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- Title
Buying time: a rationale for examining the use of circadian rhythm and sleep interventions to delay progression of mild cognitive impairment to Alzheimer's disease.
- Authors
Landry, Glenn J.; Liu-Ambrose, Teresa
- Abstract
As of 2010, the worldwide economic impact of dementia was estimated at $604 billion USD; and without discovery of a cure or effective interventions to delay disease progression, dementia's annual global economic impact is expected to surpass $1 trillion USD as early as 2030. Alzheimer's disease (AD) is the leading cause of dementia accounting for over 75% of all cases. Toxic accumulation of amyloid beta (Ab), either by overproduction or some clearance failure, is thought to be an underlying mechanism of the neuronal cell death characteristic of AD-though this amyloid hypothesis has been increasingly challenged in recent years. A compelling alternative hypothesis points to chronic neuroinflammation as a common root in late-life degenerative diseases including AD. Apolipoprotein-E (APOE) genotype is the strongest genetic risk factor for AD: APOE-+4 is proinflammatory and individuals with this genotype accumulate more Ab, are at high risk of developing AD, and almost half of all AD patients have at least one +4 allele. Recent studies suggest a bidirectional relationship exists between sleep and AD pathology. Sleep may play an important role in Ab clearance, and getting good quality sleep vs. poor quality sleep might reduce the AD risk associated with neuroinflammation and the +4 allele. Taken together, these findings are particularly important given the sleep disruptions commonly associated with AD and the increased burden disrupted sleep poses for AD caregivers. The current review aims to: (1) identify individuals at high risk for dementia who may benefit most from sleep interventions; (2) explore the role poor sleep quality plays in exacerbating AD type dementia; (3) examine the science of sleep interventions to date; and (4) provide a road map in pursuit of comprehensive sleep interventions, specifically targeted to promote cognitive function and delay progression of dementia.
- Subjects
CIRCADIAN rhythms; SLEEP disorders; CLINICAL chronobiology; MILD cognitive impairment; APOLIPOPROTEIN E; ETIOLOGY of dementia
- Publication
Frontiers in Aging Neuroscience, 2014, Vol 6, p1
- ISSN
1663-4365
- Publication type
Article
- DOI
10.3389/fnagi.2014.00325