Connectivity between the thalamus and the neocortex underlies several fundamental processes, including relay of sensory signals during wakefulness 1 and increased sensory awareness thresholds during sleep.2 These two processes depend on modality-specific thalamic nuclei that relay signals from sensory organs to corresponding primary sensory cortex and nuclei that transmit signals from the reticular activating system to the entire neocortex, respectively. Neurons in the latter category of nuclei (here indicated with the somewhat controversial adjective "nonspecific nuclei"3 ) are thus well suited to mediate changes in sensory awareness thresholds during sleep.Sensory awareness thresholds progressively increase from wakefulness to light sleep (stages 1 and 2) and from light sleep to slow wave sleep (stages 3 and 4). 4 Such increases are associated with parallel changes in firing patterns of nonspecific thalamocortical neurons: in light sleep, nonspecific
DECREASED CONNECTIVITY OF THALAMUS AND NEOCORTEX DURING NREM SLEEP
Measurements and Results:A functional connectivity analysis was performed using the centromedian nucleus as the seed region. We determined the statistical significance of the difference between correlations obtained during wakefulness and during slow wave sleep. Neocortical regions displaying decreased thalamic connectivity were all heteromodal regions (e.g., medial frontal gyrus and posterior cingulate/precuneus), whereas there was a complete absence of neocortical regions displaying increased thalamic connectivity. Although more clusters of significant decreases were observed in stage 2 sleep, these results were similar to the results for slow wave sleep. Conclusions: Results of this study provide evidence of a functional deafferentation of the neocortex during nonrapid eye movement (NREM) sleep in humans. This deafferentation likely accounts for increased sensory awareness thresholds during NREM sleep. Decreased thalamocortical connectivity in regions such as the posterior cingulate/precuneus also are observed in coma and general anesthesia, suggesting that changes in thalamocortical connectivity may act as a universal "control switch" for changes in consciousness that are observed in coma, general anesthesia, and natural sleep. Keywords: Electroencephalography, functional connectivity, functional magnetic resonance imaging, neocortex, nonspecific nuclei, sleep, thalamus Citation: Picchioni D; Pixa ML; Fukunaga M; Carr WS; Horovitz SG; Braun AR; Duyn JH. Decreased connectivity between the thalamus and the neocortex during human nonrapid eye movement sleep. SLEEP 2014;37(2):387-397.