Aug 2026· Continuum· Vol 32 4, pp.
1142-1160
· 0 citations· 42 references
Medicine
TL;DR
The relationship between sleep and neurodegenerative disorders is discussed, which indicates that individuals with genetic factors, including carriers of APOE4, are found to have decreased overall regulation of regions within the brain that control sleep.
Abstract
OBJECTIVE
This article discusses the relationship between sleep and neurodegenerative disorders.
LATEST DEVELOPMENTS
Sleep disorders disrupt neurotransmitters, facilitating the progression of neurodegenerative changes. Sleep impairment promotes amyloid-β aggregation, propagating memory impairment in neurodegenerative disorders. The use of biomarkers for early diagnosis of neurodegenerative disorders may include sleep features. Sleep apnea is associated with an increased risk of Parkinson disease.
ESSENTIAL POINTS
Sleep disorders, such as obstructive sleep apnea, are five times more likely in people with Alzheimer disease. Notably, individuals with genetic factors, including carriers of APOE4, are found to have decreased overall regulation of regions within the brain that control sleep. External factors that increase the risk of dementia include long-term use of antihistamines. The risk of mild cognitive impairment is reduced with the intake of 200 mg/d of caffeine, which aligns the circadian activity of suprachiasmatic nucleus cells. People diagnosed with idiopathic rapid eye movement (REM) sleep behavior disorders have more than a 90% risk of developing an α-synucleinopathy at 14 years follow-up.
This chapter discusses how RBD provides a window for testing neuroprotective and disease-modifying therapies that may delay or prevent overt synucleinopathy and reviews current symptom management approaches that mix pharmacological treatment with non-pharmacological safety measures for injury prevention and neuromodula...
N. Uzma, Maryam Wajdi, Aasea Alhashmi et al.· Progress in Brain Research· 0 citations
Sleep loss is a major risk factor for neurodegenerative diseases like Alzheimer's disease (AD) and Parkinson's disease (PD), accelerating cognitive impairment with neuropathology. Cumulative sleep loss impairs the glymphatic system, reduces amyloid-β clearance, and enhances the neuroinflammatory response, all of which...
Adeel Ahmed, Xiao-Qin Fu, Hamid Khan et al.· Current Neuropharmacology· 0 citations
The available evidence supports a biologically plausible, potentially bidirectional relationship between sleep disruption and AD pathology, while highlighting important gaps in translation.
Alberto Cordella, Athina Bruschetti-Thomi, L. Sacco et al.· Frontiers in Aging Neuroscie...· 0 citations
Objective: Obstructive sleep apnea (OSA) is a prevalent sleep disorder characterized by repeated collapse of the upper airway during sleep, leading to intermittent episodes of apnea and hypopnea. This condition may negatively affect an individual's cognitive functions by causing fluctuations in oxygen saturation and sl...
Ece Defne Uzak, Tolga Yardımcı, H. Türe et al.· Izmir Katip Celebi Universit...· 0 citations
The intricate links between sleep, stress, and Alzheimer’s disease, including underlying neural circuitry and mechanisms that contribute to disease are highlighted, including specific brain region involvements, the contribution of molecular mechanisms of disease, and translational opportunities which may arise.
Darcy Wear, S. A. Hussaini, Wai Haung Yu· npj Dementia· 0 citations
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