Journal of Sleep Research,
Journal Year:
2024,
Volume and Issue:
33(6)
Published: March 10, 2024
Summary
Sleep
loss
is
associated
with
reduced
health
and
quality
of
life,
increased
risk
Alzheimer's
disease
related
dementias.
Up
to
66%
persons
dementias
experience
poor
sleep,
which
can
predict
or
accelerate
the
progression
cognitive
decline.
Exercise
a
widely
accessible
intervention
for
sleep
that
protect
against
functional
No
previous
systematic
reviews
have
investigated
effectiveness
exercise
in
older
adults
mild
impairment
We
systematically
reviewed
controlled
interventional
studies
targeting
subjectively
objectively
(polysomnography/actigraphy)
assessed
conducted
searches
PubMed,
Embase,
Scopus
Cochrane‐Library
(
n
=
6745).
Nineteen
randomised
one
non‐randomised
trials
were
included,
representing
experiences
3278
Ten
had
low‐risk,
nine
moderate‐risk,
high‐risk
bias.
Six
subjective
eight
objective
outcomes
meta‐analysed
(random‐effects
model).
found
moderate‐
high‐quality
evidence
beneficial
effects
on
self‐reported
objectively‐measured
However,
no
examined
key
potential
moderators
these
effects,
such
as
sex,
napping
medication
use.
Our
results
important
implications
clinical
practice.
may
be
most
modifiable
factors
range
conditions,
including
decline
Given
our
findings,
clinicians
consider
adding
an
effective
adjuvant
strategy
improving
Frontiers in Aging Neuroscience,
Journal Year:
2025,
Volume and Issue:
16
Published: Jan. 3, 2025
Improving
sleep
in
murine
Alzheimer's
disease
(AD)
is
associated
with
reduced
brain
amyloidosis.
However,
the
window
of
opportunity
for
successful
sleep-targeted
interventions,
regarding
reduction
pathological
hallmarks
and
related
cognitive
performance,
remains
poorly
characterized.
Here,
we
enhanced
slow-wave
activity
(SWA)
during
via
sodium
oxybate
(SO)
oral
administration
2
weeks
at
early
(6
months
old)
or
moderately
late
(11
stages
Tg2576
mice
evaluated
resulting
neuropathology
behavioral
performance.
We
observed
that
performance
6-month-old
significantly
improved
upon
SO
treatment,
whereas
no
change
was
11-month-old
mice.
Histochemical
assessment
amyloid
plaques
demonstrated
SO-treated
had
less
plaque
burden
than
placebo-treated
ones,
ELISA
insoluble
protein
fractions
from
brains
indicated
lower
Aβ-42/Aβ-40
ratio
group
vs.
controls.
Altogether,
our
results
suggest
SWA-dependent
amyloidosis
leads
to
alleviated
impairment
only
if
administered
course,
potentially
highlighting
key
importance
sleep-based
interventions
clinical
cohorts.
Journal of Neurorestoratology,
Journal Year:
2022,
Volume and Issue:
10(2), P. 100002 - 100002
Published: June 1, 2022
Acetylcholine
(ACh)
is
one
of
the
most
important
neurotransmitters
in
central
cholinergic
system;
it
specifically
binds
to
muscarinic
and
nicotinic
receptors
degraded
by
acetylcholinesterase
(AChE).
ACh
plays
a
crucial
role
learning
memory.
It
generally
believed
that,
nervous
system,
promotes
conduction
brain
nerves
accelerates
information
transmission.
Besides,
increasing
levels
can
enhance
memory
ability
comprehensively
improve
function.
Thus,
AChE
inhibitors
(AChEI),
which
inhibit
degradation
AChE,
have
been
used
treat
Alzheimer's
disease
(AD)
Parkinson's
dementia
(PDD).
However,
recent
studies
shown
that
excessive
system
impairs
Here
we
review
roles
memory;
focus
on
adverse
effects
ACh,
possible
mechanisms,
bidirectional
pathology
cure
AD
PDD.
We
conclude
timing
dose
administration
should
be
carefully
prescreened
when
using
alleviate
patients.
Neurobiology of Disease,
Journal Year:
2022,
Volume and Issue:
166, P. 105655 - 105655
Published: Feb. 8, 2022
The
phenotypic
transformation
of
astrocytes
in
Alzheimer's
disease
(AD)
is
still
not
well
understood.
Recent
analyses
based
on
single-nucleus
RNA
sequencing
postmortem
samples
are
limited
by
the
low
number
sequenced
astrocytes,
small
cohort
sizes,
and
differentially
expressed
genes
detected.
To
optimize
detection
astrocytic
genes,
we
employed
a
novel
strategy
consisting
localization
pre-determined
astrocyte
neuronal
gene
clusters
publicly
available
whole-brain
transcriptomes.
Specifically,
used
cortical
transcriptomes
from
766
individuals,
including
cognitively
normal
subjects
(Controls),
people
diagnosed
with
mild
cognitive
impairment
(MCI)
or
dementia
due
to
AD.
Samples
came
three
independent
cohorts
organized
Mount
Sinai
Hospital,
Mayo
Clinic,
Religious
Order
Study/Memory
Aging
Project
(ROSMAP).
Astrocyte-
neuron-specific
were
generated
human
brain
cell-type
specific
RNAseq
data
using
hierarchical
clustering
enrichment
scoring.
Genes
each
cluster
manually
annotated
according
functional
Categories.
Gene
Set
Variation
Analysis
(GSVA)
Principal
Component
(PCA)
establish
changes
these
categories
among
clinical
cohorts.
We
highlight
findings
study.
First,
individuals
same
diagnosis
molecularly
heterogeneous.
Particularly
Clinic
ROSMAP
cohorts,
over
50%
Controls
presented
down-regulation
encoding
synaptic
proteins
typical
AD,
whereas
30%
patients
AD
Control-like
transcriptomic
profiles.
Second,
related
coincided,
up-regulation
perisynaptic
processes
(PAP)
endolysosomal
mitochondrial
proteins.
Third,
inversely
correlated
stages
defined
Braak
CERAD
Finally,
interpreted
as
maladaptive
adaptive
point
view
biology
model
phenotypical
main
prediction
that
early
malfunction
system,
associated
progressive
dysfunction,
contribute
disease.
If
this
correct,
therapies
preventing
organelle
dysfunction
may
be
beneficial
preclinical
Molecular Neurodegeneration,
Journal Year:
2023,
Volume and Issue:
18(1)
Published: April 21, 2023
Abstract
Failed
proteostasis
is
a
well-documented
feature
of
Alzheimer’s
disease,
particularly,
reduced
protein
degradation
and
clearance.
However,
the
contribution
failed
to
neuronal
circuit
dysfunction
an
emerging
concept
in
neurodegenerative
research
will
prove
critical
understanding
cognitive
decline.
Our
objective
convey
disease
progression
with
growing
evidence
for
bidirectional
relationship
sleep
disruption
failure.
Proteostasis
tauopathy
disrupts
neurons
that
regulate
sleep–wake
cycle,
which
presents
behavior
as
impaired
slow
wave
rapid
eye
movement
patterns.
Subsequent
loss
further
impairs
Sleep
defined
seen
early
many
disorders
contributes
memory
impairments
disease.
Canonical
pathological
hallmarks,
β-amyloid,
tau,
directly
disrupt
sleep,
neurodegeneration
locus
coeruleus,
hippocampal
hypothalamic
from
tau
proteinopathy
causes
circuitry
sleep.
Acting
positive-feedback-loop,
circadian
rhythm
then
increase
spread
β-amyloid
through
proteasome,
autophagy,
unfolded
response
glymphatic
This
phenomenon
extends
beyond
interactions
impairment
homeostasis
TDP-43,
α-synuclein,
FUS,
huntingtin
proteins,
implicating
important
consideration
array
diseases
cases
mixed
neuropathology.
Critically,
dynamics
this
interaction
environment
are
not
fully
elucidated
deserving
discussion
research.
Finally,
we
propose
sleep-enhancing
therapeutics
potential
interventions
promoting
healthy
proteostasis,
including
clearance,
mechanistically
linking
these
processes.
With
clinical
preclinical
research,
dynamic
diagnostic
therapeutic
framework,
informing
precise
single-
combinatorial-treatments
other
brain
disorders.
Graphical
International Journal of Molecular Sciences,
Journal Year:
2023,
Volume and Issue:
24(4), P. 3221 - 3221
Published: Feb. 6, 2023
Emerging
evidence
suggests
that
an
important
function
of
the
sleeping
brain
is
removal
wastes
and
toxins
from
central
nervous
system
(CNS)
due
to
activation
waste
(BWRS).
The
meningeal
lymphatic
vessels
(MLVs)
are
part
BWRS.
A
decrease
in
MLV
associated
with
Alzheimer’s
Parkinson’s
diseases,
intracranial
hemorrhages,
tumors
trauma.
Since
BWRS
activated
during
sleep,
a
new
idea
now
being
actively
discussed
scientific
community:
night
stimulation
might
be
innovative
promising
strategy
for
neurorehabilitation
medicine.
This
review
highlights
trends
photobiomodulation
BWRS/MLVs
deep
sleep
as
breakthrough
technology
effective
unnecessary
compounds
order
increase
neuroprotection
CNS
well
prevent
or
delay
various
diseases.
International Journal of Molecular Sciences,
Journal Year:
2024,
Volume and Issue:
25(10), P. 5549 - 5549
Published: May 19, 2024
Parvalbumin
expressing
(PV+)
GABAergic
interneurons
are
fast
spiking
neurons
that
provide
powerful
but
relatively
short-lived
inhibition
to
principal
excitatory
cells
in
the
brain.
They
play
a
vital
role
feedforward
and
feedback
synaptic
inhibition,
preventing
run
away
excitation
neural
networks.
Hence,
their
dysfunction
can
lead
hyperexcitability
increased
susceptibility
seizures.
PV+
also
key
players
generating
gamma
oscillations,
which
synchronized
oscillations
associated
with
various
cognitive
functions.
interneuron
particularly
vulnerable
aging
degeneration
has
been
decline
memory
impairment
dementia
Alzheimer’s
disease
(AD).
Overall,
of
disrupts
normal
excitatory/inhibitory
balance
within
specific
neurocircuits
brain
thus
linked
wide
range
neurodevelopmental
neuropsychiatric
disorders.
This
review
focuses
on
dysfunctional
inhibitory
generation
epileptic
seizures
potential
as
targets
design
future
therapeutic
strategies
treat
these
Recent
research
using
cutting-edge
optogenetic
chemogenetic
technologies
demonstrated
they
be
selectively
manipulated
control
restore
activity
brains
animal
models.
suggests
could
important
developing
treatments
for
patients
epilepsy
comorbid
disorders,
such
AD,
where
directly
deficits.
Cureus,
Journal Year:
2024,
Volume and Issue:
unknown
Published: March 13, 2024
Alzheimer's
disease
(AD)
is
a
progressive
neurodegenerative
disorder
characterized
by
memory
impairment,
loss
of
cholinergic
neurons,
and
cognitive
decline
that
insidiously
progresses
to
dementia.
The
pathoetiology
AD
complex,
as
genetic
predisposition,
age,
inflammation,
oxidative
stress,
dysregulated
proteostasis
all
contribute
its
development
progression.
histological
hallmarks
are
the
formation
accumulation
amyloid-β
plaques
interfibrillar
tau
tangles
within
central
nervous
system.
These
trigger
neuroinflammation
disrupt
physiological
structure
functioning
leading
dysfunction.
Most
treatments
currently
available
for
focus
only
on
symptomatic
relief.
Disease-modifying
(DMTs)
target
biology
in
hopes
slowing
or
reversing
progression
desperately
needed.
This
narrative
review
investigates
novel
DMTs
their
therapeutic
targets
either
phase
three
have
been
recently
approved
U.S.
Food
Drug
Administration
(FDA).
areas
some
these
consist
combatting
amyloid
accumulation,
neuroinflammation,
proteostasis,
metabolism,
circadian
rhythm.
Neuroprotection
neuroplasticity
promotion
were
also
key
areas.
DMT
diversity
may
permit
improved
responses
certain
subpopulations
AD,
particularly
if
being
administered
aligns
with
subpopulation's
most
prominent
pathological
findings.
Clinicians
should
be
cognizant
how
drugs
differ
targets,
this
knowledge
potentially
enhance
level
care
they
can
provide
patients
future.
Frontiers in Molecular Neuroscience,
Journal Year:
2021,
Volume and Issue:
13
Published: Jan. 7, 2021
Soluble
amyloid-beta
oligomers
(Aβo)
start
to
accumulate
in
the
human
brain
one
two
decades
before
any
clinical
symptoms
of
Alzheimer's
disease
(AD)
and
are
implicated
synapse
loss,
best
predictors
memory
decline
that
characterize
illness.
Cognitive
impairment
AD
was
traditionally
thought
result
from
a
reduction
synaptic
activity
which
ultimately
induces
neurodegeneration.
More
recent
evidence
indicates
early
stages
failure
is,
at
least
partly,
induced
by
neuronal
hyperactivity
rather
than
hypoactivity.
Here,
we
review
growing
body
supporting
implication
soluble
Aβo
on
induction
animal
models,
vitro
,
humans.
We
then
discuss
impact
Aβo-induced
performance,
cell
death,
epileptiform
activity,
gamma
oscillations,
slow
wave
activity.
provide
an
overview
cellular
molecular
mechanisms
emerging
explain
how
induce
hyperactivity.
conclude
providing
outlook
for
development
disease-modifying
interventions
onset
AD.