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Lustenberger, C.

Publications and source records attributed to Lustenberger, C..

9 recordsLinked to original sources

Video-based eye movements are linked to cortical and pupil-based arousal in human sleep

Study ObjectivesTo quantify high-resolution video-based eye kinematics across sleep macro- and microstructure and determine their coupling with pupil-based and cortical arousal markers. MethodsWe recorded polysomnography and utilized infrared video-based eye-tracking in 17 healthy adults. Computer vision was employed to extract eye position and speed, which were related to pupil size (subcortical arousal marker) and EEG spectral slope (cortical arousal marker) across sleep stages, rapid eye movement (REM) substates, and K-complexes. ResultsEye kinematics varied significantly across sleep stages (p<0.001), except for horizontal pupil position (p=0.192). Video-based eye position and speed are sufficient to classify stages with above chance level accuracy (47%). Eye movement speed positively correlated with pupil size during non-REM sleep (R[&ge;]0.21, p<0.001) and with spectral slope during wakefulness and REM sleep (R[&ge;]0.11, p<0.018). These strengths of the correlations differ depending on the direction of the eye movement. Phasic REM exhibited faster eye movements, larger pupil size (p<0.001), and a flatter spectral slope (p=0.014) compared to tonic REM, indicating elevated subcortical and cortical arousal. K-complexes were accompanied by increased eye movement speed (p<0.05) and a steeper spectral slope (p[&le;]0.010), suggesting a transient shift toward a sleep-protective cortical state despite concurrent oculomotor activation. ConclusionsVideo-based eye-tracking reveals that eye movements are quantitatively coupled to brain-wide arousal fluctuations in a state-dependent manner. This methodology provides a ground-truth framework for resolving fine-grained eye dynamics during sleep, offering a high-fidelity tool for sleep phenotyping and clinical assessment. Statement of significanceTraditional sleep monitoring relies on low-resolution electrical signals that often confound true eye movements with brain or muscle activity. This study uses high-resolution video tracking to establish a physical ground truth for eye kinematics across human sleep. We demonstrate that eye movements are coupled with both cortical and subcortical arousal levels in a state-dependent manner, providing a clearer neurophysiological distinction between, for example, sleep substates like tonic and phasic REM. This framework reveals how the eyes serve as a non-invasive window into the brains internal arousal state. Such insights address critical gaps in understanding sleep microarchitecture and offer a novel pathway for developing high-fidelity biomarkers for neurological disorders, such as Parkinsons disease, characterized by disrupted sleep-related arousal.

neuroscience↗

Cardiovascular responses to natural and auditory evoked slow waves predict post-sleep cardiac function

The interplay between slow-wave sleep and cardiovascular health is increasingly recognized. Our prior research showed that auditory-enhanced slow waves can boost cardiac function, yet the mechanisms behind this remain unclear. Advancing these findings, our current analysis dissected the effects of two slow wave types on cardiovascular function, using data from 18 middle-aged men across three nights. We found that the strength of heart rate and blood pressure responses concurrent with slow waves predicts cardiac function post-sleep. Notably, we identified that highly synchronized type I slow waves, as opposed to lower-amplitude type II slow waves, primarily co-occur with these cardiovascular pulsations. While auditory stimulation enhances both types of slow waves, they exhibit distinct temporal dynamics, pointing to different underlying biological mechanisms. This study crucially addresses how distinct slow wave types can affect cardiovascular function, implying that targeted slow wave stimulation could be a strategic approach to improve heart health.

neuroscience↗

Pupil size reveals arousal level dynamics in human sleep

Recent animal research has revealed the intricate dynamics of arousal levels that are potentially crucial for maintaining proper sleep resilience and memory consolidation. Also in humans, changes in arousal level are believed to be a determining characteristic of healthy and pathological sleep but tracking arousal fluctuations has been methodologically challenging. Here we measured pupil size, an established indicator of arousal levels, during overnight sleep and tested whether the arousal level affects cortical response to auditory stimulation. We show that pupil size dynamics change as a function of sleep macrostructure and microstructural events. In particular, pupil size is inversely related to the occurrence of sleep spindle clusters, a marker of sleep resilience. Additionally, pupil size prior to auditory stimulation influences the evoked response, most notably in delta power, a marker of several restorative and regenerative functions of sleep. Recording pupil size dynamics provides novel insights into the interplay between arousal levels and sleep oscillations, opening new avenues for future research and clinical applications in diagnosing and treating pathological sleep associated with abnormal arousal levels.

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Effects of auditory sleep modulation approaches on brain oscillatory and cardiovascular dynamics

Sleep modulation techniques to elucidate the functional role of sleep brain oscillations in brain and body functions have gained large interest. Slow waves, the hallmark feature of deep non-rapid eye movement sleep, do potentially drive restorative effects on brain and cardiovascular functions. Auditory stimulation to modulate slow waves is a promising tool, however, directly comparing different auditory stimulation approaches within a night and analyzing induced dynamic brain and cardiovascular effects are yet missing. Here, we tested various auditory stimulation approaches in a windowed, 10 s ON (stimulations) followed by 10 s OFF (no stimulations), within-night stimulation design and compared them to a SHAM control condition. We report the results of three studies and a total of 51 included stimulation nights. We found a large and global increase in slow wave activity (SWA) in the stimulation window compared to SHAM. Furthermore, slow wave dynamics were most pronouncedly increased at the start of the stimulation and declined across the stimulation window. Beyond the changes in brain oscillations, we observed, for some conditions, a significant increase in the mean interval between two heartbeats within a stimulation window, indicating a slowing of the heart rate, and increased heart rate variability derived parasympathetic activity. Those cardiovascular changes were positively correlated with the change in SWA and thus, our findings provide mechanistic insight into the potential of auditory slow wave enhancement to modulate cardiovascular restorative conditions during sleep. However, future studies need to investigate whether the potentially increased restorative capacity through slow wave enhancements translates into a more rested cardiovascular system on the subsequent day.

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An Infant Sleep Electroencephalographic Marker of Thalamocortical Connectivity Predicts Behavioral Outcome in Late Infancy

Infancy represents a critical period during which thalamocortical brain connections develop and mature. Deviations in the maturation of thalamocortical connectivity are linked to neurodevelopmental disorders. There is a lack of early biomarkers to detect and localize neuromaturational deviations, which can be overcome with mapping through high-density electroencephalography (hdEEG) assessed in sleep. Specifically, slow waves and spindles in non-rapid eye movement (NREM) sleep are generated by the thalamocortical system, and their characteristics, slow wave slope and spindle density, are closely related to neuroplasticity and learning. Recent studies further suggest that information processing during sleep underlying sleep-dependent learning is promoted by the temporal coupling of slow waves and spindles, yet slow wave-spindle coupling remains unexplored in infancy. Thus, we evaluated three potential biomarkers: 1) slow wave slope, 2) spindle density, and 3) the temporal coupling of slow waves with spindles. We use hdEEG to first examine the occurrence and spatial distribution of these three EEG features in healthy infants and second to evaluate a predictive relationship with later behavioral outcomes. We report four key findings: First, infants EEG features appear locally: slow wave slope is maximal in occipital and frontal areas, whereas spindle density is most pronounced frontocentrally. Second, slow waves and spindles are temporally coupled in infancy, with maximal coupling strength in the occipital areas of the brain. Third, slow wave slope, spindle density, and slow wave-spindle coupling are not associated with concurrent behavioral status (6 months). Fourth, spindle density in central and frontocentral regions at age 6 months predicts later behavioral outcomes at 12 and 24 months. Neither slow wave slope nor slow wave-spindle coupling predict behavioral development. Our results propose spindle density as an early EEG biomarker for identifying thalamocortical maturation, which can potentially be used for early diagnosis of neurodevelopmental disorders in infants. These findings are complemented by our companion paper that demonstrates the linkage of spindle density to infant nighttime movement, framing the possible role of spindles in sensorimotor microcircuitry development. Together, our studies suggest that early sleep habits, thalamocortical maturation, and behavioral outcome are closely interwoven. A crucial next step will be to evaluate whether early therapeutic interventions may be effective to reverse deviations in identified individuals at risk. HighlightsO_LISlow waves and spindles occur in a temporally coupled manner in infancy C_LIO_LISlow wave slope, spindle density, and slow wave-spindle coupling are not related to concurrent behavioral development C_LIO_LISpindle density at 6 months predicts behavioral status at 12 and 24 months C_LIO_LISlow wave slope and slow wave-spindle coupling are not predictive of behavioral development C_LI

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Bedtime to the brain: How infants sleep habits intertwine with sleep neurophysiology

Adequate sleep is critical for development and facilitates the maturation of the neurophysiological circuitries at the basis of cognitive and behavioral function. Observational research has associated sleep problems in early life with worse later cognitive, psychosocial, and somatic health outcomes. Yet, the extent to which day-to-day sleep habits in early life relate to neurophysiology - acutely and long-term - remains to be explored. Here, we report that sleep habits in 32 healthy 6-month-olds assessed with actimetry are linked to fundamental aspects of their neurophysiology measured with high-density electroencephalography (hdEEG). Our study reveals four key findings: First, daytime sleep habits are linked to EEG slow wave activity (SWA). Second, habits of nighttime movement and awakenings from sleep are connected with spindle density. Third, habitual sleep timing is linked to neurophysiological connectivity quantified as Delta-coherence. And lastly, Delta-coherence at age 6 months predicts nighttime sleep duration at age 12 months. These novel findings widen our understanding that infants sleep habits are closely intertwined with three particular levels of neurophysiology: sleep pressure (determined by SWA), the maturation of the thalamocortical system (spindles), and the maturation of cortical connectivity (coherence). Our companion paper complements this insight in the perspective of later developmental outcomes: early thalamocortical connectivity (spindle density) at age 6 months predicts later behavioural status at 12 and 24 months. The crucial next step is to extend this concept to clinical groups to objectively characterize infants sleep habits "at risk" that foster later neurodevelopmental problems. HighlightsO_LIInfants habitual sleep behavior (actimetry) is linked with their sleep neurophysiology (EEG) C_LIO_LIHabits of daytime sleeping (naps) are related to slow wave activity C_LIO_LIInfants movements and awakenings at nighttime are linked to their sleep spindles C_LIO_LISleep timing (infants bedtimes) is associated with cortical connectivity in the EEG C_LI

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Get rid of the beat in mobile EEG applications: A framework towards automated cardiogenic artifact detection and removal in single-channel EEG

Brain activity recordings outside clinical or laboratory settings using mobile EEG systems have recently gained popular interest allowing for realistic long-term monitoring and eventually leading to identification of possible biomarkers for diseases. The less obtrusive, minimized systems (e.g. single-channel EEG, no ECG reference) have the drawback of artifact contamination with varying intensity that are particularly difficult to identify and remove. We developed brMEGA, the first algorithm for automated detection and removal of cardiogenic artifacts using non-linear time-frequency analysis and machine learning to (1) detect whether and where cardiogenic artifacts exist, and (2) remove those artifacts. We compare our algorithm against visual artifact identification and a previously established approach and validate it in one real and semi-real datasets. We demonstrated that brMEGA successfully identifies and substantially removes cardiogenic artifacts in single-channel EEG recordings. Moreover, recovery of cardiogenic artifacts gives the opportunity for future extraction of heart rate features without ECG measurement.

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Neurophysiological Substrates of Configural Face Perception in Schizotypy

Face perception is a highly developed function of the human visual system. Previous studies of event-related potentials (ERPs) have identified a face-selective ERP component (negative peak at about 170 milliseconds after stimulation onset, N170) in healthy participants. In contrast, patients with schizophrenia exhibit reduced amplitude of the N170, which may represent a pathological deficit in the neurophysiology of face perception. Interestingly, healthy humans with schizophrenia-like experiences (schizotypy) also exhibit abnormal processing of face perception. Yet, it has remained unknown how schizotypy in healthy humans is associated with the neurophysiological substrate of face perception. Here, we recruited 35 participants and assessed their schizotypy by the magical ideation rating scale. We used high-density electroencephalography to obtain ERPs elicited by a set of Mooney faces (face and non-face conditions). We divided the participants into two groups (high and low schizotypy) by a median split of schizotypy scores. We investigated mean reaction times and the N170 component in response to the stimuli. We found significant slowed reaction times and reduced amplitude of the N170 component in response to the face stimuli in the high-schizotypy group. In addition, across the full data set, we found that the schizotypy scores were significantly correlated with both the reaction times and the N170 amplitude. Our results thus support the model of schizotypy as a manifestation of a continuum between healthy individuals and patients with schizophrenia, where the N170 impairment serves as a biomarker for the degree of pathology along this continuum.

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Low-frequency direct cortical stimulation of left superior frontal gyrus enhances working memory performance

The neural substrates of working memory are spread across prefrontal, parietal and cingulate cortices and are thought to be coordinated through low frequency cortical oscillations in the theta (3 - 8 Hz) and alpha (8 - 12 Hz) frequency bands. While the functional role of many subregions have been elucidated using neuroimaging studies, the role of superior frontal gyrus (SFG) is not yet clear. Here, we combined electrocorticography and direct cortical stimulation in three patients implanted with subdural electrodes to assess if superior frontal gyrus is indeed involved in working memory. We found left SFG exhibited task-related modulation of oscillations in the theta and alpha frequency bands specifically during the encoding epoch. Stimulation at the frequency matched to the endogenous oscillations resulted in reduced reaction times in all three participants. Our results support the causal role of SFG in working memory and suggest that SFG may coordinate working memory through low-frequency oscillations thus bolstering the feasibility of targeting oscillations for restoring cognitive function.

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