Influence of glutamatergic and GABAergic neurotransmission on obstructive sleep apnea

Glutamate and γ-aminobutyric acid (GABA) are the two main neurotransmitters in the human brain. The balance between their excitatory and inhibitory functions is crucial for maintaining the brain's physiological functions. Disturbance of glutamatergic or GABAergic neurotransmission leads to seri...

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Published in:Frontiers in neuroscience 2023-07, Vol.17, p.1213971-1213971
Main Authors: Kaczmarski, Piotr, Sochal, Marcin, Strzelecki, Dominik, Białasiewicz, Piotr, Gabryelska, Agata
Format: Article
Language:English
Subjects:
Amino acids
Anesthetics
Apnea
Benzodiazepines
Comorbidity
Drug therapy
Extracellular matrix
GABA
Gene expression
glutamate
Glutamatergic transmission
Homeostasis
Hypoxia
Ligands
Neurodegeneration
Neurons
Neuroscience
Neurotransmission
obstructive sleep apnea
Physiology
Proteins
Sleep and wakefulness
Sleep disorders
γ-Aminobutyric acid
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Summary:Glutamate and γ-aminobutyric acid (GABA) are the two main neurotransmitters in the human brain. The balance between their excitatory and inhibitory functions is crucial for maintaining the brain's physiological functions. Disturbance of glutamatergic or GABAergic neurotransmission leads to serious health problems including neurodegeneration, affective and sleep disorders. Both GABA and glutamate are involved in the control of the sleep-wake cycle. The disturbances in their function may cause sleep and sleep-related disorders. Obstructive sleep apnea (OSA) is the most common sleep respiratory disorder and is characterized by repetitive collapse of the upper airway resulting in intermittent hypoxia and sleep fragmentation. The complex pathophysiology of OSA is the basis of the development of numerous comorbid diseases. There is emerging evidence that GABA and glutamate disturbances may be involved in the pathogenesis of OSA, as well as its comorbidities. Additionally, the GABA/glutamate targeted pharmacotherapy may also influence the course of OSA, which is important in the implementation of wildly used drugs including benzodiazepines, anesthetics, and gabapentinoids. In this review, we summarize current knowledge on the influence of disturbances in glutamatergic and GABAergic neurotransmission on obstructive sleep apnea.
ISSN:1662-4548
1662-453X
1662-453X
DOI:10.3389/fnins.2023.1213971