Influence of glutamatergic and GABAergic neurotransmission on obstructive sleep apnea.

GABA benzodiazepines glutamate neurotransmission obstructive sleep apnea

Journal

Frontiers in neuroscience
ISSN: 1662-4548
Titre abrégé: Front Neurosci
Pays: Switzerland
ID NLM: 101478481

Informations de publication

Date de publication:
2023
Historique:
received: 28 04 2023
accepted: 26 06 2023
medline: 31 7 2023
pubmed: 31 7 2023
entrez: 31 7 2023
Statut: epublish

Résumé

Glutamate and γ-aminobutyric acid (GABA) are the two main neurotransmitters in the human brain. The balance between their excitatory and inhibitory functions is crucial for maintaining the brain's physiological functions. Disturbance of glutamatergic or GABAergic neurotransmission leads to serious health problems including neurodegeneration, affective and sleep disorders. Both GABA and glutamate are involved in the control of the sleep-wake cycle. The disturbances in their function may cause sleep and sleep-related disorders. Obstructive sleep apnea (OSA) is the most common sleep respiratory disorder and is characterized by repetitive collapse of the upper airway resulting in intermittent hypoxia and sleep fragmentation. The complex pathophysiology of OSA is the basis of the development of numerous comorbid diseases. There is emerging evidence that GABA and glutamate disturbances may be involved in the pathogenesis of OSA, as well as its comorbidities. Additionally, the GABA/glutamate targeted pharmacotherapy may also influence the course of OSA, which is important in the implementation of wildly used drugs including benzodiazepines, anesthetics, and gabapentinoids. In this review, we summarize current knowledge on the influence of disturbances in glutamatergic and GABAergic neurotransmission on obstructive sleep apnea.

Identifiants

pubmed: 37521710
doi: 10.3389/fnins.2023.1213971
pmc: PMC10372424
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

1213971

Informations de copyright

Copyright © 2023 Kaczmarski, Sochal, Strzelecki, Białasiewicz and Gabryelska.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Piotr Kaczmarski (P)

Department of Sleep Medicine and Metabolic Disorders, Medical University of Łódź, Łódź, Poland.

Marcin Sochal (M)

Department of Sleep Medicine and Metabolic Disorders, Medical University of Łódź, Łódź, Poland.

Dominik Strzelecki (D)

Department of Affective and Psychotic Disorders, Medical University of Łódź, Łódź, Poland.

Piotr Białasiewicz (P)

Department of Sleep Medicine and Metabolic Disorders, Medical University of Łódź, Łódź, Poland.

Agata Gabryelska (A)

Department of Sleep Medicine and Metabolic Disorders, Medical University of Łódź, Łódź, Poland.

Classifications MeSH