Department of Otolaryngology, Medical University of Bialystok, 15-089 Bialystok, Poland.
Department of Physiology, Medical University of Bialystok, 15-089 Bialystok, Poland.
Int J Mol Sci. 2022 Nov 15;23(22):14116. doi: 10.3390/ijms232214116.
Obstructive sleep apnea syndrome (OSAS) is a common but underdiagnosed condition with significant health and economic implications for society. Inflammatory mediators are proposed to be associated with the presence and severity of OSAS and contribute to morbidity and mortality. This paper details a prospective non-randomized case control study of a cohort of subjects, who underwent surgical treatment of OSAS and were enrolled to assess the sleep parameters and blood levels of selected inflammatory markers at pre-operative and post-operative time points, also comparing them to the levels in a control group. A total of 25 study subjects and 18 control subjects were enrolled. Median values and interquartile range (IQR) of the apnea-hypopnea index (AHI) in the study group pre-operatively and post-operatively were 34 (18.5-45.5) and 13.3 (7.5-27.3), while in the control group 1.4 (1.0-2.1) per hour. The mean (IQR) hs-CRP levels (mg/L) were 1.782 (0.941-5.594) and 1.980 (0.990-5.445) in the study group, pre-operatively and post-operatively, respectively, while 0.891 (0.767-1.436) in the control group. The mean (IQR) TNF-α levels (pg/mL) were 7.999 (6.137-9.216) and 6.614 (5.534-7.460) pre-and post-operatively, respectively, and were 6.000 (5.026-6.823) in the control group. Results demonstrated that both inflammatory markers, hs-CRP and TNF-α, are higher in subjects with OSAS compared to the controls, and their levels decrease, but are still higher than the controls, after successful surgical treatment. Further analysis including the body mass index and age demonstrated that these changes were significant for TNF-α, but not hs-CRP.
阻塞性睡眠呼吸暂停综合征(OSAS)是一种常见但诊断不足的疾病,对社会的健康和经济都有重大影响。炎症介质被认为与 OSAS 的存在和严重程度有关,并导致发病率和死亡率增加。本文详细介绍了一项针对接受 OSAS 手术治疗的患者队列的前瞻性非随机病例对照研究,评估了手术前后的睡眠参数和选定炎症标志物的血液水平,并与对照组进行了比较。共纳入 25 例研究对象和 18 例对照对象。研究组术前和术后的呼吸暂停低通气指数(AHI)中位数和四分位距(IQR)分别为 34(18.5-45.5)和 13.3(7.5-27.3),而对照组分别为 1.4(1.0-2.1)/小时。研究组术前和术后的 hs-CRP 水平(mg/L)分别为 1.782(0.941-5.594)和 1.980(0.990-5.445),而对照组分别为 0.891(0.767-1.436)。研究组术前和术后的 TNF-α 水平(pg/mL)分别为 7.999(6.137-9.216)和 6.614(5.534-7.460),对照组分别为 6.000(5.026-6.823)。结果表明,与对照组相比,OSAS 患者的两种炎症标志物 hs-CRP 和 TNF-α 水平更高,并且在成功手术治疗后,其水平降低,但仍高于对照组。进一步的包括体重指数和年龄在内的分析表明,这些变化在 TNF-α 中是显著的,但在 hs-CRP 中不显著。