1 Internal Medicine Clinic, Bezmialem Vakif University, Faculty of Medicine, 34093 Fatih, Istanbul, Turkey ; 2 Deparment Of Pulmonology, 3 Deparment Of Medical Biochemistry, Bezmialem Vakif University, Faculty of Medicine, Fatih 34093, Istanbul, Turkey ; 4 Family Health Care Center, Rize 53100, Turkey.
J Thorac Dis. 2014 Jun;6(6):720-5. doi: 10.3978/j.issn.2072-1439.2014.06.17.
Vaspin and lipocalin-2 are less-known recent members of adipocytokine family. There are ongoing studies investigating the role of vaspin ve lipocalin-2 in metabolic syndrome (MS). Obstructive sleep apnea syndrome (OSAS) is independently associated with an increased prevalence of MS. We aimed to measure the levels of vaspin and lipocalin-2 which are secreted from adipocytes in patients with severe OSAS and examine the relationship between these two adipocytokines and OSAS.
THE STUDY CONSISTED OF TWO GROUPS: severe OSAS patients with an apnea-hypopnea index (AHI) of >30/h (OSAS group, 34 subjects) and age-matched healthy volunteers with a AHI <5/h (control group, 25 subjects) Serum levels of vaspin and lipocalin-2 in these two groups were compared.
Serum levels of vaspin were significantly lower in OSAS group; patients with severe OSAS compared with control group; healthy volunteers (OSAS group: 0.69±0.5 vs. control group: 1.24±1.13; P=0.034). The difference between the two groups in terms of serum levels of lipocalin-2 has not reached statistical significance (OSAS group: 61.6±18.2 vs. control group: 68.5±20.1; P=0.17).
We found that serum vaspin levels were significantly lower in patients with severe OSAS compared with healthy controls. Lipocalin-2 levels were similar. The decrease in serum vaspin levels in severe OSAS patients may be important in diagnosis and follow-up of these patients.
脂联素和脂联素 2 是最近发现的脂肪细胞因子家族的未知成员。目前有一些研究正在探讨脂联素和脂联素 2 在代谢综合征(MS)中的作用。阻塞性睡眠呼吸暂停综合征(OSAS)与 MS 的患病率增加独立相关。我们旨在测量严重 OSAS 患者脂肪细胞分泌的脂联素和脂联素 2 的水平,并研究这两种脂肪细胞因子与 OSAS 之间的关系。
本研究包括两组:呼吸暂停低通气指数(AHI)>30/h 的严重 OSAS 患者(OSAS 组,34 例)和 AHI<5/h 的年龄匹配健康志愿者(对照组,25 例)。比较两组血清脂联素和脂联素 2 的水平。
OSAS 组血清脂联素水平显著低于对照组;严重 OSAS 患者与健康志愿者(OSAS 组:0.69±0.5 比对照组:1.24±1.13;P=0.034)。两组血清脂联素 2 水平的差异无统计学意义(OSAS 组:61.6±18.2 比对照组:68.5±20.1;P=0.17)。
我们发现,与健康对照组相比,严重 OSAS 患者血清脂联素水平显著降低。脂联素 2 水平相似。严重 OSAS 患者血清脂联素水平降低可能对这些患者的诊断和随访很重要。