2021
DOI: 10.3390/cells10112907
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Alzheimer’s Disease, Sleep Disordered Breathing, and Microglia: Puzzling out a Common Link

Abstract: Sleep Disordered Breathing (SDB) and Alzheimer’s Disease (AD) are strongly associated clinically, but it is unknown if they are mechanistically associated. Here, we review data covering both the cellular and molecular responses in SDB and AD with an emphasis on the overlapping neuroimmune responses in both diseases. We extensively discuss the use of animal models of both diseases and their relative utilities in modeling human disease. Data presented here from mice exposed to intermittent hypoxia indicate that … Show more

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Cited by 14 publications
(7 citation statements)
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References 205 publications
(274 reference statements)
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“…As the brain has a vast vascular content, especially in grey matter, the brain tissue elasticity is also affected by the VLF vasomotor wave disturbances [35]. AD is also associated with sleep disordered breathing (SDB) [36,37] with a prevalence of over 50% [38]. People with SDB experience cognitive impairments such as attention deficits and memory loss [39], which correlate with neuroanatomical changes and grey matter loss [40].…”
Section: Discussionmentioning
confidence: 99%
“…As the brain has a vast vascular content, especially in grey matter, the brain tissue elasticity is also affected by the VLF vasomotor wave disturbances [35]. AD is also associated with sleep disordered breathing (SDB) [36,37] with a prevalence of over 50% [38]. People with SDB experience cognitive impairments such as attention deficits and memory loss [39], which correlate with neuroanatomical changes and grey matter loss [40].…”
Section: Discussionmentioning
confidence: 99%
“…A recent review highlighted that nervous system inflammation and microglia activation through an inflammasome-dependent mechanism may link AD and OSA, possibly leading to a mutual and synergistic aggravation of the two diseases [3]. OSA-inherent hypoxia promotes the persistence of low-grade chronic inflammation, as evidenced by activated serum biomarkers of inflammation such as CRP, IL-6, TNF-α, NF-κB, and adhesion molecules, among many others [89,90].…”
Section: Bidirectional Relationship Between Obstructive Sleep Apnea A...mentioning
confidence: 99%
“…The cause of Alzheimer's disease is not well understood, but there are many environmental and genetic risk factors associated with its development. Other risk factors include a history of head trauma, aging, lifestyle activities, clinical depression, high blood pressure, and sleep-disordered breathing (SDB) [2,3]. This disease process causes damage to the neocortex and hippocampus, leading to mental dementia.…”
Section: Introduction: Alzheimer's Disease Neurodegenerationmentioning
confidence: 99%
“…The prevalence of neurodegenerative diseases, including Alzheimer's disease (AD), is increasing due to human life expectancy and aging [ 2 ]. Individuals with AD experience symptoms such as memory and cognitive impairments, sleep disturbances, and activation of microglia, a type of brain cell [ 3 ]. The onset of sporadic AD, the most common form, is believed to be influenced by genetic and environmental factors [ 4 ].…”
Section: Introductionmentioning
confidence: 99%