Circadian Dysregulation: The Next Frontier in Obstructive Sleep Apnea Research
| Autor: | Gang Wu, Douglas C von Allmen, Stacey L. Ishman, John B. Hogenesch, Robert E Schmidt, Lauren J. Francey, Raouf S. Amin, David F. Smith, Garrett M Rogers, Aliza P. Cohen, Marc D. Ruben |
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| Rok vydání: | 2018 |
| Předmět: |
0301 basic medicine
Adult Sleep Apnea Obstructive business.industry Circadian clock Circadian dysregulation Sleep apnea Hypoxia (medical) Bioinformatics medicine.disease Chronobiology Disorders Obstructive sleep apnea 03 medical and health sciences 030104 developmental biology 0302 clinical medicine Otorhinolaryngology Cardiovascular Diseases medicine Humans Surgery medicine.symptom business Child 030217 neurology & neurosurgery Homeostasis |
| Zdroj: | Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 159(6) |
| ISSN: | 1097-6817 |
| Popis: | To review the effects of the circadian clock on homeostasis, the functional interaction between the circadian clock and hypoxia-inducible factors, and the role of circadian dysregulation in the progression of cardiopulmonary disease in obstructive sleep apnea (OSA).The MEDLINE database was accessed through PubMed.A general review is presented on molecular pathways disrupted in OSA, circadian rhythms and the role of the circadian clock, hypoxia signaling, crosstalk between the circadian and hypoxia systems, the role of the circadian clock in cardiovascular disease, and implications for practice. Studies included in this State of the Art Review demonstrate the potential contribution of the circadian clock and hypoxia in animal models or human disease.Molecular crosstalk between the circadian clock and hypoxia-inducible factors has not been evaluated in disease models of OSA.Pediatric OSA is highly prevalent and, if left untreated, may lead to cardiopulmonary sequelae. Changes in inflammatory markers that normally demonstrate circadian rhythmicity are also seen among patients with OSA. Hypoxia-inducible transcription factors interact with core circadian clock transcription factors; however, the interplay between these pathways has not been elucidated in the cardiopulmonary system. This gap in knowledge hinders our ability to identify potential biomarkers of OSA and develop alternative therapeutic strategies. A deeper understanding of the mechanisms by which OSA impinges on clock function and the impact of clock dysregulation on the cardiopulmonary system may lead to future advancements for the care of patients with OSA. The aim of this review is to shed light on this important clinical topic. |
| Databáze: | OpenAIRE |
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