May 15, 2023
link+between+alzhiemer's,+and+traumatic+brain+injury+and+sleed+disruption
During my research process, I examined several sources, including studies published on PubMed, articles from the Brain Injury Association of America, and discussions on Reddit. There was a general consensus among the sources that traumatic brain injury (TBI) and Alzheimer's disease (AD) are linked through a neuroinflammatory response and that sleep disturbances are commonly reported symptoms in both conditions. However, the direct link between TBI, Alzheimer's, and sleep disruption was less clear. Some sources provided anecdotal evidence for sleep disturbances following TBI, while others focused on the role of sleep in memory formation and consolidation.
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Connection Between TBI and Alzheimer's
"Every brain injury is unique. Sustaining a TBI does not mean that an individual will invariably develop any one symptom or associated disease. However, scientific studies spanning more than three decades have established a relationship in some individuals between moderate TBI and Alzheimer’s."
"Previous studies have investigated the potential role of traumatic brain injury (TBI) in subsequent development of dementia and Alzheimer's disease (AD) but reported inconsistent results. We aimed to determine the association between TBI and subsequent occurrence of dementia and AD."
Sleep Disturbances in TBI and Alzheimer's Patients
Microglia and Cytokines in Sleep Disturbances
Anecdotal Evidence and Personal Experiences
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Research
"https://pubmed.ncbi.nlm.nih.gov/34818648/"
- A meta-analysis by Dongqing Gu et al. finds a statistically significant association between TBI and an increased risk of dementia.
- The study looked into the potential role of TBI in the subsequent development of dementia and Alzheimer’s disease (AD).
- The study performed a systematic search in PubMed and Web of Science for studies that quantitatively investigated the association between TBI and the risk of dementia and AD.
- A random-effects model was used to combine the estimates of 25 eligible articles in the analysis.
- The results suggest an increased risk of dementia (pooled odds ratio [OR] = 1.81, 95% confidence interval [CI] = 1.53-2.14) among individuals with TBI.
- However, no association was observed between TBI and AD (pooled OR = 1.02, 95% CI = 0.91-1.15).
- In the subgroup analysis, TBI with loss of consciousness was not associated with the risk of dementia (pooled OR = 0.96, 95% CI = 0.84-1.09).
- Asian ethnicity, male gender, and mean age of the participants less than 65 years were associated with a higher risk of dementia.
- The study concludes that more intensive medical monitoring and health education for individuals with TBI are needed.
- The study suggests that biological mechanisms linking TBI and the development of dementia are needed in future studies.
- The study was published by S. Karger AG, Basel.
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Similar studies cited in the webpage:
- Beneficial association of angiotensin-converting enzyme inhibitors and statins with the occurrence of possible Alzheimer’s disease after TBI.
- Association of TBI with late-life neurodegenerative conditions and neuropathologic findings.
- Association of TBI with and without loss of consciousness with neuropathologic outcomes in community-dwelling older persons.
- Association of TBI with subsequent neurological and psychiatric disease: a meta-analysis.
- TBI may not increase the risk of AD.
- Traumatic brain injury (TBI) is a significant public health concern and leads to disability, loss of productivity, and impaired quality of life.
- Dementia is one of the most common chronic consequences of TBI.
- Understanding the link between TBI and dementia is crucial to prevent, detect, and treat post-TBI dementia.
- Traumatic brain injury is brain damage resulting from external mechanical force, leading to temporary or permanently impaired cognitive
"https://www.biausa.org/public-affairs/media/tbi-and-alzheimers-disease"
- Traumatic brain injury (TBI) can have lifelong impacts on physical, emotional, and cognitive health
- Dementia is a term used to indicate memory loss or cognitive changes that seriously impact daily life
- Alzheimer’s is the most common form of dementia, with 60-80% of individuals with dementia having Alzheimer’s
- There has been no evidence found that a single mild TBI increases dementia risk
- Individuals who had a moderate TBI had a 2.3 times increased risk of developing Alzheimer’s, with those who sustained a severe TBI were at a 4.5 times greater risk
- Individuals who sustain multiple TBIs have a higher risk of developing Alzheimer’s
- Adults who suffer a brain injury after age 55 have a higher risk of acquiring Alzheimer’s disease
- Studies have found a relationship between moderate TBI and Alzheimer’s, where some individuals may develop dementia and Alzheimer’s disease
- Alzheimer’s affects cognition, leading to loss of thinking, reasoning, and memory that disrupts daily life
- Symptoms of Alzheimer’s include confusion about time and/or place, forgetting recently learned information, additional effort needed to complete routine tasks, misplacing items, and difficulty concentrating
- Brain injury may immediately change one’s circumstances and can have impacts years after the event; if one feels they may be exhibiting new signs of cognitive impairment, regardless of when they sustained a brain injury or if one is a caretaker for an individual with a brain injury who is exhibiting new symptoms, it is important to seek professional help
- The National Brain Injury Information Center can be contacted for resources in one’s area.
"During sleep, memories associated with a specific sensory event are formed and stored. When sleep is disrupted, the brain can process that you are afraid, but is unable to link that to what you should be afraid of, suggests experiments with mice, a process that may be linked to PTSD or anxiety."
- A study was conducted about the importance of uninterrupted sleep in the formation and storage of memories associated with a specific sensory event. Disrupted sleep can prevent the brain from being able to link certain emotions to memories, which can lead to anxiety and PTSD.
- Some people in the comments section talk about their personal experiences with sleep disruption and their mental health. Some mention that they have had trouble getting access to treatments for their sleep-related issues.
- One commenter mentions a study that indicates staying awake for 24 hours after a traumatic event can reduce the likelihood of developing PTSD by disrupting memory formation. However, another commenter found a study that contradicts this claim.
- Some commenters discuss the potential benefits of drugs like cannabis and propranolol in mitigating memory formation after traumatic events in order to prevent PTSD.
- One person discusses their experience of dealing with PTSD caused by having a severely disabled child who had sleep issues.
- Another person describes feeling like they have PTSD from the experience of being a new dad during the COVID-19 pandemic, which included the stress of their wife’s emergency c-section and a lack of outside support.
- There is no information on the webpage directly related to the link between Alzheimer’s, traumatic brain injury, and sleep disruption.
"https://pubmed.ncbi.nlm.nih.gov/32982677/"
- Traumatic brain injury (TBI) and Alzheimer’s disease (AD) are conditions which elicit a neuroinflammatory response that is coupled with physical, cognitive, and affective symptoms.
- Sleep disturbances are commonly reported symptoms in both TBI and AD patients.
- Sleep is regulated by circadian and homeostatic processes where pathological inflammation may disrupt the chemical signaling required to maintain a healthy sleep profile.
- Immune system activation can influence sleep physiology, and sleep disturbances can exacerbate symptoms or increase the risk of inflammatory/neurodegenerative diseases.
- Both TBI and AD are worsened by a chronic pro-inflammatory microenvironment which exacerbates symptoms and worsens clinical outcome.
- Chronic inflammation associated with TBI and AD can lead to sleep disturbances and exacerbated neuropathology.
- The positive feedback loop of chronic inflammation and sleep disturbances is initiated.
- The role of microglia and cytokines in sleep disturbances associated with these diseases is highlighted.
- Microglia are the resident immune cells of the central nervous system (CNS) that monitor tissue health and become activated in response to various insults.
- Microglial activation following TBI and AD results in elevated inflammatory cytokines, which contribute to pathogenic cascades and promote a self-perpetuating cycle of inflammation and neurodegeneration.
- Aβ and Tau proteins of the brain can lead to sleep disturbances, and together with peripheral pro-inflammatory cytokines can induce the development of AD.
- Pro-inflammatory cytokines have dual roles as sleep regulatory substances, and their increase can also lead to sleep disturbances, a characteristic that is commonly preceding cognitive decline in AD.
- Distinct microglial morphologies are observed in TBI and AD, indicative of unique roles for microglia following injury to navigate between homeostatic and pathogenic signaling in response to perturbation.
- The movement of Aβ and Tau through the blood brain barrier, compromised after injury, could seed protein oligomerization and aggregation, thereby acting as possible drivers of central plaque and tangle pathology.
- Together, these contribute to cognitive dysfunction and brain atrophy, the key pathological features of AD.
- The movement of Aβ and Tau through the breach in the blood-brain barrier could potentially seed protein oligomerization and aggregation, thereby acting as possible drivers of central plaque and tangle pathology.
- The proposed sleep and inflammation-mediated link between TBI and AD presents an opportunity for a multifaceted approach to clinical intervention.
"Traumatic Brain Injury, Sleep Deprivation, and Lasting Effects"
- A user posted about a podcast episode featuring Niki Kokiko-Cochran of The Ohio State University’s Chronic Brain Injury program about the relationship between traumatic brain injury, sleep deprivation, and potential lasting repercussions.
- The post aims to answer the correlation between TBI and Alzheimer’s/dementia.
- The post received multiple positive comments from people who have experienced TBI and have been dealing with sleep issues.
- One person shared that they go to the TBI center at OSU Martha Morehouse Pavilion and they love the Making Headway podcast about TBI.
- Another person shared that they were also a patient at Martha Morehouse for out-patient rehabilitation and agrees that the center does fantastic work.
- A user shared that they’ve been dealing with sleep issues after their TBI, and others commented that they can relate to similar issues.
- A user mentioned that they would love to hear recommendations on how to improve sleep after TBI and how the deprivation affects all aspects of their life.
- Another user shared that they are about to start taking some supplements to help with their melatonin production and testosterone production at night, and recommended getting a hormone test as it could reveal information about how they sleep and their waking cortisol levels.
- The user also mentioned having taken a DUTCH test from Precision Analytical, which is a hormone test that gave them specific advice based on their results.
- Another user replied that they are also working with a functional dietician and waiting to take a DUTCH+ test, which they hope can help them take a more targeted approach to their sleep issues.
- A different user shared that the podcast episode is mainly about the research, but they recommend staying away from screens an hour before bed, doing a yoga nidra, and taking CBD before bed to help fall asleep and stay that way.
- The user also mentioned that they have taken a DUTCH but didn’t come away from it with specific sleep advice.
- The podcast episode is available on their website and major podcast platforms.
Overall, the webpage provides personal insights, experiences, and tips from people who have experienced TBI and sleep issues, as well as the expert opinions of Niki Kokiko-Cochran from The Ohio State University’s Chronic Brain Injury program. It may be useful for anyone seeking additional information about the relationship between TBI, sleep deprivation, and potential lasting consequences, and for those looking for advice on improving sleep after TBI.
"The brain remembers right place, right time. The findings not only add to the body of fundamental research on memory but could eventually provide the basis for new treatments to combat memory loss from conditions such as traumatic brain injury or Alzheimer's disease."
- Researchers at the University of California have shown how the brain remembers the right place at the right time.
- A person’s ability to mentally recreate past events depends on how well the neural context of each event is recreated.
- Changes to the neural network can trigger false memories and make it difficult to distinguish between two similar but distinct memories.
- The study used mice to analyze the neuron activity responsible for memory recall.
- The neurons responsible for encoding the location and time of memory signals are scattered throughout the brain, including in the prefrontal cortex and hippocampus.
- The prefrontal cortex is responsible for integrating sensory information and activating the appropriate neurons to store memory, while the hippocampus is responsible for memory consolidation.
- The researchers found that when the neural network responsible for memory recall misfired, the mice would remember the events but be unsure of where or when the event occurred.
- Researchers hope to use the findings to eventually develop new treatments for memory loss caused by traumatic brain injury or Alzheimer’s disease.
- Current treatments for Alzheimer’s primarily focus on managing symptoms, rather than preventing or curing the disease.
- Research also suggests a strong link between sleep and memory, as sleep disruptions can damage the brain’s ability to consolidate memory.
- Memories formed before sleep can be more easily consolidated into long-term memory than those formed immediately before or after a period of wakefulness.
- Sleep is also important for memory recall, as it helps to reactivate the neural network responsible for encoding and consolidating memory during waking hours.
- Chronic sleep deprivation has been linked to cognitive impairments, including memory loss and reduced attention span.
- Researchers hope that by studying the mechanisms of sleep and memory consolidation, they can develop new treatments for memory-related disorders.
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Current and promising research in the field
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Discussion of the potential link between the three conditions
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Overview of each condition, including causes and risk factors