Relationship between serum brain-derived neurotrophic factor and cognitive impairment in children with sleep-disordered breathing

BackgroundAs an important neuroprotective factor, the brain-derived neurotrophic factor (BDNF) may have a key role in cognitive impairment in children with sleep-disordered breathing (SDB). The main aim of this study was to compare the levels of BDNF and tyrosine kinase receptor B (TrkB) in normal c...

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Main Authors: Yani Feng, Lina Ma, Xi Chen, Yitong Zhang, Zine Cao, Yuqi Yuan, Yushan Xie, Haiqin Liu, Yewen Shi, Xiaoyong Ren
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-01-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fped.2022.1027894/full
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author Yani Feng
Lina Ma
Xi Chen
Yitong Zhang
Zine Cao
Yuqi Yuan
Yushan Xie
Haiqin Liu
Yewen Shi
Xiaoyong Ren
author_facet Yani Feng
Lina Ma
Xi Chen
Yitong Zhang
Zine Cao
Yuqi Yuan
Yushan Xie
Haiqin Liu
Yewen Shi
Xiaoyong Ren
author_sort Yani Feng
collection DOAJ
description BackgroundAs an important neuroprotective factor, the brain-derived neurotrophic factor (BDNF) may have a key role in cognitive impairment in children with sleep-disordered breathing (SDB). The main aim of this study was to compare the levels of BDNF and tyrosine kinase receptor B (TrkB) in normal children and those with obstructive sleep apnea (OSA) and primary snoring (PS) and to explore a possible link between BDNF/TrkB, inflammation, and SDB with cognitive impairment in children.MethodsA total of 44 OSA children and 35 PS children who completed polysomnography between October 2017 and October 2019 were enrolled. At the same time, 40 healthy children during the same period were included as a control. Enzyme-linked immunosorbent assay was used to measure serum indices of BDNF, TrkB, interleukin-1beta (IL-1β), and tumor necrosis factor-alpha (TNF-α). Correlation and pooled analyses were performed between the cognitive scores and four serological indicators. Logistic regression was used to analyze the risk factors for cognitive impairment.ResultsSignificant differences were found in serum BDNF, TrkB, IL-1β, and TNF-α between the three groups (all P < 0.01). The serum BDNF and TrkB in the OSA and PS groups were lower than those in the control group, whereas the serum IL-1β and TNF-α were higher than those in the control group (all P < 0.05). Moreover, among these four indices, the strongest correlation was found between BDNF and the Chinese Wechsler Intelligence Scale (all P < 0.05). Logistic regression analysis revealed a correlation between OSA status, TrkB, and course of mouth breathing and cognitive status.ConclusionThe levels of serum BDNF and TrkB were related to cognitive impairment in children with SDB. Also, BDNF and TrkB could be used as noninvasive and objective candidate markers and predictive indices of cognitive impairment in children with SDB.
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spelling doaj.art-2ecff0b096d9432db6bd327985048fd32023-01-30T14:45:52ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602023-01-011010.3389/fped.2022.10278941027894Relationship between serum brain-derived neurotrophic factor and cognitive impairment in children with sleep-disordered breathingYani FengLina MaXi ChenYitong ZhangZine CaoYuqi YuanYushan XieHaiqin LiuYewen ShiXiaoyong RenBackgroundAs an important neuroprotective factor, the brain-derived neurotrophic factor (BDNF) may have a key role in cognitive impairment in children with sleep-disordered breathing (SDB). The main aim of this study was to compare the levels of BDNF and tyrosine kinase receptor B (TrkB) in normal children and those with obstructive sleep apnea (OSA) and primary snoring (PS) and to explore a possible link between BDNF/TrkB, inflammation, and SDB with cognitive impairment in children.MethodsA total of 44 OSA children and 35 PS children who completed polysomnography between October 2017 and October 2019 were enrolled. At the same time, 40 healthy children during the same period were included as a control. Enzyme-linked immunosorbent assay was used to measure serum indices of BDNF, TrkB, interleukin-1beta (IL-1β), and tumor necrosis factor-alpha (TNF-α). Correlation and pooled analyses were performed between the cognitive scores and four serological indicators. Logistic regression was used to analyze the risk factors for cognitive impairment.ResultsSignificant differences were found in serum BDNF, TrkB, IL-1β, and TNF-α between the three groups (all P < 0.01). The serum BDNF and TrkB in the OSA and PS groups were lower than those in the control group, whereas the serum IL-1β and TNF-α were higher than those in the control group (all P < 0.05). Moreover, among these four indices, the strongest correlation was found between BDNF and the Chinese Wechsler Intelligence Scale (all P < 0.05). Logistic regression analysis revealed a correlation between OSA status, TrkB, and course of mouth breathing and cognitive status.ConclusionThe levels of serum BDNF and TrkB were related to cognitive impairment in children with SDB. Also, BDNF and TrkB could be used as noninvasive and objective candidate markers and predictive indices of cognitive impairment in children with SDB.https://www.frontiersin.org/articles/10.3389/fped.2022.1027894/fullsleep-disordered breathingBDNFtrkBcognitive impairmentpediatric
spellingShingle Yani Feng
Lina Ma
Xi Chen
Yitong Zhang
Zine Cao
Yuqi Yuan
Yushan Xie
Haiqin Liu
Yewen Shi
Xiaoyong Ren
Relationship between serum brain-derived neurotrophic factor and cognitive impairment in children with sleep-disordered breathing
Frontiers in Pediatrics
sleep-disordered breathing
BDNF
trkB
cognitive impairment
pediatric
title Relationship between serum brain-derived neurotrophic factor and cognitive impairment in children with sleep-disordered breathing
title_full Relationship between serum brain-derived neurotrophic factor and cognitive impairment in children with sleep-disordered breathing
title_fullStr Relationship between serum brain-derived neurotrophic factor and cognitive impairment in children with sleep-disordered breathing
title_full_unstemmed Relationship between serum brain-derived neurotrophic factor and cognitive impairment in children with sleep-disordered breathing
title_short Relationship between serum brain-derived neurotrophic factor and cognitive impairment in children with sleep-disordered breathing
title_sort relationship between serum brain derived neurotrophic factor and cognitive impairment in children with sleep disordered breathing
topic sleep-disordered breathing
BDNF
trkB
cognitive impairment
pediatric
url https://www.frontiersin.org/articles/10.3389/fped.2022.1027894/full
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