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Sleep: A novel mechanistic pathway, biomarker, and treatment target in the pathology of Alzheimer s disease? #MMPMID27325209
Mander BA; Winer JR; Jagust WJ; Walker MP
Trends Neurosci 2016[Aug]; 39 (8): 552-66 PMID27325209show ga
Sleep disruption appears to be a core component of Alzheimer's disease (AD) and its pathophysiology. Signature abnormalities of sleep emerge before clinical onset of AD. Moreover, insufficient sleep facilitates accumulation of amyloid-? (A?), potentially triggering earlier cognitive decline and conversion to AD. Building on such findings, this review has four goals, evaluating: (i) associations and plausible mechanisms linking NREM sleep disruption, A?, and AD, (ii) a role for NREM sleep disruption as a novel factor linking cortical A? to impaired hippocampus-dependent memory consolidation, (iii) the potential diagnostic utility of NREM sleep disruption as a new biomarker of AD, and (iv) the possibility of sleep as a new treatment target in aging, affording preventative and therapeutic benefits.