Evidence map›Paper›PMID 40021662›Full record

ArticleNature communications2025

Pupil size reveals arousal level fluctuations in human sleep.

Manuel Carro-Domínguez, Stephanie Huwiler, Stella Oberlin, Timona Leandra Oesch, Gabriela Badii, Anita Lüthi, Nicole Wenderoth, Sarah Nadine Meissner, Caroline Lustenberger

Abstract read
In one paragraph

Article in Nature communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

  1. Trial
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  4. Infra-slow (<0.1 Hz) Modulation of Human Brain Pulsations in Awake and Sleep States.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2026
    Article
  5. Arousal state modulates human hippocampal ripples.bioRxiv : the preprint server for biology · 2026
    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

9 authors.

Manuel Carro-DomínguezNeural Control of Movement Lab, Institute of Human Movement Sciences and Sport, Department of Health Sciences and Technology, ETH Zurich, 8092, Zurich, Switzerland.ORCID http://orcid.org/0000-0003-2644-8594
Stephanie HuwilerNeural Control of Movement Lab, Institute of Human Movement Sciences and Sport, Department of Health Sciences and Technology, ETH Zurich, 8092, Zurich, Switzerland.ORCID http://orcid.org/0000-0001-8894-4871
Stella OberlinNeural Control of Movement Lab, Institute of Human Movement Sciences and Sport, Department of Health Sciences and Technology, ETH Zurich, 8092, Zurich, Switzerland.
Timona Leandra OeschNeural Control of Movement Lab, Institute of Human Movement Sciences and Sport, Department of Health Sciences and Technology, ETH Zurich, 8092, Zurich, Switzerland.ORCID http://orcid.org/0009-0008-1735-6325
Gabriela BadiiFMH Ophthalmology, Zurich, Switzerland.
Anita LüthiDepartment of Fundamental Neurosciences, University of Lausanne, Lausanne, Switzerland.ORCID http://orcid.org/0000-0002-4954-4143
Nicole Wenderoth *Neural Control of Movement Lab, Institute of Human Movement Sciences and Sport, Department of Health Sciences and Technology, ETH Zurich, 8092, Zurich, Switzerland.ORCID http://orcid.org/0000-0002-3246-9386
Sarah Nadine Meissner *Neural Control of Movement Lab, Institute of Human Movement Sciences and Sport, Department of Health Sciences and Technology, ETH Zurich, 8092, Zurich, Switzerland.
Caroline Lustenberger *Neural Control of Movement Lab, Institute of Human Movement Sciences and Sport, Department of Health Sciences and Technology, ETH Zurich, 8092, Zurich, Switzerland. caroline.lustenberger@hest.ethz.ch.ORCID http://orcid.org/0000-0001-6243-8831

Funding

Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) 32003B_207719Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (Swiss National Science Foundation) PZ00P3_179795
6 · The paper itself

Abstract

Recent animal research has revealed the intricate dynamics of arousal levels that are important for maintaining proper sleep resilience and memory consolidation. In humans, changes in arousal level are believed to be a determining characteristic of healthy and pathological sleep but tracking arousal level fluctuations has been methodologically challenging. Here we measured pupil size, an established indicator of arousal levels, by safely taping the right eye open during overnight sleep and tested whether pupil size affects cortical response to auditory stimulation. We show that pupil size dynamics change as a function of important sleep events across different temporal scales. In particular, our results show pupil size to be inversely related to the occurrence of sleep spindle clusters, a marker of sleep resilience. Additionally, we found pupil size prior to auditory stimulation to influence the evoked response, most notably in delta power, a marker of several restorative and regenerative functions of sleep. Recording pupil size dynamics provides insights into the interplay between arousal levels and sleep oscillations.

Indexed as

ArousalPupilSleepAcoustic StimulationAdultElectroencephalographyFemaleHumansMalePolysomnographyYoung Adult

Identifiers

PMID40021662
PMCPMC11871316

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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.