Association between obstructive sleep apnea and Alzheimer's disease-related blood and cerebrospinal fluid biomarkers: A meta-analysis

医学 阻塞性睡眠呼吸暂停 内科学 脑脊液 荟萃分析 生物标志物 胃肠病学 睡眠呼吸暂停 多导睡眠图 严格标准化平均差 科克伦图书馆 呼吸暂停 生物化学 化学
作者
Jing Kang,Zongsheng Tian,Junfa Wei,Zhuangzhuang Mu,Jianmin Liang,Mingxian Li
出处
期刊:Journal of Clinical Neuroscience [Elsevier]
卷期号:102: 87-94 被引量:20
标识
DOI:10.1016/j.jocn.2022.06.004
摘要

Recent studies indicate that Alzheimer's disease- (AD) related biomarkers, including amyloid β (Aβ40 and Aβ42) and tau proteins (P-tau and T-tau), in blood and cerebrospinal fluid (CSF) are associated with obstructive sleep apnea (OSA). However, the results have been inconsistent. Therefore, the primary purpose of this meta-analysis was to determine the relationship between blood and CSF AD-related biomarkers and OSA.We searched the Embase, PubMed, Scopus, and Cochrane Library databases for relevant articles till February 2022.Eight articles were finally included after the literature screening, including 446 patients with OSA and 286 controls. Pooled analysis showed that CSF Aβ42 (SMD = -0.220, P = 0.136), T-tau (SMD = 0.012, P = 0.89), and P-tau (SMD = 0.099, P = 0.274) levels were not different between patients with OSA and controls. In patients with moderate to severe OSA, CSF Aβ42 (SMD = -0.482, P = 0.031) were significantly lower than in controls. Blood T-tau (SMD = 0.560, P = 0.026), P-tau (SMD = 0.621, P < 0.001), and Aβ40 (SMD = 0.656, P < 0.001) levels were significantly higher in patients with OSA than in controls. Blood Aβ42 (SMD = 0.241, P = 0.232) were not different between patients with OSA and controls.OSA is associated with changes in AD-related markers. Higher OSA severity may be associated with the development of AD. AD-related biomarkers, especially in the blood, are clinically efficient, less invasively assessed and monitored, and may be useful for detecting OSA and related cognitive impairments. Further studies are needed to confirm these results.
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