|
NLR、GPR及25-(OH)水平与阻塞性睡眠呼吸暂停低通气综合征患者颈动脉内膜中层厚度关系的研究进展
|
Abstract:
阻塞性睡眠呼吸暂停低通气综合征(OSAHS)是一种常见的睡眠障碍,其发病机制复杂,涉及多种因素。近年来,阻塞性睡眠呼吸暂停低通气综合征(OSAHS)的发病率逐年上升,成为了严重威胁人类健康的疾病之一。研究表明,颈动脉内膜中层厚度(IMT)是评估OSAHS患者心血管疾病风险的重要指标。近年来,许多学者对IMT及其与OSAHS相关的生物标志物如NLR、GPR及25-(OH)水平进行了深入研究。本文将综述这些研究进展,进一步阐述中性粒细胞计数与淋巴细胞计数比(NLR)、γ-谷氨酰转肽酶(GGT)与血小板比值(GPR)和25-(OH)水平与阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者颈动脉内膜中层厚度(IMT)之间的关系,旨在为OSAHS的诊断、治疗和预防提供参考。同时,本文也将探讨未来在该领域的研究方向和趋势。
Obstructive sleep apnea hypopnea syndrome (OSAHS) is a common sleep disorder with a complex pathogenesis involving multiple factors. In recent years, the incidence of OSAHS has been increasing annually, becoming one of the serious diseases that threaten human health. Studies have shown that carotid intima-media thickness (IMT) is an important indicator for evaluating the risk of car-diovascular disease in OSAHS patients. In recent years, many scholars have conducted in-depth re-search on IMT and its related biomarkers such as NLR, GPR, and 25-(OH) levels in OSAHS. This arti-cle will review the research progress in these areas, further elucidating the relationship between neutrophil-to-lymphocyte ratio (NLR), gamma-glutamyl transpeptidase (GGT)-to-platelet ratio (GPR), 25-(OH) levels and carotid intima-media thickness (IMT) in patients with obstructive sleep apnea hypopnea syndrome (OSAHS), aiming to provide references for the diagnosis, treatment, and prevention of OSAHS. At the same time, this article will also explore future research directions and trends in this field.
[1] | 王亚南, 黄高忠. OSAHS患者CIMT及与外周血25(OH)D水平的关系[D]: [硕士学位论文]. 上海: 上海交通大学附属第六人民医院, 2019. |
[2] | Dos Santos Ramos, A., Viana, G.C.S., De Macedo Brigido, M. and Almeida, J.F. (2021) Neutrophil Extracellular Traps in Inflammatory Bowel Diseases: Implications in Pathogenesis and Therapeutic Targets. Pharmacological Research, 171, Article ID: 105779. https://doi.org/10.1016/j.phrs.2021.105779 |
[3] | Németh, T., Sperandio, M. and Mócsai, A. (2020) Neutrophils as Emerging Therapeutic Targets. Nature Reviews Drug Discovery, 19, 253-275. https://doi.org/10.1038/s41573-019-0054-z |
[4] | Metzemaekers, M., Gouwy, M. and Proost, P. (2020) Neutrophil Chemoattractant Receptors in Health and Disease: Double-Edged Swords. Cellular & Molecular Immunology, 17, 433-450. https://doi.org/10.1038/s41423-020-0412-0 |
[5] | Lux, D., Alakbarzade, V., Bridge, L., et al. (2020) The Association of Neutrophil-Lymphocyte Ratio and Lymphocyte-Monocyte Ratio with 3month Clinical Outcome after Mechanical Thrombectomy following Stroke. Journal of Neuroinflammation, 17, Article No. 60. https://doi.org/10.1186/s12974-020-01739-y |
[6] | Xu, J.H., He, X.W., Li, Q., et al. (2019) Higher Plate-let-to-Lymphocyte Ratio Is Associated with Worse Outcomes after Intravenous Thrombolysis in Acute Ischaemic Stroke. Frontiers in Neurology, 10, Article 487366.
https://doi.org/10.3389/fneur.2019.01192 |
[7] | Becker, K.J. and Buckwalter, M. (2016) Stroke, Inflammation and the Immune Response: Dawn of A New Era. Neurotherapeutics, 13, 659-660. https://doi.org/10.1007/s13311-016-0478-7 |
[8] | Zhang, W.B., Zeng, Y.Y., Wang, F., Cheng, L., Tang, W.J. and Wang, X.Q. (2020) A High Neutrophil-to-Lymphocyte Ratio Predicts Hemorrhagic Transformation of Large Athero-sclerotic Infarction in Patients with Acute Ischemic Stroke. Aging, 12, 2428-2439. https://doi.org/10.18632/aging.102752 |
[9] | Song, Q., Pan, R., Jin, Y., et al. (2018) Lymphocyte-to-Monocyte Ra-tio and Risk of Hemorrhagic Transformation in Patients with Acute Ischemic Strok. Neurological Sciences, 41, 2511-2520. |
[10] | Nam, K.W., Kim, T.J., Lee, J.S., et al. (2018) High Neutrophil-to-Lymphocyte Ratio Predicts Stroke-Associated Pneumonia. Stroke, 49, 1886-1892. https://doi.org/10.1161/STROKEAHA.118.021228 |
[11] | McMillan, D.C. (2009) Systemic Inflammation, Nutri-tional Status and Survival in Patients with Cancer. Current Opinion in Clinical Nutrition and Metabolic Care, 12, 223-226. https://doi.org/10.1097/MCO.0b013e32832a7902 |
[12] | Mallappa, S., Sinha, A., Gupta, S. and Chadwick, S.J.D. (2013) Preoperative Neutrophil to Lymphocyte Ratio > 5 Is a Prognostic Factor for Recurrent Colorectal Cancer. Colorectal Disease, 15, 323-328.
https://doi.org/10.1111/codi.12008 |
[13] | Cho, H., Hur, H.W., Kim, S.W., et al. (2009) Pre-Treatment Neutrophil to Lymphocyte Ratio Is Elevated in Epithelial Ovarian Cancer and Predicts Survival after Treatment. Cancer Immunology, Immunotherapy, 58, 15-23.
https://doi.org/10.1007/s00262-008-0516-3 |
[14] | Gondo, T., Nakashima, J., Ohno, Y., et al. (2012) Prognostic Value of Neutrophil to Lymphocyte Ratio and Establishment of Novel Preoperative Risk Stratification Model in Bladder Cancer Patients Treated with Radical Cystectomy. Urology, 79, 1085-1091. https://doi.org/10.1016/j.urology.2011.11.070 |
[15] | An, X., Ding, P.R., Li, Y.H., et al. (2010) Elevated Neutrophil to Lymphocyte Ratio Predicts Survival in Advanced Pancreatic Cancer. Biomarkers, 15, 516-522. https://doi.org/10.3109/1354750X.2010.491557 |
[16] | Ohno, Y., Nakashima, J., Ohori, M., et al. (2014) Clinical Variables for Predicting Metastatic Renal Cell Carcinoma Patients Who Might Not Benefit from Cytoreductive Nephrec-tomy: Neutrophil-to-Lymphocyte Ratio and Performance Status. International Journal of Clinical Oncology, 19, 139-145. https://doi.org/10.1007/s10147-012-0514-5 |
[17] | Tsai, J.C.R., et al. (2007) Association of Peripheral Total and Differential Leukocyte Counts with Metabolic Syndrome and Risk of Ischemic Cardiovascular Diseases in Patients with Type 2 Diabetes Mellitus. Diabetes/Metabolism Research and Reviews, 23, 111-118. https://doi.org/10.1002/dmrr.647 |
[18] | Balta, S., et al. (2016) The Relation between Atherosclerosis and the Neu-trophil-Lymphocyte Ratio. Clinical and Applied Thrombosis/Hemostasis, 22, 405-411. https://doi.org/10.1177/1076029615569568 |
[19] | Martínez-Urbistondo, D., Beltrán, A., Beloqui, O. and Huerta, A. (2016) El índice neutrófilo/linfocito como marcador de disfunción sistémica endotelial en sujetos asintomáticos. Ne-frología, 36, 397-403.
https://doi.org/10.1016/j.nefro.2015.10.018 |
[20] | Haybar, H., Sadegh Pezeshki, S.M. and Saki, N. (2019) Evalua-tion of Complete Blood Count Parameters in Cardiovascular Diseases: An Early Indicator of Prognosis? Experimental and Molecular Pathology, 110, Article ID: 104267.
https://doi.org/10.1016/j.yexmp.2019.104267 |
[21] | Al-Halawani, M.D., et al. (2020) Treatment of Obstructive Sleep Apnea with CPAP Improves Chronic Inflammation Measured by Neutrophil-to-Lymphocyte Ratio. Journal of Clinical Sleep Medicine, 16, 251-257.
https://doi.org/10.5664/jcsm.8176 |
[22] | 李鎛江, 董建华, 潘红霞, 等. 中性粒细胞-淋巴细胞比值与系统性红斑狼疮肾损害的相关性分析[J]. 现代医学, 2021, 49(4): 400-406. |
[23] | Dong, J.H., Pan, H.X., et al. (2021) Correla-tion Analysis of Neutrophiltolymphocyte Ratio with Systemic Lupus Erythematosus Induced Renal Injury. Modern Medical Laboratory Journal, 49, 400-406. |
[24] | Kanbay, A., et al. (2011) Serum γ-Glutamyl Transferase Activity Is an Independent Predictor for Cardiovascular Disease in Obstructive Sleep Apnea Syndrome. Respiratory Medicine, 105, 637-642.
https://doi.org/10.1016/j.rmed.2010.12.003 |
[25] | Corti, A., Belcastro, E., Dominici, S., Maellaro, E. and Pompella, A. (2020) The Dark Side of γ-Glutamyltransferase (GGT): Pathogenic Effects of an “Antioxidant” Enzyme. Free Radical Biology and Medicine, 16, 1137-1139. |
[26] | 路彦辉, 王锐, 马春明, 田伊, 刘腾飞, 尹福在. 2型糖尿病合并OSAHS患者AHI与同型半胱氨酸和肝酶的相关性[J]. 河北医药, 2023, 45(7): 1043-1046. |
[27] | Ucar, H., Gür, M., Goükara, M.Y., et al. (2014) γ Glutamyl Transferase Activity Is Independently Associated with Oxidative Stress Rather than SYNTAX Score. Scandinavian Journal of Clinical and Laboratory Investigation, 75, 7-12.
https://doi.org/10.3109/00365513.2014.954141 |
[28] | Ndrepepa, G., Colleran, R. and Kastrati, A. (2018) γ-Glutamyl Transferase and the Risk of Atherosclerosis and Coronary Heart Disease. Clinica Chimica Acta, 476, 130-138. https://doi.org/10.1016/j.cca.2017.11.026 |
[29] | Shaito, A., Aramouni, K., Assaf, R., et al. (2022) Oxidative Stress-Induced Endothelial Dysfunction in Cardiovascular Diseases. Frontiers in Bioscience, 27, Article 105. https://doi.org/10.31083/j.fbl2703105 |
[30] | Pizzino, G., Irrera, N., Cucinotta, M., et al. (2017) Oxidative Stress: Harms and Benefits for Human Health. Oxidative Medicine and Cellular Longevity, 2017, Article ID: 8416763. https://doi.org/10.1155/2017/8416763 |
[31] | Lips, P. (2010) Worldwide Status of Vitamin D Nutrition. The Journal of Steroid Biochemistry and Molecular Biology, 121, 297-300. https://doi.org/10.1016/j.jsbmb.2010.02.021 |
[32] | 张娜娜, 周剑, 王晨曦, 等. 2型糖尿病患者血清25羟维生素D3缺乏及高龄与低蛋白血症的相关性研究[J]. 标记免疫分析与临床, 2020, 27(5): 813-817. |
[33] | Cheng, P.P., Zhou, Q.L., Ren, L., et al. (2021) Study on the Change of Serum 25 Hydroxyvitamin D; Level in Children with Bronchialasthma. Journal of Clinical and Experimental Medicine, 20, 323-326. (In Chinese) |
[34] | 刘凤凤, 陈防群, 梁颖. 维生素D 血钙 硒水平对学龄儿童生长发育的影响及可能机制分析[J]. 中国妇幼保健 2023, 38(14), 2632-2635. https://doi.org/10.19829/j.zgfybj.issn.1001-4411.2023.14.029 |
[35] | Cashman, K.D., Dowling, K.G., Skrabakova, Z., et al. (2016) Vitamin D Deficiency in Europe: Pandemic? The American Journal of Clinical Nutrition, 103, 1033-1044. https://doi.org/10.3945/ajcn.115.120873 |
[36] | Kulie, T., Groff, A., Redmer, J., et al. (2009) Vitamin D: An Evidence-Based Review. The Journal of the American Board of Family Medicine, 22, 698-706. https://doi.org/10.3122/jabfm.2009.06.090037 |
[37] | Holick, M.F. (2006) High Prevalence of Vitamin D Inadequacy and Implications for Health. Mayo Clinic Proceedings, 81, 353-373. https://doi.org/10.4065/81.3.353 |
[38] | Monteiro Júnior, F.C., Mandarino, N.R., Santos, E.M., et al. (2018) Correla-tion between Serum 25-Hydroxyvitamin D Levels and Carotid Intima-Media Thickness in a Brazilian Population De-scended from African Slaves. Brazilian Journal of Medical and Biological Research, 51, e7185. https://doi.org/10.1590/1414-431x20177185 |
[39] | Wang, Y. and Zhang, H. (2017) Serum 25-Hydroxyvitamin D3 Levels Are Associated with Carotid Intima-Media Thickness and Carotid Atherosclerotic Plaque in Type 2 Diabetic Pa-tients. Journal of Diabetes Research, 2017, Article ID: 3510275. https://doi.org/10.1155/2017/3510275 |
[40] | Klobucnikova, K., Siarnik, P., Sivakova, M., et al. (2017) Carotid Inti-ma-Media Thickness Is Not Associated with Homocysteine and Vitamin D Levels in Obstructive Sleep Apnea. Scandi-navian Journal of Clinical and Laboratory Investigation, 77, 263-266. https://doi.org/10.1080/00365513.2017.1299210 |
[41] | Sarioglu, N., Demirpolat, G., Erel, F. and Kose, M. (2017) Which Is the Ideal Marker for Early Atherosclerosis in Obstructive Sleep Apnea (OSA)—Carotid Intima-Media Thick-ness or Mean Platelet Volume? Medical Science Monitor, 23, 1674-1681. https://doi.org/10.12659/MSM.900959 |
[42] | Suzuki, M., Shimamoto, K., Sekiguchi, H., et al. (2019) Arousal Index as a Marker of Carotid Artery Atherosclerosis in Patients with Obstructive Sleep Apnea Syndrome. Sleep and Breathing, 23, 87-94.
https://doi.org/10.1007/s11325-018-1664-0 |
[43] | Drager, L.F., Bortolotto, L.A., Figueiredo, A.C., et al. (2007) Ef-fects of Continuous Positive Airway Pressure on Early Sings of Atherosclerosis in Obstructive Sleep Apnea. American Journal of Respiratory and Critical Care Medicine, 176, 706-712. https://doi.org/10.1164/rccm.200703-500OC |
[44] | Hui, D.S., Shang, Q., Ko, F.W., et al. (2012) A Prospective Cohort Study of the Long-Term Effects of CPAP on Carotid Artery Intima-Media Thickness in Obstructive Sleep Apnea Syndrome. Respiratory Research, 13, Article No. 22.
https://doi.org/10.1186/1465-9921-13-22 |
[45] | Bozkurt, N.C., Cakal, E., Sahin, M., et al. (2012) The Relation of Serum 25-Hydroxyvitamin-D Levels with Severity of Obstructive Sleep Apnea and Glucose Metabolism Abnormalities. Endocrine, 41, 518-525.
https://doi.org/10.1007/s12020-012-9595-1 |
[46] | Wang, Y.N., Huang, Y.F. and Yang, L. (2020) Carotid Inti-ma-Media Thickness and Its Correlation with 25(OH) D in Obstructive Sleep Apnea Hypopnea Syndrome Patients. Chi-nese Journal of Arteriosclerosis, 28. |