Evidence map›Paper›PMID 42625310›Full record

ArticleCNS neuroscience & therapeutics2026

Propofol-Facilitated Recovery Sleep Modulates Cognitive Function via Slow Oscillation-Spindle Coupling After Acute Sleep Deprivation in Rats.

Chenyi Yang, Huan Liu, Xinyi Wang, Lin Zhang, Haiyun Wang

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Article in CNS neuroscience & therapeutics, 2026. 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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5 · Who and what money

Authors and funding

5 authors.

Chenyi YangNankai University, Tianjin, China.ORCID https://orcid.org/0000-0002-7299-3668
Huan LiuDepartment of Anesthesiology, Central Hospital, Tianjin University (Formerly Tianjin Third Central Hospital), Tianjin, China.
Xinyi WangNankai University, Tianjin, China.
Lin ZhangDepartment of Anesthesiology, Central Hospital, Tianjin University (Formerly Tianjin Third Central Hospital), Tianjin, China.
Haiyun WangNankai University, Tianjin, China.ORCID https://orcid.org/0000-0002-0084-2342

Funding

State Key Laboratory of Advanced Medical Materials and Devices Research Grant YGSKL-TJU-2025-KF22Tianjin Health Research Project TJWJ2023QN042Tianjin Outstanding Young Health Professionals Development Program YQ2026067
6 · The paper itself

Abstract

backgroundSleep deprivation (SD) is common but underrecognized in intensive care unit (ICU) patients and contributes to delirium and long-term neurocognitive deficits. Propofol is widely used for titratable ICU sedation and has potential neuroprotective effects, but the mechanisms underlying its cognitive benefits during recovery sleep remain unclear. Evidence shows that coupling between slow oscillations (SO) and spindles during sleep is associated with memory consolidation processes. We hypothesized that propofol-facilitated recovery sleep after acute SD would strengthen SO-spindle coupling aligned to the SO up state and thereby improve cognition.

methodsMale Sprague-Dawley rats (8-12 weeks, total n = 67) were assigned to control (CON), SD without intervention (SDN), spontaneous recovery (SDS), or propofol-supported recovery (SDP). All SD groups underwent 48 h of total deprivation. During recovery, SDP received propofol (20 mg·kg

resultsSleep deprivation impaired BM and NOR performance. Propofol during recovery restored spatial performance and 24-h recognition retention. Propofol also increased SO density compared with SDS (11.13 ± 0.14 vs. 9.49 ± 1.26 events/min, p = 0.040) and improved phase-accurate SO-spindle alignment, with higher phase-vector projection (Vproj; 0.30 ± 0.11 vs. -0.33 ± 0.37, p = 0.036), increased up-phase events (0.38 ± 0.01 vs. 0.16 ± 0.10, p = 0.036), and significant up-state preference only in SDP (V-test, p = 0.035). Molecularly, propofol decreased the NKCC1/KCC2 ratio by reducing NKCC1 and increasing KCC2.

conclusionPropofol-facilitated recovery sleep supports spatial and recognition memory, accompanied by up-state-precise SO-spindle coupling and reduced NKCC1/KCC2. These findings suggest SO-spindle alignment may serve as a candidate EEG marker of recovery sleep and highlight chloride-transport-related pathways as therapeutic targets for SD-related cognitive impairment.

Indexed as

CognitionHypnotics and SedativesPropofolSleepSleep DeprivationAnimalsElectroencephalographyMaleMaze LearningRatsRats, Sprague-DawleyRecognition, PsychologyHypnotics and SedativesPropofolcognitive functionpropofolsleepsleep deprivationslow oscillationsspindles

Identifiers

PMID42625310
PMCPMC13494151

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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.