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Bayer, L.

Publications and source records attributed to Bayer, L..

4 recordsLinked to original sources

iSleep: Continuous, binocular pupil tracking in sleep and reduced consciousness for physiological monitoring, predictions and interventions

Monitoring pupil dynamics is a key tool in understanding arousal. Pupil size can serve as a biomarker for the autonomic nervous system balance as well as for identifying brain states. While internal states can also be self-reported when awake, automated detection and non-invasive monitoring is crucial during sleep and reduced consciousness. Here, we introduce iSleep, an innovative pupil tracking and analysis framework for sleep in humans. It features comfortable, humidified eye-tracking goggles and a platform for integrated analysis and prediction capabilities. We show that iSleep allows safe and continuous access to binocular pupil size and ocular dynamics during sleep and anesthesia. iSleep reveals that pupillary fluctuations correlate tightly with brain activity, heartbeat, and breathing, and can reliably predict brain states. Pupil constrictions reflect parasympathetic drive and likely serve a protective function for deep sleep stability; while dilations indicate arousals. Unexpectedly, we observed a decoupling of binocular movements during periods of sleep, indicating alterations in reflexes which usually govern voluntary eye movements. Finally, iSleep was tested in surgery patients under general anesthesia, revealing dynamic pupil changes to noxious stimuli, suggesting the potential for nociception monitoring during surgeries. In summary, iSleep offers an easy-to-use, robust alternative to read out brain states during sleep and anesthesia, opening new avenues in monitoring, diagnostics, and treatments, previously obscured by closed eyelids.

neuroscience↗

Whole-night gentle rocking improves sleep in poor sleepers with insomnia complaints.

Specific brain oscillations can be manipulated during sleep to improve sleep quality and memory performance. We previously demonstrated that continuous rocking stimulation (0.25Hz, lateral movement) applied to good sleepers during sleep enhanced stable deep sleep, boosted NREM oscillations (spindles and slow waves), and memory consolidation. Here, we investigated whether nocturnal rocking could benefit individuals suffering from sleep difficulties. We recruited sixteen young adults with subjective difficulties initiating and/or maintaining sleep and who presented with objective poor sleep quality. Each participant spent two nights of sleep at the laboratory, one rocking and one stationary, during which we assessed sleep and declarative memory consolidation. We found that a whole night of gentle rocking in individuals with poor sleep decreased sleep fragmentation, time spent awake and in light sleep (N1), with an associated increase in objective sleep efficiency and subjective sleep quality. Additionally, we replicated the neural entrainment or synchronizing effect of the rocking motion, yielding a boost in NREM fast spindles and slow oscillations. Yet, these changes in sleep did not modulate overnight memory performance. By alleviating some difficulties encountered in this population of poor sleepers (e.g., sleep maintenance and poor self-reported sleep), these findings provide preliminary evidence that rocking may represent an alternative or complementary intervention for the management of some forms of chronic insomnia. STATEMENT OF SIGNIFICANCEHere, we demonstrate that a gentle and continuous rhythmic rocking stimulation applied during a whole night improves sleep in young adults with sleep complaints and objective poor sleep quality. Rocking, compared to a normal stationary condition, promoted sleep maintenance and sleep efficiency with a parallel improvement in subjective sleep quality. As we previously found in healthy controls, the rocking stimulation had a mechanistic influence over the synchronisation of sleep oscillations in these individuals with insomnia complaints. These findings may be relevant for the development of non-pharmacological interventions in similar populations with insomnia complaints and poor sleep, including older adults, and clinical populations with neurological, psychiatric, or somatic conditions.

neuroscience↗

Reinstatement of emotional associations during human sleep: an intracranial EEG study

The scientific literature suggests that emotional memories benefit from a privileged consolidation over neutral memories. This effect extends to consolidation processes that occur during sleep. Indeed, during sleep, a complex set of oscillations (namely slow-oscillations, theta rhythm and spindles) mediates the communication between brain regions involved in the long-term integration of memories. However, whether sleep oscillations may contribute to the reactivation and consolidation of emotional memories in humans is still unclear. Because non-invasive electroencephalography (EEG) has limited access to deep brain regions implicated in memory and emotion (e.g., hippocampus, amygdala, orbitofrontal cortex), here we recorded EEG signal from these brain regions using intracranial electrodes placed in medically-resistant epileptic patients in the context of presurgical investigation. During wakefulness, we presented the patients with emotional (i.e., humorous) vs emotionally neutral pictures paired with a sound. Then, we tested for the reinstatement of emotional-associations by delivering the sound during a subsequent period of sleep. We found that the reactivation of emotional (compared to neutral) memories during sleep enhanced slow-oscillation and spindle activity in the orbitofrontal cortex, paralleled with an increase in theta connectivity between the hippocampus and the orbitofrontal cortex. In addition, we observed that the theta response to emotional memories reactivated at subsequent wake was different than for neutral memories, suggesting a change in memory traces with targeted memory reactivation. These data suggest that consolidation of emotional events during sleep is due to a larger expression of sleep features (in the slow-oscillation, theta and sigma frequency bands) and that the mechanisms of brain plasticity also take place in emotional brain regions during NREM sleep.

neuroscience↗

Imposing a curfew on the use of screen electronic devices improves sleep and daytime vigilance in adolescents.

The use of screen electronic devices (SED) in the evening negatively affects sleep. Yet, sleep is known to be essential for brain maturation and a key factor for good academic performance, and thus is particularly critical during childhood and adolescence. While previous studies reported correlations between SED use and sleep impairments, the causal relationship between SED use and sleep in adolescents remains unclear. Using actigraphy and daily questionnaires in a large sample of students (12 to 19 years old), we assessed SED use and sleep habits over one month, including a two-week baseline phase and a two-week interventional phase, where participants were asked to stop screen use after 9 pm during pre-school nights. During the interventional phase, we found that reduction in time spent on SED after 9 pm correlated with earlier sleep onset time and increased total sleep duration. The latter led to improved daytime vigilance. We also observed that the beneficial impact of the intervention on sleep was influenced by catechol-O-methyltransferase gene (COMT) Val158Met polymorphism, which is implicated in the dopaminergic modulation of human behaviors, including wake and sleep regulation. These findings provide evidence that restricting SED use in the evening represents a valid and promising approach for improving sleep duration in adolescents, with potential implications for daytime functioning and health.\n\nSTATEMENT OF SIGNIFICANCEWith the emergence of smartphones and other connected devices, adolescents spend a lot of time on screen electronic devices (SED), especially during the evening. We report that time spent on SED after 9 pm negatively correlates with sleep onset time, sleep duration as well as mood, body weight, and academic performance. Such observable correlations urge for educational strategies to address the chronic lack of sleep observed in todays adolescent populations. Here we also show that limiting the use of SED after 9 pm improves sleep duration and daytime vigilance in most adolescents. This simple education recommendation pertaining to sleep hygiene can be implemented by every household, yielding direct positive effects on sleep, and presumed benefits for health and daytime functioning.

neuroscience↗