Intermittent Hypoxia Induces Cognitive Dysfunction and Hippocampal Gene Expression Changes in a Mouse Model of
Kenta Miyo1,2, Yuki Uchida1, Ryota Nakano3
1Department of Physiology, Showa Medical University School of Medicine, Tokyo 142-8555, Japan.
International Journal of Molecular Sciences
|August 14, 2025
Summary
Intermittent hypoxia (IH) in obstructive sleep apnea syndrome impairs memory and learning by suppressing the KEAP1-NFE2L2 antioxidant pathway and downregulating mitochondrial genes, leading to oxidative stress.
Area of Science:
- Neuroscience
- Molecular Biology
- Sleep Medicine
Background:
- Obstructive sleep apnea syndrome (OSAS) involves cyclical oxygen desaturation and reoxygenation.
- Cognitive dysfunction is a known complication of OSAS, but its underlying mechanisms are not fully understood.
Purpose of the Study:
- To investigate the molecular mechanisms by which intermittent hypoxia (IH), modeling OSAS, induces cognitive dysfunction.
- To analyze changes in hippocampal gene expression and identify key pathways affected by IH.
Main Methods:
- C57BL/6J mice were exposed to IH, sustained hypoxia (SH), or normoxia (control) for 28 days.
- Cognitive function was assessed using Y-maze and passive avoidance tests.
- Hippocampal gene expression was analyzed using RNA sequencing (RNA-seq) and RT-qPCR.
Main Results:
- IH exposure led to impaired memory and learning in passive avoidance tests compared to control and SH groups.
- RNA-seq revealed coordinated suppression of mitochondrial function genes and oxidative stress response pathways in the IH group.
- RT-qPCR confirmed decreased expression of Lars2, Hmcn1, and Vstm2l, and suppression of the KEAP1-NFE2L2 antioxidant pathway in the IH group.
Conclusions:
- IH induces cognitive dysfunction by suppressing the KEAP1-NFE2L2 antioxidant pathway and downregulating mitochondrial genes.
- These molecular changes result in oxidative stress and mitochondrial dysfunction, contributing to OSAS-related cognitive impairment.


