a non-cognitive phenotype of brainstem ADRD pathologies in older adultsR01AG071638 · NIA · BETH ISRAEL DEACONESS MEDICAL CENTER · PI ARON S BUCHMAN, Veronique VanderHorst · 2021 to 2026
$6.1M
Risk Factors, Pathology, and Clinical Expressions of ADRF1AG015819 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN · 2014 to 2014
$6.0M
Exploring the Role of the Brain Epigenome: Cognitive Decline and Life ExperiencesRF1AG036042 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BENNETT, DAVID ALAN, DE JAGER, PHILIP L · 2016 to 2016
$5.5M
Impaired Gait in Older Adults: Pathologies of Alzheimer's disease and Related DisordersR01AG056352 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BUCHMAN, ARON S · 2017 to 2021
$3.5M
Sleep, Circadian Rhythms, and Mechanisms of Cognitive Decline in the Human BrainR01AG052488 · NIA · SUNNYBROOK RESEARCH INSTITUTE · PI LIM, ANDREW · 2017 to 2021
$3.3M
Risk Factors and the Neurobiologic Substrate of FrailtyR01AG024480 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BUCHMAN, ARON S · 2005 to 2009
$3.2M
Spinal cord and brainstem pathology contributions to late-life gait impairmentR01AG047976 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BUCHMAN, ARON S · 2015 to 2019
$2.6M
NIA NIH HHS P30 AG010161NIA NIH HHS R01 AG015819NIA NIH HHS R01 AG017917NIA NIH HHS R01 AG024480NIA NIH HHS R01 AG042210NIA NIH HHS R01 AG043617NIA NIH HHS R01 AG047976NIA NIH HHS R01 AG048015NIA NIH HHS R01 AG052488NIA NIH HHS R01 AG056352NIA NIH HHS R01 AG071638NIA NIH HHS RF1 AG015819NIA NIH HHS RF1 AG036042NIA NIH HHS RF1 AG070436NIA NIH HHS U01 AG046152NIA NIH HHS U01 AG061356NIH HHS P30AG010161NIH HHS R01AG017917NIH HHS R01AG024480NIH HHS R01AG042210NIH HHS R01AG043617NIH HHS R01AG047976NIH HHS R01AG048015NIH HHS R01AG052488NIH HHS R01AG056352NIH HHS R01NS089674NIH HHS R01NS78009NIH HHS RF1AG036042NIH HHS RF1AG15819NIH HHS U01AG061356NIH HHS U01AG46152NIH HHS UH2NS100599NINDS NIH HHS R01 NS078009NINDS NIH HHS R01 NS089674NINDS NIH HHS UH2 NS100599
6 · The paper itself

Abstract

introductionSleep disruption is associated with astrocyte activation and impaired cognition in model organisms. However, the relationship among sleep, astrocyte activation, and cognition in humans is uncertain.

methodsWe used RNA-seq to quantify the prefrontal cortex expression of a panel of human activated astrocyte marker genes in 1076 older adults in the Religious Orders Study and Rush Memory and Aging Project, 411 of whom had multi-day actigraphy prior to death. We related this to rest fragmentation, a proxy for sleep fragmentation, and to longitudinal cognitive function.

resultsFragmentation of rest periods was associated with higher expression of activated astrocyte marker genes, which was associated with a lower level and faster decline of cognitive function. DISCUSSION: Astrocyte activation and fragmented rest are associated with each other and with accelerated cognitive decline. If experimental studies confirm a causal relationship, targeting sleep fragmentation and astrocyte activation may benefit cognition in older adults. HIGHLIGHTS: Greater fragmentation of rest periods, a proxy for sleep fragmentation, is associated with higher composite expression of a panel of genes characteristic of activated astrocytes. Increased expression of genes characteristic of activated astrocytes was associated with a lower level and more rapid decline of cognitive function, beyond that accounted for by the burden of amyloid and neurofibrillary tangle pathology. Longitudinal and experimental studies are needed to delineate the causal relationships among sleep, astrocyte activation, and cognition.

Indexed as

Alzheimer DiseaseCognitive DysfunctionAgedAstrocytesCognitionHumansSleepSleep Deprivationagingastrocyte activationbulk RNA-sequencingcognitive impairmentsleep fragmentation

Identifiers

PMID36335579
PMCPMC10697074
OpenAlexW4308294091

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Registered trials

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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.