Soluble RAGE in COPD, with or without coexisting obstructive sleep apnoea

Abstract Background Hypoxia can reduce the levels of soluble receptor for advanced glycation end-products (sRAGE), a new anti-inflammatory biomarker of COPD. We assessed sRAGE in patients with hypoxia-related diseases such as COPD, OSA and OSA-COPD overlap. Methods Plasma levels of sRAGE were measur...

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Main Authors: Marta Marin-Oto, David Sanz-Rubio, Fernando Santamaría-Martos, Ivan Benitez, Ana L. Simon, Marta Forner, Pablo Cubero, Ana Gil, Manuel Sanchez-de-laTorre, Ferran Barbe, José M. Marin
Format: Article
Language:English
Published: BMC 2022-06-01
Series:Respiratory Research
Subjects:
Online Access:https://doi.org/10.1186/s12931-022-02092-9
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author Marta Marin-Oto
David Sanz-Rubio
Fernando Santamaría-Martos
Ivan Benitez
Ana L. Simon
Marta Forner
Pablo Cubero
Ana Gil
Manuel Sanchez-de-laTorre
Ferran Barbe
José M. Marin
author_facet Marta Marin-Oto
David Sanz-Rubio
Fernando Santamaría-Martos
Ivan Benitez
Ana L. Simon
Marta Forner
Pablo Cubero
Ana Gil
Manuel Sanchez-de-laTorre
Ferran Barbe
José M. Marin
author_sort Marta Marin-Oto
collection DOAJ
description Abstract Background Hypoxia can reduce the levels of soluble receptor for advanced glycation end-products (sRAGE), a new anti-inflammatory biomarker of COPD. We assessed sRAGE in patients with hypoxia-related diseases such as COPD, OSA and OSA-COPD overlap. Methods Plasma levels of sRAGE were measured in 317 subjects at baseline (57 heathy nonsmokers [HNS], 84 healthy smokers [HS], 79 OSA, 62 COPD and 35 OSA-COPD overlap patients) and in 294 subjects after one year of follow-up (50 HNS, 74 HS, 77 OSA, 60 COPD and 33 overlap). Results After adjusting for age, sex, smoking status and body mass index, sRAGE levels showed a reduction in OSA (− 12.5%, p = 0.005), COPD (− 14.8%, p < 0.001) and OSA-COPD overlap (− 12.3%, p = 0.02) compared with HNS. There were no differences when comparing sRAGE plasma levels between overlap patients and those with OSA or COPD alone. At follow-up, sRAGE levels did not change significantly in healthy subjects, COPD and OSA or OSA-COPD overlap nontreated with continuous positive airway pressure (CPAP). Moreover, in patients with OSA and OSA-COPD overlap who were treated with CPAP, sRAGE increased significantly. Conclusions The levels of sRAGE are reduced in COPD and OSA. Treatment with CPAP appears to improve sRAGE levels in patients with OSA who also had COPD.
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spelling doaj.art-75623eb657224e029f5dfaa59e0ef8352022-12-22T03:37:04ZengBMCRespiratory Research1465-993X2022-06-012311910.1186/s12931-022-02092-9Soluble RAGE in COPD, with or without coexisting obstructive sleep apnoeaMarta Marin-Oto0David Sanz-Rubio1Fernando Santamaría-Martos2Ivan Benitez3Ana L. Simon4Marta Forner5Pablo Cubero6Ana Gil7Manuel Sanchez-de-laTorre8Ferran Barbe9José M. Marin10Translational Research Unit, Aragón Health Research InstituteTranslational Research Unit, Aragón Health Research InstituteRespiratory Department, Hospital Arnau de Vilanova, IRB-LleidaRespiratory Department, Hospital Arnau de Vilanova, IRB-LleidaTranslational Research Unit, Aragón Health Research InstituteTranslational Research Unit, Aragón Health Research InstituteTranslational Research Unit, Aragón Health Research InstituteTranslational Research Unit, Aragón Health Research InstituteRespiratory Department, Hospital Arnau de Vilanova, IRB-LleidaRespiratory Department, Hospital Arnau de Vilanova, IRB-LleidaTranslational Research Unit, Aragón Health Research InstituteAbstract Background Hypoxia can reduce the levels of soluble receptor for advanced glycation end-products (sRAGE), a new anti-inflammatory biomarker of COPD. We assessed sRAGE in patients with hypoxia-related diseases such as COPD, OSA and OSA-COPD overlap. Methods Plasma levels of sRAGE were measured in 317 subjects at baseline (57 heathy nonsmokers [HNS], 84 healthy smokers [HS], 79 OSA, 62 COPD and 35 OSA-COPD overlap patients) and in 294 subjects after one year of follow-up (50 HNS, 74 HS, 77 OSA, 60 COPD and 33 overlap). Results After adjusting for age, sex, smoking status and body mass index, sRAGE levels showed a reduction in OSA (− 12.5%, p = 0.005), COPD (− 14.8%, p < 0.001) and OSA-COPD overlap (− 12.3%, p = 0.02) compared with HNS. There were no differences when comparing sRAGE plasma levels between overlap patients and those with OSA or COPD alone. At follow-up, sRAGE levels did not change significantly in healthy subjects, COPD and OSA or OSA-COPD overlap nontreated with continuous positive airway pressure (CPAP). Moreover, in patients with OSA and OSA-COPD overlap who were treated with CPAP, sRAGE increased significantly. Conclusions The levels of sRAGE are reduced in COPD and OSA. Treatment with CPAP appears to improve sRAGE levels in patients with OSA who also had COPD.https://doi.org/10.1186/s12931-022-02092-9sRAGESmokersChronic obstructive pulmonary diseaseObstructive sleep apnoea
spellingShingle Marta Marin-Oto
David Sanz-Rubio
Fernando Santamaría-Martos
Ivan Benitez
Ana L. Simon
Marta Forner
Pablo Cubero
Ana Gil
Manuel Sanchez-de-laTorre
Ferran Barbe
José M. Marin
Soluble RAGE in COPD, with or without coexisting obstructive sleep apnoea
Respiratory Research
sRAGE
Smokers
Chronic obstructive pulmonary disease
Obstructive sleep apnoea
title Soluble RAGE in COPD, with or without coexisting obstructive sleep apnoea
title_full Soluble RAGE in COPD, with or without coexisting obstructive sleep apnoea
title_fullStr Soluble RAGE in COPD, with or without coexisting obstructive sleep apnoea
title_full_unstemmed Soluble RAGE in COPD, with or without coexisting obstructive sleep apnoea
title_short Soluble RAGE in COPD, with or without coexisting obstructive sleep apnoea
title_sort soluble rage in copd with or without coexisting obstructive sleep apnoea
topic sRAGE
Smokers
Chronic obstructive pulmonary disease
Obstructive sleep apnoea
url https://doi.org/10.1186/s12931-022-02092-9
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