Department of Medicine
Dr. Vsevolod (Seva) Polotsky is an internationally recognized expert on the pathogenesis of obstructive sleep apnea and its metabolic complications. Dr. Polotsky received training in molecular biology and biochemistry at the NIH and Yale University. He has also been trained in pulmonary and sleep medicine at Johns Hopkins. During his pulmonary fellowship at the Johns Hopkins University he extensively studied ventilatory control and sleep in mice. His laboratory developed a mouse model of intermittent hypoxia (IH) mimicking the oxyhemoglobin profile in human OSA. Dr. Polotsky pioneered studies of glucose and lipid metabolism in IH. Dr. Polotsky has a track record of studying metabolic pathways in vivo and in vitro, breeding transgenic mice and using pharmacological inhibitors. He had continuous NIH funding since his graduation from pulmonary fellowship in 2002. He had published numerous papers in the field. Thus, Dr. Polotsky is a renowned expert in control of ventilation and the pathogenesis of sleep disordered breathing and its complications.
Dr. Polotsky’s research has been focused on several major areas. First, he studied the role of adipose tissue produced hormone leptin and its role in control of breathing and upper airway function. Second, he pioneered the chemogenetic approach to the pathogenesis of OSA demonstrating in the mouse model that pharyngeal patency can be manipulated remotely with designer receptors exclusively activated by designer drugs. Third, he has developed a mouse model of intermittent hypoxia (IH), which mimics the oxygen desaturation profile in human obstructive sleep apnea and provided the first evidence in the literature that IH causes insulin resistance. His later studies showed that IH increases hepatic glucose output acting via the carotid body-mediated activation of the sympathetic nervous system. Fourth, Dr. Polotsky provided the first evidence in the literature that IH induces dyslipidemia and atherosclerosis in mice. In follow up papers, Dr. Polotsky’s group identified mechanisms of dyslipidemia in IH, i.e. up-regulation of hepatic lipid biosynthesis and inhibition of lipoprotein clearance linked to inactivation of adipose lipoprotein lipase via hypoxia inducible factor 1 mediated up-regulation of angiopoietin-like 4. Fifth another Dr. Polotsky’s seminal finding that IH plays a role in the pathogenesis of liver injury and non-alcoholic fatty liver disease. Dr. Polotsky’s h-index in Google Scholar is 49.
Intermittent hypoxia increases insulin resistance in genetically obese mice.
The Journal of physiology Oct, 2003 | Pubmed ID: 12878760
Differences in sleep-induced hypoxia between A/J and DBA/2J mouse strains.
American journal of respiratory and critical care medicine Dec, 2003 | Pubmed ID: 14512266
Impact of interrupted leptin pathways on ventilatory control.
Journal of applied physiology (Bethesda, Md. : 1985) Mar, 2004 | Pubmed ID: 14578371
Chronic intermittent hypoxia upregulates genes of lipid biosynthesis in obese mice.
Journal of applied physiology (Bethesda, Md. : 1985) Nov, 2005 | Pubmed ID: 16037401
Intermittent hypoxia induces hyperlipidemia in lean mice.
Circulation research Sep, 2005 | Pubmed ID: 16123334
Disorders of glucose metabolism in sleep apnea.
Journal of applied physiology (Bethesda, Md. : 1985) Nov, 2005 | Pubmed ID: 16227461
Intermittent hypoxia causes REM sleep deficits and decreases EEG delta power in NREM sleep in the C57BL/6J mouse.
Sleep medicine Jan, 2006 | Pubmed ID: 16309961
Altered metabolic responses to intermittent hypoxia in mice with partial deficiency of hypoxia-inducible factor-1alpha.
Physiological genomics May, 2006 | Pubmed ID: 16507783
Hyperlipidemia and lipid peroxidation are dependent on the severity of chronic intermittent hypoxia.
Journal of applied physiology (Bethesda, Md. : 1985) Feb, 2007 | Pubmed ID: 17082365
Intermittent hypoxia causes insulin resistance in lean mice independent of autonomic activity.
American journal of respiratory and critical care medicine Apr, 2007 | Pubmed ID: 17272786
Chronic intermittent hypoxia induces atherosclerosis.
American journal of respiratory and critical care medicine Jun, 2007 | Pubmed ID: 17332479
Chronic intermittent hypoxia predisposes to liver injury.
Hepatology (Baltimore, Md.) Apr, 2007 | Pubmed ID: 17393512
Effect of deficiency in SREBP cleavage-activating protein on lipid metabolism during intermittent hypoxia.
Physiological genomics Oct, 2007 | Pubmed ID: 17666524
SLEEP DISORDERED BREATHING AND METABOLIC EFFECTS: EVIDENCE FROM ANIMAL MODELS.
Sleep medicine clinics Jun, 2007 | Pubmed ID: 18516217
Intermittent hypoxia has organ-specific effects on oxidative stress.
American journal of physiology. Regulatory, integrative and comparative physiology Oct, 2008 | Pubmed ID: 18703411
Dyslipidemia and atherosclerosis induced by chronic intermittent hypoxia are attenuated by deficiency of stearoyl coenzyme A desaturase.
Circulation research Nov, 2008 | Pubmed ID: 18832746
Obstructive sleep apnea, insulin resistance, and steatohepatitis in severe obesity.
American journal of respiratory and critical care medicine Feb, 2009 | Pubmed ID: 18990675
Disruption of Nrf2, a key inducer of antioxidant defenses, attenuates ApoE-mediated atherosclerosis in mice.
PloS one , 2008 | Pubmed ID: 19023427
Chronic intermittent hypoxia and acetaminophen induce synergistic liver injury in mice.
Experimental physiology Feb, 2009 | Pubmed ID: 19028810
Metabolic consequences of sleep-disordered breathing.
ILAR journal , 2009 | Pubmed ID: 19506316
Indices of hypoxic stress in sleep apnea.
American journal of respiratory and critical care medicine Nov, 2009 | Pubmed ID: 19843828
Effect of intermittent hypoxia on atherosclerosis in apolipoprotein E-deficient mice.
Atherosclerosis Apr, 2010 | Pubmed ID: 19897196
Moderate oxygen augments lipopolysaccharide-induced lung injury in mice.
American journal of physiology. Lung cellular and molecular physiology Mar, 2010 | Pubmed ID: 20034961
Obstructive sleep apnea and dyslipidemia: implications for atherosclerosis.
Current opinion in endocrinology, diabetes, and obesity Apr, 2010 | Pubmed ID: 20125003
INTERMITTENT AND SUSTAINED HYPOXIA INDUCE A SIMILAR GENE EXPRESSION PROFILE IN THE HUMAN AORTIC ENDOTHELIAL CELLS.
Physiological genomics Mar, 2010 | Pubmed ID: 20197421
The impact of obstructive sleep apnea on metabolic and inflammatory markers in consecutive patients with metabolic syndrome.
PloS one Aug, 2010 | Pubmed ID: 20711453
Metabolic consequences of intermittent hypoxia: relevance to obstructive sleep apnea.
Best practice & research. Clinical endocrinology & metabolism Oct, 2010 | Pubmed ID: 21112030
Chronic intermittent hypoxia induces lung growth in adult mice.
American journal of physiology. Lung cellular and molecular physiology Feb, 2011 | Pubmed ID: 21131398
Restoring leptin signaling reduces hyperlipidemia and improves vascular stiffness induced by chronic intermittent hypoxia.
American journal of physiology. Heart and circulatory physiology Apr, 2011 | Pubmed ID: 21278136
Sleep apnea determines soluble TNF-α receptor 2 response to massive weight loss.
Obesity surgery Sep, 2011 | Pubmed ID: 21298510
Intermittent hypoxia inhibits clearance of triglyceride-rich lipoproteins and inactivates adipose lipoprotein lipase in a mouse model of sleep apnoea.
European heart journal Mar, 2012 | Pubmed ID: 21478490
Effects of different acute hypoxic regimens on tissue oxygen profiles and metabolic outcomes.
Journal of applied physiology (Bethesda, Md. : 1985) Sep, 2011 | Pubmed ID: 21737828
Intermittent hypoxia exacerbates metabolic effects of diet-induced obesity.
Obesity (Silver Spring, Md.) Nov, 2011 | Pubmed ID: 21799478
Obstructive sleep apnea: an emerging risk factor for atherosclerosis.
Chest Aug, 2011 | Pubmed ID: 21813534
Effects of sleep apnea on nocturnal free fatty acids in subjects with heart failure.
Sleep Sep, 2011 | Pubmed ID: 21886358
Acute hypoxia induces hypertriglyceridemia by decreasing plasma triglyceride clearance in mice.
American journal of physiology. Endocrinology and metabolism Aug, 2012 | Pubmed ID: 22621867
Metabolic consequences of high-fat diet are attenuated by suppression of HIF-1α.
PloS one , 2012 | Pubmed ID: 23049707
Obstructive sleep apnea and non-alcoholic Fatty liver disease: is the liver another target?
Frontiers in neurology , 2012 | Pubmed ID: 23087670
Sleep and sleep loss: an energy paradox?
Sleep Nov, 2012 | Pubmed ID: 23115392
Thermoneutrality modifies the impact of hypoxia on lipid metabolism.
American journal of physiology. Endocrinology and metabolism Feb, 2013 | Pubmed ID: 23249698
Chronic intermittent hypoxia induces atherosclerosis via activation of adipose angiopoietin-like 4.
American journal of respiratory and critical care medicine Jul, 2013 | Pubmed ID: 23328524
Macrophage A2A adenosinergic receptor modulates oxygen-induced augmentation of murine lung injury.
American journal of respiratory cell and molecular biology May, 2013 | Pubmed ID: 23349051
Effect of chronic intermittent hypoxia on triglyceride uptake in different tissues.
Journal of lipid research Apr, 2013 | Pubmed ID: 23386706
Obstructive sleep apnea: a cardiometabolic risk in obesity and the metabolic syndrome.
Journal of the American College of Cardiology Aug, 2013 | Pubmed ID: 23770180
Sleep disorders and the development of insulin resistance and obesity.
Endocrinology and metabolism clinics of North America Sep, 2013 | Pubmed ID: 24011890
Intermittent hypoxia impairs glucose homeostasis in C57BL6/J mice: partial improvement with cessation of the exposure.
Sleep Oct, 2013 | Pubmed ID: 24082307
Regulation of hepatocyte growth factor expression by NF-κB and PPARγ in adipose tissue.
American journal of physiology. Endocrinology and metabolism Apr, 2014 | Pubmed ID: 24569592
New frontiers in obstructive sleep apnoea.
Clinical science (London, England : 1979) Aug, 2014 | Pubmed ID: 24780001
Carotid body denervation prevents fasting hyperglycemia during chronic intermittent hypoxia.
Journal of applied physiology (Bethesda, Md. : 1985) Oct, 2014 | Pubmed ID: 25103977
The effect of adrenal medullectomy on metabolic responses to chronic intermittent hypoxia.
Respiratory physiology & neurobiology Nov, 2014 | Pubmed ID: 25179887
Intermittent hypoxia-induced glucose intolerance is abolished by α-adrenergic blockade or adrenal medullectomy.
American journal of physiology. Endocrinology and metabolism Dec, 2014 | Pubmed ID: 25315697
A patient with unusual electroencephalographic findings during rapid eye movement sleep.
Annals of the American Thoracic Society Dec, 2014 | Pubmed ID: 25549034
Are we waking up to the effects of NEFA?
Diabetologia Apr, 2015 | Pubmed ID: 25617999
Lysyl Oxidase as a Serum Biomarker of Liver Fibrosis in Patients with Severe Obesity and Obstructive Sleep Apnea.
Sleep Oct, 2015 | Pubmed ID: 26085300
Translational approaches to understanding metabolic dysfunction and cardiovascular consequences of obstructive sleep apnea.
American journal of physiology. Heart and circulatory physiology Oct, 2015 | Pubmed ID: 26232233
Metabolic dysfunction in obstructive sleep apnea: A critical examination of underlying mechanisms.
Sleep and biological rhythms Jan, 2015 | Pubmed ID: 26412981
Sleep Apnea Research in Animals. Past, Present, and Future.
American journal of respiratory cell and molecular biology Mar, 2016 | Pubmed ID: 26448201
Intermittent Hypoxia Alters Gene Expression in Peripheral Blood Mononuclear Cells of Healthy Volunteers.
PloS one , 2015 | Pubmed ID: 26657991
Effect of Acute Intermittent CPAP Depressurization during Sleep in Obese Patients.
PloS one , 2016 | Pubmed ID: 26731735
Stressful sleep.
The European respiratory journal Feb, 2016 | Pubmed ID: 26828044
Localizing Effects of Leptin on Upper Airway and Respiratory Control during Sleep.
Sleep May, 2016 | Pubmed ID: 26951402
Pharyngeal collapsibility during sleep is elevated in insulin-resistant females with morbid obesity.
The European respiratory journal 06, 2016 | Pubmed ID: 27103392
Increased Cardiometabolic Risk and Worsening Hypoxemia at High Altitude.
High altitude medicine & biology Jun, 2016 | Pubmed ID: 27281472
Hypoxia and hypercapnia inhibit hypothalamic orexin neurons in rats.
Journal of neurophysiology 11, 2016 | Pubmed ID: 27559138
Genome-Wide Association Studies in Obstructive Sleep Apnea. Will We Catch a Black Cat in a Dark Room?
American journal of respiratory and critical care medicine Oct, 2016 | Pubmed ID: 27689706
Direct projections from hypothalamic orexin neurons to brainstem cardiac vagal neurons.
Neuroscience Dec, 2016 | Pubmed ID: 27693474
Serum from obstructive sleep apnea patients induces inflammatory responses in coronary artery endothelial cells.
Atherosclerosis 11, 2016 | Pubmed ID: 27693879
Adipose HIF-1α causes obesity by suppressing brown adipose tissue thermogenesis.
Journal of molecular medicine (Berlin, Germany) 03, 2017 | Pubmed ID: 27738746
Hepatocyte Hypoxia Inducible Factor-1 Mediates the Development of Liver Fibrosis in a Mouse Model of Nonalcoholic Fatty Liver Disease.
PloS one , 2016 | Pubmed ID: 28030556
Effect of adrenal medullectomy on metabolic responses to chronic intermittent hypoxia in the frequently sampled intravenous glucose tolerance test.
Journal of applied physiology (Bethesda, Md. : 1985) Apr, 2017 | Pubmed ID: 28104753
Optogenetic identification of hypothalamic orexin neuron projections to paraventricular spinally projecting neurons.
American journal of physiology. Heart and circulatory physiology Apr, 2017 | Pubmed ID: 28159808
Sleep Apnea: Types, Mechanisms, and Clinical Cardiovascular Consequences.
Journal of the American College of Cardiology Feb, 2017 | Pubmed ID: 28209226
Cross-Sectional Comparison of Sleep-Disordered Breathing in Native Peruvian Highlanders and Lowlanders.
High altitude medicine & biology Mar, 2017 | Pubmed ID: 28306414
Update in Sleep-disordered Breathing 2016.
American journal of respiratory and critical care medicine Jun, 2017 | Pubmed ID: 28530119
Obstructive Sleep Apnea Dynamically Increases Nocturnal Plasma Free Fatty Acids, Glucose, and Cortisol During Sleep.
The Journal of clinical endocrinology and metabolism 09, 2017 | Pubmed ID: 28595341
Cardiometabolic correlates of sleep disordered breathing in Andean highlanders.
The European respiratory journal 06, 2017 | Pubmed ID: 28619952
Hypoxia-Inducible Factors and Cancer.
Current sleep medicine reports Mar, 2017 | Pubmed ID: 28944164
Sleep apnea: An overlooked cause of lipotoxicity?
Medical hypotheses Oct, 2017 | Pubmed ID: 29055392
Disturbed sleep and diabetes: A potential nexus of dementia risk.
Metabolism: clinical and experimental 07, 2018 | Pubmed ID: 29409842
Obstructive sleep apnea and effects of continuous positive airway pressure on triglyceride-rich lipoprotein metabolism.
Journal of lipid research 06, 2018 | Pubmed ID: 29628442
Leptin and Leptin Resistance in the Pathogenesis of Obstructive Sleep Apnea: A Possible Link to Oxidative Stress and Cardiovascular Complications.
Oxidative medicine and cellular longevity , 2018 | Pubmed ID: 29675134
High fat diet induces airway hyperresponsiveness in mice.
Scientific reports 04, 2018 | Pubmed ID: 29686414
Sleep-disordered breathing in C57BL/6J mice with diet-induced obesity.
Sleep 08, 2018 | Pubmed ID: 29767787
Integrating loop gain into the understanding of obstructive sleep apnoea mechanisms.
The Journal of physiology 09, 2018 | Pubmed ID: 29968907
Neurostimulation Treatment of OSA.
Chest 12, 2018 | Pubmed ID: 30222959
Leptin acts in the carotid bodies to increase minute ventilation during wakefulness and sleep and augment the hypoxic ventilatory response.
The Journal of physiology Jan, 2019 | Pubmed ID: 30285278
Intranasal Leptin Relieves Sleep-disordered Breathing in Mice with Diet-induced Obesity.
American journal of respiratory and critical care medicine Mar, 2019 | Pubmed ID: 30309268
Silencing of Hypoglossal Motoneurons Leads to Sleep Disordered Breathing in Lean Mice.
Frontiers in neurology , 2018 | Pubmed ID: 30487776
Pharmacotherapy of Obstructive Sleep Apnea: Is Salvation Just Around a Corner?
American journal of respiratory and critical care medicine May, 2019 | Pubmed ID: 30521761
A Novel Non-invasive Approach for Measuring Upper Airway Collapsibility in Mice.
Frontiers in neurology , 2018 | Pubmed ID: 30524362
Vertical sleeve gastrectomy improves ventilatory drive through a leptin-dependent mechanism.
JCI insight Jan, 2019 | Pubmed ID: 30626748
Caloric restriction prevents the development of airway hyperresponsiveness in mice on a high fat diet.
Scientific reports Jan, 2019 | Pubmed ID: 30670753
Upright posture increases oxyhemoglobin saturation in Peruvian highlanders.
Respiratory physiology & neurobiology Aug, 2019 | Pubmed ID: 31048020
Leptin Induces Hypertension Acting on Transient Receptor Potential Melastatin 7 Channel in the Carotid Body.
Circulation research Sep, 2019 | Pubmed ID: 31545149
ABOUT JoVE
Copyright © 2024 MyJoVE Corporation. All rights reserved