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In Search of Sleep Biomarkers of Alzheimer’s Disease: K-Complexes Do Not Discriminate between Patients with Mild Cognitive Impairment and Healthy Controls
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The K-complex (KC) is one of the hallmarks of Non-Rapid Eye Movement (NREM) sleep. Recent observations point to a drastic decrease of spontaneous KCs in Alzheimer's disease (AD). However, no study has investigated when, in the development of AD, this phenomenon starts. The assessment of KC density in mild cognitive impairment (MCI), a clinical condition considered a possible transitional stage between normal cognitive function and probable AD, is still lacking. The aim of the present study was to compare KC density in AD/MCI patients and healthy controls (HCs), also assessing the relationship between KC density and cognitive decline. Twenty amnesic MCI patients underwent a polysomnographic recording of a nocturnal sleep. Their data were compared to those of previously recorded 20 HCs and 20 AD patients. KCs during stage 2 NREM sleep were visually identified and KC densities of the three groups were compared. AD patients showed a significant KC density decrease compared with MCI patients and HCs, while no differences were observed between MCI patients and HCs. KC density was positively correlated with Mini-Mental State Examination (MMSE) scores. Our results point to the existence of an alteration of KC density only in a full-blown phase of AD, which was not observable in the early stage of the pathology (MCI), but linked with cognitive deterioration.
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These graphoelements have been addressed as markers for early cognitive deterioration conditions, such as Alzheimer's disease, where memory deterioration is one of the main complaints.
“These graphoelements have been addressed as markers for early cognitive deterioration conditions, such as Alzheimer’s disease,127–129 where memory deterioration is one of the main complaints.”
From Spotlight on dream recall: the ages of dreams (2018) · cites this paper as [128]
Age-related microstructural changes of sleep have been linked to cognitive deterioration.
“age-related microstructural changes of sleep have been linked to cognitive deterioration.123,127–129”
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Metadata
- Authors
- Reda, F., Gorgoni, M., Lauri, G., Truglia, I., Cordone, S., Scarpelli, S., Mangiaruga, A., D'Atri, A., Ferrara, M., Lacidogna, G., Marra, C., Rossini, P. M., & De Gennaro, L.
- Affiliations
- Sapienza University of Rome (IT)
- Department of Psychology, Sapienza University of Rome, Rome 00185, Italy
- Department of Biotechnological and Applied Clinical Science, University of L’Aquila, L’Aquila 67100, Italy
- Università Cattolica del Sacro Cuore (IT)
- ORCID
- Venue
- Brain Sciences
- Publisher
- MDPI AG
- Published
- 2017-04-29
- Volume
- 7
- Issue
- 5
- Pages
- 51
- ISSN
- 2076-3425 (ISSN-L)
- PMC
- PMC5447933
- OpenAlex
- W2611962435
- Cited by
- 52
- References
- 85
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 4 · 2023: 6 · 2022: 3 · 2021: 12 · 2020: 6 · 2019: 9 · 2018: 3 · 2017: 2
- FWCI
- 4.49
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Brain Sciences (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion, cc-by)
- PubliCatt (Università Cattolica del Sacro Cuore) (submittedVersion, cc-by)
- Archivio Istituzionale della Ricerca - Università degli Studi dell Aquila (submittedVersion, cc-by-nc-nd)
- Funders
- MIUR (2010SH7H3F_005)
- Sapienza Università di Roma (C26A158K25)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Sleep and Wakefulness Research
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Alzheimer's disease research and treatments
- Keywords
- K-complexes, Alzheimer's disease, mild cognitive impairment, sleep biomarkers, NREM sleep, stage 2 sleep, polysomnography, cognitive decline, Mini-Mental State Examination, amnestic MCI
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