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Updated: Nov 8, 2025

Drug-Induced Sleep Endoscopy DISE with Target Controlled Infusion TCI and Bispectral Analysis in Obstructive Sleep Apnea
Published on: December 6, 2016
Beclin-1 increases with obstructive sleep apnea severity
Frédéric Schlemmer1, Maéva Zysman2, Bruno Ribeiro Baptista3
1Univ Paris Est Créteil, INSERM, IMRB, FHU Senec, F-94010, Créteil, France; AP-HP, Hôpital Henri Mondor, Unité de Pneumologie, F-94010, Créteil, France.
Obstructive sleep apnea (OSA) causes intermittent hypoxia, potentially activating protective cardiovascular pathways. Autophagy, involving Beclin-1, may shield OSA patients from cardiovascular events, serving as a positive prognostic biomarker.
Area of Science:
- Cardiovascular Science
- Sleep Medicine
- Cellular Biology
Background:
- Obstructive sleep apnea (OSA) is a prevalent chronic condition.
- Chronic intermittent hypoxia is a key factor in OSA pathogenesis and related comorbidities.
- Emerging evidence suggests intermittent hypoxia may induce adaptive cardiovascular pathways, conferring resistance to ischemic damage.
Purpose of the Study:
- To explore the role of adaptive cardiovascular pathways in response to intermittent hypoxia in OSA.
- To investigate the potential involvement of autophagy and Beclin-1 in hypoxia-induced cardioprotection.
- To assess the potential of autophagy activation as a biomarker for improved prognosis in OSA patients.
Main Methods:
- This study reviews current literature on OSA, intermittent hypoxia, cardiovascular pathways, and autophagy.
- Focus is on the molecular mechanisms linking hypoxia, autophagy, and cardiovascular adaptation.
- Analysis of existing data on Beclin-1's role in autophagy and cellular protection.
Main Results:
- Intermittent hypoxia in OSA may trigger adaptive cardiovascular mechanisms.
- Autophagic processes, particularly involving Beclin-1, are implicated in these adaptive pathways.
- Activation of autophagy shows potential for protecting against cardiovascular events in OSA.
Conclusions:
- Autophagy activation, potentially mediated by Beclin-1, may offer a protective effect against cardiovascular complications in OSA.
- Autophagy could serve as a valuable biomarker for a better prognosis in individuals with obstructive sleep apnea.
- Further research into autophagy modulation could lead to novel therapeutic strategies for OSA patients.
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