Narcolepsy: a model interaction between immune system, nervous system, and sleep-wake regulation.

Latorre, Daniela; Sallusto, Federica; Bassetti, Claudio L. A.; Kallweit, Ulf (2022). Narcolepsy: a model interaction between immune system, nervous system, and sleep-wake regulation. Seminars in immunopathology, 44(5), pp. 611-623. Springer 10.1007/s00281-022-00933-9

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Narcolepsy is a rare chronic neurological disorder characterized by an irresistible excessive daytime sleepiness and cataplexy. The disease is considered to be the result of the selective disruption of neuronal cells in the lateral hypothalamus expressing the neuropeptide hypocretin, which controls the sleep-wake cycle. Diagnosis and management of narcolepsy represent still a substantial medical challenge due to the large heterogeneity in the clinical manifestation of the disease as well as to the lack of understanding of the underlying pathophysiological mechanisms. However, significant advances have been made in the last years, thus opening new perspective in the field. This review describes the current knowledge of clinical presentation and pathology of narcolepsy as well as the existing diagnostic criteria and therapeutic intervention for the disease management. Recent evidence on the potential immune-mediated mechanisms that may underpin the disease establishment and progression are also highlighted.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology

UniBE Contributor:

Bassetti, Claudio L.A.

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1863-2300

Publisher:

Springer

Language:

English

Submitter:

Chantal Kottler

Date Deposited:

09 Jan 2023 08:30

Last Modified:

02 Mar 2023 23:37

Publisher DOI:

10.1007/s00281-022-00933-9

Related URLs:

PubMed ID:

35445831

BORIS DOI:

10.48350/176883

URI:

https://boris.unibe.ch/id/eprint/176883

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