Evidence map›Paper›PMID 40542388›Full record

ArticleFluids and barriers of the CNS2025

Sleep disorders and Alzheimer's disease: relationship and mechanisms involving neuroinflammation, orexin and Aβ.

Wenjing Zhang, Tenghong Lian, Mingyue He, Peng Guo, Huiying Guan, Jinghui Li, Jing Qi, Dongmei Luo, Jing Li, Yanan Zhang and 10 more

Abstract read
In one paragraph

Article in Fluids and barriers of the CNS, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Menopausal insomnia as a modifiable node of dementia risk: Mechanistic insights and intervention strategies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  4. Article
  5. Observational
  6. Review
  7. Review
  8. Review
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

20 authors.

Wenjing Zhang *Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing Tiantan Hospital, 119 South Fourth Ring Road West, Fengtai District, Beijing, 100070, China.
Tenghong Lian *Center for Cognitive Neurology, Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China.
Mingyue HeDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing Tiantan Hospital, 119 South Fourth Ring Road West, Fengtai District, Beijing, 100070, China.
Peng GuoCenter for Cognitive Neurology, Department of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China.
Huiying GuanDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing Tiantan Hospital, 119 South Fourth Ring Road West, Fengtai District, Beijing, 100070, China.
Jinghui LiDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing Tiantan Hospital, 119 South Fourth Ring Road West, Fengtai District, Beijing, 100070, China.
Jing QiDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing Tiantan Hospital, 119 South Fourth Ring Road West, Fengtai District, Beijing, 100070, China.
Dongmei LuoDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing Tiantan Hospital, 119 South Fourth Ring Road West, Fengtai District, Beijing, 100070, China.
Jing LiDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing Tiantan Hospital, 119 South Fourth Ring Road West, Fengtai District, Beijing, 100070, China.
Yanan ZhangDepartment of Blood Transfusion, Beijing Tiantan Hospital, Capital Medical University, Beijing, 100070, China.
Yue HuangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing Tiantan Hospital, 119 South Fourth Ring Road West, Fengtai District, Beijing, 100070, China.
Gaifen LiuDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing Tiantan Hospital, 119 South Fourth Ring Road West, Fengtai District, Beijing, 100070, China.
Weijia ZhangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing Tiantan Hospital, 119 South Fourth Ring Road West, Fengtai District, Beijing, 100070, China.
Zijing ZhengDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing Tiantan Hospital, 119 South Fourth Ring Road West, Fengtai District, Beijing, 100070, China.
Hao YueDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing Tiantan Hospital, 119 South Fourth Ring Road West, Fengtai District, Beijing, 100070, China.
Zhan LiuDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing Tiantan Hospital, 119 South Fourth Ring Road West, Fengtai District, Beijing, 100070, China.
Fan ZhangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing Tiantan Hospital, 119 South Fourth Ring Road West, Fengtai District, Beijing, 100070, China.
Ruidan WangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing Tiantan Hospital, 119 South Fourth Ring Road West, Fengtai District, Beijing, 100070, China.
Yao MengDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing Tiantan Hospital, 119 South Fourth Ring Road West, Fengtai District, Beijing, 100070, China.
Wei ZhangDepartment of Neurology, Beijing Tiantan Hospital, Capital Medical University, Beijing Tiantan Hospital, 119 South Fourth Ring Road West, Fengtai District, Beijing, 100070, China. ttyyzw@163.com.

Funding

Capital's Funds for Health Improvement and Research (CFH) 2022-2-2048Collaborative Research Project of Traditional Chinese and Western Medicine of the Major Difficult Disease-Alzheimer's Disease of Beijing 2023BJSZDYNJBXTGG-018Key Technology R&D Program of Beijing Municipal Education Commission kz201610025030National Key Research and Development Program of China 2016YFC1306300, 2016YFC1306000National Natural Science Foundation of China 81970992, 81571229, 81071015, 30770745, 82201639Project of Beijing Institute for Brain Disorders BIBD-PXM2013_014226_07_000084Project of Scientific and Technological Development of Traditional Chinese Medicine in Beijing JJ2018-48
6 · The paper itself

Abstract

aimsSleep disorders are common in Alzheimer's disease (AD), but the underlying mechanisms are unknown. This study aimed to specifically investigate the relationship between a specific sleep disorder of short sleep duration (SSD) and AD, and related mechanisms involving neuroinflammation, orexin and AD biomarkers in both AD patients and mice.

methodsIn part I, total 247 AD patients were consecutively recruited and categorized into AD with SSD (AD-SSD, < 6 h) and AD with no SSD (AD-nSSD, 7-8 h). Comparisons were made between the two groups in cognitive function, neuroinflammatory factors, orexinergic factors and AD biomarkers in cerebrospinal fluid (CSF). The correlations of orexinergic factors with the neuroinflammatory factors and AD biomarkers in CSF from AD-SSD group were investigated. In part II, the spatiotemporal relationships among glial activation, orexin expression, AD pathology, sleep architecture disturbance and cognitive function in 5XFAD mice were dynamically explored and the potential mechanisms underlying their relationships were analyzed.

resultsIn part I, compared to AD-nSSD group, AD-SSD group exhibited significantly poorer cognitive performance on the Montreal Cognitive Assessment and the Auditory Verbal Learning Test-delayed recall scales, higher orexin A level in CSF and lower β amyloid (Aβ) 42 level in CSF (all P < 0.05). Furthermore, orexin A had a positive correlation with prostaglandin E

conclusionSSD in AD is associated with significant cognitive impairment, neuroinflammation, orexin elevation and Aβ deposition. Hippocampal astroglial activation, hypothalamic orexin elevation and sleep architecture disturbance precede Aβ deposition in hippocampus and cognitive impairment in 5XFAD mice.

Indexed as

Alzheimer DiseaseAmyloid beta-PeptidesNeuroinflammatory DiseasesOrexinsSleep Wake DisordersAgedAged, 80 and overAnimalsBiomarkersCognitive DysfunctionFemaleHumansMaleMiceMice, TransgenicMiddle AgedAmyloid beta-PeptidesBiomarkersOrexinsAlzheimer’s diseaseCerebrospinal fluidNeuroinflammationOrexinShort sleep durationβ amyloid

Identifiers

PMID40542388
PMCPMC12180184

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.