Genetic Variants of the TERT Gene and Telomere Length in Obstructive Sleep Apnea

Introduction: Obstructive sleep apnea (OSA) is a worldwide breathing disorder that has been diagnosed globally in almost 1 billion individuals aged 30–69 years. It is characterized by repeated upper airway collapses during sleep. Telomerase reverse transcriptase (TERT) is involved in the prevention...

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Main Authors: Piotr Macek, Rafal Poreba, Pawel Gac, Katarzyna Bogunia-Kubik, Marta Dratwa, Mieszko Wieckiewicz, Anna Wojakowska, Monika Michalek-Zrabkowska, Grzegorz Mazur, Helena Martynowicz
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Biomedicines
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Online Access:https://www.mdpi.com/2227-9059/10/11/2755
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author Piotr Macek
Rafal Poreba
Pawel Gac
Katarzyna Bogunia-Kubik
Marta Dratwa
Mieszko Wieckiewicz
Anna Wojakowska
Monika Michalek-Zrabkowska
Grzegorz Mazur
Helena Martynowicz
author_facet Piotr Macek
Rafal Poreba
Pawel Gac
Katarzyna Bogunia-Kubik
Marta Dratwa
Mieszko Wieckiewicz
Anna Wojakowska
Monika Michalek-Zrabkowska
Grzegorz Mazur
Helena Martynowicz
author_sort Piotr Macek
collection DOAJ
description Introduction: Obstructive sleep apnea (OSA) is a worldwide breathing disorder that has been diagnosed globally in almost 1 billion individuals aged 30–69 years. It is characterized by repeated upper airway collapses during sleep. Telomerase reverse transcriptase (TERT) is involved in the prevention of telomere shortening. This prospective, observational study aimed to investigate the relationship between single nucleotide polymorphisms (SNPs) of TERT and the severity of OSA, taking into account hypertension and diabetes prevalence. Methods: A total of 149 patients with OSA were diagnosed using one-night video-polysomnography based on the American Academy of Sleep Medicine guidelines. The TERT SNPs and telomere length (TL) were detected using real-time quantitative polymerase chain reaction. Results: Statistical analysis showed that there is no relationship between the rs2853669 and rs2736100 polymorphisms of TERT, and the severity of OSA (<i>p</i> > 0.05). Moreover, no relationship between TL and the severity of OSA was observed. The G allele in the locus of rs2736100 TERT was associated with hypertension prevalence and was more prevalent in hypertensives patients (46.00% vs. 24.49%, <i>p</i> = 0.011). The prevalence of hypertension was higher in patients with the C allele in the locus of rs2853669 than in patients without this allele (50.79% vs. 30.23%, <i>p</i> = 0.010). Moreover, a lower prevalence of diabetes was observed in homozygotes of rs2736100 TERT than in heterozygotes (5.63% vs. 15.38%, <i>p</i> = 0.039). Conclusion: This study showed no relationship between OSA and TERT SNPs. However, SNPs of the TERT gene (rs2736100 and rs2853669) were found to affect arterial hypertension and diabetes prevalence.
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spelling doaj.art-3aa5b9b8754040518f0422b49352c3892023-11-24T03:50:11ZengMDPI AGBiomedicines2227-90592022-10-011011275510.3390/biomedicines10112755Genetic Variants of the TERT Gene and Telomere Length in Obstructive Sleep ApneaPiotr Macek0Rafal Poreba1Pawel Gac2Katarzyna Bogunia-Kubik3Marta Dratwa4Mieszko Wieckiewicz5Anna Wojakowska6Monika Michalek-Zrabkowska7Grzegorz Mazur8Helena Martynowicz9Department of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandDepartment of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandDepartment of Population Health, Division of Environmental Health and Occupational Medicine, Wroclaw Medical University, Mikulicza-Radeckiego 7, 50-368 Wroclaw, PolandLaboratory of Clinical Immunogenetics and Pharmacogenetics, Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, 50-422 Wroclaw, PolandLaboratory of Clinical Immunogenetics and Pharmacogenetics, Hirszfeld Institute of Immunology and Experimental Therapy, Polish Academy of Sciences, 50-422 Wroclaw, PolandDepartment of Experimental Dentistry, Wroclaw Medical University, 26 Krakowska St., 50-425 Wroclaw, PolandDepartment of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandDepartment of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandDepartment of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandDepartment of Internal Medicine, Occupational Diseases, Hypertension and Clinical Oncology, Wroclaw Medical University, 213 Borowska St., 50-556 Wroclaw, PolandIntroduction: Obstructive sleep apnea (OSA) is a worldwide breathing disorder that has been diagnosed globally in almost 1 billion individuals aged 30–69 years. It is characterized by repeated upper airway collapses during sleep. Telomerase reverse transcriptase (TERT) is involved in the prevention of telomere shortening. This prospective, observational study aimed to investigate the relationship between single nucleotide polymorphisms (SNPs) of TERT and the severity of OSA, taking into account hypertension and diabetes prevalence. Methods: A total of 149 patients with OSA were diagnosed using one-night video-polysomnography based on the American Academy of Sleep Medicine guidelines. The TERT SNPs and telomere length (TL) were detected using real-time quantitative polymerase chain reaction. Results: Statistical analysis showed that there is no relationship between the rs2853669 and rs2736100 polymorphisms of TERT, and the severity of OSA (<i>p</i> > 0.05). Moreover, no relationship between TL and the severity of OSA was observed. The G allele in the locus of rs2736100 TERT was associated with hypertension prevalence and was more prevalent in hypertensives patients (46.00% vs. 24.49%, <i>p</i> = 0.011). The prevalence of hypertension was higher in patients with the C allele in the locus of rs2853669 than in patients without this allele (50.79% vs. 30.23%, <i>p</i> = 0.010). Moreover, a lower prevalence of diabetes was observed in homozygotes of rs2736100 TERT than in heterozygotes (5.63% vs. 15.38%, <i>p</i> = 0.039). Conclusion: This study showed no relationship between OSA and TERT SNPs. However, SNPs of the TERT gene (rs2736100 and rs2853669) were found to affect arterial hypertension and diabetes prevalence.https://www.mdpi.com/2227-9059/10/11/2755TERTsingle nucleotide polymorphismtelomeraseobstructive sleep apneadiabeteshypertension
spellingShingle Piotr Macek
Rafal Poreba
Pawel Gac
Katarzyna Bogunia-Kubik
Marta Dratwa
Mieszko Wieckiewicz
Anna Wojakowska
Monika Michalek-Zrabkowska
Grzegorz Mazur
Helena Martynowicz
Genetic Variants of the TERT Gene and Telomere Length in Obstructive Sleep Apnea
Biomedicines
TERT
single nucleotide polymorphism
telomerase
obstructive sleep apnea
diabetes
hypertension
title Genetic Variants of the TERT Gene and Telomere Length in Obstructive Sleep Apnea
title_full Genetic Variants of the TERT Gene and Telomere Length in Obstructive Sleep Apnea
title_fullStr Genetic Variants of the TERT Gene and Telomere Length in Obstructive Sleep Apnea
title_full_unstemmed Genetic Variants of the TERT Gene and Telomere Length in Obstructive Sleep Apnea
title_short Genetic Variants of the TERT Gene and Telomere Length in Obstructive Sleep Apnea
title_sort genetic variants of the tert gene and telomere length in obstructive sleep apnea
topic TERT
single nucleotide polymorphism
telomerase
obstructive sleep apnea
diabetes
hypertension
url https://www.mdpi.com/2227-9059/10/11/2755
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