Evidence map›Paper›PMID 41623422›Full record

ArticleFrontiers in aging neuroscience2025

Polarity-dependent modulation of sleep oscillations and cortical excitability in aging.

Buse Dikici, Robert Malinowski, Jan-Bernhard Kordaß, Klaus Obermayer, Julia Ladenbauer, Agnes Flöel

Abstract read
In one paragraph

Article in Frontiers in aging neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Buse DikiciDepartment of Neurology, Universitätsmedizin Greifswald, Greifswald, Germany.
Robert MalinowskiDepartment of Neurology, Universitätsmedizin Greifswald, Greifswald, Germany.
Jan-Bernhard KordaßDepartment of Neurology, Universitätsmedizin Greifswald, Greifswald, Germany.
Klaus ObermayerTechnische Universität Berlin, Berlin, Germany.
Julia LadenbauerDepartment of Neurology, Universitätsmedizin Greifswald, Greifswald, Germany.
Agnes FlöelDepartment of Neurology, Universitätsmedizin Greifswald, Greifswald, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: During non-rapid eye movement (NREM) sleep, cortical slow oscillation (SO; <1 Hz) and thalamic sleep spindle activity (12-15 Hz) interact through precise phase coupling to support memory consolidation. Slow oscillatory transcranial direct current stimulation (so-tDCS) can modulate these oscillations. Traditionally, anodal so-tDCS is used to depolarize the cortex during SO up-states, thereby promoting SO activity and SO-spindle coupling. However, intracranial findings suggest that SO down-states, characterized by cortical hyperpolarization, can trigger thalamic spindle bursts. This raises the hypothesis that cathodal so-tDCS, by promoting hyperpolarization, could selectively enhance down-states and more effectively improve SO-spindle coupling. Methods: We tested this hypothesis in 22 healthy older adults, a population known to exhibit diminished NREM oscillatory activity. Each participant received cathodal, anodal, and sham so-tDCS in separate nap sleep sessions. We quantified SO and spindle characteristics, their temporal coupling, and cortical excitation/inhibition (E/I) balance using EEG spectral slope. We also assessed individual circadian preference (chronotype) as a potential moderator. Results: We found that anodal so-tDCS improved SO-spindle synchrony and increased spindle power over sham in participants with intermediate or evening chronotypes, while cathodal so-tDCS did not enhance these oscillatory measures compared to sham, despite prolonging SO down-states. Anodal so-tDCS also shifted E/I balance toward increased excitability, indicating increased cortical excitability, whereas cathodal so-tDCS did not produce the anticipated opposite shift. Conclusion: In summary, anodal, but not cathodal, so-tDCS effectively enhanced thalamocortical interactions underlying memory consolidation. Furthermore, these findings highlight the importance of individual factors such as chronotype in brain stimulation responsiveness.

Indexed as

excitation/inhibition (E/I) balancememory consolidationphase amplitude couplingsleepsleep spindleslow oscillationslow oscillatory tDCS

Identifiers

PMID41623422
PMCPMC12852367

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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.