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Published on: October 31, 2025
Large-scale brain modes reorganize between infant sleep states and carry prognostic information for preterms
Anton Tokariev1,2,3, James A Roberts4, Andrew Zalesky5,6
1QIMR Berghofer Medical Research Institute, Brisbane, QLD, 4006, Australia. anton.tokariev@helsinki.fi.
Insights
Newborn brain activity reorganizes during sleep, offering insights into neurological health. This sleep transition is altered in preterm infants and predicts future visual performance.
Area of Science:
- Neuroscience
- Developmental Biology
- Computational Neuroscience
Background:
- Sleep architecture provides crucial information about brain health throughout life.
- Distinct vigilance states in newborns are key indicators of neurological well-being, but underlying mechanisms are not fully understood.
Purpose of the Study:
- To investigate the systems-level mechanisms of large-scale brain activity reorganization during sleep transitions in newborns.
- To examine differences in sleep-related brain network reorganization between full-term and preterm infants.
- To determine if sleep reorganization predicts long-term neurodevelopmental outcomes, specifically visual performance.
Main Methods:
- Analysis of large-scale cortical activity and functional brain networks during sleep transitions in newborn infants.
- Comparison of sleep architecture and network reorganization in preterm versus full-term infants.
- Development and application of a computational model to understand biophysical mechanisms of brain state transitions.
Main Results:
- The transition from quiet to active sleep in newborns involves significant reorganization of cortical activity and functional brain networks.
- This sleep-related neural reorganization is diminished in preterm infants.
- The degree of neural reorganization during sleep in infancy predicts visual performance at two years of age.
- A computational model revealed specific changes in neural activity modes during active sleep and identified deficits in preterm infants.
Conclusions:
- Sleep-related brain network reorganization is a critical indicator of neurological development in newborns.
- Preterm infants exhibit a deficit in this sleep-related neural reorganization, highlighting potential developmental challenges.
- This deficit carries prognostic information for visual development, suggesting sleep patterns as an early biomarker.
Abstract:
Sleep architecture carries vital information about brain health across the lifespan. In particular, the ability to express distinct vigilance states is a key physiological marker of neurological wellbeing in the newborn infant although systems-level mechanisms remain elusive. Here, we demonstrate that the transition from quiet to active sleep in newborn infants is marked by a substantial reorganization of large-scale cortical activity and functional brain networks. This reorganization is attenuated in preterm infants and predicts visual performance at two years. We find a striking match between these empirical effects and a computational model of large-scale brain states which uncovers fundamental biophysical mechanisms not evident from inspection of the data. Active sleep is defined by reduced energy in a uniform mode of neural activity and increased energy in two more complex anteroposterior modes. Preterm-born infants show a deficit in this sleep-related reorganization of modal energy that carries novel prognostic information.
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