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氧化应激在阻塞性睡眠呼吸暂停综合征患者认知功能障碍发生发展中的作用。

Role of Oxidative Stress in the Occurrence and Development of Cognitive Dysfunction in Patients with Obstructive Sleep Apnea Syndrome.

机构信息

Department of Neurology, Affiliated Hospital of Zunyi Medical University, Zunyi, China.

出版信息

Mol Neurobiol. 2024 Aug;61(8):5083-5101. doi: 10.1007/s12035-023-03899-3. Epub 2023 Dec 30.

Abstract

Obstructive sleep apnea syndrome (OSAS) causes recurrent apnea and intermittent hypoxia at night, leading to several complications such as cognitive dysfunction. However, the molecular mechanisms underlying cognitive dysfunction in OSAS are unclear, and oxidative stress mediated by intermittent hypoxia is an important mechanism. In addition, the improvement of cognitive dysfunction in patients with OSAS varies by different treatment regimens; among them, continuous positive airway pressure therapy (CPAP) is mostly recognized for improving cognitive dysfunction. In this review, we discuss the potential mechanisms of oxidative stress in OSAS, the common factors of affecting oxidative stress and the Links between oxidative stress and inflammation in OSAS, focusing on the potential links between oxidative stress and cognitive dysfunction in OSAS and the potential therapies for neurocognitive dysfunction in patients with OSAS mediated by oxidative stress. Therefore, further analysis on the relationship between oxidative stress and cognitive dysfunction in patients with OSAS will help to clarify the etiology and discover new treatment options, which will be of great significance for early clinical intervention.

摘要

阻塞性睡眠呼吸暂停综合征(OSAS)导致夜间反复呼吸暂停和间歇性缺氧,从而引发多种并发症,如认知功能障碍。然而,OSAS 导致认知功能障碍的分子机制尚不清楚,间歇性缺氧介导的氧化应激是一个重要机制。此外,不同治疗方案对 OSAS 患者认知功能障碍的改善效果不同;其中,持续气道正压通气治疗(CPAP)被广泛认为可改善认知功能障碍。本综述讨论了 OSAS 中氧化应激的潜在机制、影响氧化应激的常见因素以及 OSAS 中氧化应激与炎症之间的联系,重点探讨了 OSAS 中氧化应激与认知功能障碍之间的潜在联系以及氧化应激介导的 OSAS 患者神经认知功能障碍的潜在治疗方法。因此,进一步分析 OSAS 患者氧化应激与认知功能障碍之间的关系,有助于阐明病因并发现新的治疗选择,这对于早期临床干预具有重要意义。

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