Evidence map›Paper›PMID 38764252›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2024

Sleep functional connectivity, hyperexcitability, and cognition in Alzheimer's disease.

Sebastian G Moguilner, Courtney Berezuk, Alex C Bender, Kyle R Pellerin, Stephen N Gomperts, Sydney S Cash, Rani A Sarkis, Alice D Lam

Abstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Plasma biomarkers as core mediators in functional network abnormalities: Evidence from a two-cohort study.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  10. Review
  11. Sleep functional connectivity, hyperexcitability, and cognition in Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2024
    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.

Sebastian G MoguilnerDepartment of Neurology, Harvard Medical School, Boston, Massachusetts, USA.ORCID 0000-0003-1731-8325
Courtney BerezukDepartment of Neurology, Harvard Medical School, Boston, Massachusetts, USA.
Alex C BenderDepartment of Neurology, Harvard Medical School, Boston, Massachusetts, USA.
Kyle R PellerinDepartment of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Stephen N GompertsDepartment of Neurology, Harvard Medical School, Boston, Massachusetts, USA.
Sydney S CashDepartment of Neurology, Harvard Medical School, Boston, Massachusetts, USA.
Rani A SarkisDepartment of Neurology, Harvard Medical School, Boston, Massachusetts, USA.
Alice D LamDepartment of Neurology, Harvard Medical School, Boston, Massachusetts, USA.

Funding

Research Education ComponentP30AG062421 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI STEVEN E ARNOLD · 2019 to 2026
$36.5M
Neuroscience Resident Research ProgramR25NS065743 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI CASH, SYDNEY S, WILLIAMS, ZIV · 2009 to 2023
$11.8M
The Contribution of Late Onset Unexplained Epilepsy to Cognitive Decline and its Interaction with Vascular and Alzheimer's Disease PathologiesK23NS119798 · NINDS · BRIGHAM AND WOMEN'S HOSPITAL · PI SARKIS, RANI · 2021 to 2025
$1.1M
Exploring the role of epileptiform activity in Alzheimer's DiseaseK23NS101037 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI LAM, ALICE D · 2018 to 2022
$1.0M
Alzheimer's Association AARFD-22-972705 [SM]NIA NIH HHS P30 AG062421NIH HHS K23NS101037 [ADL]NIH HHS K23NS119798 [RAS]NIH HHS P30AG062421 [SNG]NIH HHS R25NS065743 [ACB]NINDS NIH HHS K23 NS101037NINDS NIH HHS K23 NS119798NINDS NIH HHS R25 NS065743
6 · The paper itself

Abstract

introductionSleep disturbances are common in Alzheimer's disease (AD) and may reflect pathologic changes in brain networks. To date, no studies have examined changes in sleep functional connectivity (FC) in AD or their relationship with network hyperexcitability and cognition.

methodsWe assessed electroencephalogram (EEG) sleep FC in 33 healthy controls, 36 individuals with AD without epilepsy, and 14 individuals with AD and epilepsy.

resultsAD participants showed increased gamma connectivity in stage 2 sleep (N2), which was associated with longitudinal cognitive decline. Network hyperexcitability in AD was associated with a distinct sleep connectivity signature, characterized by decreased N2 delta connectivity and reversal of several connectivity changes associated with AD. Machine learning algorithms using sleep connectivity features accurately distinguished diagnostic groups and identified "fast cognitive decliners" among study participants who had AD. DISCUSSION: Our findings reveal changes in sleep functional networks associated with cognitive decline in AD and may have implications for disease monitoring and therapeutic development. HIGHLIGHTS: Brain functional connectivity (FC) in Alzheimer's disease is altered during sleep. Sleep FC measures correlate with cognitive decline in AD. Network hyperexcitability in AD has a distinct sleep connectivity signature.

Indexed as

Alzheimer DiseaseBrainElectroencephalographySleepAgedCognitionCognitive DysfunctionEpilepsyFemaleHumansMachine LearningMaleMiddle AgedNeuropsychological TestsSleep Wake Disordersbiomarkerselectrophysiologyneurodegenerationsleep physiology

Identifiers

PMID38764252
PMCPMC11180941

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.