Open research questions in Sleep and Wakefulness Research
213 unresolved questions extracted from the limitations and future-work sections of 1,112 Sleep and Wakefulness Research papers in our library. Each links back to the study that raised it.
What the literature leaves open
Investigate the mechanism(s) underpinning the support of sleep on social-cognitive foundations of communication, - Examine the effect of sleep on partner-specific common ground in a larger sample, - Explore the impact of sleep on other aspects of social cognition
There is a lack of knowledge regarding sleep effects in social contexts. The variability in source memory for conversational partners suggests that it is fragile and dependent on task and encoding conditions.
examining emotional memory processing in individuals with insomnia disorder, - investigating the role of SWS and REM sleep in facilitating adaptive emotional memory processing, - studying the relationship between insomnia and mood-related disorders
Future studies should consider incorporating composite PGSs for OSA, COMISA, and chronobiological misalignment to refine predictive models, - Recognition of the epigenetic plasticity of sleep-related pathways introduces new possibilities for preemptive and therapeutic modulation
Integrating sleep-related breathing disorders and epigenetics into the genetic landscape of sleep disturbances in psychotic disorders · 2025 · DOIthe current framework for understanding sleep in psychosis does not adequately account for sleep-related breathing disorders and epigenetic regulation - there is a need for more accurate stratification of sleep phenotypes and refinement of risk prediction models - the development of targeted interventions that improve outcomes for individuals with psychotic disorders is limited by the current understanding of sleep disturbances
Integrating sleep-related breathing disorders and epigenetics into the genetic landscape of sleep disturbances in psychotic disorders · 2025 · DOIInvestigate the contribution of sleep vagal activity to the consolidation of other types of emotional memories - Examine the relationship between REM sleep and extinction memory in individuals with PTSD - Explore the potential therapeutic applications of targeting REM sleep and vagal activity in the treatment of PTSD and other anxiety-related disorders
REM disruption and REM vagal activity predict extinction recall in trauma-exposed individuals · 2024 · DOISleep deprivation is a potent, rapid-acting therapeutic intervention for major depressive disorder, yet its underlying neural mechanisms remain poorly understood, hindering the development of predictive biomarkers.
Multi-Methodological Characterization of Sleep Deprivation: From Standard EEG Power Spectra to Aperiodic Dynamics in Humans and Mice. · 2026 · DOIWhether this process requires mature episodic memory expression during early development remains unclear.
Juvenile rat's sleep enables schema memory across episodes before expression of memory for individual episodes · 2026 · DOIYet how human thalamocortical circuits respond to pathological disruptions remain poorly understood.
Sleep spindles stabilize human thalamocortical networks, inhibiting pathological disruptions · 2026 · DOIClosed-loop auditory stimulation (CLAS) of sleep slow oscillations enhances memory consolidation in healthy individuals, but its efficacy in AD remains unknown.
One night of closed-loop auditory stimulation during sleep enhances memory consolidation in patients with Alzheimer's Disease · 2026 · DOIHow the brain compensates for sleep deprivation (SD) by generating recovery sleep (RS) is not understood.
Wake-active brainstem GABA neurons signal sleep pressure by upregulating AMPA receptors to drive recovery sleep · 2026 · DOIHomeostatic sleep regulation is essential for optimizing the amount and timing of sleep for its revitalizing function, but the mechanism underlying sleep homeostasis remains poorly understood.
Activation of locus coeruleus noradrenergic neurons rapidly drives homeostatic sleep pressure · 2025 · DOICollectively, our findings suggest that subjective sleep assessments alone are insufficient for evaluating sleep health and that health checkups and advice based on sleep EEG measurements may be useful in improving sleep habits and for early detection of sleep disorders.
Discrepancies between subjective and objective sleep assessments revealed by in-home electroencephalography during real-world sleep · 2025 · DOIWhile cerebrospinal fluid (CSF) during sleep has been implicated in metabolic waste reduction in animals, how CSF dynamics are driven in the healthy human brain during deep sleep remains elusive.
Human deep sleep facilitates cerebrospinal fluid dynamics linked to spontaneous brain oscillations and neural events · 2025 · DOISleep supports memory consolidation, but the specific roles of different sleep stages in this process remain unclear.
Both slow wave and rapid eye movement sleep contribute to emotional memory consolidation · 2025 · DOITogether, our findings indicate that spiral waves are a defining spatiotemporal feature of N2 sleep and play a crucial role in memory consolidation, offering a promising avenue for further research into sleep-dependent memory processing.
Spatiotemporal dynamics of sleep spindles form spiral waves that predict overnight memory consolidation and age-related memory decline · 2025 · DOIA growing body of evidence has demonstrated that sleep spindles occurring during stage 2 non-rapid-eye-movement (N2) sleep often organize into travelling waves, but the spatiotemporal dynamics of these waves and their functional significance remain unclear.
Spatiotemporal dynamics of sleep spindles form spiral waves that predict overnight memory consolidation and age-related memory decline · 2025 · DOIHowever, the role of CeASST+ neurons in stress-induced sleep-onset insomnia remains unclear.
Yet how sleep preserves precise memories while transforming them into abstract and categorical knowledge remains unclear.
Slow-wave sleep and REM sleep differentially contribute to memory representational transformation · 2025 · DOIObjective measures of nighttime sleep and daytime sleepiness are lacking with oxybates in IH.
However, the precise neural mechanisms that initiate and terminate REMS, as well as the exact pathophysiological relationships between REMS and psychiatric conditions, remain poorly understood.
Finally, we propose key open questions that need to be addressed in future studies.
How does the brain awaken from sleep? Several studies have suggested that the awakening process occurs asynchronously across brain regions, but the precise nature of these changes and how they are reflected in human electroencephalography (EEG) remains unknown.
Cortical activity upon awakening from sleep reveals consistent spatio-temporal gradients across sleep stages in human EEG · 2025 · DOIHowever, how wild animals maintain sleep homeostasis and how socio-ecological pressures interfere with their sleep remain understudied.
Wild orangutans maintain sleep homeostasis through napping, counterbalancing socio-ecological factors that interfere with their sleep · 2025 · DOI3 For wild animals that sleep in groups, individuals may disturb one another's sleep, 4 , 5 but this aspect of social sleep has been understudied due to methodological challenges.
Most-cited papers in Sleep and Wakefulness Research
- Sleep Drives Metabolite Clearance from the Adult Brain · Science · 2013 · 4,882 citations
- Hypocretin (orexin) deficiency in human narcolepsy · The Lancet · 2000 · 1,457 citations
- Sleep Deprivation and Vigilant Attention · Annals of the New York Academy of Sciences · 2008 · 1,038 citations
- THE FIRST NIGHT EFFECT: AN EEG STUDYOF SLEEP · Psychophysiology · 1966 · 927 citations
- Overnight therapy? The role of sleep in emotional brain processing. · Psychological Bulletin · 2009 · 877 citations
- The Role of Sleep in Cognition and Emotion · Annals of the New York Academy of Sciences · 2009 · 796 citations
- Delayed emergence of a parkinsonian disorder or dementia in 81% of older men initially diagnosed with idiopathic rapid eye movement sleep behavior disorder: a 16-year update on a previously reported series · Sleep Medicine · 2013 · 750 citations
- Dreaming and the brain: Toward a cognitive neuroscience of conscious states · Behavioral and Brain Sciences · 2000 · 663 citations
- The brain as a dream state generator: an activation-synthesis hypothesis of the dream process · American Journal of Psychiatry · 1977 · 651 citations
- Bruxism physiology and pathology: an overview for clinicians* · Journal of Oral Rehabilitation · 2008 · 646 citations
Most recent work
- Convergent Control of NREM Sleep and Anesthesia by Prefrontal Layer 5 Extratelencephalic Neurons · bioRxiv · 2026
- Periodic and Aperiodic Electroencephalographic Rhythms During Vigilance Transitions in Alzheimer's Disease Mild Cognitive Impairment · Annals of the New York Academy of Sciences · 2026
- Contrasting effects of global and local cortical activity on the regulation of sleep · bioRxiv · 2026
- Slow Oscillation–Sleep Spindle Coupling Is Associated With Expectancy Measures of Fear Extinction Retention in Trauma-Exposed Individuals · Biological Psychiatry: Cognitive Neuroscience and Neuroimaging · 2026
- A Hyperkinetic-dependent redox-sensing mechanism operates specifically in dorsal fan-shaped body neurons to promote sleep · Current Biology · 2026
- Inducing lucid dreaming with multisensory stimulation: a preregistered multi-center study · bioRxiv · 2026
- The First Light: Efficacy and Safety of a Multi-Dose Study of Oveporexton (TAK-861), an Oral Orexin Receptor 2 Agonist for the Treatment of Narcolepsy Type 1 · Sleep Medicine · 2026
- Sleep spindles promote hippocampal network downregulation during sleep · Current Biology · 2026
- Sleep EEG foundation models reveal within-stage microstructure that improves health screening beyond traditional stages · npj Digital Medicine · 2026
- SARS-CoV-2 infection is associated with hypothalamic orexin suppression and persistent cortical NeuN attenuation · Journal of Neuroinflammation · 2026
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