Effect of continuous positive airway pressure treatment on Th17/Treg imbalance in patients with obstructive sleep apnea and a preliminary study on its mechanism

Background Obstructive sleep apnea (OSA) can be considered a chronic inflammatory disease that impacts all bodily systems, including the immune system. This study aims to assess the Th17/Treg pattern in patients with OSA and the effect of continuous positive airway pressure (CPAP) treatment. Methods...

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Veröffentlicht in:Sleep & breathing 2024-06, Vol.28 (3), p.1231-1243
Hauptverfasser: Shen, Chong, Zong, Dandan, Peng, Yating, Zhou, Li, Liu, Ting, Ouyang, Ruoyun
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container_issue 3
container_start_page 1231
container_title Sleep & breathing
container_volume 28
creator Shen, Chong
Zong, Dandan
Peng, Yating
Zhou, Li
Liu, Ting
Ouyang, Ruoyun
description Background Obstructive sleep apnea (OSA) can be considered a chronic inflammatory disease that impacts all bodily systems, including the immune system. This study aims to assess the Th17/Treg pattern in patients with OSA and the effect of continuous positive airway pressure (CPAP) treatment. Methods OSA patients and healthy controls were recruited. OSA patients recommended for CPAP treatment were followed up for three months. Flow cytometry was employed to determine the proportion of Th17 and Treg cells. Real-time quantitative polymerase chain reaction (PCR) and western blotting were utilized to detect the mRNA and protein levels of receptor-related orphan receptor γt (RORγt) and forkhead/winged helix transcription factor (Foxp3), respectively, in peripheral blood mononuclear cells (PBMCs). Enzyme-linked immunosorbent assay (ELISA) was performed to measure the serum levels of interleukin-17 (IL-17), IL-6, transforming growth factor-β1 (TGF-β1), and hypoxia-induced factor-1α (HIF-1α). Results A total of 56 OSA patients and 40 healthy controls were recruited. The proportion of Th17 cells, Th17/Treg ratio, mRNA and protein levels of RORγt, and serum IL-17, IL-6, and HIF-1α levels were higher in OSA patients. Conversely, the proportion of Treg cells, mRNA and protein levels of Foxp3, and serum TGF-β1 levels were decreased in OSA patients. The proportion of Th17 and Treg cells in OSA can be predicted by the apnea hypopnea index (AHI), IL-6, TGF-β1 and, HIF-1α. 30 moderate-to-severe OSA patients were adherent to three-month CPAP treatment, with improved Th17/Treg imbalance, IL-17, IL-6, TGF-β1, and HIF-1α levels compared to pre-treatment values. Conclusion There was a Th17/Treg imbalance in OSA patients. The prediction of Th17 and Treg cell proportions in OSA can be facilitated by AHI, as well as serum IL-6, TGF-β1, and HIF-1α levels. Furthermore, CPAP treatment can potentially improve the Th17/Treg imbalance and reduce proinflammatory cytokines in OSA patients.
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This study aims to assess the Th17/Treg pattern in patients with OSA and the effect of continuous positive airway pressure (CPAP) treatment. Methods OSA patients and healthy controls were recruited. OSA patients recommended for CPAP treatment were followed up for three months. Flow cytometry was employed to determine the proportion of Th17 and Treg cells. Real-time quantitative polymerase chain reaction (PCR) and western blotting were utilized to detect the mRNA and protein levels of receptor-related orphan receptor γt (RORγt) and forkhead/winged helix transcription factor (Foxp3), respectively, in peripheral blood mononuclear cells (PBMCs). Enzyme-linked immunosorbent assay (ELISA) was performed to measure the serum levels of interleukin-17 (IL-17), IL-6, transforming growth factor-β1 (TGF-β1), and hypoxia-induced factor-1α (HIF-1α). Results A total of 56 OSA patients and 40 healthy controls were recruited. The proportion of Th17 cells, Th17/Treg ratio, mRNA and protein levels of RORγt, and serum IL-17, IL-6, and HIF-1α levels were higher in OSA patients. Conversely, the proportion of Treg cells, mRNA and protein levels of Foxp3, and serum TGF-β1 levels were decreased in OSA patients. The proportion of Th17 and Treg cells in OSA can be predicted by the apnea hypopnea index (AHI), IL-6, TGF-β1 and, HIF-1α. 30 moderate-to-severe OSA patients were adherent to three-month CPAP treatment, with improved Th17/Treg imbalance, IL-17, IL-6, TGF-β1, and HIF-1α levels compared to pre-treatment values. Conclusion There was a Th17/Treg imbalance in OSA patients. The prediction of Th17 and Treg cell proportions in OSA can be facilitated by AHI, as well as serum IL-6, TGF-β1, and HIF-1α levels. Furthermore, CPAP treatment can potentially improve the Th17/Treg imbalance and reduce proinflammatory cytokines in OSA patients.</description><identifier>ISSN: 1520-9512</identifier><identifier>ISSN: 1522-1709</identifier><identifier>EISSN: 1522-1709</identifier><identifier>DOI: 10.1007/s11325-024-02997-3</identifier><identifier>PMID: 38308751</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Adult ; Apnea ; Continuous Positive Airway Pressure ; Dentistry ; Enzyme-linked immunosorbent assay ; Female ; Flow cytometry ; Forkhead protein ; Forkhead Transcription Factors - blood ; Forkhead Transcription Factors - genetics ; Foxp3 protein ; Helper cells ; Humans ; Hypoxia-Inducible Factor 1, alpha Subunit - blood ; Hypoxia-Inducible Factor 1, alpha Subunit - genetics ; Hypoxia-inducible factor 1a ; Immune system ; Inflammatory diseases ; Interleukin 17 ; Interleukin 6 ; Interleukin-17 - blood ; Interleukin-6 - blood ; Internal Medicine ; Leukocytes (mononuclear) ; Lymphocytes T ; Male ; Mechanical ventilation ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Neurology ; Nuclear Receptor Subfamily 1, Group F, Member 3 - blood ; Nuclear Receptor Subfamily 1, Group F, Member 3 - genetics ; Otorhinolaryngology ; Pediatrics ; Peripheral blood mononuclear cells ; Pneumology/Respiratory System ; Polymerase chain reaction ; Proteins ; Respiratory tract ; Serum levels ; Sleep apnea ; Sleep Apnea, Obstructive - blood ; Sleep Apnea, Obstructive - immunology ; Sleep Apnea, Obstructive - therapy ; Sleep Breathing Physiology and Disorders • Original Article ; Sleep disorders ; T-Lymphocytes, Regulatory - immunology ; Th17 Cells - immunology ; Transforming Growth Factor beta1 - blood ; Transforming Growth Factor beta1 - genetics ; Transforming growth factor-b1 ; Western blotting</subject><ispartof>Sleep &amp; breathing, 2024-06, Vol.28 (3), p.1231-1243</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Switzerland AG 2024. 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The Author(s), under exclusive licence to Springer Nature Switzerland AG.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-589ae4f941eadfbce417e1abfdef154aacffffc8bbfc0c988e2172d4405fef453</cites><orcidid>0000-0001-8997-9574</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11325-024-02997-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11325-024-02997-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38308751$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shen, Chong</creatorcontrib><creatorcontrib>Zong, Dandan</creatorcontrib><creatorcontrib>Peng, Yating</creatorcontrib><creatorcontrib>Zhou, Li</creatorcontrib><creatorcontrib>Liu, Ting</creatorcontrib><creatorcontrib>Ouyang, Ruoyun</creatorcontrib><title>Effect of continuous positive airway pressure treatment on Th17/Treg imbalance in patients with obstructive sleep apnea and a preliminary study on its mechanism</title><title>Sleep &amp; breathing</title><addtitle>Sleep Breath</addtitle><addtitle>Sleep Breath</addtitle><description>Background Obstructive sleep apnea (OSA) can be considered a chronic inflammatory disease that impacts all bodily systems, including the immune system. This study aims to assess the Th17/Treg pattern in patients with OSA and the effect of continuous positive airway pressure (CPAP) treatment. Methods OSA patients and healthy controls were recruited. OSA patients recommended for CPAP treatment were followed up for three months. Flow cytometry was employed to determine the proportion of Th17 and Treg cells. Real-time quantitative polymerase chain reaction (PCR) and western blotting were utilized to detect the mRNA and protein levels of receptor-related orphan receptor γt (RORγt) and forkhead/winged helix transcription factor (Foxp3), respectively, in peripheral blood mononuclear cells (PBMCs). Enzyme-linked immunosorbent assay (ELISA) was performed to measure the serum levels of interleukin-17 (IL-17), IL-6, transforming growth factor-β1 (TGF-β1), and hypoxia-induced factor-1α (HIF-1α). Results A total of 56 OSA patients and 40 healthy controls were recruited. The proportion of Th17 cells, Th17/Treg ratio, mRNA and protein levels of RORγt, and serum IL-17, IL-6, and HIF-1α levels were higher in OSA patients. Conversely, the proportion of Treg cells, mRNA and protein levels of Foxp3, and serum TGF-β1 levels were decreased in OSA patients. The proportion of Th17 and Treg cells in OSA can be predicted by the apnea hypopnea index (AHI), IL-6, TGF-β1 and, HIF-1α. 30 moderate-to-severe OSA patients were adherent to three-month CPAP treatment, with improved Th17/Treg imbalance, IL-17, IL-6, TGF-β1, and HIF-1α levels compared to pre-treatment values. Conclusion There was a Th17/Treg imbalance in OSA patients. The prediction of Th17 and Treg cell proportions in OSA can be facilitated by AHI, as well as serum IL-6, TGF-β1, and HIF-1α levels. 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Zong, Dandan ; Peng, Yating ; Zhou, Li ; Liu, Ting ; Ouyang, Ruoyun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-589ae4f941eadfbce417e1abfdef154aacffffc8bbfc0c988e2172d4405fef453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Apnea</topic><topic>Continuous Positive Airway Pressure</topic><topic>Dentistry</topic><topic>Enzyme-linked immunosorbent assay</topic><topic>Female</topic><topic>Flow cytometry</topic><topic>Forkhead protein</topic><topic>Forkhead Transcription Factors - blood</topic><topic>Forkhead Transcription Factors - genetics</topic><topic>Foxp3 protein</topic><topic>Helper cells</topic><topic>Humans</topic><topic>Hypoxia-Inducible Factor 1, alpha Subunit - blood</topic><topic>Hypoxia-Inducible Factor 1, alpha Subunit - genetics</topic><topic>Hypoxia-inducible factor 1a</topic><topic>Immune system</topic><topic>Inflammatory diseases</topic><topic>Interleukin 17</topic><topic>Interleukin 6</topic><topic>Interleukin-17 - blood</topic><topic>Interleukin-6 - blood</topic><topic>Internal Medicine</topic><topic>Leukocytes (mononuclear)</topic><topic>Lymphocytes T</topic><topic>Male</topic><topic>Mechanical ventilation</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Middle Aged</topic><topic>Neurology</topic><topic>Nuclear Receptor Subfamily 1, Group F, Member 3 - blood</topic><topic>Nuclear Receptor Subfamily 1, Group F, Member 3 - genetics</topic><topic>Otorhinolaryngology</topic><topic>Pediatrics</topic><topic>Peripheral blood mononuclear cells</topic><topic>Pneumology/Respiratory System</topic><topic>Polymerase chain reaction</topic><topic>Proteins</topic><topic>Respiratory tract</topic><topic>Serum levels</topic><topic>Sleep apnea</topic><topic>Sleep Apnea, Obstructive - blood</topic><topic>Sleep Apnea, Obstructive - immunology</topic><topic>Sleep Apnea, Obstructive - therapy</topic><topic>Sleep Breathing Physiology and Disorders • Original Article</topic><topic>Sleep disorders</topic><topic>T-Lymphocytes, Regulatory - immunology</topic><topic>Th17 Cells - immunology</topic><topic>Transforming Growth Factor beta1 - blood</topic><topic>Transforming Growth Factor beta1 - genetics</topic><topic>Transforming growth factor-b1</topic><topic>Western blotting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shen, Chong</creatorcontrib><creatorcontrib>Zong, Dandan</creatorcontrib><creatorcontrib>Peng, Yating</creatorcontrib><creatorcontrib>Zhou, Li</creatorcontrib><creatorcontrib>Liu, Ting</creatorcontrib><creatorcontrib>Ouyang, Ruoyun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Sleep &amp; breathing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shen, Chong</au><au>Zong, Dandan</au><au>Peng, Yating</au><au>Zhou, Li</au><au>Liu, Ting</au><au>Ouyang, Ruoyun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of continuous positive airway pressure treatment on Th17/Treg imbalance in patients with obstructive sleep apnea and a preliminary study on its mechanism</atitle><jtitle>Sleep &amp; breathing</jtitle><stitle>Sleep Breath</stitle><addtitle>Sleep Breath</addtitle><date>2024-06-01</date><risdate>2024</risdate><volume>28</volume><issue>3</issue><spage>1231</spage><epage>1243</epage><pages>1231-1243</pages><issn>1520-9512</issn><issn>1522-1709</issn><eissn>1522-1709</eissn><abstract>Background Obstructive sleep apnea (OSA) can be considered a chronic inflammatory disease that impacts all bodily systems, including the immune system. This study aims to assess the Th17/Treg pattern in patients with OSA and the effect of continuous positive airway pressure (CPAP) treatment. Methods OSA patients and healthy controls were recruited. OSA patients recommended for CPAP treatment were followed up for three months. Flow cytometry was employed to determine the proportion of Th17 and Treg cells. Real-time quantitative polymerase chain reaction (PCR) and western blotting were utilized to detect the mRNA and protein levels of receptor-related orphan receptor γt (RORγt) and forkhead/winged helix transcription factor (Foxp3), respectively, in peripheral blood mononuclear cells (PBMCs). Enzyme-linked immunosorbent assay (ELISA) was performed to measure the serum levels of interleukin-17 (IL-17), IL-6, transforming growth factor-β1 (TGF-β1), and hypoxia-induced factor-1α (HIF-1α). Results A total of 56 OSA patients and 40 healthy controls were recruited. The proportion of Th17 cells, Th17/Treg ratio, mRNA and protein levels of RORγt, and serum IL-17, IL-6, and HIF-1α levels were higher in OSA patients. Conversely, the proportion of Treg cells, mRNA and protein levels of Foxp3, and serum TGF-β1 levels were decreased in OSA patients. The proportion of Th17 and Treg cells in OSA can be predicted by the apnea hypopnea index (AHI), IL-6, TGF-β1 and, HIF-1α. 30 moderate-to-severe OSA patients were adherent to three-month CPAP treatment, with improved Th17/Treg imbalance, IL-17, IL-6, TGF-β1, and HIF-1α levels compared to pre-treatment values. Conclusion There was a Th17/Treg imbalance in OSA patients. The prediction of Th17 and Treg cell proportions in OSA can be facilitated by AHI, as well as serum IL-6, TGF-β1, and HIF-1α levels. Furthermore, CPAP treatment can potentially improve the Th17/Treg imbalance and reduce proinflammatory cytokines in OSA patients.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>38308751</pmid><doi>10.1007/s11325-024-02997-3</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0001-8997-9574</orcidid></addata></record>
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subjects Adult
Apnea
Continuous Positive Airway Pressure
Dentistry
Enzyme-linked immunosorbent assay
Female
Flow cytometry
Forkhead protein
Forkhead Transcription Factors - blood
Forkhead Transcription Factors - genetics
Foxp3 protein
Helper cells
Humans
Hypoxia-Inducible Factor 1, alpha Subunit - blood
Hypoxia-Inducible Factor 1, alpha Subunit - genetics
Hypoxia-inducible factor 1a
Immune system
Inflammatory diseases
Interleukin 17
Interleukin 6
Interleukin-17 - blood
Interleukin-6 - blood
Internal Medicine
Leukocytes (mononuclear)
Lymphocytes T
Male
Mechanical ventilation
Medicine
Medicine & Public Health
Middle Aged
Neurology
Nuclear Receptor Subfamily 1, Group F, Member 3 - blood
Nuclear Receptor Subfamily 1, Group F, Member 3 - genetics
Otorhinolaryngology
Pediatrics
Peripheral blood mononuclear cells
Pneumology/Respiratory System
Polymerase chain reaction
Proteins
Respiratory tract
Serum levels
Sleep apnea
Sleep Apnea, Obstructive - blood
Sleep Apnea, Obstructive - immunology
Sleep Apnea, Obstructive - therapy
Sleep Breathing Physiology and Disorders • Original Article
Sleep disorders
T-Lymphocytes, Regulatory - immunology
Th17 Cells - immunology
Transforming Growth Factor beta1 - blood
Transforming Growth Factor beta1 - genetics
Transforming growth factor-b1
Western blotting
title Effect of continuous positive airway pressure treatment on Th17/Treg imbalance in patients with obstructive sleep apnea and a preliminary study on its mechanism
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