PMID- 36676985 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230201 IS - 2218-1989 (Print) IS - 2218-1989 (Electronic) IS - 2218-1989 (Linking) VI - 13 IP - 1 DP - 2022 Dec 30 TI - Obstructive Sleep Apnea, Circadian Clock Disruption, and Metabolic Consequences. LID - 10.3390/metabo13010060 [doi] LID - 60 AB - Obstructive sleep apnea (OSA) is a chronic disorder characterized by recurrent episodes of apnea and hypopnea during sleep. It is associated with various cardiovascular and metabolic complications, including type 2 diabetes mellitus (T2DM) and obesity. Many pathways can be responsible for T2DM development in OSA patients, e.g., those related to HIF-1 and SIRT1 expression. Moreover, epigenetic mechanisms, such as miRNA181a or miRNA199, are postulated to play a pivotal role in this link. It has been proven that OSA increases the occurrence of circadian clock disruption, which is also a risk factor for metabolic disease development. Circadian clock disruption impairs the metabolism of glucose, lipids, and the secretion of bile acids. Therefore, OSA-induced circadian clock disruption may be a potential, complex, underlying pathway involved in developing and exacerbating metabolic diseases among OSA patients. The current paper summarizes the available information pertaining to the relationship between OSA and circadian clock disruption in the context of potential mechanisms leading to metabolic disorders. FAU - Malicki, Mikolaj AU - Malicki M AD - Department of Sleep Medicine and Metabolic Disorders, Medical University of Lodz, 92-215 Lodz, Poland. FAU - Karuga, Filip Franciszek AU - Karuga FF AUID- ORCID: 0000-0002-6551-6804 AD - Department of Sleep Medicine and Metabolic Disorders, Medical University of Lodz, 92-215 Lodz, Poland. FAU - Szmyd, Bartosz AU - Szmyd B AUID- ORCID: 0000-0002-4051-0887 AD - Department of Pediatrics, Oncology, and Hematology, Medical University of Lodz, 91-738 Lodz, Poland. AD - Department of Neurosurgery, Spine and Peripheral Nerves Surgery, Medical University of Lodz, 90-549 Lodz, Poland. FAU - Sochal, Marcin AU - Sochal M AUID- ORCID: 0000-0003-2122-0304 AD - Department of Sleep Medicine and Metabolic Disorders, Medical University of Lodz, 92-215 Lodz, Poland. FAU - Gabryelska, Agata AU - Gabryelska A AUID- ORCID: 0000-0002-4430-6488 AD - Department of Sleep Medicine and Metabolic Disorders, Medical University of Lodz, 92-215 Lodz, Poland. LA - eng GR - 2021/41/N/NZ5/00486/National Science Center/ PT - Journal Article PT - Review DEP - 20221230 PL - Switzerland TA - Metabolites JT - Metabolites JID - 101578790 PMC - PMC9863434 OTO - NOTNLM OT - OSA OT - circadian disruption OT - diabetes mellitus OT - metabolic complications OT - microRNA OT - obesity COIS- Authors declare no conflict of interest. EDAT- 2023/01/22 06:00 MHDA- 2023/01/22 06:01 PMCR- 2022/12/30 CRDT- 2023/01/21 01:39 PHST- 2022/12/12 00:00 [received] PHST- 2022/12/26 00:00 [revised] PHST- 2022/12/27 00:00 [accepted] PHST- 2023/01/21 01:39 [entrez] PHST- 2023/01/22 06:00 [pubmed] PHST- 2023/01/22 06:01 [medline] PHST- 2022/12/30 00:00 [pmc-release] AID - metabo13010060 [pii] AID - metabolites-13-00060 [pii] AID - 10.3390/metabo13010060 [doi] PST - epublish SO - Metabolites. 2022 Dec 30;13(1):60. doi: 10.3390/metabo13010060.