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Biomarkers of non-specific inflammation and atherosclerosis of carotid arteries in obstructive sleep apnea syndrome

https://doi.org/10.33667/2078-5631-2022-6-47-52

Abstract

Purpose of study. Identification of significant laboratory markers for the development of atherosclerosis (AS) of the carotid arteries (CA) in patients with obstructive sleep apnea syndrome (OSAS).

Materials and methods. 152 male patients were examined, 84 of whom, according to polysomnography (PSG), were diagnosed with OSAS. Diagnosis of AS CA was performed by triplex scanning. The complex of laboratory studies included the assessment of lipid metabolism, the concentration of highly sensitive C-reactive protein (hsCRP), interleukin‑1β (IL‑1β), interleukin‑6 (IL‑6) and interleukin‑10 (IL‑10) in blood serum.

Results. In patients with OSAS, a statistically significant increase in the complex of proatherogenic factors was found: hsCRP, pro-inflammatory cytokines, ratio of apoproteins and atherogenic coefficient compared with patients without OSAS despite the absence of differences in the severity of atherosclerotic lesions of the carotid arteries in these groups

Conclusion. The development of OSAS is associated with severe lipid metabolism disorders and activation of nonspecific inflammation, which determines an increased risk of atherosclerosis in this group of patients.

About the Authors

E. L. Polonskiy
All-Russian Centre for Emergency and Radiation Medicine n.a. A.M. Nikiforov
Russian Federation

Polonsky Evgeniy L., neurologist of Dept of Clinical Neurology, Dept of Clinical Neurology and Sleep Medicine

Saint Petersburg



N. N. Zybina
All-Russian Centre for Emergency and Radiation Medicine n.a. A.M. Nikiforov
Russian Federation

Zybina Natalia N., Dr Bio Sci, professor, head of Dept of Clinical Laboratory Diagnostics

Saint Petersburg



O. V. Tikhomirova
All-Russian Centre for Emergency and Radiation Medicine n.a. A.M. Nikiforov
Russian Federation

Tikhomirova Olga V., DM Sci (habil.), associate professor, head of Dept of Clinical Neurology and Sleep Medicine

Saint Petersburg



I. P. Lomova
All-Russian Centre for Emergency and Radiation Medicine n.a. A.M. Nikiforov
Russian Federation

Lomova Irina P., PhD Med, senior research of Cerebrovascular Disease Laboratory

Saint Petersburg



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For citations:


Polonskiy E.L., Zybina N.N., Tikhomirova O.V., Lomova I.P. Biomarkers of non-specific inflammation and atherosclerosis of carotid arteries in obstructive sleep apnea syndrome. Medical alphabet. 2022;1(6):47-52. (In Russ.) https://doi.org/10.33667/2078-5631-2022-6-47-52

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