Sleep Disruption Worsens Seizures: Neuroinflammation as a Potential Mechanistic Link

Sleep disturbances, such as insomnia, obstructive sleep apnea, and daytime sleepiness, are common in people diagnosed with epilepsy. These disturbances can be attributed to nocturnal seizures, psychosocial factors, and/or the use of anti-epileptic drugs with sleep-modifying side effects. Epilepsy pa...

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Autores principales: Herlinda Bonilla-Jaime, Helena Zeleke, Asheebo Rojas, Claudia Espinosa-Garcia
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Lenguaje:EN
Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/cf19f6229bb84310906165b4a626cf41
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spelling oai:doaj.org-article:cf19f6229bb84310906165b4a626cf412021-11-25T17:57:33ZSleep Disruption Worsens Seizures: Neuroinflammation as a Potential Mechanistic Link10.3390/ijms2222125311422-00671661-6596https://doaj.org/article/cf19f6229bb84310906165b4a626cf412021-11-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/22/12531https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067Sleep disturbances, such as insomnia, obstructive sleep apnea, and daytime sleepiness, are common in people diagnosed with epilepsy. These disturbances can be attributed to nocturnal seizures, psychosocial factors, and/or the use of anti-epileptic drugs with sleep-modifying side effects. Epilepsy patients with poor sleep quality have intensified seizure frequency and disease progression compared to their well-rested counterparts. A better understanding of the complex relationship between sleep and epilepsy is needed, since approximately 20% of seizures and more than 90% of sudden unexpected deaths in epilepsy occur during sleep. Emerging studies suggest that neuroinflammation, (e.g., the CNS immune response characterized by the change in expression of inflammatory mediators and glial activation) may be a potential link between sleep deprivation and seizures. Here, we review the mechanisms by which sleep deprivation induces neuroinflammation and propose that neuroinflammation synergizes with seizure activity to worsen neurodegeneration in the epileptic brain. Additionally, we highlight the relevance of sleep interventions, often overlooked by physicians, to manage seizures, prevent epilepsy-related mortality, and improve quality of life.Herlinda Bonilla-JaimeHelena ZelekeAsheebo RojasClaudia Espinosa-GarciaMDPI AGarticlesleepseizuresepilepsyneuroinflammationneurodegenerationBiology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 12531, p 12531 (2021)
institution DOAJ
collection DOAJ
language EN
topic sleep
seizures
epilepsy
neuroinflammation
neurodegeneration
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle sleep
seizures
epilepsy
neuroinflammation
neurodegeneration
Biology (General)
QH301-705.5
Chemistry
QD1-999
Herlinda Bonilla-Jaime
Helena Zeleke
Asheebo Rojas
Claudia Espinosa-Garcia
Sleep Disruption Worsens Seizures: Neuroinflammation as a Potential Mechanistic Link
description Sleep disturbances, such as insomnia, obstructive sleep apnea, and daytime sleepiness, are common in people diagnosed with epilepsy. These disturbances can be attributed to nocturnal seizures, psychosocial factors, and/or the use of anti-epileptic drugs with sleep-modifying side effects. Epilepsy patients with poor sleep quality have intensified seizure frequency and disease progression compared to their well-rested counterparts. A better understanding of the complex relationship between sleep and epilepsy is needed, since approximately 20% of seizures and more than 90% of sudden unexpected deaths in epilepsy occur during sleep. Emerging studies suggest that neuroinflammation, (e.g., the CNS immune response characterized by the change in expression of inflammatory mediators and glial activation) may be a potential link between sleep deprivation and seizures. Here, we review the mechanisms by which sleep deprivation induces neuroinflammation and propose that neuroinflammation synergizes with seizure activity to worsen neurodegeneration in the epileptic brain. Additionally, we highlight the relevance of sleep interventions, often overlooked by physicians, to manage seizures, prevent epilepsy-related mortality, and improve quality of life.
format article
author Herlinda Bonilla-Jaime
Helena Zeleke
Asheebo Rojas
Claudia Espinosa-Garcia
author_facet Herlinda Bonilla-Jaime
Helena Zeleke
Asheebo Rojas
Claudia Espinosa-Garcia
author_sort Herlinda Bonilla-Jaime
title Sleep Disruption Worsens Seizures: Neuroinflammation as a Potential Mechanistic Link
title_short Sleep Disruption Worsens Seizures: Neuroinflammation as a Potential Mechanistic Link
title_full Sleep Disruption Worsens Seizures: Neuroinflammation as a Potential Mechanistic Link
title_fullStr Sleep Disruption Worsens Seizures: Neuroinflammation as a Potential Mechanistic Link
title_full_unstemmed Sleep Disruption Worsens Seizures: Neuroinflammation as a Potential Mechanistic Link
title_sort sleep disruption worsens seizures: neuroinflammation as a potential mechanistic link
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/cf19f6229bb84310906165b4a626cf41
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