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Sleep Disorders and Circadian Disruption in Huntington’s Disease

Sleep and circadian alterations are common in patients with Huntington’s disease (HD). Understanding the pathophysiology of these alterations and their association with disease progression and morbidity can guide HD management. We provide a narrative review of the clinical and basic-science studies...

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Detalles Bibliográficos
Autores principales: Saade-Lemus, Sandra, Videnovic, Aleksandar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: IOS Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10473087/
https://www.ncbi.nlm.nih.gov/pubmed/37424473
http://dx.doi.org/10.3233/JHD-230576
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author Saade-Lemus, Sandra
Videnovic, Aleksandar
author_facet Saade-Lemus, Sandra
Videnovic, Aleksandar
author_sort Saade-Lemus, Sandra
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description Sleep and circadian alterations are common in patients with Huntington’s disease (HD). Understanding the pathophysiology of these alterations and their association with disease progression and morbidity can guide HD management. We provide a narrative review of the clinical and basic-science studies centered on sleep and circadian function on HD. Sleep/wake disturbances among HD patients share many similarities with other neurodegenerative diseases. Overall, HD patients and animal models of the disease present with sleep changes early in the clinical course of the disease, including difficulties with sleep initiation and maintenance leading to decreased sleep efficiency, and progressive deterioration of normal sleep architecture. Despite this, sleep alterations remain frequently under-reported by patients and under-recognized by health professionals. The degree of sleep and circadian alterations has not consistently shown to be CAG dose-dependent. Evidence based treatment recommendations are insufficient due to lack of well-designed intervention trials. Approaches aimed at improving circadian entrainment, such as including light therapy, and time-restricted feeding have demonstrated a potential to delay symptom progression in some basic HD investigations. Larger study cohorts, comprehensive assessment of sleep and circadian function, and reproducibility of findings are needed in future in order to better understand sleep and circadian function in HD and to develop effective treatments.
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spelling pubmed-104730872023-09-02 Sleep Disorders and Circadian Disruption in Huntington’s Disease Saade-Lemus, Sandra Videnovic, Aleksandar J Huntingtons Dis Review Sleep and circadian alterations are common in patients with Huntington’s disease (HD). Understanding the pathophysiology of these alterations and their association with disease progression and morbidity can guide HD management. We provide a narrative review of the clinical and basic-science studies centered on sleep and circadian function on HD. Sleep/wake disturbances among HD patients share many similarities with other neurodegenerative diseases. Overall, HD patients and animal models of the disease present with sleep changes early in the clinical course of the disease, including difficulties with sleep initiation and maintenance leading to decreased sleep efficiency, and progressive deterioration of normal sleep architecture. Despite this, sleep alterations remain frequently under-reported by patients and under-recognized by health professionals. The degree of sleep and circadian alterations has not consistently shown to be CAG dose-dependent. Evidence based treatment recommendations are insufficient due to lack of well-designed intervention trials. Approaches aimed at improving circadian entrainment, such as including light therapy, and time-restricted feeding have demonstrated a potential to delay symptom progression in some basic HD investigations. Larger study cohorts, comprehensive assessment of sleep and circadian function, and reproducibility of findings are needed in future in order to better understand sleep and circadian function in HD and to develop effective treatments. IOS Press 2023-07-28 /pmc/articles/PMC10473087/ /pubmed/37424473 http://dx.doi.org/10.3233/JHD-230576 Text en © 2023 – The authors. Published by IOS Press https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) License (https://creativecommons.org/licenses/by-nc/4.0/) , which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Saade-Lemus, Sandra
Videnovic, Aleksandar
Sleep Disorders and Circadian Disruption in Huntington’s Disease
title Sleep Disorders and Circadian Disruption in Huntington’s Disease
title_full Sleep Disorders and Circadian Disruption in Huntington’s Disease
title_fullStr Sleep Disorders and Circadian Disruption in Huntington’s Disease
title_full_unstemmed Sleep Disorders and Circadian Disruption in Huntington’s Disease
title_short Sleep Disorders and Circadian Disruption in Huntington’s Disease
title_sort sleep disorders and circadian disruption in huntington’s disease
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10473087/
https://www.ncbi.nlm.nih.gov/pubmed/37424473
http://dx.doi.org/10.3233/JHD-230576
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