Cell Death Biomarkers and Obstructive Sleep Apnea: Implications in the Acute Coronary Syndrome.

Autor: Bauça JM; Department of Laboratory Medicine, Hospital Universitari Son Espases, Palma, Balearic Islands, Spain.; Institut d'Investigació Sanitària de les Illes Balears (IdISBa), Palma, Balearic Islands, Spain., Yañez A; Institut d'Investigació Sanitària de les Illes Balears (IdISBa), Palma, Balearic Islands, Spain.; Research Group on Evidence, Lifestyles and Health, Universitat Illes Balears, Palma, Spain., Fueyo L; Department of Laboratory Medicine, Hospital Universitari Son Espases, Palma, Balearic Islands, Spain., de la Peña M; Institut d'Investigació Sanitària de les Illes Balears (IdISBa), Palma, Balearic Islands, Spain.; Respiratory Department, Hospital Universitari Son Espases, Palma, Balearic Islands, Spain.; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Spain., Pierola J; Institut d'Investigació Sanitària de les Illes Balears (IdISBa), Palma, Balearic Islands, Spain., Sánchez-de-la-Torre A; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Spain.; Respiratory Department, Institut de Recerca Biomèdica, Lleida, Catalonia, Spain., Mediano O; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Spain.; Respiratory Department, Hospital Universitario de Guadalajara, Guadalajara, Castilla-La Mancha, Spain., Cabriada-Nuño V; Respiratory Department, Hospital Universitario Cruces, Bilbao, Basque Country, Spain., Masdeu MJ; Respiratory Department, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí (I3PT), Universitat Autònoma de Barcelona. Sabadell, Catalonia, Spain., Teran-Santos J; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Spain.; Respiratory Department, Hospital Universitario Burgos, Burgos, Castilla-León, Spain., Duran-Cantolla J; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Spain.; Research Department, OSI Araba University Hospital, UPV/EHU, Vitoria, Basque Country, Spain., Masa JF; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Spain.; Respiratory Department, Hospital San Pedro de Alcántara, Cáceres, Extremadura, Spain., Abad J; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Spain.; Respiratory Department, Hospital Germans Trias i Pujol, Barcelona, Catalonia, Spain., Sanchez-de-la-Torre M; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Spain.; Respiratory Department, Institut de Recerca Biomèdica, Lleida, Catalonia, Spain., Barbé F; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Spain.; Respiratory Department, Institut de Recerca Biomèdica, Lleida, Catalonia, Spain., Barceló A; Department of Laboratory Medicine, Hospital Universitari Son Espases, Palma, Balearic Islands, Spain.; Institut d'Investigació Sanitària de les Illes Balears (IdISBa), Palma, Balearic Islands, Spain.; Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES), Spain.
Jazyk: angličtina
Zdroj: Sleep [Sleep] 2017 May 01; Vol. 40 (5).
DOI: 10.1093/sleep/zsx049
Abstrakt: Study Objectives: Nucleosomes and cell-free double-stranded DNA (dsDNA) have been suggested as promising biomarkers in cell death-related diseases, such as acute coronary syndrome (ACS). Currently, the impact of obstructive sleep apnea (OSA) in patients with ACS is unclear. Our aim was to evaluate the relationship between OSA, dsDNA, and nucleosomes and to assess their potential implication in the development of ACS.
Methods: Up to 549 patients were included in the study and divided into four groups (145 ACS; 290 ACS + OSA; 62 OSA; 52 controls). All patients underwent a sleep study, and serum concentrations of dsDNA and nucleosomes were measured.
Results: Nucleosome and dsDNA levels were higher in patients with OSA than in controls (nucleosomes: 1.47 ± 0.88 arbitary units [AU] vs. 1.00 ± 0.33 AU; p < .001, dsDNA: 315.6 ± 78.0 ng/mL vs. 282.6 ± 55.4 ng/mL; p = .007). In addition, both biomarker levels were higher in patients with ACS than in non-ACS, independently of the presence of OSA.
Conclusions: Both nucleosomes and dsDNA are increased in patients with OSA and might be related with the high cardiovascular risk seen in these patients. The extensive cell lysis during a myocardial infarction seems to be the major contributor to the high biomarker levels, and OSA does not seem to be implicated in such elevation when this acute event occurs.
Clinical Trial Registration: NCT01335087 (clinicaltrials.gov).
(© Sleep Research Society 2017. Published by Oxford University Press on behalf of the Sleep Research Society. All rights reserved. For permissions, please e-mail journals.permissions@oup.com.)
Databáze: MEDLINE