Abstract:Objective To determine the effects of chronic intermittent hypoxia (CIH) on the injury in genioglossal mitochondria and investigate the intervention role of adiponectin (Ad) in the process and associated mechanisms. Methods Forty-five adult Wistar rats were randomly divided into 3 groups, that is, normal control (NC) group, CIH group, and CIH+Ad group, with 15 rats in each group. The rats in the 2 latter groups were exposed to the same CIH environment (8h/d for 5 weeks), while the rats in the NC group were exposed to normal air only. In addition, the rats in CIH+Ad group were injected with Ad (10μg, twice a week). Results Compared with the NC group, reduced amount, damaged structure and decreased type Ⅰ fibers in the genioglossal mitochondria were observed in the rats of CIH group (P<0.05). However, the conditions in the rats of CIH+Ad group were much better (P<0.05). Compared with the NC group, the protein expression of LKB1-AMPK-PGC1-α pathway was significantly lower in the genioglossum of CIH group, but such a reduction was less significant in CIH+Ad group (P<0.05). Conclusion CIH induces impairment in genioglossal mitochondria, while supplement of Ad will improve such genioglossal injuries possibly via modulation of AMPK pathway.