Mattis Joanna, Sehgal Amita
Department of Neurology, University of Pennsylvania, Philadelphia, PA, USA.
HHMI, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Trends Endocrinol Metab. 2016 Apr;27(4):192-203. doi: 10.1016/j.tem.2016.02.003. Epub 2016 Mar 3.
Sleep-wake cycles are known to be disrupted in people with neurodegenerative disorders. These findings are now supported by data from animal models for some of these disorders, raising the question of whether the disrupted sleep/circadian regulation contributes to the loss of neural function. As circadian rhythms and sleep consolidation also break down with normal aging, changes in these may be part of what makes aging a risk factor for disorders like Alzheimer's disease (AD). Mechanisms underlying the connection between circadian/sleep dysregulation and neurodegeneration remain unclear, but several recent studies provide interesting possibilities. While mechanistic analysis is under way, it is worth considering treatment of circadian/sleep disruption as a means to alleviate symptoms of neurodegenerative disorders.
众所周知,神经退行性疾病患者的睡眠-觉醒周期会受到干扰。现在,其中一些疾病的动物模型数据支持了这些发现,这就提出了一个问题:睡眠/昼夜节律调节紊乱是否会导致神经功能丧失。由于昼夜节律和睡眠巩固也会随着正常衰老而出现紊乱,这些变化可能是衰老成为阿尔茨海默病(AD)等疾病风险因素的部分原因。昼夜节律/睡眠失调与神经退行性变之间联系的潜在机制尚不清楚,但最近的几项研究提供了有趣的可能性。虽然机制分析正在进行中,但将昼夜节律/睡眠紊乱的治疗作为缓解神经退行性疾病症状的一种手段是值得考虑的。