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. 2020 Dec 22;7:585744. doi: 10.3389/fmed.2020.585744

Table 3.

Sleep research priorities.

Question/Priority area Methodology considerations
BASIC SCIENCE
• Circadian and sleep-related control of gene expression and regulation
• Sleep-related regulation of CNS interstitial protein clearance
• Restorative function of sleep at the molecular, cellular, and physiological levels
• Application of cutting-edge neuroscience techniques (e.g., optogenetics, CRISPR) to circadian and sleep questions
• Refined model systems, including in silico, ex vivo, and in vivo animal models
TRANSLATIONAL SCIENCE
• Effect of circadian rhythms and sleep on common therapeutics (e.g., chronopharmacology)
• Intersection between sleep/circadian physiology and metabolism at the molecular, cellular, and physiological levels
• Simple, accurate, reliable methods to identify circadian phase and amplitude in intact organisms, including humans
• Development of high-throughput assays and methods for examining drug effects in a circadian context
• Methods for measuring sleep and circadian-related aspects of CNS interstitial protein clearance and metabolism
CLINICAL AND IMPLEMENTATION SCIENCE
• Novel measures to identify the relationship between sleep disorders (sleep apnea, insomnia, restless legs syndrome), sleep treatments, and health outcomes
• Dissemination of behavioral sleep interventions
• Novel sleep and circadian interventions to improve health and function at the individual, community, and societal levels
• Clinical practice guidelines for induction and sustainment of healthy sleep behaviors
• Improved measures of sleep apnea that relate more closely to health and mortality outcomes
• Improved methods for simultaneous measurement of sleep and brain function (e.g., functional connectivity and region-of-interest activation)
• Refined measures of sleep and circadian rhythms using remote monitoring and passive sensing
• Novel delivery methods and systems for behavioral interventions
• Incorporation of sleep and circadian rhythms into multiple health behavior change programs
• Improved communication between sleep/circadian and lifestyle medicine communities