阻塞性睡眠呼吸暂停药物治疗的目标:原则,方法和新兴策略
1Departments of Physiology and Medicine, University of Toronto, Toronto, ON, Canada.
Expert opinion on therapeutic targets
|July 26, 2023
概括
针对喉运动功能,呼吸道感觉,呼吸控制和唤醒机制的药理疗法对阻塞性睡眠呼吸暂停 (OSA) 有希望. 这些新的方法旨在为未来的治疗开发修改关键的OSA病理生理学.
科学领域:
- 睡眠医学 睡眠医学
- 药理学 药理学是指药理学的学科.
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 阻塞性睡眠呼吸暂停 (OSA) 是一种普遍且严重的疾病,具有复杂的病理生理基础.
- 一些导致OSA的因素是可量化的,并且可以接受药理干预.
研究的目的:
- 确定和绘制OSA的关键药物治疗目标.
- 审查当前和新兴的修改OSA病理生理学的策略.
主要方法:
- 在PubMed和Clinicaltrials.gov的文献搜索到2023年4月.
- 确定和分析四个主要的药物治疗点.
主要成果:
- 目标1:通过使用诺拉德仁基-抗肌糖素组合,增强喉运动效应器功能.
- 目标2:通过鼻内通道阻断剂调节上呼吸道的感觉附带体.
- 目标3:通过碳酸酶抑制剂和刺激中枢呼吸活动的药物调整化学感应分泌物和通风控制.
- 目标4:准睡眠-觉醒机制和唤醒能力.
结论:
- 确定的目标代表了OSA药物治疗的有希望的未来方向.
- 自动化测量工具的进步将有助于加速药物治疗的发展.
- 虽然这些目标尚未在一般临床使用中,但它们对OSA管理具有重大未来潜力.
相关概念视频
Sleep Apnea
191
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
191
Management of Insomnia
281
The sleep cycle, an integral part of human health, consists of several stages with distinct characteristics and functions. It begins with a transition from wakefulness to sleep, known as the light sleep phase, followed by the restorative deep sleep phase, essential for physical recovery and growth. The cycle concludes with the Rapid Eye Movement (REM) phase, characterized by high brain activity and vivid dreaming. Insomnia, a prevalent sleep disorder, involves difficulty falling asleep, staying...
281
Sedatives and Hypnotics: Overview
455
Sedatives are drugs that alleviate anxiety, while hypnotics induce sleep. Both classes of medication suppress neuronal activity, leading to a calming effect for sedatives and facilitating sleep for hypnotics.
Sedative-hypnotics are categorized into barbiturates, benzodiazepines (BZDs), and non-benzodiazepines or Z-drugs. These drugs work by suppressing central nervous system activity, and this suppression is dose-dependent. Older sedative medications, like barbiturates, follow a linear curve in...
Sedative-hypnotics are categorized into barbiturates, benzodiazepines (BZDs), and non-benzodiazepines or Z-drugs. These drugs work by suppressing central nervous system activity, and this suppression is dose-dependent. Older sedative medications, like barbiturates, follow a linear curve in...
455
Chronic Obstructive Pulmonary Disease-V: Management
2.6K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.6K
Sedatives and Hypnotics Drugs: Miscellaneous Agents
202
Sedatives and hypnotics encompass a wide range of substances, each with its unique mechanism of action, uses, and potential adverse effects.
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
Melatonin congeners like ramelteon (Rozerem) and tasimelteon (Hetlioz) selectively bind to melatonin receptors (MT1 and MT2) and thus mimic the actions of melatonin, a hormone that regulates sleep-wake cycles. Tasimelteon is primarily used for non-24-hour sleep-wake disorder, common in blind patients. They are also used to treat conditions like insomnia...
202
Pharmacodynamics: Overview and Principles
1.2K
Pharmacodynamics is a scientific field that delves into drugs' intricate biochemical, cellular, and physiological effects on the human body. The study of pharmacodynamics helps us understand how drugs interact with the body and elicit various responses.
Most drugs' effects result from their interactions with drug receptors or targets within the body. These interactions trigger specific responses at the cellular or systemic level. Drug receptors can be found on the surfaces of cells or...
Most drugs' effects result from their interactions with drug receptors or targets within the body. These interactions trigger specific responses at the cellular or systemic level. Drug receptors can be found on the surfaces of cells or...
1.2K


