Article
Clinical Neurology
Wan-Ju Cheng, Eysteinn Finnsson, Jon S. Agustsson, Scott A. Sands, Liang-Wen Hang
Summary: Determining endotypes of OSA can have potential implications for precision interventions. The study aimed to assess whether CPAP treatment outcomes differ across endotypic subgroups. Retrospective analysis of data obtained from 225 patients with OSA showed that certain endotypic subgroups had different outcomes in CPAP treatment, including optimal CPAP pressure, improvements in sleep architecture, and CPAP adherence.
JOURNAL OF SLEEP RESEARCH
(2023)
Article
Clinical Neurology
Liang-Wen Hang, Chun-Sen Huang, Wan-Ju Cheng
Summary: The study found that half of OSA patients have low arousal threshold, who are less obese and with a higher percentage of women compared to high-arousal threshold patients. Low arousal threshold is associated with bruxism and nocturia, but not with physical illnesses, and patients with low ArTH benefited from CPAP titration study for improved sleep structure.
SLEEP AND BREATHING
(2021)
Article
Clinical Neurology
Eysteinn Finnsson, Gudrun H. Olafsdottir, Dagmar L. Loftsdottir, Sigurdur A. E. Jonsson, Halla Helgadottir, Jon S. Agustsson, Scott A. Sands, Andrew Wellman
Summary: Sleep apnea is caused by several endophenotypic traits, which can be used to predict treatment outcomes. The original endotyping methods developed by Sands et al. are computationally expensive and require technological expertise, leading to a reimplementation and validation for better accessibility and scalability. New implementation successfully validated the original method integrity and provided a cloud-based version for wider use by researchers and clinicians.
Article
Medicine, General & Internal
Hyunjin Jo, Sujung Choi, Dongyeop Kim, Eunyeon Joo
Summary: Patients with epilepsy have milder characteristics of obstructive sleep apnea (OSA), but because of the high coexistence of OSA and epilepsy, continuous positive airway pressure (CPAP) therapy can reduce the frequency of seizures. Therefore, it is important to evaluate the presence of OSA in patients with epilepsy and provide concurrent treatment.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Medicine, General & Internal
Jae Hyuk Choi, Eunkyu Lee, Sang Duk Hong, Seung Kyu Chung, Yong Gi Jung, Hyo Yeol Kim
Summary: A retrospective analysis of OSA patients undergoing CPAP therapy showed significant improvements in laryngopharyngeal reflux symptoms and examination findings, independent of body mass index or OSA severity.CPAP treatment has the potential to reduce laryngeal reflux symptoms and improve laryngeal examination results in OSA patients.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Clinical Neurology
Yoko Fujino, Yasunori Oka, Tomoko Wakamura
Summary: This study found that seasonal differences can impact the CPAP adherence of patients with obstructive sleep apnea. Patients in the adherent group had lower CPAP use rate and shorter duration in summer, while the non-adherent group showed significant differences between winter and summer.
Article
Medicine, General & Internal
Laetitia S. Gaspar, Janina Hesse, Muge Yalcin, Barbara Santos, Catarina Carvalhas-Almeida, Mafalda Ferreira, Joaquim Moita, Angela Relogio, Claudia Cavadas, Ana Rita Alvaro
Summary: The study revealed that obstructive sleep apnea (OSA) affects the biological clock, and long-term continuous positive airway pressure (CPAP) treatment can partially restore normal clock function. However, the treatment does not fully reverse the impact on clock gene expression levels.
Article
Medicine, General & Internal
Baixin Chen, Miaolan Guo, Yueksel Peker, Neus Salord, Luciano F. Drager, Geraldo Lorenzi-Filho, Xiangdong Tang, Yun Li
Summary: CPAP treatment leads to a significant decrease in total cholesterol but has no effect on other lipid profiles in patients with obstructive sleep apnea. Factors such as age, gender, body mass index, daytime sleepiness, OSA severity, follow-up duration, CPAP compliance, and presence of cardiometabolic disease do not moderate the effects of CPAP treatment on lipid profiles.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Respiratory System
Weijun Huang, Xiaoting Wang, Chong Xu, Huajun Xu, Huaming Zhu, Suru Liu, Jianyin Zou, Jian Guan, Hongliang Yi, Shankai Yin
Summary: The prevalence of positional obstructive sleep apnea (POSA) in Chinese patients with OSA is evaluated based on the Cartwright Classification (CC) and Amsterdam Positional Obstructive Sleep Apnea Classification (APOC). More than 1/3 of the Chinese OSA patients meet the criteria for POSA. Chinese POSA patients have less severe OSA and nocturnal hypoxia. A low respiratory arousal threshold (ArTH) is more common among POSA patients, especially those with supine-isolated POSA (si-POSA) and APOC I. Further studies are needed to develop personalized management strategies for POSA patients.
RESPIRATORY RESEARCH
(2022)
Review
Clinical Neurology
Janna R. Raphelson, Kimberly Y. Kreitinger, Atul Malhotra
Summary: Obstructive sleep apnea (OSA) is a common condition with significant neurocognitive and cardiovascular effects. Positive airway pressure (PAP) therapy can help prevent airway collapse and improve oxygen levels, carbon dioxide levels, and sleep quality. While adherence to PAP therapy was once seen as a barrier, in reality, adherence rates are likely higher than commonly believed, with various strategies available to help improve patient adherence.
Article
Physiology
Anna E. Mullins, Ankit Parekh, Korey Kam, Bresne Castillo, Zachary J. Roberts, Ahmad Fakhoury, Daphne I. Valencia, Reagan Schoenholz, Thomas M. Tolbert, Jason Z. Bronstein, Anne M. Mooney, Omar E. Burschtin, David M. Rapoport, Indu Ayappa, Andrew W. Varga
Summary: In this study, CPAP withdrawal was used to simulate SWS-specific OSA, inducing both SF and IH during SWS. The addition of oxygen during SWS significantly reduced hypoxemia during induced respiratory events. This model of SWS-specific CPAP withdrawal disrupts SWS and helps differentiate between SF and IH in OSA.
FRONTIERS IN PHYSIOLOGY
(2021)
Article
Clinical Neurology
Fiona L. Knapman, E. Myfanwy Cohen, Tom Kulaga, Nigel Lovell, Leszek Lisowski, Simon Mcmullan, Peter G. R. Burke, Lynne E. Bilston
Summary: This study proposes a novel optogenetics-based therapy for obstructive sleep apnea (OSA) and demonstrates its feasibility using a rodent model. The therapy involves stimulating upper airway muscle contractions in response to light. The results show that muscle-specific promoter-driven optogenetic muscle activation can effectively restore muscle activity and induce airway dilation.
Article
Multidisciplinary Sciences
Alice S. French, Quentin Geissmann, Esteban J. Beckwith, Giorgio F. Gilestro
Summary: During sleep, fruit flies exhibit the ability to perceive and discriminate the quality of external sensory stimuli and are more likely to wake up in response to salient stimuli. The salience of a stimulus during sleep can be modulated by internal states.
Article
Critical Care Medicine
Sara Op de Beeck, Andrew Wellman, Marijke Dieltjens, Kingman P. Strohl, Marc Willemen, Paul H. Van de Heyning, Johan A. Verbraecken, Olivier M. Vanderveken, Scott A. Sands
Summary: Favorable responses to hypoglossal nerve stimulation therapy are associated with the pathophysiological traits causing obstructive sleep apnea, particularly a higher arousal threshold.
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
(2021)
Article
Critical Care Medicine
Andrey Zinchuk, Jen-Hwa Chu, Jiasheng Liang, Yeliz Celik, Sara Op de Beeck, Nancy S. Redeker, Andrew Wellman, H. Klar Yaggi, Yuksel Peker, Scott A. Sands
Summary: This study found that a low ArTH, as well as very low and high <(V)over dot> comp, are associated with worse long-term CPAP adherence in patients with CAD and OSA. Physiological traits, along with established determinants, may help predict and improve CPAP adherence.
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
(2021)
Article
Critical Care Medicine
Ludovico Messineo, Danny J. Eckert, Luigi Taranto-Montemurro, Daniel Vena, Ali Azarbarzin, Lauren B. Hess, Nicole Calianese, David P. White, Andrew Wellman, Laura Gell, Scott A. Sands
Summary: This study suggests that the pharyngeal compromise in REM sleep OSA is primarily caused by withdrawal of ventilatory drive rather than decreases in muscle activity or responsiveness. Preventing drive withdrawal may be the key target for treating REM sleep OSA.
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
(2022)
Editorial Material
Critical Care Medicine
Danny J. Eckert, Scott A. Sands
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
(2022)
Article
Respiratory System
Jean-Louis Pepin, Peter Eastwood, Danny J. Eckert
Summary: Recent advances in the pathophysiology and translational research of obstructive sleep apnoea (OSA) have opened up new possibilities for treatment and management. By identifying different clinical manifestations and underlying mechanisms, researchers can develop more personalized treatment approaches. Additionally, these studies have shed light on physiological barriers to the use of continuous positive airway pressure (CPAP) treatment in certain patients.
EUROPEAN RESPIRATORY JOURNAL
(2022)
Article
Respiratory System
Bastien Lechat, Sarah Appleton, Yohannes Adama Melaku, Kristy Hansen, R. Doug McEvoy, Robert Adams, Peter Catcheside, Leon Lack, Danny J. Eckert, Alexander Sweetman
Summary: The combined effect of coexisting insomnia and obstructive sleep apnoea on mortality risk is unclear. This study found that comorbid insomnia and sleep apnoea were associated with an increased risk of all-cause mortality.
EUROPEAN RESPIRATORY JOURNAL
(2022)
Article
Physiology
Jade Yeung, Peter G. R. Burke, Fiona L. Knapman, Jessica Patti, Elizabeth C. Brown, Simon C. Gandevia, Danny J. Eckert, Jane E. Butler, Lynne E. Bilston
Summary: This study found differential neural drive to the oblique and horizontal regions of the genioglossus during swallowing, with two distinct muscle activation patterns observed. This provides evidence for task-dependent, functionally discrete neuromuscular control of the oblique and horizontal compartments of genioglossus. The findings can guide electrode placement in tongue EMG studies.
JOURNAL OF APPLIED PHYSIOLOGY
(2022)
Article
Physiology
Hanna A. Hensen, Jayne C. Carberry, Arun Krishnan, Amal M. Osman, Anne-Marie H. Mosch, Barbara Toson, Kevin L. Tay, Danny J. Eckert
Summary: This study explores the reflex function that protects the upper airway during negative pressure in individuals with multiple sclerosis (MS) and obstructive sleep apnea (OSA). It reveals that around 30% of MS patients have either no protective reflex or an abnormal reflex response, indicating impaired upper-airway reflex function may play a role in OSA for a significant proportion of MS patients.
JOURNAL OF APPLIED PHYSIOLOGY
(2022)
Article
Clinical Neurology
Bastien Lechat, Sarah Appleton, Yohannes Adama Melaku, Kristy Hansen, R. Doug McEvoy, Robert Adams, Peter Catcheside, Leon Lack, Danny J. Eckert, Alexander Sweetman
Summary: Co-morbid insomnia and sleep apnea are associated with increased risk of cardiovascular disease, but may not predict incidence of cardiovascular events.
JOURNAL OF SLEEP RESEARCH
(2022)
Article
Physiology
Billy L. Luu, Lee D. Walsh, Patrick P. Huebner, Danny J. Eckert, Lynne E. Bilston, Simon C. Gandevia, Jane E. Butler
Summary: This study conducted on healthy adults found differential responses to stimulation in the anterior and posterior regions of genioglossus, which may contribute to differences in collapsibility of the upper airway.
RESPIRATORY PHYSIOLOGY & NEUROBIOLOGY
(2022)
Article
Critical Care Medicine
Bastien Lechat, Duc Phuc Nguyen, Amy Reynolds, Kelly Lof Fler, Pierre Escourrou, Doug McEvoy, Robert Adams, Peter G. Catcheside, Danny J. Eckert
Summary: Multinight quantification of OSA severity provides more precise estimates of associations with incident hypertension compared to single-night quantification. It allows for better assessment of hypertension risk and has important implications for clinical care and OSA trial design.
Editorial Material
Clinical Neurology
Amal M. Osman, Thomas J. Altree, Danny J. Eckert
Article
Clinical Neurology
Yohannes Adama Melaku, Sarah Appleton, Amy C. Reynolds, Roger L. Milne, Brigid M. Lynch, Danny J. Eckert, Robert Adams
Summary: This study assessed the association between obstructive sleep apnea risk, healthy lifestyle, and common consequences of obstructive sleep apnea. It found that a healthy lifestyle is inversely associated with chronic conditions and all-cause mortality, highlighting the importance of adopting healthy habits in individuals at risk for obstructive sleep apnea.
JOURNAL OF SLEEP RESEARCH
(2023)
Review
Clinical Neurology
Cricket Fauska, Tarun Bastiampillai, Robert J. Adams, Gary Wittert, Danny J. Eckert, Kelly A. Loffler
Summary: This article discusses the effects of quetiapine on sleep and breathing, emphasizing the importance of understanding its impact on obstructive sleep apnea and its mechanisms. It also proposes future research priorities to address the current knowledge gaps.
JOURNAL OF SLEEP RESEARCH
(2023)
Article
Chemistry, Analytical
Ganesh R. Naik, Paul P. Breen, Titus Jayarathna, Benjamin K. K. Tong, Danny J. Eckert, Gaetano D. Gargiulo
Summary: Effective monitoring of respiratory disturbances during sleep requires a sensor capable of accurately capturing chest movements or airflow displacement. This study compares the performance of a non-invasive wearable stretchable morphic sensor with traditional polysomnography, and found that the morphic sensor had approximately 95% accuracy in computing respiratory parameters. These findings suggest that wearable morphic sensors provide a viable alternative for non-invasively capturing respiratory rate and chest and abdominal motions.
Article
Pharmacology & Pharmacy
Emma Thomas, Gorica Micic, Robert Adams, Danny J. Eckert
Summary: Clinical presentation of both insomnia and obstructive sleep apnea (COMISA) is common and complex, with a lack of specific clinical guidelines. Precision medicine approaches may help optimize future pharmacological management, but further research is needed.
EXPERT OPINION ON PHARMACOTHERAPY
(2023)
Article
Neurosciences
Lauriane Juge, Angela Liao, Jade Yeung, Fiona L. Knapman, Christopher Bull, Peter G. R. Burke, Elizabeth C. Brown, Simon C. Gandevia, Danny J. Eckert, Jane E. Butler, Lynne E. Bilston
Summary: This study investigated the relationship between inspiratory tongue dilatory movement and genioglossus muscle activity in individuals with and without obstructive sleep apnoea (OSA). The results showed that tongue movement cannot be predicted by genioglossus electromyography (EMG), especially in OSA patients, suggesting the involvement of other airway dilator muscles in tongue movement.
JOURNAL OF PHYSIOLOGY-LONDON
(2023)