Obstructive sleep apnea may induce orexinergic system and cerebral β-amyloid metabolism dysregulation: is it a further proof for Alzheimer's disease risk?

Sleep Medicine
Claudio LiguoriFabio Placidi

Abstract

Obstructive Sleep Apnea (OSA) is associated with pathological changes of cerebral β-amyloid dynamics. Orexin has been demonstrated interfering with β-amyloid metabolism in Alzheimer's Disease (AD) pathology. The present study investigated cerebrospinal-fluid (CSF) β-amyloid40 (Aβ40), β-amyloid42 (Aβ42) and orexin levels in OSA patients compared to AD patients and controls. OSA and AD patients were included in this study and compared to a group of controls. Patients and controls underwent lumbar puncture for the assessment of CSF Aβ40, Aβ42, tau proteins, orexin levels, and polysomnography to measure nocturnal sleep architecture. 20 OSA patients, 20 AD patients, and 15 controls were included in our study. OSA patients showed higher CSF orexin levels than AD patients and controls, and AD patients showed higher CSF orexin levels than controls. Moreover, CSF Aβ40 and Aβ42 were lower in OSA patients than controls, but higher in OSA patients compared to AD patients. However, AD patients showed lower CSF Aβ42 levels but comparable CSF Aβ40 levels than controls. Sleep macrostructure was similarly altered in OSA and AD patients compared to controls. Finally, the apnea-hypopnea index (AHI) was related to the ratio Aβ42/Aβ40 and CSF orexi...Continue Reading

Citations

Sep 6, 2019·PloS One·Sylwia Przybylska-KućJerzy Mosiewicz
Jul 14, 2020·Alzheimer's & Dementia : the Journal of the Alzheimer's Association·Wei XuJin-Tai Yu
Oct 8, 2019·Current Opinion in Pulmonary Medicine·Frank Ralls, Lisa Cutchen
Oct 6, 2020·Journal of Alzheimer's Disease : JAD·Melinda L JacksonStephen R Robinson
Feb 18, 2020·Journal of Alzheimer's Disease : JAD·Claudio LiguoriFabio Placidi
Oct 7, 2020·Sleep Medicine Reviews·Claudio LiguoriBiancamaria Guarnieri
Sep 3, 2020·Progress in Neurobiology·Brianne A KentHaakon B Nygaard
Jan 15, 2021·Mechanisms of Ageing and Development·Claudio LiguoriCinzia Costa
Nov 21, 2020·Journal of Alzheimer's Disease : JAD·Salla Ylä-HerttualaEsa Mervaala
Jan 26, 2021·Frontiers in Aging Neuroscience·Chih-Yun KuoTomas Nikolai
Mar 2, 2021·Neural Regeneration Research·Huang KuangShu-Long Yang
Jun 22, 2021·Journal of Sleep Research·Isaac AlmendrosTarja Saaresranta
Jul 31, 2021·Sleep Medicine Clinics·Carlotta MuttiLiborio Parrino

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