Sleep in the preclinical stages of Alzheimer's disease: a multimodal biomarkers approach

This Thesis delves into the intricate relationship between sleep disruptions and Alzheimer's disease (AD). Sleep disturbances are a prevalent feature of AD, and evidence suggests they may accelerate cognitive decline. However, the precise mechanisms linking sleep problems and AD pathophysiology...

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Detalles Bibliográficos
Autor: Stankeviciute, Laura
Tipo de recurso: tesis doctoral
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:CBUC, CESCA
Repositorio:TDR. Tesis Doctorales en Red
OAI Identifier:oai:www.tdx.cat:10803/689587
Acceso en línea:http://hdl.handle.net/10803/689587
Access Level:acceso abierto
Palabra clave:Sleep
Preclinical Alzheimer’s disease
CSF biomarkers
Tau
Neuroimaging
Sueño
Alzhéimer preclínico
Biomarcadores del LCR
Neuroimagen
616.8
Descripción
Sumario:This Thesis delves into the intricate relationship between sleep disruptions and Alzheimer's disease (AD). Sleep disturbances are a prevalent feature of AD, and evidence suggests they may accelerate cognitive decline. However, the precise mechanisms linking sleep problems and AD pathophysiology remain elusive. This project seeks to address these gaps in knowledge by investigating how disrupted sleep impacts AD biomarkers and subsequent neurodegeneration. Using a multi-modal approach, the study examines the link between both subjective and objective sleep measures and various AD biomarkers, including cerebrospinal fluid markers and neuroimaging techniques like positron emission tomography (PET). The findings highlight that poor sleep quality in the preclinical stages of AD is closely tied to changes in core AD biomarkers, together with neuronal loss and synaptic dysfunction. Collectively, this research underscores the critical role of sleep in exacerbating AD pathology, even before clinical symptoms manifest. It emphasizes the importance of identifying sleep issues early and implementing tailored interventions to potentially delay or mitigate dementia's onset.