Evidence map›Paper›PMID 37620157›Full record

ArticleThe Journal of neuroscience : the official journal of the Society for Neuroscience2023

Impedance Rhythms in Human Limbic System.

Filip Mivalt, Vaclav Kremen, Vladimir Sladky, Jie Cui, Nicholas M Gregg, Irena Balzekas, Victoria Marks, Erik K St Louis, Paul Croarkin, Brian Nils Lundstrom and 12 more

Open access · greenAbstract read
In one paragraph

Article in The Journal of neuroscience : the official journal of the Society for Neuroscience, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.9field-weighted citation impact, top 6% 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

17 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. A guide to neuromodulation in drug-resistant epilepsy.Epileptic disorders : international epilepsy journal with videotape · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Post-Ictal Sleep Changes in Human Focal Epilepsy.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
    Article
  7. MDigital signal processing · 2026
    Article
  8. Article
  9. Amplitude fluctuations of cerebrovascular oscillations and CSF movement desynchronize during NREM3 sleep.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2025
    Article
  10. Article
  11. 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

22 authors at 2 institutions in 3 countries.

Filip MivaltBioelectronics Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905.ORCID 0000-0002-0693-9495
Vaclav KremenBioelectronics Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905.ORCID 0000-0001-9844-7617
Vladimir SladkyBioelectronics Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905.
Jie CuiBioelectronics Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905.
Nicholas M GreggBioelectronics Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905.
Irena BalzekasBioelectronics Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905.
Victoria MarksBioelectronics Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905.
Erik K St LouisCenter for Sleep Medicine, Departments of Neurology and Medicine, Divisions of Sleep Neurology and Pulmonary and Critical Care Medicine, Mayo Clinic, Rochester, Minnesota 55905.
Paul CroarkinDepartments of Psychiatry and Psychology and.ORCID 0000-0001-6843-6503
Brian Nils LundstromBioelectronics Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905.
Noelle NelsonBioelectronics Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905.
Jiwon KimBioelectronics Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905.
Dora HermesDepartment of Physiology and Biomedical Engineering, Mayo Clinic, Rochester, Minnesota 55905.ORCID 0000-0002-8683-8909
Steven MessinaDepartment of Radiology, Mayo Clinic Rochester, Minnesota 55905.
Samuel WorrellBioelectronics Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905.
Thomas RichnerBioelectronics Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905.
Benjamin H BrinkmannBioelectronics Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905.
Timothy DenisonDepartment of Engineering Science, Medical Research Council Brain Network Dynamics Unit, University of Oxford, Oxford OX3 7DQ, United Kingdom.
Kai J MillerDepartment of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota 55905.
Jamie Van GompelDepartment of Neurologic Surgery, Mayo Clinic, Rochester, Minnesota 55905.
Matthew SteadBioelectronics Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905.
Gregory A WorrellBioelectronics Neurophysiology and Engineering Laboratory, Department of Neurology, Mayo Clinic, Rochester, Minnesota 55905 worrell.gregory@mayo.edu.ORCID 0000-0003-2916-0553
Mayo Clinic · USUniversity of Oxford · GB

Funding

Reliable Seizure Prediction Using Physiological Signals and Machine LearningR01NS092882 · NINDS · MAYO CLINIC ROCHESTER · PI Gregory A Worrell · 2015 to 2026
$5.7M
Accelerating Dissemination of Implantable Neurotechnology for Clinical ResearchU24NS113637 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI BORTON, DAVID ALLENSON, DENISON, TIMOTHY · 2020 to 2024
$4.4M
Neurophysiologically Based Brain State Tracking & Modulation in Focal EpilepsyUH2NS095495 · NINDS · MAYO CLINIC ROCHESTER · PI WORRELL, GREGORY A · 2015 to 2018
$4.2M
The glial mechanism for electrical brain stimulationR01NS112144 · NINDS · MAYO CLINIC ROCHESTER · PI WANG, HAI-LONG, WORRELL, GREGORY A · 2019 to 2023
$3.8M
Neurophysiologically Based Brain State Tracking & Modulation in Focal EpilepsyUH3NS095495 · NINDS · MAYO CLINIC ROCHESTER · PI WORRELL, GREGORY A · 2019 to 2021
$2.8M
CRCNS: Processing speed in the human connectome across the lifespanR01MH122258 · NIMH · MAYO CLINIC ROCHESTER · PI HERMES, DORA · 2019 to 2023
$1.8M
Optimizing Pharmacotherapy with Noninvasive Wearable Sensors and Subscalp EEGUH3NS123066 · NINDS · MAYO CLINIC ROCHESTER · PI Benjamin H Brinkmann, Gregory A Worrell · 2025 to 2026
$1.4M
NIMH NIH HHS R01 MH122258NINDS NIH HHS R01 NS092882NINDS NIH HHS R01 NS112144NINDS NIH HHS U24 NS113637NINDS NIH HHS UH2 NS095495NINDS NIH HHS UH3 NS095495NINDS NIH HHS UH3 NS123066
6 · The paper itself

Abstract

The impedance is a fundamental electrical property of brain tissue, playing a crucial role in shaping the characteristics of local field potentials, the extent of ephaptic coupling, and the volume of tissue activated by externally applied electrical brain stimulation. We tracked brain impedance, sleep-wake behavioral state, and epileptiform activity in five people with epilepsy living in their natural environment using an investigational device. The study identified impedance oscillations that span hours to weeks in the amygdala, hippocampus, and anterior nucleus thalamus. The impedance in these limbic brain regions exhibit multiscale cycles with ultradian (∼1.5-1.7 h), circadian (∼21.6-26.4 h), and infradian (∼20-33 d) periods. The ultradian and circadian period cycles are driven by sleep-wake state transitions between wakefulness, nonrapid eye movement (NREM) sleep, and rapid eye movement (REM) sleep. Limbic brain tissue impedance reaches a minimum value in NREM sleep, intermediate values in REM sleep, and rises through the day during wakefulness, reaching a maximum in the early evening before sleep onset. Infradian (∼20-33 d) impedance cycles were not associated with a distinct behavioral correlate. Brain tissue impedance is known to strongly depend on the extracellular space (ECS) volume, and the findings reported here are consistent with sleep-wake-dependent ECS volume changes recently observed in the rodent cortex related to the brain glymphatic system. We hypothesize that human limbic brain ECS changes during sleep-wake state transitions underlie the observed multiscale impedance cycles. Impedance is a simple electrophysiological biomarker that could prove useful for tracking ECS dynamics in human health, disease, and therapy.

Indexed as

SleepSleep, REMBrainElectric ImpedanceHippocampusHumansWakefulnessbrain impedancecircadian rhythmextracellular spaceimplantable neural stimulatorslong-term datasleep

Identifiers

PMID37620157
PMCPMC10538585
OpenAlexW4386127426

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.