The importance of autophagy regulation in obstructive sleep apnea

Sleep Breath. 2021 Sep;25(3):1211-1218. doi: 10.1007/s11325-020-02261-4. Epub 2021 Jan 4.

Abstract

Purpose: Autophagy, the self-renewal process of cells, is dependent on lysosomes to degrade damaged organelles and proteins. The increased or damaged level of autophagy is proven to relate to a number of disorders, including metabolic disorders, malignant tumors, pulmonary diseases, and neurodegenerative disorders. This review aims to examine the effects of autophagy on the pathogenic mechanism of obstructive sleep apnea (OSA) in order to guide relevant disease treatment.

Methods: We conducted a search of the literature using the electronic database, focusing on articles that explored the association between OSA and autophagy.

Conclusion: OSA can induced autophagy through hypoxia, oxidative stress, endoplasmic reticulum stress, endothelial dysfunction, miRNA, etc. We propose that the mechanism of the autophagy in patients with OSA should be eclucidated in further studies.

Keywords: Autophagy; Intermittent hypoxia; Obstructive sleep apnea; Oxidative stress; miRNA.

Publication types

  • Review

MeSH terms

  • Autophagy / physiology*
  • Humans
  • Sleep Apnea, Obstructive / physiopathology*