International Journal of Psychophysiology 46 (2002) 243–255 Semantic analysis of auditory input during sleep: studies with event related potentials ´ ` Bastujia,b,c,*, Fabien Perrina,b,c, Luis Garcia-Larreaa,b,d Helene a ´ ´ Institut Federatif des Neurosciences de Lyon (IFNL), Lyon, France b EA-1880, University Claude Bernard, Lyon, France c Sleep Disorders Unit, Neurological Hospital, 59 bd Pinel, 69003 Lyon, France d Human Neurophysiology Laboratory at the CERMEP, 59 bd Pinel, 69003 Lyon, France Received 7 July 2002; received in revised form 13 August 2002; accepted 3 September 2002 Abstract This review summarises the results of event-related potentials studies exploring the extent to which the human brain can extract semantic information from external stimuli during sleep. The persistence of a differential response to the subject’s own name, relative to any other proper name, during stage 2 (S2) and paradoxical (REM) sleep (PS) suggests that the brain remains able to discriminate an intrinsically relevant word during these sleep stages. The similarities and the differences between these sleep cognitive responses and the waking P300 are stressed, and the functional significance of this component discussed especially in relation with consciousness and memory of the stimulus. Recent studies of the ‘N400’ potential evoked by semantically incongruous words, have shown that this component may be also elicited during S2 and PS, indicating preserved detection of semantic discordance during these sleep stages. However, linguistic incongruity appears to be processed in a different manner during PS than during waking, since words devoid of meaning (pseudo-words), which are detected as anomalous and evoke N400 during waking, yielded responses similar to those of congruous words in PS. All these data support the view that some semantic analysis of auditory stimuli remains possible in the human sleeping brain, and warrant further studies to elucidate the extent and limits of these capabilities. 䊚 2002 Elsevier Science B.V. All rights reserved. Keywords: P300; N400; Event-related potential; Sleep; REM; K complex; Semantic; Consciousness ‘The psyche´ isolates itself during sleep («) nevertheless we are not always awakened by the mere sensory force of the impression, but by the psychic relation of the same; an indifferent word does not arouse the sleeper, but if called by name he awakens«’ K.F. Burdach (1830). ˆ *Corresponding author. Unite´ d’Hypnologie, Hopital Neurologique, 59, bd Pinel, F-69394 Lyon Cedex 03, France. Tel.: q33-4-72357828; fax: q33-4-72357397. E-mail address: [email protected] (H. Bastuji). Lack of behavioural responsiveness and of memory recollection of stimuli during sleep has led to postulate a functional disconnection, in the sleeping subject, between the cerebral cortex and the external world (Horne, 1989; Jones, 1991; Steriade, 1994). This hypothesis has been supported by electrophysiological results in animal studies suggesting a strong decrease of sensory informa- 0167-8760/02/$ - see front matter 䊚 2002 Elsevier Science B.V. All rights reserved. PII: S 0 1 6 7 - 8 7 6 0 Ž 0 2 . 0 0 1 1 6 - 2 244 H. Bastuji et al. / International Journal of Psychophysiology 46 (2002) 243–255 tion processing during sleep (Pompeiano, 1970; Steriade et al., 1990). However, the well-known fact that awakening may be induced by meaningful stimuli of very low-intensity, as well as the incorporation of sensory information into the sleeper’s dreams, clearly indicate that sensory integration is not abolished by sleep (Aristotle trad 1955; Burdach, 1830; Maury, 1878; Formby, 1967; Burton et al., 1988; Halasz, 1998; Hobson, 1990). In this vein, the extent to which the brain processing of external stimuli remains active during sleep has been the subject of numerous studies since the last century, notably using behavioural techniques. Generally, these studies focused on the behavioural reactivity of sleeping subjects to auditory stimulation, and showed that a number of physical aspects of auditory inputs influences reactivity during sleep. High-intensity stimuli are known to awake subjects from the different sleep stages, the awakening threshold depending on various other factors (Bonnet, 1982). Low frequencies are more powerful than high frequencies to interrupt the sleeping process (Levere et al., 1974). Weir (1976) reported that the reactivity of sleeping new-borns is increased to sounds around language frequencies, suggesting that during sleep the auditory window of reception might be restricted to stimulus with biological significance. Furthermore, while responsiveness to repetitive stimuli are generally subject to habituation during sleep, the reactivity to relevant or meaningful stimuli (for example the subject’s own name or the cry of a new-born for his mother) seems to remain operative in spite of repetition (Oswald et al., 1960; Langford et al., 1974; McDonald et al., 1975). Overall, the results of behavioural studies show that the discrimination of important stimuli persists during sleep. More recently, electrophysiological methods, especially of evoked potentials, have been used to demonstrate specific human brain responses to sensory stimulation during sleep. Event related potentials (ERP) studies have shown that the discrimination of deviant from repetitive auditory tones by the brain persists during all sleep stages under certain circumstances (see review in Bastuji and Garcia-Larrea, 1999). For instance, both in sleep stage 2 (S2) and slow wave sleep (SWS), deviant stimuli elicit K complexes (KCs) of higher amplitude than those evoked by monotonous stimuli (e.g. Campbell et al., 1985; Ujszaszi and Halasz, 1988; Nielsen-Bohlman et al., 1992; Bastuji et al., 1995; see Bastien and Colrain, in this issue). Moreover, during paradoxical (PS) or REM sleep, deviant stimuli give rise to a late positive response that is reminiscent in latency and scalp topography of the ‘P300’ wave (e.g. Bastuji et al., 1990, 1995; Sallinen et al., 1996; Niiyama et al., 1994; see review in Bastuji and Garcia-Larrea, ´ in this issue). Notwithstanding the 1999; Cote, theoretical importance of this early work, it is of note that the ‘significant’ stimuli delivered in these studies differed from the background at least by two features, namely their acoustic properties (i.e. pitch or loudness) and their probability of occurrence. In this context, it is difficult to ascertain whether the differential ERPs (including P300) observed to ‘rare’ stimuli reflect the genuine discrimination of stimulus meaning (access to stimulus intrinsic significance) or rather the simple detection of a change in the physical characteristics of the input stream (change in acoustical properties andyor probability of occurrence). This dichotomy can only be addressed using more complex stimuli whose intrinsic (i.e. semantic) information is partially independent from their physical attributes— for instance words. ERP recording paradigms that use verbal material as stimuli are therefore relevant to assess whether, and to what extent, the detection of a stimulus’ intrinsic meaning remains possible during sleep. 1. Detection of the subject’s own name during sleep Three ERP studies were recently devoted to detect whether sleeping subjects might or not discriminate their first name—a very simple yet highly significant word (Pratt et al., 1999; Perrin et al., 1999, 2000). The reasons to choose this type of stimulus were, firstly, that a person’s own name, because of its emotional content and repetition along life, appears as one of the most relevant stimulus for any human subject. Secondly, there is evidence that hearing our own name during wakefulness produces cognitive brain responses, including a P300, even in the absence of explicit H. Bastuji et al. / International Journal of Psychophysiology 46 (2002) 243–255 245 Fig. 1. Grand average ERPs to own (thick traces) and other (thin traces) names in passive (left) and active (right) conditions during wakefulness before (top) and after the night sleep, (negativity up). In active condition, subjects were instructed to count the number of own names; in passive conditions, the instruction was to remain quiet during the name presentation. P3 to own name was present in the passive condition, with smaller amplitude than in the active one. Note that the P3 to other names, which was present but small in pre-sleep session, disappeared after the night. instructions, thus suggesting that a subject’s name is automatically and implicitly processed as a target stimulus (Berlad and Pratt, 1995). Indeed, several studies have shown that the presentation to waking subjects of their own name in ‘passive’ (i.e. ‘no task’) conditions is able to elicit a positive wave peaking between 400 and 500 ms after the beginning of the stimulus, with maximal amplitude over parietal regions (Berlad and Pratt, 1995; Pratt et al., 1999; Perrin et al., 1999). The characteristics of this wave (latency, amplitude and scalp topography) are consistent with those of the cognitive ‘P300’ component recorded in target detection tasks (Fig. 1), known to be determined by the task relevance and the unpredictability of the stimulus (reviews in Picton, 1992; Hansenne, 2000a,b). Two teams (Perrin et al., 1999; Pratt et al., 1999) have so far recorded ERPs to subjects’ own names during sleep. Pratt et al. used the subject’s own name against a single irrelevant word which 246 H. Bastuji et al. / International Journal of Psychophysiology 46 (2002) 243–255 acted as ‘non target’. Probabilities of presentation of both types of words were counterbalanced so as the ‘target’ word could appear with either 30 or 70% probability. Results in wakefulness and in sleep were compared using Principal Component Analysis. These investigators observed a significant effect of stimulus type (own name vs. irrelevant word) during S2 and SWS for different components between 300 and 700 ms, and especially a more prominent P450 during S2 in addition to KC waveform. They also reported an effect of stimulus probability during PS for the P3 component (rare targets eliciting higher P3’s than frequent targets), suggesting a resemblance to the waking P300 wave. The authors concluded that there was ‘continued evaluation of auditory input salience during sleep, which diminishes during deep sleep and is replaced by evaluation of stimulus context in a train of stimulus during REM sleep’. Interpretation of their results in terms of detection of stimulus meaning is, however, uneasy because target and non-target words, although counterbalanced, were not equiprobable (70 vs. 30%), thus making the responses sensitive to habituation and ‘physical novelty’ effects, in addition to stimulus significance. In order to get rid of possible ambiguities linked to these phenomena, Perrin et al. (1999) used a paradigm where the subject’s own name was presented in strict equiprobable fashion against 7 other first names (with 12.5% probability each). Auditory ERPs from ten healthy volunteers were recorded under these conditions, both during wakefulness and all-night sleep (SWS responses not analysed). During wakefulness and PS the general morphology of ERPs was very similar (Fig. 2); notably, in both cases a late positive wave at 400–600 ms was selectively evoked by the subject’s own name, with maximal amplitude over the posterior scalp areas (but more posterior in PS than during waking). Since all stimuli were equiprobable, such ERP effect could not be due to differences in stimulus regularity, and indicates that the brain mechanisms subserving discrimination of a subject’s own name remain operational during PS (REM), independently of any ‘physical rarity’ effect. Previous work on sleep P300 suggests that prior familiarization (during waking) with the target stimuli to be presented facilitates the elicitation of a P300 during PS. Thus, deviant tones of same intensity as background stimuli, appearing with 10% probability, were able to evoke P300-like waves during PS in trained subjects (Bastuji et al., 1990, 1995; Niiyama et al., 1994; Sallinen et al., 1996), but could not evoke PS-P300 in subjects that had not previously learned the task (Cote´ et al., 2001). In these latter, however, P300-like waves could be triggered during PS by very deviant and intrusive stimuli (stimuli much louder than background tones, and delivered at 5% probability) (Cote´ and Campbell, 1999; Cote´ et al., 2001). This leads to the hypothesis that the probability that a given stimulus enters the cognitive level of processing reflected by P300 depends on two phenomena: first, the intrinsic relevance of the stimulus itself, and second its physical intrusiveness. In the case of a previously learned detection task, the significance of the target stimulus is accessible to the subject before going to sleep, and this significance appears to be ‘transferred’ to the ensuing PS. We may postulate that the subject’s own name constitutes an intrinsically significant stimulus, the knowledge of which need not be transferred since it is permanently operational; therefore, one’s own name can always enter a higher level of processing—hence explaining the emergence of a P300 in PS without the need of previous training. In all previous studies, using either tones or words, the general morphology of ERPs was much more complex during SWS than in waking or PS, most probably because responses in SWS often included KCs induced by auditory stimulation (for reviews see Halasz, 1998; Bastuji and GarciaLarrea, 1999; and Bastien, in this issue). When S2 and SWS ERPs are averaged in the presence of concomitant visible KCs on background EEG, the responses include two biphasic consecutive waveforms, commonly labeled ‘N2yP3’ and ‘N3yP4’. When stimuli were proper names, the latencies of these waveforms were delayed as compared to those obtained with tones (Fig. 3), probably because of differences in stimulus duration; however, their morphology and scalp distribution were equivalent to those of ‘N2yP3’ and ‘N3yP4’, classically described during S2 and SWS (Halasz, H. Bastuji et al. / International Journal of Psychophysiology 46 (2002) 243–255 247 Fig. 2. Grand average ERPs to own (thick traces) and other (thin traces) names during passive pre-sleep waking (top) and paradoxical sleep (PS), (negativity up). The topographic maps of P3 are represented for each condition. Note the posterior and left maximal amplitude of P3 during PS and the absence of P3 to other names in this stage. 1998; Bastuji and Garcia-Larrea, 1999; and Bastien, in this issue). In the study of Perrin et al. (1999), these two biphasic waveforms evolved differentially in response to ‘subject’s own’ and ‘other’ names: while the amplitude of the late complex (‘N3yP4’) was identical for both types of stimuli, the early portion of the KC (‘N2yP3’), and notably the positive wave P3, were of significantly higher amplitude to the presentation of ‘own’ names. Such differential behaviour strengthens the hypothesis of a ‘functional duality’ of KC generating mechanisms, originally put forward by Ujszaszi and Halasz (1988), who indeed suggested that the early and late KC waveforms reflected the activation of two distinct functional systems, of which only the former would be connected to the information processing of external stimuli. When ERPs are averaged in the absence of concomitant KCs in the EEG, only the early portion of the response (‘N2–P3’), of low amplitude, is commonly observed (Perrin et al., 2000; see Fig. 3). Both latency and scalp distribution 248 H. Bastuji et al. / International Journal of Psychophysiology 46 (2002) 243–255 Fig. 3. (a) Grand average ERPs to own (thick traces) and other (thin traces) names during passive pre-sleep waking (top) and stage 2 (S2) (negativity up). The topographic maps of P3 are represented for each condition and those of N3 and P4 for S2. (b) Grand average ERPs in S2 of traces without KCs. (c) Grand average ERPs in S2 of traces with KCs. Note that a P3 to own names was observed in S2 whether KCs were or not present and that a smaller P3 to other names was also recorded during this stage. The amplitude of the N3yP4 was similar in response of both own and other names. H. Bastuji et al. / International Journal of Psychophysiology 46 (2002) 243–255 strongly suggest that these N2–P3 waves, when evoked alone, do correspond to the early portion of the KC described previously. Perrin et al. (2000) analysed these two early components with and without the presence of a concomitant KC, and showed that they were significantly enhanced in response to the subjects’ own name relative to other first names, to a similar degree whether they were part of a KC or not. The P3 wave sensitivity to the subject’s own name, both in presence and in absence of a KC, suggests that the processing of such stimulus significance during S2 is effective even when the high amplitude N3–P4, which corresponds to the typical form of KC, is not elicited. This also means that the differential response to the own name is not contingent of the ‘full’ KC. Therefore, even if the KC might be elicited by an auditory stimulus, its evocation is not necessary to the electrophysiological detection of a relevant stimulus. 2. Are sleep and waking P3 functionally equivalent? The fact that a ‘P3’ component to the subject’s own name may persist during S2 and PS clearly indicates that some cognitive processing of relevant stimuli also persists during sleep. However, the existence of sleep-P3s does not necessarily imply that their underlying processes are equivalent to those of the waking counterparts, and the question whether waking and sleep P3s can be considered as functionally equivalent remains open. 2.1. Paradoxical (REM) sleep As regards PS, the general morphology, latency, specificity to relevant stimuli and scalp distribution of the ‘PS-P3’ recorded in this stage are close to those observed during wakefulness. Waking P300 occurs when the subject is actively engaged in a detection task; it is related to stimulus categorisation (Donchin and Coles, 1988; Picton, 1992) and may represent a post-decisional ‘cognitive closure’ mechanism (Desmedt, 1980; Verleger, 1988, 1998). Considering the PS-P3 as a functional equivalent of the waking P300 assumes therefore 249 that stimulus selection and categorisation remain active during this sleep stage. This also implies that some top–down processes remain operational during PS, since comparison of incoming stimulus against some pre-existing template is necessary for stimulus selection. These assumptions are not incompatible with current thoughts about the cognitive capabilities of PS (Hobson, 1990; Pare and Llinas, 1995). However, although the PS-P3 and the waking-P3 may have some common functional significance, their respective cerebral generators do not appear to be strictly the same. Indeed, the scalp topography of PS-P3 consistently differs from that of waking P3: frontal subcomponents are lacking during PS, resulting in a significant ‘shift’ of PS-P3 towards the posterior regions of the scalp that has been ascertained by several investigators (Niiyama et al., 1994; Bastuji et al., 1995; Cote´ and Campbell, 1999). It is tempting to suggest that such topographical changes might reflect a deficit in the activation of frontal P3 generators thought to subserve attentional control and orienting during waking P3 (Baudena et al., ´ 1995; Bradzil et al., 1999), such attenuation leading to a anterior–posterior disbalance during P3 generation, with predominance of posterior (visual) and parieto-temporal P3-related processes. This suggestion fits with recent neuroimaging results showing a deficit in frontal activation during this stage, concomitant with an enhancement of the temporo-posterior metabolism (review in Maquet, 2000). From a neurochemical point of view, the balance between noradrenergic and cholinergic brain systems also changes critically from wakefulness to PS, with decrease in noradrenergic activity and activation of cholinergic processes (Siegel and Rogawski, 1988; Hobson, 1990; Steriade et al., 1990). Taking into account that both systems are important for P300 generation during waking (Hammond et al., 1987; Harrison et al., 1988; Pineda et al., 1989; Swick et al., 1994), and that the noradrenergic projections, notably from the locus coeruleus, are largely distributed over, and influence the function of, the prefrontal cortex (Oken and Salinsky, 1992; Arnsten et al., 1996), it may be hypothesised that topographic changes observed in electrophysiological and metabolic 250 H. Bastuji et al. / International Journal of Psychophysiology 46 (2002) 243–255 Fig. 4. ERPs elicited at Cz by semantically related (thin traces) and unrelated (thick) target words in one subject during wakefulness, stage 2, stages 3–4 and REM stage (PS). For each condition superimposed traces from two averaging (negativity down). A ‘N400’ was observed to unrelated words during waking, S2 and PS conditions. (Reproduced with permission from Brualla et al. (1998).) studies during PS may also be related to the decrease of noradrenergic tone during this stage. Thus, while keeping close functional significance, PS and waking P3 activities may be sustained by generating mechanisms with only partial overlap. Such differences might in turn help to explain the disparities in the processing of sensory information during the two stages, notably as regards stimulus awareness and memory encoding, as recent animal data suggest that memory storage is regulated by an interaction of noradrenergic and cholinergic influences (e.g. Introinicollison et al., 1996). 2.2. Sleep stage 2 The comparisons between sleep and waking P3s are more difficult when it comes to sleep S2, the significance of ‘P3’ during this stage remaining still doubtful and subject to controversy. Indeed, even if in S2 a ‘P3’ component (‘S2–P3’) is enhanced in response to subjects’ own name, this component may be also observed, with lower amplitude, in response to other names (Perrin et al., 1999, 2000) (Fig. 3), and even in response to repetitive monotonous tones (Ujszaszi and Halasz, 1988; Nielsen-Bohlman et al., 1991; Bastuji et al., 1995; Hull and Harsh, 2001). The ‘S2–P3’ thus seems to be much less selective to relevant stimuli than the PS-P3, and considering the family of S2– P3s as pure reflects of the discrimination of a relevant stimulus is hardly tenable. Weakening of P300 selectivity to relevant stimuli has been reported in some pathological contexts such as schizophrenia (Wagner et al., 1997; Nieman et al., 1998; Knott et al., 1999), and interpreted as a deficit in non-target inhibition. Similar conclusions were drawn on a patient with blindsight (Shefrin et al., 1988), in whom a P300 was observed in response to both rare and frequent stimuli delivered in the blind hemifield, suggesting that both relevant and irrelevant stimuli were processed as targets. Although these results may be reminiscent of those observed during sleep S2, they can hardly be integrated in a same model, since their unique convergence stands in the unselective behaviour of P300. During SWS, the whole metabolic activity of the cortex is decreased (Maquet, 2000) and there is some experimental evidence to suppose a specific inhibition of thalamo-cortical connectivity (Steriade, 1994). The extent to which a reduced capability for selective stimulus processing in S2 would be related to the functional changes in thalamo-cortical network during this stage needs further investigation. A further difference between S2 and waking P3 is the presence, during S2 exclusively, of ‘N3’ and ‘P4’ potentials corre- H. Bastuji et al. / International Journal of Psychophysiology 46 (2002) 243–255 251 Fig. 5. Grand average ERPs over Cz to congruous (thin traces), incongruous (thick traces) and pseudo-words (medium traces) during wakefulness, PS and stage 2 (negativity up). Note that the amplitude of N400 is higher in response to incongruous words during wakefulness, to pseudo-words during PS, and is similar for incongruous and pseudo-words during S2. sponding to the late portions of the KC. The N2y P3 and N3yP4 complexes may reflect the occurrence of two parallel mechanisms in response to stimulus presentation, of which only the first would be sensitive to the stimulus’ intrinsic relevance, the second being related to its salience or physical deviance (Perrin et al., 2000). 3. P300, consciousness and memory encoding During wakefulness, P300 has been considered as an electrophysiological event concomitant to the access of information to consciousness and memory (review in Picton, 1992). In favour of this hypothesis stands the fact that, in waking, the P300 is a response to events requiring controlled processing, which is both effortful and conscious ¨ (Posner et al., 1973; Rosler, 1983). Several teams have shown a relationship between P300 characteristics and subsequent memory of the stimulus (Johnson et al., 1985; Howard and Polich, 1985), and drugs with deleterious effects on memory, such as anticholinergics, are also deleterious for P300 (Potter et al., 1992). From results obtained during sleep, it is obvious that the mere presence of a P3 in average traces does not warrant the access of stimulus to stable memory stores, since this component can be recorded during PS (and probably S2) even if subjects will not remember the stimulus after awakening. A similar dissociation between P3 and conscious awareness has been described in a few patients with very particular cognitive disorders, such as the prosopagnosic patient recorded by Renault et al. (1989) and the patient with blindsight reported by Shefrin et al. (1988). These results among others suggest different levels of stimulus encoding, and notably the possibility of dissociation between instantaneous and long-term awareness. Damasio’s model of consciousness appears relevant in this context: in 252 H. Bastuji et al. / International Journal of Psychophysiology 46 (2002) 243–255 this author’s view, (Damasio, 1998), a ‘low’ level of consciousness, or ‘core consciousness’, would correspond to the transient process that is incessantly generated relative to any object with which an organism interacts, and during which a transient ‘core self’ or transient sense of knowing, are automatically generated. A second, higher level, or ‘extended consciousness’ would depend upon the build-up of an autobiographical self and a set of memories of past and anticipated experiences. Only this extended consciousness would require conventional memory. A dissociation between ‘core’ and ‘extended’ consciousness during sleep may be hypothesised, but not directly evaluated since this would imply to have subjects awakened immediately after the stimulus sessions, which was not done in previous ERP studies. The question whether some form of ‘core consciousness’ is preserved in association to the evocation of P3 cannot, therefore, be answered at this stage. However, studies showing incorporation of external stimulus to the oniric content (Burton et al., 1988; Nielsen, 1993) give indirect arguments to the possibility that core consciousness might be preserved at least during PS. Further evidence in this line could be gathered in the future if the incorporation of external stimuli to dreams was shown to be related to P3 generation. 4. Semantic discrimination during sleep The studies reviewed in previous paragraphs demonstrated that the sleeping brain remains able to discriminate between words varying in their intrinsic meaning (Perrin et al., 1999, 2000; Pratt et al., 1999). However, the stimuli used in those studies were proper names, which do not have a strict semantic content as compared with common names. From a linguistic point of view, the question whether the processing of proper names is or not semantic remains controversial (Frege, 1949; Searle, 1967; Muller and Kutas, 1996). Standing on the observation of neuropsychological disorders (Semenza and Zettin, 1988; Yasuda et al., 2000), neuroimaging investigations (Damasio et al., 1996) and ERP studies (Proverbio et al., 2001), there is increasing evidence that common names and proper names do not activate identical cerebral networks. Therefore, even if the subject’s own names were certainly ‘discriminated’ during sleep, the actual level of discrimination (phonological vs. semantical) performed by the sleeping brain cannot be specified by these studies. This question has been recently addressed by two different teams that investigated the ‘N400’ wave of ERPs in response to common words devoid of emotional context. During wakefulness, the N400 wave is enhanced in response to words that are semantically anomalous relative to a given context, the amplitude of this effect being correlated to the degree of semantic incongruence (Kutas and Hillyard, 1980; Bentin et al., 1985). Brualla et al. (1998) were the first to report that a negative deflection similar to the N400 persisted during S2 and PS in response to semantically unrelated words, suggesting that a simple semantic association of common words remains operative during these sleep stages (Fig. 4). We further studied how linguistic and pseudo-linguistic stimuli were categorised during sleep as compared to waking (Perrin et al., 2002), by presenting, during waking, S2 and SP, different sequences of auditory stimuli containing pairs of words which included a ‘prime’ followed by either a semantically congruous word or by an incongruous word (50% each). Between each pair, we inserted a disyllabic sound without meaning (‘pseudo-word’), which allowed to compare the N400 in response to (a) congruous or (b) incongruous words following a prime, (c) pseudo-words following a real word, and (d) primes following a pseudo-word. During wakefulness, the N400 wave developed higher amplitude for pseudo-words than for real but semantically incongruous words, as previously described (Bentin et al., 1985). The N400 response to incongruous words persisted during S2 and PS. During S2, all discordant stimuli, regardless of their category (incongruous words, ‘prime’ words following pseudo-words and pseudo-words following words) yielded enhanced N400 responses relative to congruous words. However, no significant difference existed between different levels of discordance, suggesting a loss in this sleep stage of the hierarchic processes observed in wakefulness. A hierarchic process of discordance reappeared in PS, which however differed from that of the H. 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