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神经刺激技术可改善衰老相关的睡眠和认知。

Neurostimulation techniques to enhance sleep and improve cognition in aging.

机构信息

Department of Neurology, Northwestern University, Feinberg School of Medicine, 710 N. Lake Shore Drive, 60611 Chicago, IL, USA.

Department of Neurology, Northwestern University, Feinberg School of Medicine, 710 N. Lake Shore Drive, 60611 Chicago, IL, USA.

出版信息

Neurobiol Dis. 2020 Jul;141:104865. doi: 10.1016/j.nbd.2020.104865. Epub 2020 Apr 4.

Abstract

Sleep plays a critical role in the process of memory consolidation. In particular, during non-rapid eye movement (NREM) slow wave sleep, slow-oscillations, spindles, hippocampal sharp wave ripples, and their phase coupling are involved in the process of transferring and consolidating information recently encoded and temporarily stored in the hippocampus into long-term memory stored in the neocortex. There is evidence that aging and neurodegenerative conditions, in particular Alzheimer's disease, are associated with changes to this transient grouping of NREM oscillations. Therefore, methods to enhance sleep, particularly slow wave sleep, have the potential to improve cognitive performance. Transcranial electrical and magnetic stimulation have been shown useful to enhance sleep slow-waves and sleep-dependent memory consolidation, however there is need for more information regarding proper protocols of application and applicability and efficacy in patients with neurodegenerative conditions. Acoustic stimulation during sleep has been proven particularly effective in enhancing sleep slow-waves and spindles with associated improvement in overnight memory consolidation. More importantly, preliminary data indicate that similar results can be achieved in healthy older adults and those with amnestic mild cognitive impairment. Studies are needed to optimize the modalities of acoustic stimulation during sleep, which may vary based on age group or clinical disorder. Overall, non-invasive techniques of neurostimulation may represent a valid approach to mitigate cognitive decline associated with aging and neurodegeneration. Furthermore, they offer the unique opportunity to improve our understanding of the physiology behind sleep-dependent memory consolidation.

摘要

睡眠在记忆巩固过程中起着关键作用。特别是在非快速眼动(NREM)慢波睡眠期间,慢波振荡、纺锤波、海马体尖波涟漪及其相位耦合参与了将最近编码并临时存储在海马体中的信息转移和巩固到存储在新皮质中的长期记忆的过程。有证据表明,衰老和神经退行性疾病,特别是阿尔茨海默病,与 NREM 振荡的这种短暂分组变化有关。因此,增强睡眠的方法,特别是慢波睡眠,有可能改善认知表现。经颅电刺激和磁刺激已被证明有助于增强睡眠慢波和睡眠依赖性记忆巩固,但需要更多关于适当的应用方案以及在神经退行性疾病患者中的适用性和疗效的信息。睡眠期间的声刺激已被证明特别有效地增强睡眠慢波和纺锤波,从而改善夜间记忆巩固。更重要的是,初步数据表明,在健康的老年人和有轻度认知障碍的患者中也可以取得类似的结果。需要研究来优化睡眠期间声刺激的方式,这可能因年龄组或临床障碍而异。总的来说,神经刺激的非侵入性技术可能代表了一种减轻与衰老和神经退行性相关的认知衰退的有效方法。此外,它们提供了一个独特的机会,可以增进我们对睡眠依赖性记忆巩固背后生理学的理解。

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