Cortical plasticity induced by transcranial magnetic stimulation during wakefulness affects electroencephalogram activity during sleep.
BACKGROUND
Sleep electroencephalogram (EEG) brain oscillations in the low-frequency range show local signs of homeostatic regulation after learning. Such increases and decreases of slow wave activity are limited to the cortical regions involved in specific task performance during wakefulness. Here, we test the hypothesis that reorganization of motor cortex produced by long-term potentiation (LTP) affects EEG activity of this brain area during subsequent sleep.


RESULTS
By pairing median nerve stimulation with transcranial magnetic stimulation over the contralateral motor cortex, one can potentiate the motor output, which is presumed to reflect plasticity of the neural circuitry. This paired associative stimulation increases M1 cortical excitability at interstimulus intervals of 25 ms. We compared the scalp distribution of sleep EEG power following paired associative stimulation at 25 ms to that following a control paradigm with 50 ms intervals. It is shown that the experimental manipulation by paired associative stimulation at 25 ms induces a 48% increase in amplitude of motor evoked potentials. This LTP-like potentiation, induced during waking, affects delta and theta EEG power in both REM and non-REM sleep, measured during the following night. Slow-wave activity increases in some frontal and prefrontal derivations and decreases at sites neighboring and contralateral to the stimulated motor cortex. The magnitude of increased amplitudes of motor evoked potentials by the paired associative stimulation at 25 ms predicts enhancements of slow-wave activity in prefrontal regions.


CONCLUSIONS
An LTP-like paradigm, presumably inducing increased synaptic strength, leads to changes in local sleep regulation, as indexed by EEG slow-wave activity. Enhancement and depression of slow-wave activity are interpreted in terms of a simultaneous activation of both excitatory and inhibitory circuits consequent to the paired associative stimulation at 25 ms.
De Gennaro
Luigi
L
Department of Psychology, University of Rome La Sapienza, Rome, Italy. luigi.degennaro@uniroma1.it
Fratello
Fabiana
F
Marzano
Cristina
C
Moroni
Fabio
F
Curcio
Giuseppe
G
Tempesta
Daniela
D
Pellicciari
Maria Concetta
MC
Pirulli
Cornelia
C
Ferrara
Michele
M
Rossini
Paolo Maria
PM
D000328:Adult; D004558:Electric Stimulation; D004569:Electroencephalography; D005071:Evoked Potentials; D005260:Female; D006801:Humans; D017774:Long-Term Potentiation; D008297:Male; D009044:Motor Cortex / Q000502:physiology; D017286:Polysomnography; D012890:Sleep / Q000502:physiology*; D050781:Transcranial Magnetic Stimulation; D014851:Wakefulness