Yangzhong Xiaoting, Hua Shu, Wen Yiqiong, Bi Xiaoqing, Li Min, Zheng Yuanyuan, Sun Shibo
Department of Pulmonary and Critical Care Medicine, First Affiliated Hospital, Kunming Medical University, Kunming, China.
Pediatrics, First class, 2020 Grade, Kunming Medical University, Kunming, China.
Curr Mol Med. 2025;25(5):522-536. doi: 10.2174/0115665240294605240426123650.
Obstructive sleep apnea (OSA) is widespread in the population and affects as many as one billion people worldwide. OSA is associated with dysfunction of the brain system that controls breathing, which leads to intermittent hypoxia (IH), hypercapnia, and oxidative stress (OS). The number of NOD-like receptor family pyrin domain-containing (NLRP3) inflammasome was increased after IH, hypercapnia, and OS. NLRP3 inflammasome is closely related to inflammation. NLRP3 inflammasome causes a series of inflammatory diseases by activating IL-1β and IL-18. Subsequently, NLRP3 inflammasome plays an important role in the complications of OSA, including Type 2 diabetes (T2DM), coronary heart disease (CHD), hypertension, neuroinflammation, and depression. This review will introduce the basic composition and structure of the NLRP3 inflammasome and focus on the relationship between the NLRP3 inflammasome and OSA and OSA complications. We can deeply understand how NLRP3 inflammasome is strongly associated with OSA and OSA complications.
阻塞性睡眠呼吸暂停(OSA)在人群中广泛存在,全球多达10亿人受其影响。OSA与控制呼吸的脑系统功能障碍有关,这会导致间歇性缺氧(IH)、高碳酸血症和氧化应激(OS)。在经历IH、高碳酸血症和OS后,含NOD样受体家族吡咯结构域(NLRP3)的炎性小体数量增加。NLRP3炎性小体与炎症密切相关。NLRP3炎性小体通过激活白细胞介素-1β(IL-1β)和白细胞介素-18(IL-18)引发一系列炎症性疾病。随后,NLRP3炎性小体在OSA的并发症中起重要作用,包括2型糖尿病(T2DM)、冠心病(CHD)、高血压、神经炎症和抑郁症。本综述将介绍NLRP3炎性小体的基本组成和结构,并重点关注NLRP3炎性小体与OSA及OSA并发症之间的关系。我们可以深入了解NLRP3炎性小体如何与OSA及OSA并发症密切相关。