Changes in four plasma adipokines before and after sleep in OSAS patients

Clin Respir J. 2017 Nov;11(6):968-974. doi: 10.1111/crj.12449. Epub 2016 Mar 10.

Abstract

Objectives: This study aimed to investigate whether plasma levels of four adipokines (chemerin, macrophage migratory inhibitory factor [MIF], visceral adipose tissue-derived serine protease inhibitor [vaspin] and chemokine CXCL5) are associated with the presence of obstructive sleep apnea syndrome (OSAS) in patients.

Methods: A total of 58 male patients with OSAS and 16 healthy male subjects were enrolled in this study.

Results: Four plasma adipokines (chemerin, MIF, vaspin and chemokine CXCL5) were significantly higher (P < 0.05) in severe OSAS patients than in the control group after polysomnography. Plasma levels of these four adipokines were higher (P < 0.05) after sleep than before sleep. These levels were also associated with anthropometric measurements for BMI, neck circumference, body fat percentage, sleep parameters including the apnea/hypopnea index (AHI) and minimum SaO2 %. Multiple regression analyses showed that BMI, AHI and mean SaO2 % were major factors affecting the four plasma adipokine levels in OSAS patients.

Conclusions: Plasma chemerin, MIF, vaspin and chemokine CXCL5 levels were severely elevated with OSAS, and were also connected with obesity.

Keywords: MIF; OSAS; adipokines; chemerin; chemokine CXCL5; vaspin.

MeSH terms

  • Adipokines / blood*
  • Adult
  • Aged
  • Anthropometry / methods
  • Body Fat Distribution
  • Body Mass Index
  • Chemokine CXCL5 / blood
  • Chemokines / blood
  • Humans
  • Hypoxia / complications
  • Intercellular Signaling Peptides and Proteins / blood*
  • Leukocyte L1 Antigen Complex / blood
  • Male
  • Middle Aged
  • Obesity / complications
  • Polysomnography / methods
  • Serpins / blood
  • Sleep / physiology*
  • Sleep Apnea, Obstructive / blood*
  • Sleep Apnea, Obstructive / physiopathology

Substances

  • Adipokines
  • Chemokine CXCL5
  • Chemokines
  • Intercellular Signaling Peptides and Proteins
  • Leukocyte L1 Antigen Complex
  • RARRES2 protein, human
  • SERPINA12 protein, human
  • Serpins