Laboratory of Neurodegenerative Diseases, School of Biomedical Sciences, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
School of Nursing, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong.
Front Neuroendocrinol. 2019 Jul;54:100764. doi: 10.1016/j.yfrne.2019.100764. Epub 2019 May 15.
Emerging evidence suggests that sleep deprivation (SD) and circadian rhythm disruption (CRD) may interact and increase the risk for the development of Alzheimer's disease (AD). This review inspects different pathophysiological aspects of SD and CRD, and shows that the two may impair the glymphatic-vascular-lymphatic clearance of brain macromolecules (e.g., β-amyloid and microtubule associated protein tau), increase local brain oxidative stress and diminish circulatory melatonin levels. Lastly, this review looks into the potential association between sleep and circadian rhythm with stress granule formation, which might be a new mechanism along the AD pathogenic pathway. In summary, SD and CRD is likely to be associated with a positive risk in developing Alzheimer's disease in humans.
新出现的证据表明,睡眠剥夺(SD)和昼夜节律紊乱(CRD)可能相互作用并增加阿尔茨海默病(AD)的发病风险。本综述检查了 SD 和 CRD 的不同病理生理方面,并表明两者都可能损害大脑大分子(例如β-淀粉样蛋白和微管相关蛋白 tau)的糖液-血管-淋巴清除,增加局部脑氧化应激并降低循环褪黑素水平。最后,本综述探讨了睡眠和昼夜节律与应激颗粒形成之间的潜在关联,这可能是 AD 发病途径中的一个新机制。总之,SD 和 CRD 可能与人类患阿尔茨海默病的风险增加有关。
Front Neuroendocrinol. 2019-5-15
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