Intermittent hypoxia, respiratory plasticity and sleep apnea in humans: present knowledge and future investigations.

Abstract:

:This review examines the role that respiratory plasticity has in the maintenance of breathing stability during sleep in individuals with sleep apnea. The initial portion of the review considers the manner in which repetitive breathing events may be initiated in individuals with sleep apnea. Thereafter, the role that two forms of respiratory plasticity, progressive augmentation of the hypoxic ventilatory response and long-term facilitation of upper airway and respiratory muscle activity, might have in modifying breathing events in humans is examined. In this context, present knowledge regarding the initiation of respiratory plasticity in humans during wakefulness and sleep is addressed. Also, published findings which reveal that exposure to intermittent hypoxia promotes breathing instability, at least in part, because of progressive augmentation of the hypoxic ventilatory response and the absence of long-term facilitation, are considered. Next, future directions are presented and are focused on the manner in which forms of plasticity that stabilize breathing might be promoted while diminishing destabilizing forms, concurrently. These future directions will consider the potential role of circadian rhythms in the promotion of respiratory plasticity and the role of respiratory plasticity in enhancing established treatments for sleep apnea.

authors

Mateika JH,Syed Z

doi

10.1016/j.resp.2013.04.010

subject

Has Abstract

pub_date

2013-09-15 00:00:00

pages

289-300

issue

3

eissn

1569-9048

issn

1878-1519

pii

S1569-9048(13)00105-5

journal_volume

188

pub_type

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