Department of Respiratory and Critical Care Medicine, First Affiliated Hospital of Kunming Medical University, Kunming, China.
Clinical Medicine, 2015 & 2017 Grade, Kunming Medical University, Kunming, China.
Metab Syndr Relat Disord. 2020 Oct;18(8):362-367. doi: 10.1089/met.2020.0018. Epub 2020 Jun 29.
Obstructive sleep apnea (OSA) is a serious threat to individual health. Diagnosis of OSA is mainly polysomnography (PSG). However, PSG monitoring is costly and time-consuming. At present, increasing studies are exploring new diagnostic methods for OSA. This study aimed to explore the diagnostic role of Sestrin2 in OSA. Sixty-four subjects were recruited in this study. The concentration of plasma Sestrin2 of all subjects were measured and compared. Spearman's correlation analysis was used to investigate the correlation between plasma Sestrin2 concentration and other factors. Receiver-operating characteristic (ROC) curve was used to investigate the role of Sestrin2 in the diagnosis of OSA, moderate-severe and severe OSA. Subjects were divided into OSA group ( = 38) and control ( = 26). Levels of Plasma Sestrin2 were significantly higher in OSA patients than in controls. Sestrin2 was positively correlated with oxygen reduction index and negatively correlated with mean oxygen saturation and lowest oxygen saturation. The area under ROC curve (AUC) of Sestrin2 for OSA diagnosis was 0.740 [95% confidence interval (CI), 0.615-0.842], the cutoff value was 1.86 ng/mL, and the sensitivity and specificity were 81.58% and 61.54%, respectively. The AUC of Sestrin2 for the diagnosis of severe OSA was 0.801 (95% CI, 0.682-0.890), and the cutoff value was 5.21 ng/mL exhibiting the sensitivity and specificity of 61.90% and 90.70%, respectively. Setrin2 is a marker for OSA and may be helpful in the diagnosis of OSA.
阻塞性睡眠呼吸暂停(OSA)是对个体健康的严重威胁。OSA 的诊断主要依靠多导睡眠图(PSG)。然而,PSG 监测既昂贵又耗时。目前,越来越多的研究正在探索 OSA 的新诊断方法。本研究旨在探讨 sestrin2 在 OSA 中的诊断作用。
本研究纳入了 64 名受试者。测量并比较了所有受试者的血浆 sestrin2 浓度。采用 Spearman 相关分析探讨血浆 sestrin2 浓度与其他因素的相关性。应用受试者工作特征(ROC)曲线探讨 sestrin2 在 OSA、中重度和重度 OSA 诊断中的作用。
受试者分为 OSA 组( = 38)和对照组( = 26)。OSA 患者的血浆 sestrin2 水平明显高于对照组。Sestrin2 与氧减指数呈正相关,与平均氧饱和度和最低氧饱和度呈负相关。Sestrin2 诊断 OSA 的 ROC 曲线下面积(AUC)为 0.740 [95%置信区间(CI),0.615-0.842],截断值为 1.86 ng/mL,灵敏度和特异度分别为 81.58%和 61.54%。Sestrin2 诊断重度 OSA 的 AUC 为 0.801(95%CI,0.682-0.890),截断值为 5.21 ng/mL,灵敏度和特异度分别为 61.90%和 90.70%。
Sestrin2 是 OSA 的标志物,有助于 OSA 的诊断。