Distributed slow-wave dynamics during sleep predict memory consolidation and its impairment in schizophrenia.
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ABSTRACT: The slow waves (SW) of non-rapid eye movement (NREM) sleep reflect neocortical components of network activity during sleep-dependent information processing; their disruption may therefore impair memory consolidation. Here, we quantify sleep-dependent consolidation of motor sequence memory, alongside sleep EEG-derived SW properties and synchronisation, and SW-spindle coupling in 21 patients suffering from schizophrenia and 19 healthy volunteers. Impaired memory consolidation in patients culminated in an overnight improvement in motor sequence task performance of only 1.6%, compared with 15% in controls. During sleep after learning, SW amplitudes and densities were comparable in healthy controls and patients. However, healthy controls showed a significant 45% increase in frontal-to-occipital SW coherence during sleep after motor learning in comparison with a baseline night (baseline: 0.22?±?0.05, learning: 0.32?±?0.05); patient EEG failed to show this increase (baseline: 0.22?±?0.04, learning: 0.19?±?0.04). The experience-dependent nesting of spindles in SW was similarly disrupted in patients: frontal-to-occipital SW-spindle phase-amplitude coupling (PAC) significantly increased after learning in healthy controls (modulation index baseline: 0.17?±?0.02, learning: 0.22?±?0.02) but not in patients (baseline: 0.13?±?0.02, learning: 0.14?±?0.02). Partial least-squares regression modelling of coherence and PAC data from all electrode pairs confirmed distributed SW coherence and SW-spindle coordination as superior predictors of overnight memory consolidation in healthy controls but not in patients. Quantifying the full repertoire of NREM EEG oscillations and their long-range covariance therefore presents learning-dependent changes in distributed SW and spindle coordination as fingerprints of impaired cognition in schizophrenia.
SUBMITTER: Bartsch U
PROVIDER: S-EPMC6828759 | biostudies-literature | 2019 Nov
REPOSITORIES: biostudies-literature
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