Is obstructive sleep apnea a circadian rhythm disorder?

Šmon, Julija (avtor), Kočar, Eva (avtor), Pintar, Tadeja (avtor), Dolenc-Grošelj, Leja (avtor), Rozman, Damjana (avtor)

Obstructive sleep apnea is the most common sleep-related breathing disorder worldwide and remains underdiagnosed. Its multiple associated comorbidities contribute to a decreased quality of life and work performance as well as an increased risk of death. Standard treatment seems to have limited effects on cardiovascular and metabolic aspects of the disease, emphasising the need for early diagnosis and additional therapeutic approaches. Recent evidence suggests that the dysregulation of circadian rhythms, processes with endogenous rhythmicity that are adjusted to the environment through various cues, is involved in the pathogenesis of comorbidities. In patients with obstructive sleep apnea, altered circadian gene expression patterns have been demonstrated. Obstructive respiratory events may promote circadian dysregulation through the effects of sleep disturbance and intermittent hypoxia, with subsequent inflammation and disruption of neural and hormonal homeostasis. In this review, current knowledge on obstructive sleep apnea, circadian rhythm regulation, and circadian rhythm sleep disorders is summarised. Studies that connect obstructive sleep apnea to circadian rhythm abnormalities are critically evaluated. Furthermore, pathogenetic mechanisms that may underlie this association, most notably hypoxia signalling, are presented. A bidirectional relationship between obstructive sleep apnea and circadian rhythm dysregulation is proposed. Approaching obstructive sleep apnea as a circadian rhythm disorder may prove beneficial for the development of new, personalised diagnostic, therapeutic and prognostic tools. However, further studies are needed before the clinical approach to obstructive sleep apnea includes targeting the circadian system.

• Jezik: Angleški jezik
• Ključne besede: obstructive sleep apnea, breathing disorder, circadian rhythms, chronotherapy, comorbidities, gene expression, hypoxia, molecular clock, sleep disorders
• Vrsta gradiva: Članek v reviji
• Tipologija: 1.02 - Pregledni znanstveni članek
• Organizacija: MF - Medicinska fakulteta
• Status publikacije: Objavljeno
• Različica publikacije: Objavljena publikacija
• Leto izida: 2023
• Št. strani: 20 str.
• Številčenje: Vol. 32, iss. 4, art. e13875
• PID: 20.500.12556/RUL-148261
• UDK: 616.2
• ISSN pri članku: 1365-2869
• DOI: 10.1111/jsr.13875
• COBISS.SI-ID: 145368323
• Datum objave v RUL: 08.08.2023

Gradivo je del revije

• Naslov: Journal of sleep research
• Skrajšan naslov: J. sleep res.
• Založnik: Wiley, European Sleep Research Society
• ISSN: 1365-2869
• COBISS.SI-ID: 517774873

Licence

• Licenca: CC BY-NC-ND 4.0, Creative Commons Priznanje avtorstva-Nekomercialno-Brez predelav 4.0 Mednarodna
• Povezava: http://creativecommons.org/licenses/by-nc-nd/4.0/deed.sl
• Opis: Najbolj omejujoča licenca Creative Commons. Uporabniki lahko prenesejo in delijo delo v nekomercialne namene in ga ne smejo uporabiti za nobene druge namene.

Sekundarni jezik

• Jezik: Slovenski jezik
• Ključne besede: obstruktivna apneja v spanju, motnja dihanja, cirkadiani ritem