Thread by @SammyRArmstrong

NIH scientists made 20 people pull an all-nighter for 31 hours.

Then they scanned their brains.

What showed up in 19 out of 20 was terrifying.

Here's what one sleepless night does to your brain:

The study design was simple but powerful.

20 healthy adults (ages 22-72) got 2 PET brain scans each.

One after normal sleep, another after 31 hours awake.

Both scans at the same time of day to control variables.

What they found in the brain scans shocked the research team:

They were measuring β-amyloid (Aβ) in the brain.

This is a protein that accumulates as metabolic waste.

It's the same protein that forms plaques in Alzheimer's disease.

The question: Does one night without sleep affect how this protein accumulates?

The results were clear.

After one night, 19 of 20 showed increased Aβ in specific brain regions.

Most affected: right hippocampus and thalamus.

Both show the earliest changes in Alzheimer's.

But the size of the increase was unexpected:

The increase was measurable.

On average, Aβ levels rose 5% after sleep deprivation.

The range varied (from no change to 16% increase).

The effect was consistent across both men and women.

The mood connection made the findings even more disturbing:

The hippocampus finding matters.

This region is critical for memory formation.

It's also one of the first areas affected in Alzheimer's disease.

The fact that one night without sleep causes Aβ to accumulate here suggests sleep plays a direct role in clearing this protein.

People who had bigger increases in Aβ reported worse mood.

More Aβ accumulation = more mood worsening.

The protein buildup had immediate functional effects.

But the long-term sleep patterns revealed an even darker pattern:

They also looked at people's normal sleep patterns.

Those who reported fewer hours of sleep per night had higher baseline Aβ in multiple brain regions:

• Bilateral putamen
• Parahippocampus
• Right precuneus

Less sleep over time = more protein accumulation.

The mechanism likely involves the glymphatic system.

This is the brain's waste clearance system.

It operates most efficiently during sleep.

When you don't sleep, this system doesn't clear Aβ effectively.

The protein accumulates instead of being removed.

The timeline matters.

Just 31 hours awake caused measurable Aβ accumulation.

One sleepless night. Real damage.

In the exact brain regions that deteriorate first in Alzheimer's.

This isn't theoretical. It's happening in your brain right now if you're sleep deprived.

Key findings:

• One night without sleep increases Aβ in memory centers
• Effects are immediate and measurable
• Chronic poor sleep raises baseline Aβ
• Sleep is when your brain clears toxic proteins

These aren't minor. They're in Alzheimer's-vulnerable regions.

Your brain needs sleep to clear metabolic waste.

Without it, toxic proteins build up in regions critical for memory and mood.

One all-nighter won't give you Alzheimer's, but chronic poor sleep creates the conditions for it.

Take ownership of your health. Prioritise sleep.

Thanks for reading!

If you found this useful, follow me @SammyRArmstrong for more health insights.

Repost for your community:

https://twitter.com/1876116766671486977/status/1983553179389407610

Video/Image Credits:
- Sleep deprivation and memory problems | Robbert Havekes | TEDxDenHelder

- Gray739-emphasizing-hippocampus, Public domain
- Jordan Bauer 2017-05-23 (Unsplash XDq93oKp4bo), Creative Commons Zero, Public Domain Dedication