Evidence map›Paper›PMID 38491789›Full record

ReviewCNS neuroscience & therapeutics2024

Sleep disorders cause Parkinson's disease or the reverse is true: Good GABA good night.

Hayder M Al-Kuraishy, Ali I Al-Gareeb, Ali K Albuhadily, Yaser Hosny Ali Elewa, Ammar Al-Farga, Faisal Aqlan, Mahmoud Hosny Zahran, Gaber El-Saber Batiha

Open access · goldAbstract readReview
In one paragraph

Review in CNS neuroscience & therapeutics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
12.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 34 citations in OpenAlex.

  1. Review
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  3. Article
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  6. Article
  7. Review
  8. Review
  9. Clock-Sleep Communication.Current molecular medicine · 2025
    Review
  10. Article
  11. Review
  12. Article
  13. Article
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  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 5 countries.

Hayder M Al-KuraishyDepartment of Clinical Pharmacology and Medicine, College of Medicine, Al-Mustansiriya University, Baghdad, Iraq.
Ali I Al-GareebDepartment of Clinical Pharmacology and Medicine, College of Medicine, Al-Mustansiriya University, Baghdad, Iraq.
Ali K AlbuhadilyDepartment of Clinical Pharmacology and Medicine, College of Medicine, Al-Mustansiriya University, Baghdad, Iraq.
Yaser Hosny Ali ElewaDepartment of Histology and Cytology, Faculty of Veterinary Medicine, Zagazig University, Zagazig, Egypt.ORCID 0000-0002-7347-4587
Ammar Al-FargaBiochemistry Department, College of Sciences, University of Jeddah, Jeddah, Saudia Arbia.ORCID 0000-0002-0233-5539
Faisal AqlanDepartment of Chemistry, College of Sciences, Ibb University, Ibb Governorate, Yemen.
Mahmoud Hosny ZahranInternal Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt.ORCID 0000-0003-2108-0604
Gaber El-Saber BatihaDepartment of Pharmacology and Therapeutics, Faculty of Veterinary Medicine, Damanhur University, Damanhur, Egypt.ORCID 0000-0002-7817-425X
Mustansiriyah University · IQZagazig University · EGDamanhour University · EGIbb University · YEUniversity of Jeddah · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParkinson's disease (PD) is a progressive neurodegenerative brain disease due to degeneration of dopaminergic neurons (DNs) presented with motor and non-motor symptoms. PD symptoms are developed in response to the disturbance of diverse neurotransmitters including γ-aminobutyric acid (GABA). GABA has a neuroprotective effect against PD neuropathology by protecting DNs in the substantia nigra pars compacta (SNpc). It has been shown that the degeneration of GABAergic neurons is linked with the degeneration of DNs and the progression of motor and non-motor PD symptoms. GABA neurotransmission is a necessary pathway for normal sleep patterns, thus deregulation of GABAergic neurotransmission in PD could be the potential cause of sleep disorders in PD.

aimSleep disorders affect GABA neurotransmission leading to memory and cognitive dysfunction in PD. For example, insomnia and short sleep duration are associated with a reduction of brain GABA levels. Moreover, PD-related disorders including rigidity and nocturia influence sleep patterns leading to fragmented sleep which may also affect PD neuropathology. However, the mechanistic role of GABA in PD neuropathology regarding motor and non-motor symptoms is not fully elucidated. Therefore, this narrative review aims to clarify the mechanistic role of GABA in PD neuropathology mainly in sleep disorders, and how good GABA improves PD. In addition, this review of published articles tries to elucidate how sleep disorders such as insomnia and REM sleep behavior disorder (RBD) affect PD neuropathology and severity. The present review has many limitations including the paucity of prospective studies and most findings are taken from observational and preclinical studies. GABA involvement in the pathogenesis of PD has been recently discussed by recent studies. Therefore, future prospective studies regarding the use of GABA agonists in the management of PD are suggested to observe their distinct effects on motor and non-motor symptoms.

conclusionThere is a bidirectional relationship between the pathogenesis of PD and sleep disorders which might be due to GABA deregulation.

Indexed as

Parkinson DiseaseSleep Initiation and Maintenance DisordersSleep Wake Disordersgamma-Aminobutyric AcidHumansObservational Studies as TopicProspective Studiesgamma-Aminobutyric AcidGABA pathwayParkinson's diseasesleep disordersγ-aminobutyric acid

Identifiers

PMID38491789
PMCPMC10943276
OpenAlexW4392888751

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.