Department of Neurology, Affiliated Hospital of Zunyi Medical University, 149 Dalian Road, Zunyi, Guizhou, 563000, China.
Critical Care Medicine, Affiliated Hospital of Zunyi Medical University, 149 Dalian Road, Zunyi, Guizhou, 563000, China.
Sleep Breath. 2024 Oct;28(5):1919-1928. doi: 10.1007/s11325-024-03047-8. Epub 2024 Jun 11.
Patients with obstructive sleep apnea syndrome (OSAS) frequently experience cognitive dysfunction, which may be connected to chronic intermittent hypoxia (CIH). Insulin-like growth factor-1 (IGF-1) is thought to be closely associated with cognitive function, but its role in cognitive impairment caused by OSAS is unclear. The purpose of this study was to investigate the potential protective effect of IGF-1 on cognitive impairment in OSAS rats.
Healthy male SD rats (n = 40) were randomly assigned into four groups: control group, CIH group, NS + CIH group, and IGF-1 + CIH group. All experimental rats except for those in the control group were exposed to intermittent hypoxic (IH) environments for 8 h per day over 28 days. Prior to daily exposure to IH, rats in the IGF-1 + CIH group received subcutaneous injections of IGF-1. The Morris water maze test was conducted on all experimental rats. Brain tissue testing methods included Enzyme-Linked Immunosorbent Assay, Hematoxylin and eosin staining, Immunohistochemistry, and Western blotting.
The rat model of OSAS was successfully established following exposure to CIH and exhibited significant cognitive impairment. However, daily subcutaneous injections of IGF-1 partially restored the impaired cognitive function in OSAS rats. Compared with the control group, there was a significant decrease in the expression levels of IGF-1, p-IGF-IR, and SYP in the CIH group; however, these expression levels increased significantly in the IGF-I + CIH group.
In OSAS rats, IGF-1 enhances learning memory; this effect may be linked to increased p-IGF-1R and SYP protein production in the hippocampus.
阻塞性睡眠呼吸暂停综合征(OSAS)患者常伴有认知功能障碍,这可能与慢性间歇性低氧(CIH)有关。胰岛素样生长因子-1(IGF-1)被认为与认知功能密切相关,但它在 OSAS 引起的认知障碍中的作用尚不清楚。本研究旨在探讨 IGF-1 对 OSAS 大鼠认知障碍的潜在保护作用。
将 40 只健康雄性 SD 大鼠随机分为 4 组:对照组、CIH 组、NS+CIH 组和 IGF-1+CIH 组。除对照组外,所有实验大鼠均每天暴露于间歇性低氧(IH)环境中 8 小时,共 28 天。在每天暴露于 IH 之前,IGF-1+CIH 组的大鼠接受 IGF-1 皮下注射。所有实验大鼠均进行 Morris 水迷宫测试。脑组织检测方法包括酶联免疫吸附试验、苏木精和伊红染色、免疫组织化学和 Western blot。
CIH 暴露后成功建立了 OSAS 大鼠模型,表现出明显的认知功能障碍。然而,每天皮下注射 IGF-1 可部分恢复 OSAS 大鼠受损的认知功能。与对照组相比,CIH 组 IGF-1、p-IGF-IR 和 SYP 的表达水平显著降低;然而,IGF-1+CIH 组这些表达水平显著增加。
在 OSAS 大鼠中,IGF-1 增强了学习记忆能力;这种作用可能与海马中 p-IGF-1R 和 SYP 蛋白产量的增加有关。