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探讨血清和血浆白细胞介素-6、白细胞介素-8、白细胞介素-10、肿瘤坏死因子-α、C反应蛋白及S100B浓度在阻塞性睡眠呼吸暂停诊断中的作用。

Investigating the Role of Serum and Plasma IL-6, IL-8, IL-10, TNF-alpha, CRP, and S100B Concentrations in Obstructive Sleep Apnea Diagnosis.

作者信息

Fiedorczuk Piotr, Olszewska Ewa, Polecka Agnieszka, Walasek Marzena, Mroczko Barbara, Kulczyńska-Przybik Agnieszka

机构信息

Department of Otolaryngology, Medical University of Bialystok, 15-089 Bialystok, Poland.

Doctoral School of the Medical, University of Bialystok, 15-089 Bialystok, Poland.

出版信息

Int J Mol Sci. 2023 Sep 9;24(18):13875. doi: 10.3390/ijms241813875.

Abstract

Obstructive sleep apnea (OSA) is a prevalent and underdiagnosed condition associated with cardiovascular diseases, depression, accidents, and stroke. There is an increasing need for alternative diagnostic tools beyond overnight sleep studies that measure the Apnea/Hypopnea Index (AHI). In this single-center, case-control study, we evaluated serum and plasma concentrations of IL-6, IL-8, IL-10, TNF-α, CRP, and S100B in 80 subjects, including 52 OSA patients (27 moderate [15 ≤ AHI ˂ 30], 25 severe [AHI ≥ 30]) and 28 non-OSA controls (AHI 0-5). Participants with OSA showed approximately 2 times higher median concentrations of CRP in plasma, and IL-6 in serum, as well as 1.3 to 1.7 times higher concentrations of TNF-α and IL-8 in plasma compared with the control group. Receiver Operator Characteristic (ROC) curve analysis was performed to evaluate the predictive capabilities of these serum and plasma biomarkers in distinguishing between the OSA and control groups, revealing varying sensitivity and specificity. In summary, in this study, serum and plasma biomarkers CRP, S100B, IL-6, TNF-α, and IL-8 have been shown to be elevated in patients with OSA, correlated positively with disease severity, age, and BMI. These results support the potential role of these biomarkers in diagnosing OSA, supplementing traditional methods such as overnight sleep studies.

摘要

阻塞性睡眠呼吸暂停(OSA)是一种常见且诊断不足的疾病,与心血管疾病、抑郁症、事故和中风相关。除了测量呼吸暂停/低通气指数(AHI)的夜间睡眠研究外,对替代诊断工具的需求日益增加。在这项单中心病例对照研究中,我们评估了80名受试者血清和血浆中白细胞介素-6(IL-6)、白细胞介素-8(IL-8)、白细胞介素-10(IL-10)、肿瘤坏死因子-α(TNF-α)、C反应蛋白(CRP)和S100B的浓度,其中包括52名OSA患者(27名中度[15≤AHI<30],25名重度[AHI≥30])和28名非OSA对照者(AHI 0-5)。与对照组相比,OSA参与者血浆中CRP的中位数浓度、血清中IL-6的中位数浓度约高2倍,血浆中TNF-α和IL-8的浓度高1.3至1.7倍。进行了受试者工作特征(ROC)曲线分析,以评估这些血清和血浆生物标志物区分OSA组和对照组的预测能力,结果显示其敏感性和特异性各不相同。总之,在本研究中,血清和血浆生物标志物CRP、S100B、IL-6、TNF-α和IL-8在OSA患者中升高,与疾病严重程度、年龄和体重指数呈正相关。这些结果支持了这些生物标志物在诊断OSA方面的潜在作用,可作为夜间睡眠研究等传统方法的补充。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71a2/10530258/69d2a78f59e9/ijms-24-13875-g001.jpg

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