Cortical excitability on sleep deprivation measured by transcranial magnetic stimulation: A systematic review and meta-analysis

Sleep deprivation is a common public problem, and researchers speculated its neurophysiological mechanisms related to cortical excitatory and inhibitory activity. Recently, transcranial magnetic stimulation combined with electromyography (TMS-EMG) and electroencephalography (TMS-EEG) have been used...

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Main Authors: Yihui Zhang, Yuan Shi, Ye Zhang, Jian Jiao, Xiangdong Tang
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Brain Research Bulletin
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Online Access:http://www.sciencedirect.com/science/article/pii/S0361923025000024
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author Yihui Zhang
Yuan Shi
Ye Zhang
Jian Jiao
Xiangdong Tang
author_facet Yihui Zhang
Yuan Shi
Ye Zhang
Jian Jiao
Xiangdong Tang
author_sort Yihui Zhang
collection DOAJ
description Sleep deprivation is a common public problem, and researchers speculated its neurophysiological mechanisms related to cortical excitatory and inhibitory activity. Recently, transcranial magnetic stimulation combined with electromyography (TMS-EMG) and electroencephalography (TMS-EEG) have been used to assess cortical excitability in sleep-deprived individuals, but the results were inconsistent. Therefore, we conducted a meta-analysis to summarize relevant TMS-evoked indices of excitability and inhibition for exploring the cortical effects of sleep deprivation. In TMS-EMG studies, short-interval cortical inhibition (SICI) significantly decreased in sleep-deprived subjects; while the intracortical facilitation (ICF), resting motor threshold (RMT), and cortical silent period (CSP) were not significant compared to healthy controls. In TMS-EEG studies, the amplitude and slope of TMS-evoked potential (TEP) increased in sleep-deprived subjects. This study indicated that cortical inhibition decreased following sleep deprivation based on the TMS-EMG results and cortical excitability enhanced in the TMS-EEG results, supporting the disturbance of cortical excitability in sleep-deprived individuals.
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spelling doaj-art-2d45404fd3554334af9a1f3ee39a4fbb2025-02-07T04:46:40ZengElsevierBrain Research Bulletin1873-27472025-02-01221111190Cortical excitability on sleep deprivation measured by transcranial magnetic stimulation: A systematic review and meta-analysisYihui Zhang0Yuan Shi1Ye Zhang2Jian Jiao3Xiangdong Tang4Sleep Medicine Center, Mental Health Center, West China Hospital, Sichuan University, Chengdu, ChinaSleep Medicine Center, Mental Health Center, West China Hospital, Sichuan University, Chengdu, ChinaSleep Medicine Center, Mental Health Center, West China Hospital, Sichuan University, Chengdu, ChinaSleep Medicine Center, Mental Health Center, West China Hospital, Sichuan University, Chengdu, ChinaCorrespondence to: Sleep Medicine Center, Mental Health Center, West China Hospital, Sichuan University, 37 Guoxue Lane, Wuhou District, Chengdu, China.; Sleep Medicine Center, Mental Health Center, West China Hospital, Sichuan University, Chengdu, ChinaSleep deprivation is a common public problem, and researchers speculated its neurophysiological mechanisms related to cortical excitatory and inhibitory activity. Recently, transcranial magnetic stimulation combined with electromyography (TMS-EMG) and electroencephalography (TMS-EEG) have been used to assess cortical excitability in sleep-deprived individuals, but the results were inconsistent. Therefore, we conducted a meta-analysis to summarize relevant TMS-evoked indices of excitability and inhibition for exploring the cortical effects of sleep deprivation. In TMS-EMG studies, short-interval cortical inhibition (SICI) significantly decreased in sleep-deprived subjects; while the intracortical facilitation (ICF), resting motor threshold (RMT), and cortical silent period (CSP) were not significant compared to healthy controls. In TMS-EEG studies, the amplitude and slope of TMS-evoked potential (TEP) increased in sleep-deprived subjects. This study indicated that cortical inhibition decreased following sleep deprivation based on the TMS-EMG results and cortical excitability enhanced in the TMS-EEG results, supporting the disturbance of cortical excitability in sleep-deprived individuals.http://www.sciencedirect.com/science/article/pii/S0361923025000024Cortical excitabilityCortical inhibitionSleep deprivationTMSSICIICF
spellingShingle Yihui Zhang
Yuan Shi
Ye Zhang
Jian Jiao
Xiangdong Tang
Cortical excitability on sleep deprivation measured by transcranial magnetic stimulation: A systematic review and meta-analysis
Brain Research Bulletin
Cortical excitability
Cortical inhibition
Sleep deprivation
TMS
SICI
ICF
title Cortical excitability on sleep deprivation measured by transcranial magnetic stimulation: A systematic review and meta-analysis
title_full Cortical excitability on sleep deprivation measured by transcranial magnetic stimulation: A systematic review and meta-analysis
title_fullStr Cortical excitability on sleep deprivation measured by transcranial magnetic stimulation: A systematic review and meta-analysis
title_full_unstemmed Cortical excitability on sleep deprivation measured by transcranial magnetic stimulation: A systematic review and meta-analysis
title_short Cortical excitability on sleep deprivation measured by transcranial magnetic stimulation: A systematic review and meta-analysis
title_sort cortical excitability on sleep deprivation measured by transcranial magnetic stimulation a systematic review and meta analysis
topic Cortical excitability
Cortical inhibition
Sleep deprivation
TMS
SICI
ICF
url http://www.sciencedirect.com/science/article/pii/S0361923025000024
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AT yuanshi corticalexcitabilityonsleepdeprivationmeasuredbytranscranialmagneticstimulationasystematicreviewandmetaanalysis
AT yezhang corticalexcitabilityonsleepdeprivationmeasuredbytranscranialmagneticstimulationasystematicreviewandmetaanalysis
AT jianjiao corticalexcitabilityonsleepdeprivationmeasuredbytranscranialmagneticstimulationasystematicreviewandmetaanalysis
AT xiangdongtang corticalexcitabilityonsleepdeprivationmeasuredbytranscranialmagneticstimulationasystematicreviewandmetaanalysis