Bi-temporal anodal tDCS during slow-wave sleep boosts episodic memory consolidation in high performers

Background: Sleep is crucial for sound memory functioning in humans. In particular, the slow waves that occur predominantly during slow wave sleep (SWS) are associated with hippocampus-dependent declarative memory consolidation. Making use of this association, boosting SWS to improve memory performance would be appealing for both healthy and memory-impaired populations. Transcranial direct current stimulation (tDCS) is a non-invasive brain stimulation that modulates the brain’s excitability and has shown promising results in improving memory performance. However, owing to differing stimulation protocols and contradictory findings, there is insufficient evidence for the efficacy of tDCS-modulated hippocampal excitability on SWS and sleep-dependent memory consolidation.Hypotheses: We aimed to enhance sleep-dependent memory consolidation and augment slow wave amplitudes. Methods: We applied bi-temporal anodal tDCS to the left and right lateral temporal lobes of 31 healthy participants in a double-blind, sham-controlled, randomized crossover study. State-dependent tDCS was administered during slow wave sleep only. A pair-associate episodic memory task was used to assess sleep-dependent memory consolidation with face-occupation stimuli with baseline retrieval before sleep and delayed retrieval after sleep. Results: Sleep-dependent memory consolidation was increased by tDCS only in participants who showed above-average performance (i.e. high performers) in baseline memory retrieval. Moreover, tDCS increased the slow wave amplitudes compared to sham. Conclusions: When targeting a specialized brain mechanism such as memory consolidation with tDCS during slow wave sleep, only those who were high performers at baseline achieved a memory boost.