The sleep-breathing condition obstructive
sleep apnea (OSA) is
characterized by repetitive upper airway collapse, which can exacerbate
oxidative stress and free radical generation, thereby detrimentally
impacting both motor and sensory nerve function and inducing muscular
damage. OSA development is promoted by increasing proportions of fast-twitch
muscle fibers in the genioglossus. Orientin, a water-soluble dietary
C-glycosyl flavonoid with antioxidant properties, increased the expression
of slow myosin heavy chain (MyHC) and signaling factors associated
with AMP-activated protein kinase (AMPK) activation both in
vivo and in vitro. Inhibiting AMPK signaling
diminished the effects of orientin on slow MyHC, fast MyHC, and Sirt1
expression. Overall, orientin enhanced type I muscle fibers in the
genioglossus, enhanced antioxidant capacity, increased mitochondrial
biogenesis through AMPK signaling, and ultimately improved fatigue
resistance in C2C12 myotubes and mouse genioglossus. These findings
suggest that orientin may contribute to upper airway stability in
patients with OSA, potentially preventing airway collapse.