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Perrault, A. A.

Publications and source records attributed to Perrault, A. A..

11 recordsLinked to original sources

Beyond Aging, Sex and Insomnia Disorder Shape NREM Brain Oscillations

ObjectivesChronic insomnia (INS) is particularly prevalent in older adults and females. Sex-and age-related differences in neurophysiological markers of sleep quality (sleep spindles and slow-wave activity [SWA]) may underlie differential vulnerability to INS. This study investigated the effects of sex and insomnia on spindle and SWA beyond aging, to better understand the mechanistic differences contributing to the higher prevalence of INS in females. MethodsAfter a habituation night, one night of sleep assessed with polysomnography was analyzed in 222 adults (aged 18-82) including 119 INS (71% female) and 103 healthy sleepers (HS; 61% female). Spindle density, slow oscillation (SO) density, relative sigma power and SWA were derived during NREM sleep. Age, group, sex, and group-by-sex interactions were examined, with age as a covariate. ResultsAge, insomnia, and sex each contributed uniquely to NREM oscillatory activity. INS primarily reduced spindle and SO density, while sex accounted for differences in SWA. While SWA was higher in females overall, sex differences were not significant within the INS or HS groups. Female INS reported highest rates of insomnia severity as well as lower sigma power than males in the INS group. Spindle and SO density deficits were also present in female INS relative to female HS, as well as male INS relative to male HS. ConclusionsThe combination of reduced sigma power in females with insomnia relative to their male counterparts, as well as less spindle and SO density compared to female healthy sleepers may contribute to greater insomnia severity in females. Statement of SignificanceInsomnia is a growing public health concern that is more commonly reported in females, yet the neural mechanisms underlying this sex difference remain poorly understood. Our findings suggest that specific markers of sleep quality are disproportionately disrupted in females with insomnia, potentially contributing to greater vulnerability and symptom severity. These results provide new insight into how sex influences the neurophysiology of insomnia disorder and identify oscillatory markers that could serve as targets for personalized interventions. Future research should investigate whether these alterations represent persistent dysfunction or reversible changes, which could advance understanding of the biological basis of insomnia and inform strategies to improve sleep health in at-risk populations.

neuroscience↗

A Systematic Review and Meta-Analysis of Biological Sex Differences in Sleep Spindles and Slow Wave Activity in Adults with and without Insomnia

Mounting evidence shows sex-based differences in sleep experiences and outcomes, including the prevalence of insomnia disorder. However, the impact of biological sex on brain oscillations during sleep remains poorly understood, especially in the context of insomnia disorder. This is a notable gap, given that neurophysiological aspects of sleep are associated with brain health and overall sleep quality. We systematically reviewed and meta-analysed data from studies reporting spindle and slow wave activity in adults with and without insomnia disorder. We conducted systematic searches in PubMed, Embase, Scopus, and PsycInfo. Risk of bias was evaluated using the Cochrane Risk of Bias tool. Forty-three studies met our inclusion criteria, with thirteen studies of normal sleepers (N= 668) reporting sufficient data for random-effects meta-analyses. Compared with males, female normal sleepers had higher spindle density, sigma and delta power. Most studies recruited individuals with primary insomnia, and data pooling for insomnia and mixed groups was not possible due to insufficient statistical reporting. Moreover, group-by-sex interactions were limited, inconsistent, and varied across studies and sample characteristics. Further research is needed to explore sex-specific differences in sleep microarchitecture and their role in normal sleep and the manifestation of insomnia disorder.

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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.

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EEG source imaging technique to investigate sleep oscillations for simultaneous EEG-fMRI

Simultaneous recording of electroencephalography (EEG) and functional magnetic resonance imaging (fMRI) is a widely used non-invasive neuroimaging technique in sleep studies. However, EEG data are strongly influenced by two types of MRI-related artefacts: gradient artefacts (GA) and ballistocardiogram artefacts (BCG). If artefacts correction is suboptimal, the BCG obscures the EEG signals below 20Hz and could make it difficult to investigate sleep oscillations, especially sleep spindles, sleep specific oscillations occurring within 11-16Hz frequency band. We previously demonstrated the utility of beamforming spatial filtering in correcting MRI-related artefacts on EEG. Here, we investigated the use of beamforming spatial filtering for improving the detection of EEG oscillations during sleep, in particular, 1) to accurately estimate single-event spindle EEG power changes, and 2) to demonstrate the potential improvement of fMRI general linear model (GLM) analysis when involving such additional EEG information. We analysed EEG-fMRI data acquired during a recovery nap after sleep deprivation in 20 young healthy participants (12 females, 8 males, age = 21.3 {+/-} 2.5 years). Based on spindle events (onset and duration) detected by trained sleep scorers on BCG corrected EEG signals through a conventional average artefact subtraction (AAS) method, we compared four different EEG processing steps: non-BCG corrected; AAS BCG corrected; beamforming BCG corrected; beamforming+AAS BCG corrected. These processing steps consist of non-BCG corrected and AAS BCG corrected considered either at the sensor level or at the source-level (after beamformer localization) to evaluate the impact of the BCG artefact on the detection of spindle activity. Then we further investigated four different fMRI GLM approaches using 1) the spindle onset and duration (GLM1), 2) spindle onset, duration, and parametric modulation of single-spindle power change from the Cz electrode of the AAS BCG corrected data (GLM2), 3) spindle onset, duration, and parametric modulation of single-spindle power change from the beamforming+AAS BCG corrected (GLM3) and 4) spindle onset, duration, and parametric modulation of single-spindle power change from the beamforming BCG corrected data (GLM4). We found that the beamforming approach did not only attenuate the BCG artefacts, but also recovered sleep spindle activity occurring during NREM sleep. Furthermore, this beamforming approach allowed us to accurately estimate single-event power change of each spindle in the source space when compared to the channel level analysis, and therefore to further improve the specificity of fMRI GLM analysis, better localizing the recruited brain regions during spindles. Our findings show the benefit of applying beamforming source imaging technique to EEG-fMRI acquired during sleep. We demonstrate that this approach would be beneficial especially for long EEG-fMRI data acquisitions (i.e., sleep, resting-state), when the BCG correction becomes problematic due to inherent dynamic changes of heart rates. Our findings extend previous work regarding the application of the source imaging to the sleep EEG-fMRI. Combining with this advanced methodology and analysis, sleep EEG-fMRI will help us better understand the functional roles of human sleep.

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NREM sleep brain networks modulate cognitive recovery from sleep deprivation

Decrease in cognitive performance after sleep deprivation and its recovery following sleep suggests the key role of sleep, especially non-rapid eye movement (NREM) sleep, in maintaining cognition. It remains unknown whether brain network reorganization in NREM sleep stages N2 and N3 can uniquely be mapped onto individual differences in cognitive performance after a recovery nap following sleep deprivation. Using resting state functional magnetic resonance imaging (fMRI), we quantified the integration and segregation of brain networks during N2 and N3 sleep in a 1-hour nap following 24-hour sleep deprivation, compared to well-rested wakefulness. Here, we introduce a new analytic framework called the hierarchical segregation index (HSI) to quantify network segregation across spatial scales, from whole-brain to the voxel level, by identifying spatio-temporally overlapping large-scale networks and the corresponding voxel-to-region hierarchy. We found that network segregation increased in the posterior cingulate cortex during both N2 and N3 sleep compared to wakefulness. In contrast, increased segregation in the visual cortex and decreased segregation in the posterior ventromedial prefrontal cortex during N2 returned to levels comparable to wakefulness during N3. More segregation during N3 sleep was associated with worse recovery of working memory, executive attention, and psychomotor vigilance after the nap. Sleep-related changes in network segregation emerged at different spatial scales, with regional- and voxel-level alterations being associated with different cognitive tasks. Finally, we demonstrated the sensitivity and reliability of voxel-level HSI to provide key insights into within-region variation, suggesting a mechanistic understanding of how NREM sleep replenishes cognition after sleep deprivation.

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A multidimensional investigation of sleep and biopsychosocial profiles with associated neural signatures

Sleep is essential for optimal functioning and health. Interconnected to multiple biological, psychological and socio-environmental factors (i.e., biopsychosocial factors), the multidimensional nature of sleep is rarely capitalized on in research. Here, we deployed a data-driven approach to identify sleep-biopsychosocial profiles that linked self-reported sleep patterns to inter-individual variability in health, cognition, and lifestyle factors in 770 healthy young adults. We uncovered five profiles, including two profiles reflecting general psychopathology associated with either reports of general poor sleep or an absence of sleep complaints (i.e., sleep resilience) respectively. The three other profiles were driven by the use of sleep aids and social satisfaction, sleep duration and cognitive performance, and sleep disturbance linked to cognition and mental health. Furthermore, identified sleep-biopsychosocial profiles displayed unique patterns of brain network organization. In particular, somatomotor network connectivity alterations were involved in the relationships between sleep and biopsychosocial factors. These profiles can potentially untangle the interplay between individuals variability in sleep, health, cognition and lifestyle -- equipping research and clinical settings to better support individuals well-being.

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Phase-amplitude coupling of NREM sleep oscillations is unaffected by pre-sleep learning but related to overnight memory gains depending on the declarative learning paradigm

There is growing evidence in humans linking the temporal coupling between spindles and slow oscillations during NREM sleep with the overnight stabilization of memories encoded from daytime experiences in humans. However, whether the type and strength of learning influence that relationship is still unknown. Here we tested whether the amount or type of verbal word-pair learning prior to sleep affects subsequent phase-amplitude coupling (PAC) between spindles and slow oscillations (SO). We measured the strength and preferred timing of such coupling in the EEG of 41 healthy human participants over a post-learning and control night, to compare intra-individual changes with inter-individual differences. We leveraged learning paradigms of varying word-pair (WP) load: 40 WP learned to a minimum criterion of 60% correct (n=11); 40 WP presented twice (n=15); 120 WP presented twice (n=15). There were no significant differences in the preferred phase or strength between the control and post-learning nights, in all learning conditions. We observed an overnight consolidation effect (improved performance at delayed recall) for the criterion learning condition only, and only in this condition was the overnight change in memory performance significantly positively correlated with the phase of SO-spindle coupling. These results suggest that the coupling of brain oscillations during human NREM sleep are stable traits that are not modulated by the amount of pre-sleep learning, yet are implicated in the sleep-dependent consolidation of memory.

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Suppressing the morning cortisol rise after memory reactivation at 4 a.m. enhances episodic memory reconsolidation in humans

Evidence from animal and human research shows that established memories can undergo changes after reactivation through a process called reconsolidation. Alterations of the level of the stress hormone cortisol may be one way of manipulating reconsolidation. Here, in a double-blind, within-subject design, we reactivated a 3-day-old memory at 3:55 a.m., immediately followed by oral administration of metyrapone vs. placebo, to examine whether metyrapone-induced suppression of the morning cortisol rise may influence reconsolidation processes during and after early morning sleep. Crucially, reactivation followed by cortisol suppression vs. placebo resulted in enhanced memory for the reactivated episode (tested four days after reactivation). This enhancement after cortisol suppression was specific for the reactivated episode vs. a non-reactivated episode. These findings suggest that when reactivation of memories is immediately followed by suppression of cortisol levels during early morning sleep, reconsolidation processes change in a way that leads to the strengthening of episodic memory traces.

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Altered functional integration of brain activity is a marker of impaired cognitive performance following sleep deprivation

Sleep deprivation (SD) leads to impairments in cognitive function. Here, we tested the hypothesis that cognitive changes in the sleep-deprived brain can be explained by information processing within and between large-scale cortical networks. We acquired functional magnetic resonance imaging (fMRI) scans of 20 healthy volunteers during attention and executive tasks following a regular night of sleep, a night of sleep deprivation, and a recovery nap containing non-rapid eye movement (NREM) sleep. Overall, sleep deprivation was associated with increased cortex-wide functional integration, driven by a rise of integration within cortical networks. The ratio of within vs between network integration in the cortex increased further in the recovery nap, suggesting that prolonged wakefulness drives the cortex toward a state resembling sleep. This balance of integration and segregation in the sleep-deprived state was tightly associated with deficits in cognitive performance. This was a distinct and better marker of cognitive impairment than conventional indicators of homeostatic sleep pressure, as well as the pronounced thalamo-cortical connectivity changes that occurs towards falling asleep. Importantly, restoration of the balance between segregation and integration of cortical activity was also related to performance recovery after the nap, demonstrating a bi-directional effect. These results demonstrate that intra- and inter-individual differences in cortical network integration and segregation during task performance may play a critical role in vulnerability to cognitive impairment in the sleep deprived state. Significance StatementSleep deprivation has significant negative consequences for cognitive function. Understanding how changes in brain activity underpin changes in cognition is important not only to discover why performance declines following extended periods of wakefulness, but also for answering the fundamental question of why we require regular and recurrent sleep for optimal performance. Finding neural correlates that predict performance following sleep deprivation also has the potential to understand which individuals are particularly vulnerable to sleep deprivation, and what aspects of brain function may protect them from these negative consequences on performance. Finally, understanding how perturbations to regular (well-rested) brain functioning affect cognitive performance, will provide important insight into how underlying principles of information processing in the brain may support cognition generally.

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Benefits of motor imagery practice during arm-immobilization on the sensorimotor cortical networks and sleep features

Motor imagery (MI) is known to engage motor networks and could compensate for the maladaptive neuroplasticity elicited by immobilization. This hypothesis and associated underlying neural mechanisms remain underexplored. Here, we investigated how MI practice during 11 h of arm-immobilization influences sensorimotor and cortical representations of the hands, as well as sleep. Fourteen participants were first tested after a normal day, followed by two 11-h periods of immobilization, either with concomitant MI treatment or control tasks. Data revealed that MI prevented the consequences of immobilization: (i) alteration of the sensorimotor representation of hands, (ii) decrease of cortical excitability over the primary motor cortex (M1) contralateral to arm-immobilization, and (iii) reduction of sleep spindles over both M1s. Furthermore, (iv) the time spent in REM sleep was significantly longer after MI. These results support that implementing MI during immobilization can limit the deleterious effects of limb disuse, at several levels of sensorimotor functioning.

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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.

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