Circulating Soluble Urokinase-Type Plasminogen Activator Receptor in Obstructive Sleep Apnoea

<i>Background and Objectives</i>: Obstructive sleep apnoea (OSA) is associated with heightened systemic inflammation and a hypercoagulation state. Soluble urokinase-type plasminogen activator receptor (suPAR) plays a role in fibrinolysis and systemic inflammation. However, suPAR has not...

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Main Authors: Renata Marietta Bocskei, Martina Meszaros, Adam Domonkos Tarnoki, David Laszlo Tarnoki, Laszlo Kunos, Zsofia Lazar, Andras Bikov
Format: Article
Language:English
Published: MDPI AG 2020-02-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1010-660X/56/2/77
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author Renata Marietta Bocskei
Martina Meszaros
Adam Domonkos Tarnoki
David Laszlo Tarnoki
Laszlo Kunos
Zsofia Lazar
Andras Bikov
author_facet Renata Marietta Bocskei
Martina Meszaros
Adam Domonkos Tarnoki
David Laszlo Tarnoki
Laszlo Kunos
Zsofia Lazar
Andras Bikov
author_sort Renata Marietta Bocskei
collection DOAJ
description <i>Background and Objectives</i>: Obstructive sleep apnoea (OSA) is associated with heightened systemic inflammation and a hypercoagulation state. Soluble urokinase-type plasminogen activator receptor (suPAR) plays a role in fibrinolysis and systemic inflammation. However, suPAR has not been investigated in OSA. <i>Materials and Methods</i>: A total of 53 patients with OSA and 15 control volunteers participated in the study. Medical history was taken and in-hospital sleep studies were performed. Plasma suPAR levels were determined by ELISA. <i>Results</i>: There was no difference in plasma suPAR values between patients with OSA (2.198 ± 0.675 ng/mL) and control subjects (2.088 ± 0.976 ng/mL, <i>p</i> = 0.62). Neither was there any difference when patients with OSA were divided into mild (2.134 ± 0.799 ng/mL), moderate (2.274 ± 0.597 ng/mL) and severe groups (2.128 ± 0.744 ng/mL, <i>p</i> = 0.84). There was no significant correlation between plasma suPAR and indices of OSA severity, blood results or comorbidities, such as hypertension, diabetes, dyslipidaemia or cardiovascular disease. Plasma suPAR levels were higher in women when all subjects were analysed together (2.487 ± 0.683 vs. 1.895 ± 0.692 ng/mL, <i>p</i> &lt; 0.01), and also separately in controls (2.539 ± 0.956 vs. 1.411 ± 0.534 ng/mL, <i>p</i> = 0.02) and patients (2.467 ± 0.568 vs. 1.991 ± 0.686 ng/mL, <i>p</i> &lt; 0.01). <i>Conclusions</i>: Our results suggest that suPAR does not play a significant role in the pathophysiology of OSA. The significant gender difference needs to be considered when conducting studies on circulating suPAR.
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spelling doaj.art-744079b25f7e4fa9b17a1c279c997c422023-09-03T02:09:47ZengMDPI AGMedicina1010-660X2020-02-015627710.3390/medicina56020077medicina56020077Circulating Soluble Urokinase-Type Plasminogen Activator Receptor in Obstructive Sleep ApnoeaRenata Marietta Bocskei0Martina Meszaros1Adam Domonkos Tarnoki2David Laszlo Tarnoki3Laszlo Kunos4Zsofia Lazar5Andras Bikov6Department of Pulmonology, Semmelweis University, 1083 Budapest, HungaryDepartment of Pulmonology, Semmelweis University, 1083 Budapest, HungaryMedical Imaging Centre, Semmelweis University, 1082 Budapest, HungaryMedical Imaging Centre, Semmelweis University, 1082 Budapest, HungaryDepartment of Pulmonology, Semmelweis University, 1083 Budapest, HungaryDepartment of Pulmonology, Semmelweis University, 1083 Budapest, HungaryDepartment of Pulmonology, Semmelweis University, 1083 Budapest, Hungary<i>Background and Objectives</i>: Obstructive sleep apnoea (OSA) is associated with heightened systemic inflammation and a hypercoagulation state. Soluble urokinase-type plasminogen activator receptor (suPAR) plays a role in fibrinolysis and systemic inflammation. However, suPAR has not been investigated in OSA. <i>Materials and Methods</i>: A total of 53 patients with OSA and 15 control volunteers participated in the study. Medical history was taken and in-hospital sleep studies were performed. Plasma suPAR levels were determined by ELISA. <i>Results</i>: There was no difference in plasma suPAR values between patients with OSA (2.198 ± 0.675 ng/mL) and control subjects (2.088 ± 0.976 ng/mL, <i>p</i> = 0.62). Neither was there any difference when patients with OSA were divided into mild (2.134 ± 0.799 ng/mL), moderate (2.274 ± 0.597 ng/mL) and severe groups (2.128 ± 0.744 ng/mL, <i>p</i> = 0.84). There was no significant correlation between plasma suPAR and indices of OSA severity, blood results or comorbidities, such as hypertension, diabetes, dyslipidaemia or cardiovascular disease. Plasma suPAR levels were higher in women when all subjects were analysed together (2.487 ± 0.683 vs. 1.895 ± 0.692 ng/mL, <i>p</i> &lt; 0.01), and also separately in controls (2.539 ± 0.956 vs. 1.411 ± 0.534 ng/mL, <i>p</i> = 0.02) and patients (2.467 ± 0.568 vs. 1.991 ± 0.686 ng/mL, <i>p</i> &lt; 0.01). <i>Conclusions</i>: Our results suggest that suPAR does not play a significant role in the pathophysiology of OSA. The significant gender difference needs to be considered when conducting studies on circulating suPAR.https://www.mdpi.com/1010-660X/56/2/77biomarkersfibrinolysisinflammationosahssleep disordered breathing
spellingShingle Renata Marietta Bocskei
Martina Meszaros
Adam Domonkos Tarnoki
David Laszlo Tarnoki
Laszlo Kunos
Zsofia Lazar
Andras Bikov
Circulating Soluble Urokinase-Type Plasminogen Activator Receptor in Obstructive Sleep Apnoea
Medicina
biomarkers
fibrinolysis
inflammation
osahs
sleep disordered breathing
title Circulating Soluble Urokinase-Type Plasminogen Activator Receptor in Obstructive Sleep Apnoea
title_full Circulating Soluble Urokinase-Type Plasminogen Activator Receptor in Obstructive Sleep Apnoea
title_fullStr Circulating Soluble Urokinase-Type Plasminogen Activator Receptor in Obstructive Sleep Apnoea
title_full_unstemmed Circulating Soluble Urokinase-Type Plasminogen Activator Receptor in Obstructive Sleep Apnoea
title_short Circulating Soluble Urokinase-Type Plasminogen Activator Receptor in Obstructive Sleep Apnoea
title_sort circulating soluble urokinase type plasminogen activator receptor in obstructive sleep apnoea
topic biomarkers
fibrinolysis
inflammation
osahs
sleep disordered breathing
url https://www.mdpi.com/1010-660X/56/2/77
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