4.5 Review

Decoding Causal Links Between Sleep Apnea and Alzheimer's Disease

Journal

JOURNAL OF ALZHEIMERS DISEASE
Volume 80, Issue 1, Pages 29-40

Publisher

IOS PRESS
DOI: 10.3233/JAD-201066

Keywords

Alzheimer's disease; amygdala; cingulate gyrus; hippocampus; insula; magnetic resonance imaging; obstructive sleep apnea

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This review explores the association between obstructive sleep apnea (OSA) and Alzheimer's disease (AD) and proposes a new neurodegenerative model called OSA-AD neurodegeneration to decode the causal links between these two chronic conditions. Using neuroimaging and neuropathological investigations, the study highlights potential vulnerable brain regions and networks in OSA for the development of AD neuropathology.
Obstructive sleep apnea (OSA) and Alzheimer's disease (AD) are two common chronic diseases with a well-documented association. Whether the association is causal has been highlighted by recent evidence reporting a neurobiological link between these disorders. This narrative review discusses the brain regions and networks involved in OSA as potential vulnerable areas for the development of AD neuropathology with a particular focus on gender-related implications. Using a neuroimaging perspective supported by neuropathological investigations, we provide a new model of neurodegeneration common to OSA and AD, that we have called OSA-AD neurodegeneration in order to decode the causal links between these two chronic conditions.

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