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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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) |
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sleep seizures epilepsy neuroinflammation neurodegeneration Biology (General) QH301-705.5 Chemistry QD1-999 |
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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 |
work_keys_str_mv |
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