Sleep Disturbances in MCI and AD: Neuroinflammation as a Possible Mediating Pathway
Victoria M Pak1, S-Hakki Onen2,3, Donald L Bliwise4
1Nell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, United States.
Abstract:
Mild cognitive impairment (MCI) and Alzheimer's disease (AD) affect a high proportion of the elderly population with an increasing prevalence. Sleep disturbances are frequent in those with MCI and AD. This review summarizes existing research on sleep disturbances and neuroinflammation in MCI and AD. Although strong evidence supports various pathways linking sleep and AD pathology, the temporal direction of this central relationship is not yet known. Improved understanding of sleep disturbance and neuroinflammation in MCI and AD may aid in the identification of targets for their prevention.
Insights
Sleep disturbances are common in mild cognitive impairment (MCI) and Alzheimer's disease (AD). This review explores the link between sleep issues and neuroinflammation in MCI and AD, seeking prevention targets.
Area of Science:
- Neuroscience
- Gerontology
- Sleep Medicine
Background:
- Mild cognitive impairment (MCI) and Alzheimer's disease (AD) are prevalent in the elderly.
- Sleep disturbances are frequently observed in individuals with MCI and AD.
- Neuroinflammation is a key feature in the pathology of MCI and AD.
Purpose of the Study:
- To review current research on the relationship between sleep disturbances and neuroinflammation in MCI and AD.
- To explore potential pathways linking sleep and AD pathology.
- To identify the temporal relationship between sleep disturbances and AD progression.
Main Methods:
- Systematic literature review of studies investigating sleep disturbances and neuroinflammation in MCI and AD.
- Analysis of existing evidence on the bidirectional relationship between sleep, neuroinflammation, and cognitive decline.
- Synthesis of findings to understand the temporal dynamics of these factors.
Main Results:
- Strong evidence suggests multiple pathways connect sleep disturbances to AD pathology.
- Neuroinflammation is implicated in the progression of both MCI and AD.
- The precise temporal order of sleep disturbances and neuroinflammation in AD pathogenesis remains unclear.
Conclusions:
- Understanding the interplay between sleep disturbances and neuroinflammation is crucial for MCI and AD.
- Further research is needed to elucidate the temporal direction of the sleep-AD relationship.
- Identifying therapeutic targets for sleep and neuroinflammation may offer novel prevention strategies for MCI and AD.
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