NEUROREPORT SLEEP Detection of verbal discordances during sleep Fabien Perrin,1,2,4,5,CA He¤le'ne Bastuji1,2,4 and Luis Garcia-Larrea1,3,4 1 EA-1880, University Claude Bernard, Lyon; 2Sleep Disorders Unit, Neurological Hospital; 3Human Neurophysiology Laboratory, CERMEP, 59 bd Pinel, 69003 Lyon, France; 4Institut Fe¤de¤ratif des Neurosciences de Lyon, 59 bd Pinel, 69003, Lyon, France; 5Present Address: Cyclotron Research Centre, Lie'ge University, Ba“timent B30, Sart Tilman, Alle¤e du 6 aout, 8 B- 4000 Lie'ge, Belgium CA Corresponding Author Received 21March 2002; accepted15 May 2002 We used an electrophysiological marker of linguistic discordance, the N400 wave, to investigate how linguistic and pseudo-linguistic stimuli are categorised during sleep as compared to waking.During wakefulness, signs of discordance detection were, as expected, greater for pseudo-words than for real but semantically incongruous words, relative to congruous words. In sleep stage 2 all signs of hierarchic process of discordance disappeared. A new hierarchic process reappeared in paradoxical sleep, which di¡ered from that of waking, responses to pseudo-words being similar to those to congruous words. Linguistic absurdity appears to be accepted in a di¡erent manner during paradoxical sleep than during waking, and this might explain why absurd contents are so naturally incorporated into otherwise plausible dream stories. NeuroReport c 2002 Lippincott Williams & Wilkins. 13:1345^1349 Key words: Dream; Event-related potentials (ERPs); N400; Semantic; Sleep; Word and pseudo-word detection INTRODUCTION During the last 10 years, event-related potential (ERP) methods have brought relevant data on the processing of sensory information during human sleep. Contrary to the view that sleeping subjects are isolated from their sensorial environment [1,2], ERP data strongly suggest that the sleeping brain remains able to discriminate between different types of auditory stimuli. In both sleep stage 2 (S2) and slow wave sleep (SWS), deviant auditory stimuli elicit electroencephalographic responses (K-complexes) of higher amplitude and duration than those to monotonous stimuli [3]. More importantly, during rapid eye movement (REM) sleep, or paradoxical sleep (PS), the presentation of deviant stimuli gives rise to a late positive response [4] which is reminiscent in latency and scalp topography of the P300 wave, a cerebral event that signals the detection of changes in the sensory environment [5–7]. The notion that some level of sensory discrimination may persist during sleep has prompted in recent years experiments devised to uncover the nature of the underlying processes. A number of experiments have addressed the question whether the signs of auditory discrimination during sleep were attributable to the recognition of the stimulus’ intrinsic meaning (i.e. its semantic aspects) or simply to the detection of its acoustic salience (i.e. the fact of being acoustically dissimilar relative to a monotonous series). To this aim, Perrin and collaborators removed the physical rarity of target stimuli by using as sensory input a series of equiprobable first names among which they included the sleeping subject’s own name. It was shown that, both in S2 and in PS, the subject’s own name produced responses that differed significantly from those to any other first name, and which concerned the P300 response [8,9]. Although these studies c Lippincott Williams & Wilkins 0959- 4965 demonstrated that the sleeping brain remains able to discriminate between words varying in their intrinsic meaning, the use of the subject’s own name as a target stimulus was a limitation, as proper names (and hence the subject’s own name) have no strict semantic content compared with common names [10–12]. To investigate the extent to which the sleeping brain can perform a more elaborated semantic discrimination of stimuli, we recorded ERPs to verbal stimuli composed exclusively of common names, and excluding explicitly emotional connotation and semantic ambiguity associated to proper names. During wakefulness, verbal stimuli that are semantically discordant (incongruous) with respect to a preceding stimulus elicit a negative brain response at about 400 ms, the N400, which is larger than that evoked by semantically concordant (congruous) words. The enhancement of the N400 response develops whether the incongruous word appears within a phrase [13] or as the second word of a pair [14]. Brualla et al. [15] suggested that a N400like potential could be recorded during PS and in some periods of S2 devoid of K-complexes (denoted as S2 (KC)), albeit with much longer latency as compared to the waking N400 wave. In the present study, we used different levels of verbal incongruence which, in wakefulness, give rise to a hierarchic amplitude enhancement of N400 [14]. Thus, responses to semantically congruous and incongruous words of various nature, as well as to pseudo-words, were evaluated during wakefulness and all-night sleep. MATERIALS AND METHODS Subjects: Nine volunteers (four women and five men, age 27.9 7 3. 1 years), right-handed, without audiological or Vol 13 No 10 19 July 2002 13 4 5 NEUROREPORT neurological disease and native French speakers participated to the study. All gave informed consent to the study, which was conducted in agreement with the guidelines of the Declaration of Helsinki. A tenth participant was excluded due to his inability to remain asleep while receiving auditory stimulation. Stimulations: We elaborated 12 sequences of 72 stimuli, containing 12 pairs of words (a prime word following in 50% of the case by a semantically congruous word, and in the other 50% by a semantically incongruous word), one different pseudo-word (syllable without sense) being inserted between each pair. Previous to the study, the degree of semantic association between each pair of words was tested on 10 subjects different from those participating to the ERP experiment, and words were selected from a table of frequency for French words [16]. All stimuli (words and pseudo-words) were monosyllabics, had a maximum length of 500 ms and appeared with a regular SOA of 1700 ms. They were recorded by a same male voice and were digitised and replayed binaurally at 60 dB SPL maximal intensity. Finally, to minimise the physical effects between the three types of words, each word was used as a congruous stimulus in one sequence, as incongruous one in another sequence, and as word following a pseudo-word (prime words) in a last sequence. Procedure: Electroencephalographic (EEG) signals from 31 tin electrodes (International 10–20 system) referenced to the nose, electromyogram (EMG) from two electrodes on the chin, and electrooculogram (EOG) from two electrodes diagonally above and below the right eye were amplified ( 150 000) and sampled at 500 Hz, with an analogue bandpass of 0.1–70 Hz. A ground electrode was placed between Fz and Fpz and impedance at all electrodes was o 5 kO. After the installation of the head cap and of two miniearphones inserted into the external acoustic canals, the subjects lay down on a comfortable bed. Before going to sleep, the subjects heard, eyes closed, six sequences of stimuli without any specific task (passive condition), followed by other sequences with the aim that subjects did not known what they will hear during the night. During sleep, the subjects were stimulated every 20–30 min with a sequence of 72 stimuli, in both the first and the second parts of the night. If a stimulation awaked the sleeper, the sequence was immediately discontinued. Fifteen minutes after waking, six sequences of stimuli were also presented without any specific task. Data analyses: Sleep stages were visually scored off-line by two investigators according to the criteria of Rechtschaffen and Kales [17]. Individual AEPs were analysed over a 1700 ms epoch, including a prestimulus baseline of 200 ms, and were grouped according to the vigilance state (wakefulness (corresponding to the average of the waking state preceding and that following the sleep session, since no significant difference amplitude was shown between the different types of stimulus) vs S2 without a concomitant KC (KC) vs PS), blind to the type of stimulus. Data during S1, S2 with a concomitant KC (KCþ) and SWS were not 13 4 6 Vol 13 No 10 19 July 2002 F. PERRIN, H. BASTUJI AND L.GARCIA-LARREA analysed in this study. AEPs were then averaged according to the type of stimulus (congruous word vs incongruous word vs prime word vs pseudo-word) and the electrode position. Prior to averaging, single epochs containing eye movement or EMG artefact with amplitude exceeding 7 50 mV (thus excluding the epochs containing a high amplitude K-complex during S2, i.e. KCþ). Single epochs recorded during transition phases between two sleep stages were also rejected from the analysis. Then, AEPs were digitally filtered between 0.1 and 30 Hz (roll off 24 dB/ octave) and were averaged across subjects to create grandaveraged AEPs (used for illustrative purposes). Statistical calculations were performed on averaged traces from each individual: amplitudes (from baseline) of the predominant components, labelled N1, P2 (N for negative voltage, P for positive, number for the order of appearance), and mean areas under the curve of the N400 were calculated for each individual average. The mean area, instead of single-point amplitude, was chosen for N400 so as to avoid the problem related to a superimposed positive shift induced by sleep [9,18]. Area calculation permitted to focus the analysis on the differences between the different stimuli during the three vigilance states. The window used for area computation was chosen from inspection of grand-averaged AEPs in each vigilance state: this comprised from 250 to 550 ms during wakefulness, and from 350 to 650 ms during S2 and PS. Amplitudes and areas values were tested with a threeway ANOVA with repeated measures on the type of stimulus (congruous word vs incongruous word vs prime word vs pseudo-word), the vigilance state (wakefulness vs S2 KC- vs PS) and the electrode position (Fz vs Cz vs Pz). Only results reaching significance at p o 0.05 after Huynh– Feldt correction are presented. Post-hoc bilateral paired t-tests were performed when significant results emerged on ANOVA. RESULTS ERPs showed the emergence of three major potentials in response to all types of auditory stimuli, during wakefulness as well as during S2 (KC-) and PS: the N1, at about 130 ms after the beginning of the stimulus, with frontocentral maximum; the P2, culminating at 230 ms in central sites; and the N400, for which maximum amplitude difference between incongruous and congruous words was obtained at central electrodes, at 390 ms during waking state and at 480 ms during sleep (Fig. 1). ANOVA did not show any effect of the type of stimulus (congruous word vs incongruous word vs prime word vs pseudo-word) during the first 300 ms of the response (N1 and P2 components). Conversely, there was a significant effect of the vigilance state (wakefulness vs S2 vs PS) on P2 amplitude (F(2,16) ¼ 19.707, p ¼ 0.0004) and a near-significant effect on N1 amplitude (F(2,16) ¼ 4.436, p ¼ 0.0525 and 0.0293 before correction). This reflects that N1 amplitude was more positive during S2 than during wakefulness (t(8) ¼ 3.7, p ¼ 0.0059), and that P2 amplitude was more positive during PS and S2 relative to the waking state (respectively t(8) ¼ 4.8, p ¼ 0.0013 and t(8) ¼ 5.8, p ¼ 0.0004), as has been reported previously [18]. DETECTION OF VERBAL DISCORDANCES DURING SLEEP NEUROREPORT Fig. 1. Event-related potentials to concordant and discordant stimuli. (a) Event-related potentials to congruous words (in green), incongruous words (in red), prime words (in black) and pseudo-words (in blue) during waking, sleep stage 2 and paradoxical sleep represented at Fz, Cz and Pz sites. (b) Di¡erences waves between the congruous words and the three discordant stimuli: incongruous words minus congruous words (I-C), prime words minus congruous words (P-C) and pseudo-words minus congruous words (Pw-C).The di¡erences are illustrated by their scalp topography at their maximum. Fig. 2. N400 area in the di¡erent vigilance states. Mean area (7 s.e.) of N400 component during waking state, sleep stage 2 and paradoxical sleep in response to congruous words (open circle), incongruous words (solid circle), prime words (solid square) and pseudo-words (solid triangle). The asterisk indicates that mean area was signi¢cantly di¡erent. In addition to interclass di¡erences, note that a progressive deviation of the EEG baseline shift all transient potentials (i.e. ERPs) towards more positive values during sleep. Concerning the N400, ANOVA showed a significant effect of the type of stimulus (F(2,16) ¼ 10.109, p ¼ 0.0003), indicating that N400 was, as expected, enhanced after discordant stimuli relative to congruous words. This latter effect was modulated by the vigilance state, as reflected by the near significant interaction observed between the factors type of stimulus and vigilance state (F(6,48) ¼ 2.439, p ¼ 0.0387 when not corrected and p ¼ 0.0671 when corrected). On Vol 13 No 10 19 July 2002 13 4 7 NEUROREPORT post-hoc t-tests, N400 was greater (i.e. more negative) after incongruous words than after congruous words in all vigilance states (t(8) ¼ 2.8, p ¼ 0.0233 during wakefulness; t(8) ¼ 2.6, p ¼ 0.0096 during S2; t(8) ¼ 3.8, p ¼ 0.0055 during PS). However, each vigilance state developed a characteristic hierarchy of amplitudes for the other discordant stimuli, i.e. for prime words and pseudo-words (Fig. 1, Fig. 2). During wakefulness, N400 was higher for prime words and pseudo-words than for congruous words (respectively t(8) ¼ 3.9, p ¼ 0.0043 and t(8) ¼ 3.5, p ¼ 0.0078) and for incongruous words (respectively t(8) ¼ 2.8, p ¼ 0.0229 and t(8) ¼ 2.5, p ¼ 0.0396), which were in turn similar between them. During S2, N400 was greater for prime words and pseudo-words than for congruous words (respectively t(8) ¼ 2.3, p ¼ 0.0485 and t(8) ¼ 2.7, p ¼ 0.0397), and was similar for prime words, incongruous words and pseudowords. During PS, N400 was greater for prime words than for congruous words (t(8) ¼ 4, p ¼ 0.0041) and similar for prime words and incongruous words. Moreover, N400 was not significant after pseudo-words, its amplitude being intermediate to that of congruous and incongruous words. Secondarily, ANOVA showed a significant effect of the vigilance state on N400 area (F(2,16) ¼ 14.378, p ¼ 0.0003), which corresponds, as for N1 and P2 components, to a positive shift during PS compared to the waking state (t(8) ¼ 4.6, p ¼ 0.0018). DISCUSSION The general morphology of ERPs during paradoxical sleep (PS) and sleep stage 2 (S2 KC), was very similar to that of the waking state. This similarity of responses is a robust result that has been replicated many times during PS [19–21] and more recently during S2 without concomitant Kcomplexes (KC) [9]. During both PS and S2 (KC), a higher N400-like wave was observed for semantically incongruous words than for semantically congruous words, the latency and scalp topography of which were very similar to those of waking N400. These similarities suggest functionally equivalencies between waking N400 and sleep N400-like components, thus that the sleeping brain might be able to detect the appearance of a semantic incongruence in its sensory environment. This was also the conclusion of Brualla et al. [15], who reported a N400-like during sleep, with, however, a more delayed latency than ours. The differences between our results and those of Brualla et al. could be explained by the differences in stimulus paradigms, notably stimulus duration which was much shorter in the present study (maximum length of 500 ms vs 480–790 ms). In spite of the differences, our study confirms Brualla et al.‘s data, who observed sleep N400-like potentials after semantically correct but incongruous words. Furthermore, our results show that, as compared to wakefulness, a different hierarchic process of linguist and pseudo-linguistic stimuli appears to take place during sleep, and may be specific to each sleep stage. During S2 (KC), 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. 13 4 8 Vol 13 No 10 19 July 2002 F. PERRIN, H. BASTUJI AND L.GARCIA-LARREA However, no significant difference existed between different levels of discordance, suggesting a loss of hierarchic process of verbal discordances in this sleep stage. A hierarchic process of discordance reappeared in PS, which however differed from that of the waking state. While incongruous and prime words yielded, as in S2, higher N400 amplitudes than those of congruous words, N400 amplitude to pseudo-words was surprisingly similar to that elicited by congruous words, suggesting that pseudo-words were not detected as incongruous stimuli during PS. Stickgold et al. [22] have observed that subjects awakened from REM sleep showed an abnormal pattern of semantic behavioural priming, characterised by greater effects to weak primes (e.g. thief-wrong) than to strong primes (e.g. hot-cold), this effect being not observed during neither waking nor S2. The authors concluded that cognition during PS was qualitatively different from that of waking and S2 and may reflect a shift in associative memory systems, underlying the bizarre and hyperassociative character of dreaming. Our study provides a neurophysiological support to this notion, by suggesting that linguistic absurdity (auditory stimuli close to onomatopoeia) is accepted during PS in a different manner than during waking. It may explain why absurd contents are so naturally incorporated into otherwise plausible dream stories. Sensory responses preceding N400 (notably P2) appeared to be affected by changes in vigilance (but not by incongruence), as has commonly been reported in previous studies [4]. While this effect does not invalidate the general conclusion that a degree of semantic discrimination remains effective during sleep, changes in early sensory processing might have altered the overall auditory input received by semantic comparison cortical networks, and thus may have influenced the modulation of sleep-N400 by different types of incongruence, notably the absence of hierarchic processing during sleep stage 2. CONCLUSION Different hierarchic processes of word semantic discordances were detected in wakefulness and sleep. In waking state, brain signals reflecting the detection of discordance were, as expected, maximal for pseudo-words (i.e. inexistent words). Conversely, in sleep stage 2 all signs of hierarchical process of linguistic discordance disappeared, while a qualitatively different hierarchy reappeared in paradoxical sleep, whereby responses to pseudo-words did not differ from those to congruous words. Failure to detect linguistic absurdity during paradoxical sleep might contribute to the explanation of why illogical contents are so naturally incorporated into otherwise plausible dream stories. REFERENCES 1. Pompeiano O. Prog Physiol Psychol 3, 1–179 (1970). 2. Steriade M, Jones EG and Linás RR. Thalamic Oscillations and Signaling. New York: John Wiley and Sons, 1990. 3. Caekebeke JFV, Van Dijk JG and Van Sweden. Habituation of Kcomplexes or event related potentials during sleep. 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Acknowledgements: We are indebted to Professor Michel Jouvet for his precious comments on an earlier version of this manuscript. We also deeply thank Professor FrancGois Mauguie're for his soutien sans faille all along this work. F.P. was supported by Sano¢-Synthe¤labo. Vol 13 No 10 19 July 2002 13 4 9
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