Summary of drug therapy to treat cognitive impairment-induced obstructive sleep apnea

Obstructive sleep apnea (OSA) is a severe sleep disorder associated with intermittent hypoxia and sleep fragmentation. Cognitive impairment is a signifi- cant and common OSA complication often described in such patients. The most commonly utilized methods in clinical OSA treatment are oral appliance...

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Main Authors: Daqiang He, Jian Chen, Xiaoxue Du, Linhao Xu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-09-01
Series:Frontiers in Cellular Neuroscience
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fncel.2023.1222626/full
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author Daqiang He
Jian Chen
Xiaoxue Du
Linhao Xu
Linhao Xu
author_facet Daqiang He
Jian Chen
Xiaoxue Du
Linhao Xu
Linhao Xu
author_sort Daqiang He
collection DOAJ
description Obstructive sleep apnea (OSA) is a severe sleep disorder associated with intermittent hypoxia and sleep fragmentation. Cognitive impairment is a signifi- cant and common OSA complication often described in such patients. The most commonly utilized methods in clinical OSA treatment are oral appliances and continuous positive airway pressure (CPAP). However, the current therapeutic methods for improving cognitive function could not achieve the expected efficacy in same patients. Therefore, further understanding the molecular mechanism behind cognitive dysfunction in OSA disease will provide new treatment methods and targets. This review briefly summarized the clinical manifestations of cognitive impairment in OSA disease. Moreover, the pathophysiological molecular mechanism of OSA was outlined. Our study concluded that both SF and IH could induce cognitive impairment by multiple signaling pathways, such as oxidative stress activation, inflammation, and apoptosis. However, there is a lack of effective drug therapy for cognitive impairment in OSA. Finally, the therapeutic potential of some novel compounds and herbal medicine was evaluated on attenuating cognitive impairment based on certain preclinical studies.
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spelling doaj.art-ffc485c6a52544c98011aea54794600a2023-09-04T13:37:27ZengFrontiers Media S.A.Frontiers in Cellular Neuroscience1662-51022023-09-011710.3389/fncel.2023.12226261222626Summary of drug therapy to treat cognitive impairment-induced obstructive sleep apneaDaqiang He0Jian Chen1Xiaoxue Du2Linhao Xu3Linhao Xu4Department of Laboratory Medicine, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaSchool of Basic Medical Sciences and Forensic Medicine, Hangzhou Medical College, Hangzhou, Zhejiang, ChinaKey Laboratory of Clinical Cancer Pharmacology and Toxicology Research of Zhejiang Province, Translational Medicine Research Center, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaKey Laboratory of Clinical Cancer Pharmacology and Toxicology Research of Zhejiang Province, Translational Medicine Research Center, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou, ChinaDepartment of Cardiology, Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaObstructive sleep apnea (OSA) is a severe sleep disorder associated with intermittent hypoxia and sleep fragmentation. Cognitive impairment is a signifi- cant and common OSA complication often described in such patients. The most commonly utilized methods in clinical OSA treatment are oral appliances and continuous positive airway pressure (CPAP). However, the current therapeutic methods for improving cognitive function could not achieve the expected efficacy in same patients. Therefore, further understanding the molecular mechanism behind cognitive dysfunction in OSA disease will provide new treatment methods and targets. This review briefly summarized the clinical manifestations of cognitive impairment in OSA disease. Moreover, the pathophysiological molecular mechanism of OSA was outlined. Our study concluded that both SF and IH could induce cognitive impairment by multiple signaling pathways, such as oxidative stress activation, inflammation, and apoptosis. However, there is a lack of effective drug therapy for cognitive impairment in OSA. Finally, the therapeutic potential of some novel compounds and herbal medicine was evaluated on attenuating cognitive impairment based on certain preclinical studies.https://www.frontiersin.org/articles/10.3389/fncel.2023.1222626/fullobstructive sleep apneaintermittent hypoxiasleep fragmentationcognitive impairmentdrug therapy
spellingShingle Daqiang He
Jian Chen
Xiaoxue Du
Linhao Xu
Linhao Xu
Summary of drug therapy to treat cognitive impairment-induced obstructive sleep apnea
Frontiers in Cellular Neuroscience
obstructive sleep apnea
intermittent hypoxia
sleep fragmentation
cognitive impairment
drug therapy
title Summary of drug therapy to treat cognitive impairment-induced obstructive sleep apnea
title_full Summary of drug therapy to treat cognitive impairment-induced obstructive sleep apnea
title_fullStr Summary of drug therapy to treat cognitive impairment-induced obstructive sleep apnea
title_full_unstemmed Summary of drug therapy to treat cognitive impairment-induced obstructive sleep apnea
title_short Summary of drug therapy to treat cognitive impairment-induced obstructive sleep apnea
title_sort summary of drug therapy to treat cognitive impairment induced obstructive sleep apnea
topic obstructive sleep apnea
intermittent hypoxia
sleep fragmentation
cognitive impairment
drug therapy
url https://www.frontiersin.org/articles/10.3389/fncel.2023.1222626/full
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