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Article type: Review Article
Authors: Ferini-Strambi, Luigia; b; * | Hensley, Michaelc | Salsone, Mariab; d
Affiliations: [a] Department of Clinical Neurosciences, “Vita-Salute” San Raffaele University, Milan, Italy | [b] IRCCS San Raffaele Scientific Institute, Department of Clinical Neurosciences, Neurology-Sleep Disorder Center, Milan, Italy | [c] John Hunter Hospital and The University of Newcastle, Newcastle, Australia | [d] Institute of Molecular Bioimaging and Physiology, National Research Council, Catanzaro, Italy
Correspondence: [*] Correspondence to: Luigi Ferini-Strambi, MD, “Vita-Salute” San Raffaele University, Milan, Italy. Tel.: +39 0226433363; Fax: +39 0226433394; E-mail: ferinistrambi.luigi@hsr.it.
Abstract: Obstructive sleep apnea (OSA) and Alzheimer’s disease (AD) are two common chronic diseases with a well-documented association. Whether the association is causal has been highlighted by recent evidence reporting a neurobiological link between these disorders. This narrative review discusses the brain regions and networks involved in OSA as potential vulnerable areas for the development of AD neuropathology with a particular focus on gender-related implications. Using a neuroimaging perspective supported by neuropathological investigations, we provide a new model of neurodegeneration common to OSA and AD, that we have called OSA-AD neurodegeneration in order to decode the causal links between these two chronic conditions.
Keywords: Alzheimer’s disease, amygdala, cingulate gyrus, hippocampus, insula, magnetic resonance imaging, obstructive sleep apnea
DOI: 10.3233/JAD-201066
Journal: Journal of Alzheimer's Disease, vol. 80, no. 1, pp. 29-40, 2021
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