Researchers have identified a new reason sleep breaks down in Alzheimer’s disease, pointing to the brain’s immune cells rather than amyloid plaques alone. In a mouse study, scientists found that overactive microglia triggered inflammation that interfered with deep, restorative sleep.

The finding is notable because the sleep improvement did not depend on removing the plaques themselves. According to the study summary, researchers were able to restore roughly two hours of sleep, suggesting that calming the brain’s inflammatory response may have a meaningful effect even when plaque buildup remains.

The work adds to a growing view that Alzheimer’s symptoms may be driven not just by visible protein deposits, but also by how the brain reacts to them. The description compares that response to a small problem setting off an outsized system-wide reaction, with inflammation spreading beyond the original trouble spot and disrupting normal brain function.

Although the results come from mice and do not immediately translate into a treatment for people, the study highlights microglia as a promising target for future Alzheimer’s research. If similar mechanisms are confirmed in humans, therapies aimed at reducing harmful inflammation could offer a new way to improve sleep and possibly ease some effects of the disease.