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THE YEAR IN COGNITIVE NEUROSCIENCE 2009 The Role of Sleep in Cognition and Emotion Matthew P. Walker SleepandNeuroimagingLaboratory,DepartmentofPsychology&HelenWills NeuroscienceInstitute,UniversityofCalifornia,Berkeley,California As critical as waking brain function is to cognition, an extensive literature now indi- catesthatsleepsupportsequallyimportant,differentyetcomplementaryoperations. Thisreviewwillconsiderrecentandemergingfindingsimplicatingsleepandspecific sleep-stage physiologies in the modulation, regulation, and even preparation of cog- nitiveandemotionalbrainprocesses.First,evidencefortheroleofsleepinmemory processingwillbediscussed,principallyfocusingondeclarativememory.Second,ata neurallevelseveralmechanisticmodelsofsleep-dependentplasticityunderlyingthese effectswillbereviewed,withasynthesisofthesefeaturesofferedthatmayexplainthe orderedstructureofsleep,andtheorderlyevolutionofmemorystages.Third,accumu- latingevidencefortheroleofsleepinassociativememoryprocessingwillbediscussed, suggestingthatthelong-termgoalofsleepmaynotbethestrengtheningofindividual memoryitems,but,instead,theirabstractedassimilationintoaschemaofgeneralized knowledge.Fourth,thenewlyemergingbenefitofsleepinregulatingemotionalbrain reactivitywillbeconsidered.Finally,andbuildingonthislattertopic,anovelhypoth- esis and framework of sleep-dependent affective brain processing will be proposed, culminatingintestablepredictionsandtranslationalimplicationsformooddisorders. Keywords: sleep;learning;memory;encoding;consolidation;association;integration; plasticity;emotion;affect;non-rapideyemovement(NREM)sleep;rapideyemovement (NREM)sleep;offline;slowwavesleep(SWS),slow-waveactivity(SWA),sleepspindles “Ifsleepdoesnotserveanabsolutelyvitalfunction,thenitis the vast amount of time this state takes from thebiggestmistaketheevolutionaryprocesshasevermade.” our lives, we still lack any consensus function forsleep.Inpart,thisisperhapsbecausesleep, AllanRechtschaffen likeitscounterpartwakefulness,mayservenot UniversityofChicagoSleepLaboratory one but many functions, for brain and body Smithsonian,November1978 alike. Centrally,sleepisabrainphenomenon,and Introduction over the past 20 years, an exciting revival has taken place within the neurosciences, one that A perplexing question continues to elude focuses on the question of why we sleep, and scientific judgment: “Why do we sleep?” In specificallytargetingtheroleofsleepinanum- accepting the utility of evolution, as candidly berofcognitiveandemotionalprocesses.This stated by pioneering sleep researcher Allan review aims to provide a synthesis of these re- Rechtschaffen, sleep is likely to support a fun- cent findings in humans, with the goal of ex- damental need of the organism. Yet, despite tracting consistent themes across domains of brain function that appear to be regulated by sleep. Providing a mechanistic foundation on which to consider these findings, the first sec- Address for correspondence: Matthew P. Walker, Sleep and Neuroimaging Laboratory, Department of Psychology & Helen tionofthischapterbrieflysummarizesthebrain Wills Neuroscience Institute, University of California, Berkeley, substrates of sleep: its neurochemistry, neuro- California94720-1650,USA.Voice:510-642-5292;fax:510-642-5293. [email protected] physiology, and functional anatomy. The next TheYearinCognitiveNeuroscience2009:Ann.N.Y.Acad.Sci.1156:168–197(2009). doi:10.1111/j.1749-6632.2009.04416.x (cid:2)C 2009NewYorkAcademyofSciences. 168 Walker:SleepinCognitionandEmotion 169 AWAKE e REM g a St NREM-1 S W S ep NREM-2 e R E M Sl NREM-3 NREM-4 stage-2 N R E M 12am 1am 2am 3am 4am 5am 6am 7am Time Figure 1. The human sleep cycle. Across the night, NREM and REM sleep cycle every 90 minutes in an ultradian manner, while the ratio of NREM to REM sleep shifts. During the first half of the night, NREM stages 3 and 4 NREM (SWS) dominate, while stage 2 NREM and REM sleep prevail in the latter half of the night. EEG patterns also differ significantly between sleep stages, with electrical oscillations such as slow delta waves developing in SWS, K-complexes and sleep spindles occurring during stage 2 NREM, and theta waves seenduringREM. section explores the role of sleep in memory thisorganizingprincipal(deepNREMearlyin andbrainplasticityandalsoexaminescompet- the night, stage 2 NREM and REM late in ing models of sleep-dependent learning. The thenight)remains unknown–anotherperplex- thirdsectionaddressestheroleofsleepbeyond ingmysteryofsleep. memoryconsolidation,inprocessesofassocia- As NREM sleep progresses, electroen- tion, integration, and creativity. The final sec- cephalographic(EEG)activitybeginstoslowin tion discusses the more recent and emerging frequency.Throughoutstage-2NREMthereis role for sleep in emotional and affective brain the presence of phasic electrical events includ- regulation. ing K-complexes (large electrical sharp waves in the EEG) and sleep spindles (short syn- chronized 10–16 Hz) EEG oscillations (Steri- Sleep Neurobiology ade & Amzica 1998). The deepest stages of NREM, stages 3 and 4, are often grouped The sleep of mammalian species has been together under the term “slow wave sleep” broadly classified into two distinct types: non- (SWS), reflecting the occurrence of low fre- rapid eye movement (NREM) sleep and rapid quencywaves(1–4Hzand<1Hz),whichhave eyemovement(REM)sleep,withNREMsleep themselves been termed “slow-wave activity” beingfurtherdividedinprimatesandcatsinto (SWA), representing an expression of underly- four substages (1–4) corresponding, in that or- ing mass cortical synchrony (Amzica & Steri- der,toincreasingdepthofsleep(Rechtschaffen ade 1995). During REM sleep, however, EEG & Kales 1968). In humans, NREM and REM waveforms once again change in their com- sleep alternate or “cycle” across the night in position, associated with oscillatory activity in an ultradian pattern every 90 min (Fig. 1). the theta band range (4–7 Hz), together with Although this NREM−REM cycle length re- higher frequency synchronous activity in the mains largely stable across the night, the ratio 30–80 Hz (“gamma”) range (Llinas & Ribary of NREM to REM within each 90-min cycle 1993; Steriade et al. 1996). Periodic bursts of changes,sothatearlyinthenightstages3and REM also take place, a defining characteristic 4 of NREM dominate, while stage 2 NREM of REM sleep, associated with the occurrence andREMsleepprevailinthelatterhalfofthe of phasic endogenous waveforms expressed night. Interestingly, the functional reasons for in, among other regions, the pons (P), lateral 170 AnnalsoftheNewYorkAcademyofSciences geniculate nuclei of the thalamus (G), and the themodulation,regulation,andpreparationof occipital cortex (O), and as such, have been numerousbrainfunctions. termed“PGOwaves”(Callawayetal.1987). As the brain passes through these sleep stages, it also undergoes dramatic alterations Memory Processing in neurochemistry. In NREM sleep subcorti- and Brain Plasticity cal cholinergic systems in the brain stem and forebrainbecomemarkedlylessactive(Hobson In considering the role of sleep in memory et al. 1975; Lydic & Baghdoyan 1988), while processing, it is pertinent one appreciate that firing rates of serotonergic raphe´ neurons and memories evolve (Walker & Stickgold 2006). noradrenergiclocuscoeruleusneuronsarealso Specifically, memories pass through discrete reduced relative to waking levels (Aston-Jones stages in their “life span.” The conception of & Bloom 1981; Shima et al. 1986). During amemorybeginswiththeprocessofencoding, REM sleep both these aminergic populations resultinginastoredrepresentationofanexpe- are strongly inhibited, while cholinergic sys- riencewithinthebrain(Paller&Wagner2002). temsbecomeas/moreactivecomparedtowhat However,itisnowunderstoodthatavastnum- theyareduringwake(Kametani&Kawamura berofpostencodingmemoryprocessescantake 1990;Marrosuetal.1995),resultinginabrain place (Stickgold & Walker 2005a). For mem- state largely devoid of aminergic modulation ories to persist over the longer time course of anddominatedbyacetylcholine. minutestoyears,anoffline,nonconsciousoper- At a whole-brain systems level, neuroimag- ationofeventconsolidationappearstobenec- ing techniques have revealed complex and essary, affording memories greater resistance dramatically different patterns of functional todecay(aprocessofstabilization),orevenim- anatomy associated with NREM and REM provedrecollection(aprocessofenhancement) sleep (for review, see Nofzinger 2005). During (Robertsonetal.2004;Walker2005).Sleephas NREM SWS, rostral brain-stem regions, tha- beenimplicatedinboththeencodingandcon- lamicnuclei,basalganglia,hypothalamus,pre- solidationofmemory. frontal cortex, cingulate corticies, and medial regions of the temporal lobe all appear to un- Sleep and Memory Encoding dergoreducedactivity.However,duringREM sleepsignificantelevationsinactivityhavebeen One of the earliest human studies to report reported in the pontine tegmentum, thalamic the effects of sleep and sleep deprivation on nuclei, occipital cortex, mediobasal prefrontal declarative memory encoding was by Morris lobes, and associated limbic groups, including et al. (1960), indicating that “temporal mem- theamygdala,hippocampus,andanteriorcin- ory” (memory involving when events occur) gulate cortex. In contrast, the dorso−lateral was significantly disrupted by a night of pre- prefrontalcortex,posteriorcingulate,andpari- training sleep loss. These findings have been etalcortexappearleastactiveinREMsleep. revisited in a more rigorous study by Harri- Although this summary only begins to de- son and Horne (2000), again using the tem- scribetherangeofneuralprocessesthatareaf- poral memory paradigm. Significant impair- fectedbythebrain’sdailytransitthroughsleep ments in retention were evident in a group of states, it clearly demonstrates that sleep itself subjects deprived of sleep for 36 h, the sub- cannotbetreatedasahomogeneousentity,one jects scoring significantly lower than controls, whichmayormaynotaltercognitiveandemo- even in a subgroup that received caffeine to tional processes. Instead, this constellation of overcome nonspecific effects of lower alert- sleepstagesoffersarangeofdistinctneurobio- ness.Furthermore,thesleep-deprived subjects logicalmechanismsthatcanpotentiallysupport displayed significantly worse insight into their Walker:SleepinCognitionandEmotion 171 A B * ** 1.2 Sleep 1.6 n.s. Sleep Deprived 1.4 1.0 d') y ( 1.2 enc 0.8 1.0 ci Effi 0.6 0.8 g n di 0.6 o 0.4 c En 0.4 0.2 0.2 0.0 0.0 ALL POSITIVE NEGATIVE NEUTRAL STIMULUS TYPES STIMULUS TYPE Figure 2. Sleep deprivation and encoding of emotional and nonemotional declarative memory. Effects of38hoftotalsleepdeprivationonencodingofhumandeclarativememory(A)whencombinedacrossall emotionalandnonemotionalcategories;(B)Whenseparatedbyemotional(positiveandnegativevalence) and nonemotional (neutral valance) categories. †P < 0.08, ∗P < 0.05, ∗∗P < 0.01, error bars represent SEM. memory-encoding performance, resulting in for emotional material. We have investigated lowerpredictiveabilityofperformance. the impact of sleep deprivation on the encod- Pioneering work by Drummond and col- ing of emotionally negative, positive, and neu- leagues examined the neural basis of sim- tralwords(Walker,unpublishedresults).When ilar memory impairments using functional combined across all stimulus types, subjects in MRI (fMRI), investigating the effects of 35 h the sleep-deprived condition exhibited a strik- of total sleep deprivation on verbal learning ing 40% reduction in the ability to form new (Drummond et al. 2000). In those who were human memories under conditions of sleep sleepdeprived,regionsofthemedialtemporal deprivation (Fig. 2A). However, when these lobeweresignificantlylessactiveduringlearn- data were separated into the three affective ing, relative to a control group that had slept, categories (negative, positive, or neutral), the while the prefrontal cortex actually expressed magnitude of encoding impairment differed greater activation. Most interesting, the pari- (Fig. 2B). In those that had slept, both posi- etallobes,whichwerenotactivatedinthecon- tive and negative stimuli were associated with trol group during learning, were significantly superior retention levels relative to the neutral active in the deprivation group. Such findings condition,consistentwiththenotionthatemo- suggest that inadequate sleep prior to learn- tionfacilitatesmemoryencoding(Phelps2004). ing(atleastfollowingonenight)producesbidi- However, there was severe disruption of en- rectionalchangesinepisodicencodingactivity, coding and hence later retention for neutral involving the inability of the medial temporal and especially positive emotional memory in lobetoengagenormallyduringlearning,com- thesleep-deprivedgroup.Incontrast,arelative binedwithpotentialcompensationattemptsby resistance of negative emotional memory was prefrontalregions,whichinturnmayfacilitate observedinthedeprivationgroup.Thesedata recruitment of parietal lobe function (Drum- suggest that,whiletheeffectsofsleepdepriva- mond&Brown2001). tionaredirectionallyconsistentacrossmemory The impact of sleep deprivation on mem- subcategories, the most profound impact is on ory formation may be especially pronounced theencodingofpositiveemotionalstimuli,and 172 AnnalsoftheNewYorkAcademyofSciences to a lesser degree, emotionally neutral stimuli. gyrus(IFG)displayedasignificantpositive,po- In contrast, the encoding of negative memory tentiallycompensatory,relationshipwithmem- appears to be more resistant to the effects of ory performance in those who were sleep de- priorsleeploss,atleastfollowingonenight. prived(Figs.3B&C). Intriguingly, these data may offer novel in- Taken together, this collection of findings sightsintoaffectivemooddisordersthatexpress indicate the critical need for sleep-before- co-occurring sleep abnormalities (Benca et al. learning in the preparation of key neural 1992; Buysse 2004). Indeed, if one compares structuresforefficientnext-daylearning.With- the profiles of memory encoding in Fig. 2B, out adequate sleep, hippocampal function it is clear that those who slept encoded and becomesmarkedlydisrupted,resultinginade- retained a balanced mix of both positive and creased ability for recording new experiences, negativememories.Incontrast,thosewhodid the extent of which appears to be further gov- not sleep displayed a skewed relative distribu- erned by alterations in prefrontal encoding tion of encoding, resulting in an overriding dynamics. dominance of negative memories, combined with a retention deficit of positive and neutral Sleep and Memory Consolidation memories. This selective alteration in mem- ory encoding may provide an experimental Usingavarietyofbehavioralparadigms,ev- explanationforthehigherincidenceofdepres- idencefortheroleofsleepinmemoryconsoli- sioninpopulationsthatsuffer sleep disruption dation has now been reported across a diverse (Shafferyetal.2003;Buysse2004),which,due range of phylogeny. Perhaps the earliest refer- to these specific deficits, may impose a neg- encetothebeneficialimpactofsleeponmem- ative remembering bias, despite the fact that ory is by the Roman rhetorician Quintilian, thesesubjectsexperiencedequallypositive-and whostated: negative-reinforcingeventhistories. [it]isacuriousfact,ofwhichthereasonisnotobvious,that Theimpactofsleepdeprivationontheneu- theintervalofasinglenightwillgreatlyincreasethestrength raldynamicsassociatedwithdeclarativemem- ofthememory....Whateverthecause,thingswhichcould oryencodinghasrecentlybeenexaminedusing notberecalledonthespotareeasilycoordinatedthenextday, event-relatedfMRI(Yooetal.2007a).Inaddi- andtimeitself,whichisgenerallyaccountedoneofthecauses tion to performance impairments under con- of forgetfulness, actually serves to strengthen the memory. (Hammond2004). dition of sleep deprivation, and relative to a controlgroupthatslept,ahighlysignificantand In the early eighteenth and twentieth cen- selective deficit was identified in bilateral re- turies respectively, David Hartley (Hartley gionsofthehippocampus—astructureknown 1801) and Jenkins and Dallenback (Jenkins & to be critical for learning new episodic infor- Dallenbach1924)indicatedthatthestrengthof mation (Eichenbaum 2004) (Fig. 3A). While a memory may be better preserved by periods these findings indicated that, at a group level, ofsleepthanitisbyequivalentperiodsoftime sleepdeprivationmarkedlyimpairshippocam- awake.Followingthediscoveryofdiscretesleep pal memory function, when examined within stages (Aserinsky & Kleitman 1953), research each group separately, the success of encod- investigatingtheinfluenceofsleeponmemory ing, from low to high, was further associated has become gradually more complex at both with activity in different regions of the pre- a behavioral and mechanistic level. A robust frontal lobe. In those that slept prior to learn- andconsistentliteraturehasdemonstratedthe ing, the right dorsal/middle lateral prefrontal needforsleepafterlearninginthesubsequent cortex showed a strong positive relationship consolidation and enhancement of procedural with the proficiency of memory encoding. In memories;theevidenceforwhichhasrecently contrast, a region in the right inferior frontal been reviewed elsewhere (Walker & Stickgold Walker:SleepinCognitionandEmotion 173 Figure3. Neuralbasisofsleep-deprivation-inducedencodingdeficits.(A)Regionsofde- creasedencodingactivationinthesleepdeprivationgrouprelativetothesleepcontrolgroup in bilateral posterior hippocampus, together with a histogram of parameter estimates (effect size) of averaged hippocampal activity in each group. Effects are significant atP< 0.001; >5 contiguous voxels. (B) correlation analysis with memory performance showing regions ofsignificantassociationbetweenencoding-relatedactivationandmemoryperformance(d’) acrosssubjectsinthesleepcontrolgroup(peak–rightMiddle/dorso-lateralprefrontalcortex), and(C)inthesleepdeprivationgroup(peak–rightInferiorfrontalgyrus).ModifiedfromYoo etal.2007a. 2006).Earlyworkfocusingontheroleforsleep effect of sleep on the consolidation of declar- in declarative memory processing was some- ative memory—our focus here (Smith 2001; what less consistent, but more recent findings Ellenbogen et al. 2006b; Walker & Stickgold have now begun to reveal a robust beneficial 2006;Marshall&Born2007). 174 AnnalsoftheNewYorkAcademyofSciences Several reports by Born and his colleagues * showed offline improvement on a word-pair association task following sleep, an improve- 100 ment attributed to early night sleep, rich in ** SWS(Plihal&Born1997,1999;Gais&Born 80 2004). More recently, the same group demon- strated that, in addition to classically defined slowdeltawaves(0.5–4Hz),theveryslowcorti- all c 60 caloscillation(<1Hz)appearstobeimportant e R for the consolidation of declarative memories. nt e Following subject learning of a word-pair list, c er 40 atechniquecalled“directcurrentstimulation” P was used to induce slow oscillation-like field potentialsintheprefrontalcortex(inthiscase, 20 at 0.75 Hz) during early night SWS (Marshall etal.2006).Directcurrentstimulationnotonly increased the amount of slow oscillations dur- 0 Wake Sleep Wake-I Sleep-I ing the simulation period (and for some time (no interference) (interference) after), but also enhanced next-day word-pair Condition retention, suggesting a critical role for SWS neurophysiologyintheofflineconsolidationof Figure 4. Impact of sleep on the consolidation andstabilizationofdeclarativememory.Percentcor- episodicfacts. rect recall for B words from the original A-B pair Rather than simply testing memory recall, after a 12-h retention interval of either wake or Ellenbogenandcolleagueshavesincerevealed sleepfollowingnointerferenceorinterferencelearn- the extent of sleep’s ability to protect declar- ing (list A-C). †P< 0.10, ∗P< 0.05, ∗∗P< 0.001; ative memories using experimentally induced error bars indicate SEM. Modified from Ellenbogen 2006a. learning disruption (Ellenbogen et al. 2006a). Takingadvantageofaclassicinterferencetech- nique called the A-B–A-C paradigm, subjects cantly more resistant to interference, whereas, first learned unrelated word-paired associates, across a waking day, memories were far more designatedaslistA-B(e.g.,leaf-wheel,etc.).Af- susceptible to this antagonistic learning chal- ter sleep at night, or wakefulness during the lenge. Yet it was only by using an interfering day,halfofthesubjectsineachgrouplearneda challenge, that of the A-C list, that the true new,interferinglistcontaininganewassociate benefitofsleep’sprotectionofmemorywasre- pairedwiththefirstword,designatedaslistA-C vealed,abenefitthatwouldnotnecessarilyhave (e.g., leaf-nail, etc.), before being tested on the beenevidentinastandardstudy−testmemory original A-B list (e.g., leaf-wheel, etc.). In the paradigm. groups that did not experience the interfering One mechanism proposed as underlying challenge—that is, those who were simply be- theseeffectsonhippocampal-dependentlearn- ing trained and then tested on list A-B—sleep ingtasks(seenextsection,also)isthereactiva- providedamodestbenefittomemoryrecollec- tionofmemoryrepresentationsatnight.Acon- tion(Fig.4A).However,whentestingthegroups siderable number of reports have investigated thatwereexposedtointerferinglistlearning(list the firing patterns of large networks of indi- A-C) prior to recalling the original list (list A- vidual neurons across the wake−sleep cycle in B),alargeandsignificantprotectivebenefitwas animals. The signature firing patterns of these seen in those that slept (Fig. 4B). Thus, mem- hippocampal and cortical networks, expressed ories tested after a night of sleep were signifi- duringwakingperformanceofspatialtasksand Walker:SleepinCognitionandEmotion 175 novelexperiences,appeartobe“replayed”dur- ualdeclarativememories,andmayindicatean ingsubsequentSWS(andinsomestudies,also active reprocessing of hippocampal-bound in- REM) (Wilson & McNaughton 1994; Skaggs formationduringSWS. & McNaughton 1996; Dave et al. 1998; Dave & Margoliash 2000; Poe et al. 2000; Louie & Models of Sleep-Dependent Wilson2001;Ribeiroetal.2004;Jones&Wil- Memory Processing son 2005; Ji & Wilson 2007). Homologous ev- idence has been reported in the human brain Elucidating the neural mechanisms that using a virtual maze task in combination with control and promote sleep-dependent human positronemissiontomography(PET)scanning memoryconsolidationremainsanactivetopic (Peigneux et al. 2004). Daytime learning was ofresearch,anddebate(Miller2007).Itisper- initially associated with hippocampal activity. haps unlikely that multiple different memory Then, during posttraining sleep, there was a systems,involvingdiversecorticaland/orsub- reemergenceofhippocampalactivation,specif- corticalnetworks,requirethesameunderlying icallyduringSWS.Mostcompelling,however, neuralmechanismsfortheirmodulation.Even wasthattheamountofSWSreactivationinthe iftheydo,itisnotclearthatthisprocesswould hippocampus was proportional to the amount rely on just one type of sleep-stage physiology of next-day task improvement, suggesting that (Giudittaetal.1995).Atpresent,twointriguing thisreactivationisassociatedwithofflinemem- models of sleep-dependent plasticity, relevant oryimprovement. to declarative memory, have been offered to Building on the framework that memories, account for the overnight facilitation of recall, particularly those involving the hippocampus, whichbuildondifferentaspectsofneuralactiv- are reactivated at night during sleep, Rasch ity during sleep: (1) hippocampal−neocortical et al. have taken advantage of the classical dialogue,(2)synaptichomeostasishypothesis. psychologyeffectofcue-dependentrecall,and Hippocampal−NeocorticalDialogue translated it into a sleep-dependent consolida- tion paradigm (Rasch et al. 2007). It is well There is considerable agreement that struc- known that memory can be strongly modu- tures within the medial temporal lobe (MTL), lated by smell (Cann & Ross 1989); most of us most notably the hippocampal complex, are have associated the smell of a certain perfume crucial for the formation and retrieval of new orcolognewithaparticularperson,andwhen declarativememories.Thesestructuresarebe- weencounterthatsameperfumeagain,itoften lieved to guide the reinstatement of recently resultsinthepowerfulcuedrecallofmemories formed memories by binding together pat- ofthatparticularperson.Inthisstudy,however, terns of cortical activation that were present followinglearningofaspatialmemorytaskthat atthetimeofinitiallearning.Aclassicalmodel waspairedwiththesmellofrose,theodorwas of declarative memory consolidation suggests not re-presented at retrieval, but instead dur- that information initially requires MTL bind- ing subsequent SWS that night—a time when ing, but over time, and by way of slow of- consolidation was presumed to be occurring. fline processes, it is eventually integrated into Relativetoacontrolconditionwheretheodor neocortical circuits (Fig. 5). Neocortical struc- was not presented again during SWS, the re- turesthusbecometheeventualstoragesitefor perfusion of the rose scent at night resulted in consolidatedepisodicmemoriesthroughcross- significantlyimprovedrecallthefollowingday. cortical connections, and, as a consequence, Moreover, the re-presentation of the odor re- the MTL is not necessary for these memo- sultedingreater(re)activationofthehippocam- ries’ retrieval. Therefore, the classical model pus during SWS. These findings support the of memory consolidation holds that neocorti- role of SWS in the consolidation of individ- calstructuresbecomeincreasingimportantfor 176 AnnalsoftheNewYorkAcademyofSciences Figure 5. Modelofsleep-dependenthippocampal-neocorticalmemoryconsolidation.At encodingthehippocampusrapidlyintegratesinformationwithindistributedcorticalmodules. Successive sleep-dependent reactivation of this hippocampal–cortical network leads to pro- gressivestrengtheningofcortico-corticalconnections,whichovertime,allowthesememories tobecomeindependentofthehippocampusandgraduallyintegratedwithpreexistingcortical memories.ModifiedfromFrankland&Bontempi2005. the retention and retrieval of successfully con- sites,therebyreinforcingthem(Fig.5).Eventu- solidated episodic memories, while the corre- ally,thisstrengtheningwouldallowtheoriginal spondingcontributionofthehippocampuspro- information to be activated in the cortex, in- gressively decreases (Squire 1992; McClelland dependentofthehippocampus.Buzsaki(1996) etal.1995;Squire&Zola1996;Squire2004). hassinceadvancedontheseideas,proposinga It should be noted, however, that controversy modelofconsolidationthatinvolvestwostages remainsabouttheroleoftheseMTLstructures or states of hippocampal activity, the first in- intheretrievalofdeclarativememoriesafterthe volving a mode of “recording” during wake, passageoftime.Thishasledtotheemergence whichshiftstoasecondstage,involving“play- ofalternateconsolidationmodels,mostnotably back” mode during NREM SWS, specifically Nadel and Moscovitch’s “multiple trace the- during bursts of neural activity called “sharp- ory” (Nadel & Moscovitch 1997; Moscovitch waves.” &Nadel1998),whichpositsthathippocampal Interestingly, these models make two pre- involvement is always critical for the retrieval dictions about the impact of sleep on declar- of episodic (but not semantic) memories, and ative memory. The first is that declarative that these memories remain permanently de- memories from the day prior should be more pendentonhippocampal−neocorticalconnec- resistant to interference the next day, due tions (for discussion beyond the scope of this to the increased cortico−cortical connections reviewseeFrankl&Bontempi2005). formedduringovernightconsolidation(Fig.5). In addition to its role in binding distributed It is precisely this behavioral effect that was cortical memory components, Marr and, also, reported in the study by Ellenbogen et al. McClellandetal.suggestedthatthehippocam- (2006a) showing greater post-sleep resistance pus plays a critical role in reactivating these to interference, using the A-B–A-C paradigm. networks,specificallyduringsleep(Marr1970; A second and far less considered benefit of McClelland et al. 1995). This process of re- this sleep-dependent dialogue is the encod- activation, over multiple sleep cycles across a ing capacity of the hippocampus (Fig. 5). If nightand/ormultipleoccurrencesofsleepover the strengthening of cortico−cortical connec- many nights, would gradually strengthen the tions takes place during sleep, albeit itera- initiallyweakconnectionsbetweenneocortical tively, then blocking sleep after hippocampal Walker:SleepinCognitionandEmotion 177 Figure6. Enhancementofhippocampaldeclarativememorybydaytimenaps.(A)Correlationofrecog- nition memory for recent and remote items related to individual slow-wave sleep durations. (B) Correlation between recognition memory activity and longer slow-wave sleep duration in the left hippocampus (Hi). ModifiedfromTakashimaetal.2006. learningshouldnegatethisofflinetransfer,pre- increasing time following learning, there was ventingthedevelopmentofindependencefrom progressively greater recall activity in medial (or “refreshing” of) the hippocampus, and by prefrontal regions, and a continued dissipa- doing so, decrease the capacity for new hip- tionofretrieval-relatedactivitywithinthehip- pocampal learning the next day. This sec- pocampus. Advancing on these findings, Ma- ond premise appears to accurately explain the quet and colleagues have since demonstrated findingsdiscussedinthesectionaboveonmem- that one night of posttraining sleep depriva- ory encoding (Yoo et al. 2007b), which de- tion,evenfollowingrecoverysleep,significantly scribe a significant impairment of hippocam- impairs the normal modulation of hippocam- palencodingactivitywhensleephasnottaken pal activity associated with episodic memory place (through deprivation) being associated recollection (Gais et al. 2007). Furthermore, with a decreased ability to form new episodic first-night sleep deprivation also prevented an memories. increase in hippocampal connectivity with the Tworecentreportshaveprovidedfurtherev- medial prefrontal cortex, a development that idence in support of this sleep-dependent dia- was only observed in those that slept after logueandneuraltransformationofdeclarative learning. memory. In the first such report, Takashima While no one study has yet demonstrated and colleagues examined the benefit of day- thattheneuralsignatureoflearningduringthe timenapsonepisodicdeclarativememorycon- day is subsequently reactivated and driven by solidation (Takashima et al. 2006). In addi- characteristics of SWS at night, and that the tiontoalong-termevaluationofmemoryover extentofthesepropertiesareconsequentlypro- 3 months, there was also a short-term eval- portional to the degree of next-day recall and uation of memory across the first day, which memoryreorganization,collectively,theyoffer included an intervening nap period (90 min) anempiricalfoundationonwhichtoentertain between training and testing of the original thispossibility. studied (“remote”) stimuli. Interestingly, the SynapticHomeostasisHypothesis duration of NREM SWS during the inter- vening nap correlated positively with later- InrecentyearsanorthogonaltheoryofSWS recognition memory performance (Fig. 6A), and learning has emerged, one which postu- yet negatively with retrieval-related activity in lates a role for sleep in regulating the synap- the hippocampus (Fig. 6B). Furthermore, with tic connectivity of the brain—principally the

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Fourth, the newly emerging benefit of sleep in regulating emotional brain Figure 8. Sleep spindles and motor-skill memory plasticity. (A) Sleep-EEG array ( blue discs) superimposed .. using anagram word puzzles is more than 30%.
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