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RNA sequencing reveals circular RNA expression patterns in chronic intermittent hypoxia. RNA测序揭示了慢性间歇性缺氧的环状RNA表达模式。
IF 1 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2025-02-19 eCollection Date: 2025-07-01 DOI: 10.1007/s41105-025-00577-w
Cong Li, Tiantian Su, Yuqin Chen, Lei Yue, Yu Zhang, Song Shi, Wenjia Wei

Circular RNAs (circRNAs) participate in diverse biological processes. However, whether circRNAs exhibit distinct expression patterns under obstructive sleep apnea (OSA)-induced chronic intermittent hypoxia (CIH) remains unexplored. We conducted RNA sequencing to compare expression profiles between CIH rats (n = 4) and normoxic controls (n = 4), identifying differentially expressed (DE) circRNAs. After filtering candidate circRNAs, we validated their expression in four OSA patients and four controls using qRT-PCR. Principal component analysis (PCA) was employed to confirm the diagnostic potential of these circRNAs. The miRanda software predicted target microRNAs (miRNAs), and the circRNA-miRNA regulatory network was visualized using Cytoscape software. In total, we identified 43 DE circRNAs, primarily enriched in functions like protein binding, cytoskeleton organization, and supramolecular complexes. We selected eight DE circRNAs associated with CIH for validation in OSA patients (n = 4) and controls (n = 4), with five displaying significant expression differences. These eight circRNAs showed distinct expression patterns between CIH and control groups, suggesting potential utility in distinguishing CIH conditions. Notably, our analysis identified mir-466b-3p as associated with DE circRNAs in the context of CIH. In conclusion, this study described circRNA expression profiles in CIH rats and identified several circRNAs with altered expression in CIH conditions. These findings suggest areas for further research into the relationship between circRNA expression and CIH.

Supplementary information: The online version contains supplementary material available at 10.1007/s41105-025-00577-w.

环状rna (circRNAs)参与多种生物过程。然而,circrna是否在阻塞性睡眠呼吸暂停(OSA)诱导的慢性间歇性缺氧(CIH)下表现出不同的表达模式仍未研究。我们进行了RNA测序,比较了CIH大鼠(n = 4)和正常对照组(n = 4)的表达谱,鉴定了差异表达(DE)环状RNA。筛选候选circrna后,我们使用qRT-PCR验证了它们在4名OSA患者和4名对照中的表达。采用主成分分析(PCA)来确认这些环状rna的诊断潜力。miRanda软件预测目标microrna (mirna),使用Cytoscape软件可视化circRNA-miRNA调控网络。总的来说,我们鉴定了43个DE环状rna,主要富集蛋白质结合、细胞骨架组织和超分子复合物等功能。我们选择了8个与CIH相关的DE环状rna在OSA患者(n = 4)和对照组(n = 4)中进行验证,其中5个表现出显著的表达差异。这8种circrna在CIH和对照组之间表现出不同的表达模式,表明在区分CIH疾病方面具有潜在的实用性。值得注意的是,我们的分析确定了mir-466b-3p与CIH背景下的DE环状rna相关。总之,本研究描述了CIH大鼠中的circRNA表达谱,并鉴定了几种在CIH条件下表达改变的circRNA。这些发现提示了circRNA表达与CIH之间关系的进一步研究领域。补充信息:在线版本包含补充资料,提供地址为10.1007/s41105-025-00577-w。
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引用次数: 0
Investigation of the effects of pinealectomy on acetylcholinesterase enzyme activity and oxidative stress in rat brain. 松果体切除对大鼠脑乙酰胆碱酯酶活性及氧化应激影响的研究。
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2025-02-13 eCollection Date: 2025-07-01 DOI: 10.1007/s41105-025-00576-x
Hıdır Pekmez, Ahmet Özkaya, Miraç Uçkun, Emrah Zayman, Merve Aydin, Sinan Canpolat, Mehmet GüL

The pineal gland releases melatonin to regulate our body's circadian rhythm based on light and dark cycles. The pinealectomy (PINX) model is an experimental approach employed to investigate the potential impact of melatonin on various tissues and pathologies. In this study, acetylcholinesterase (AChE) enzyme activity levels, oxidative stress parameters, histopathological findings, and serum melatonin levels in rat brain tissue were evaluated following pinealectomy. 24 male Sprague Dawley rats were randomly divided into groups: control, Sham-Pinealectomy (SHAM), and PINX. Brain tissue samples were taken at the end of a 50-day experimental period to determine the parameters of AChE, glutathione s-transferase (GST), carboxylesterase (Ces) enzyme activities, and malondialdehyde (MDA), reduced glutathione (GSH) levels spectrophotometrically. Moreover, serum melatonin levels were measured, and tissues underwent standard histological analysis to determine the histopathological damage score. In this study, we found that the PINX group had decreased AChE and Ces enzyme activity, increased MDA, decreased GSH levels, and no change in GST enzyme activity. A relative decrease in serum melatonin levels was also observed in the PINX group. In the light microscopic examination of the brain tissue of pinealectomy rats, it was observed that the eosinophilic staining intensity increased, heterochromatic/pycnotic-looking neuron nuclei were prominent in the cortex layers and hippocampus, and perineural edematous areas were abundant. Excessive perineuronal edema, cytoplasmic eosinophilia, and heterochromatic/pycnotic nuclei were found based on the histopathological damage score. After pinealectomy, we observed an increase in oxidative stress and a decrease in AChE levels in the brain.

松果体释放褪黑激素来调节我们身体基于明暗周期的昼夜节律。松果体切除术(PINX)模型是一种用于研究褪黑激素对各种组织和病理的潜在影响的实验方法。在这项研究中,评估了松果体切除术后大鼠脑组织中乙酰胆碱酯酶(AChE)酶活性水平、氧化应激参数、组织病理学结果和血清褪黑素水平。选取雄性sd大鼠24只,随机分为对照组、假松果体切除术(SHAM)组和PINX组。实验结束后取脑组织标本,分光光度法测定乙酰胆碱酯酶(AChE)、谷胱甘肽s转移酶(GST)、羧化酯酶(Ces)活性及丙二醛(MDA)、还原性谷胱甘肽(GSH)水平。此外,测量血清褪黑素水平,并对组织进行标准组织学分析以确定组织病理学损伤评分。在本研究中,我们发现PINX组AChE和Ces酶活性降低,MDA升高,GSH水平降低,GST酶活性无变化。在PINX组中也观察到血清褪黑素水平的相对降低。在松果体切除大鼠脑组织光镜下,观察到嗜酸性细胞染色强度增强,皮层和海马内异色/幽闭样神经元核突出,神经周围水肿区丰富。根据组织病理学损伤评分,发现过度的神经元周围水肿,细胞质嗜酸性粒细胞增多,细胞核异色/浓染。在松果体切除术后,我们观察到大脑中氧化应激增加和乙酰胆碱酯酶水平降低。
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引用次数: 0
Chronic back pain patients with poor sleep quality had higher pain intensity, functional limitation, and psychosocial factors than their counterparts. 睡眠质量差的慢性背痛患者疼痛强度、功能限制和心理社会因素高于对照组。
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2025-02-06 eCollection Date: 2025-07-01 DOI: 10.1007/s41105-025-00574-z
Leticia Amaral Correa, Luiza Ferreira Moreira, Juliana Valentim Bittencourt, Leandro Alberto Calazans Nogueira

To compare pain characteristics, functional limitation, psychosocial factors, and sociodemographic characteristics between patients with chronic LBP reporting good or poor sleep quality. A secondary analysis of 444 patients with a current episode of chronic low back pain (CLBP). Sleep quality was measured by an item of the Pittsburgh Sleep Quality Index (PSQI). Pain intensity (two items from The Brief Pain Inventory, BPI), functional limitation (The Patient-Specific Functional Scale, PSFS, and BPI), and psychosocial factors (The Brief Screening Questions, BSQ) were also assessed. Features of participants with good and poor sleep quality were compared. Participants were classified as "good sleep quality" (n = 228) or "poor sleep quality" (n = 216). Those with poor sleep quality showed greater functional limitations (Good sleepers = 5.38 ± 2.54; Poor sleepers = 6.48 ± 2.35; p < 0.01), higher pain interference with functionality (Good sleepers = 35.90 ± 23.87; Poor sleepers = 50.84 ± 26.89; p < 0.01), and more significant psychosocial issues, such as anxiety [Good sleepers = 165 (37%); Poor sleepers = 186 (42%); p < 0.01], and depressive symptoms [Good sleepers = 37 (8%); Poor sleepers = 73 (16%); p < 0.01]. Chronic LBP patients with poor sleep quality significantly faced more functional limitation, increased pain interference, and a higher prevalence of psychological problems, including anxiety and depression, than those with good sleep quality. Our results emphasize the impact of poor sleep quality in clinical measures of LBP patients.

比较报告睡眠质量好或差的慢性腰痛患者的疼痛特征、功能限制、心理社会因素和社会人口学特征。对444例慢性腰痛(CLBP)患者的二次分析。睡眠质量采用匹兹堡睡眠质量指数(PSQI)的一项来衡量。疼痛强度(来自简短疼痛量表(BPI)的两个项目)、功能限制(患者特异性功能量表(PSFS)和BPI)和心理社会因素(简短筛查问题(BSQ))也被评估。比较了睡眠质量好的和睡眠质量差的参与者的特征。参与者被分为“睡眠质量好”(n = 228)和“睡眠质量差”(n = 216)两组。睡眠质量差的患者出现更大的功能限制(睡眠质量好的= 5.38±2.54;睡眠不良者= 6.48±2.35;p p p p
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引用次数: 0
Sleep stage, sleep fragmentation and heart rate variability during the initial 3-h sleep period in patients with obstructive sleep apnea syndrome. 阻塞性睡眠呼吸暂停综合征患者最初 3 小时睡眠期间的睡眠阶段、睡眠片段和心率变异性。
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2025-01-31 eCollection Date: 2025-04-01 DOI: 10.1007/s41105-024-00567-4
Yoshimi Moriwaki, Natsuki Nakayama, Chika Ooshima, Madoka Akahori, Masakazu Wakai, Koji Tamakoshi, Makoto Hirai

To investigate differences in polysomnography (PSG) parameters and heart rate variability (HRV) during the initial 3-h sleep period in patients with mild, moderate, and severe obstructive sleep apnea syndrome (OSA). According to the apnea-hypopnea index, patients were divided into 3 groups: mild, moderate, and severe (n = 23, 59, and 94, respectively). PSG was performed, and HRV (frequency domain analysis), sleep stage (S1, S2, S3, REM, and waking), and sleep fragmentation index (SFI) were measured during the initial 3-h sleep periods. The total S1 time was significantly longer in the severe group than in the mild and moderate groups (p < 0.001). The severe group had significantly shorter total S2 and S3 times than the mild (p = 0.014, p < 0.001) and moderate (p = 0.034, p = 0.029) groups did. The SFI was significantly greater in the severe group than in the mild and moderate groups (p < 0.001, p = 0.008). The high-frequency component (HF) of the HRV showed no significant differences except that it was significantly smaller during S3 in the moderate group than in the mild group (p = 0.026). Compared with those with mild/moderate status, patients with severe OSA have shallower sleep and a higher SFI, suggesting poorer sleep quality. Although HF during S3 was significantly smaller in the moderate group, it did not significantly differ between the mild and severe groups, suggesting that the parasympathetic nervous system might compensate for humoral and hypoxemic abnormalities in patients with severe OSA.

探讨轻、中、重度阻塞性睡眠呼吸暂停综合征(OSA)患者初始3小时睡眠期间多导睡眠图(PSG)参数和心率变异性(HRV)的差异。根据呼吸暂停低通气指数将患者分为轻度、中度、重度3组(n = 23、59、94)。进行PSG检查,并在最初3小时睡眠期间测量HRV(频域分析)、睡眠阶段(S1、S2、S3、REM和清醒)和睡眠碎片化指数(SFI)。重度组总S1时间明显长于轻度和中度组(p = 0.014, p = 0.034, p = 0.029)。重度组的SFI显著高于轻度和中度组(p p = 0.008)。中度组HRV高频分量(HF)在S3时明显小于轻度组,差异无统计学意义(p = 0.026)。重度OSA患者睡眠较浅,SFI较高,较轻/中度OSA患者睡眠质量差。虽然中度组S3期间的HF明显较小,但轻度组和重度组之间没有显著差异,提示副交感神经系统可能补偿严重OSA患者的体液和低氧血症异常。
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引用次数: 0
Can arterial tonometry-based detection of obstructive sleep apnea be a promising alternative for home sleep apnea tests? 基于动脉血压计的阻塞性睡眠呼吸暂停检测能否成为家庭睡眠呼吸暂停测试的一种有希望的替代方法?
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2025-01-30 eCollection Date: 2025-04-01 DOI: 10.1007/s41105-025-00575-y
Nanako Shiroshita, Takatoshi Kasai
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引用次数: 0
Sleep health in pregnancy. 孕期睡眠健康。
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2025-01-23 eCollection Date: 2025-04-01 DOI: 10.1007/s41105-025-00573-0
Yoko Komada
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引用次数: 0
Response to Intermittent hypoxia and oxidative stress in patients with sleep apnea syndrome. 睡眠呼吸暂停综合征患者对间歇性缺氧和氧化应激的反应。
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2025-01-22 eCollection Date: 2025-04-01 DOI: 10.1007/s41105-025-00572-1
Tomotake Tokunou, Shin-Ichi Ando
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引用次数: 0
Association between body roundness index and obstructive sleep apnea among US adults: data from the 2005-2008 and 2015-2018 National Health and Nutrition Examination Survey. 美国成年人圆度指数与阻塞性睡眠呼吸暂停之间的关系:来自2005-2008年和2015-2018年全国健康与营养检查调查的数据
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2025-01-17 eCollection Date: 2025-04-01 DOI: 10.1007/s41105-024-00566-5
Qi Zhang, Yong Zhai, Jing Wang, Xu Han, Wurong Si, Yizhong Zhou

OSA is defined as the repeated occurrence of apnea or hypopnea during sleep caused by upper airway collapse. Obstructive sleep apnea (OSA) is characterized by a high apnea-hypopnea index (AHI) and persistent daytime sleepiness. Body roundness index (BRI), calculated using waist circumference and height, is a measure of obesity. BRI demonstrates a stronger correlation with body fat compared to BMI. However, no studies have thus far reported on the association between BRI and OSA. The data for this study were sourced from the National Health and Nutrition Examination Survey (NHANES) database (2005-2008 and 2015-2018). BRI was computed as 364.2-365.5 * (1 - [WC(m)/2π]2/[0.5 * height(m)]2)½. Statistical methods for data analysis included multivariable logistic regression, trend tests, restricted cubic spline (RCS) plots, subgroup analysis, and interaction tests, with a significance level of p < 0.05. This cross-sectional study investigated the relationship between BRI and OSA in 8106 American adults. After adjusting for all considered covariates, BRI was found to be positively associated with the risk of OSA, with each 1-unit increase in BRI raising the risk of OSA by 167% (95% CI [2.42, 2.95], p < 0.001). The positive association between BRI and OSA was consistent across all subgroups (p < 0.001). The restricted cubic spline (RCS) plot further confirmed the positive correlation between BRI and OSA prevalence (p value < 0.0001, p nonlinear < 0.0001). The results of this study demonstrate a positive correlation between BRI and OSA, suggesting that BRI could be utilized as a predictive factor for OSA. BRI could assist clinicians in the diagnosis of OSA in patients.

Supplementary information: The online version contains supplementary material available at 10.1007/s41105-024-00566-5.

OSA定义为睡眠中因上呼吸道塌陷引起的呼吸暂停或低通气的反复发生。阻塞性睡眠呼吸暂停(OSA)的特点是高呼吸暂停低通气指数(AHI)和持续的白天嗜睡。身体圆度指数(BRI)由腰围和身高计算得出,是衡量肥胖程度的一种指标。与BMI相比,BRI与体脂的相关性更强。然而,目前还没有研究报道BRI与OSA之间的关系。本研究的数据来自国家健康与营养检查调查(NHANES)数据库(2005-2008年和2015-2018年)。房屋被计算为364.2 - -365.5 * (1 - (WC (m) / 2π)2 /(0.5 *高(m)) 2)½。数据分析的统计方法包括多变量逻辑回归、趋势检验、限制性三次样条(RCS)图、亚组分析和相互作用检验,显著性水平为pp pp p值p非线性。补充信息:在线版本包含补充资料,可在10.1007/s41105-024-00566-5。
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引用次数: 0
Intermittent hypoxia and oxidative stress in patients with sleep apnea syndrome. 睡眠呼吸暂停综合征患者的间歇性缺氧和氧化应激。
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2025-01-13 eCollection Date: 2025-04-01 DOI: 10.1007/s41105-025-00571-2
Hinpetch Daungsupawong, Viroj Wiwanitkit
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引用次数: 0
The diverse sleep structure of mid-day nap in college students. 大学生午觉睡眠结构的多样性。
IF 1.3 4区 医学 Q4 CLINICAL NEUROLOGY Pub Date : 2025-01-10 eCollection Date: 2025-04-01 DOI: 10.1007/s41105-025-00569-w
Qin Xiao, Xueqi Sun, Guoxin Zeng, Xin Luo, Qian Jiang, Rong Ren, Xiangdong Tang, Chao He, Zhian Hu, Fenlan Luo, Jie Yan

The aim of this study was to investigate the sleep structure of mid-day naps in students who frequently nap, and to determine whether this structure has any impact on their subjective feelings after nap. A total of 91 college students (male, mean age 20.47 ± 2.02 years) completed one-hour mid-day nap with polysomnographic recording in a sleep laboratory. Upon awakening, self-ratings of sleep quality and sleepiness were assessed using questionnaires. The sleep structure of mid-day naps varied among participants: 47.3% participants experienced stage-1, -2, and -3 non-rapid eye movement (NREM) sleep in sequence in the one-hour nap, while rapid eye movement (REM) sleep occurred between 40 and 60 min after lights off in 27.5% participants, and less than 15 min in 16.5% participants. After nap, participants who achieved stage-3 sleep reported better sleep quality, but the subjective sleepiness was not influenced by the sleep stage contained in nap or the sleep stage at awakening. These findings highlight the diversity in the sleep structure of mid-day naps, suggesting that this variability may need to be considered when studying the effects of napping.

本研究的目的是调查经常午睡的学生午间小睡的睡眠结构,并确定这种结构是否对午睡后的主观感受有影响。91名大学生(男,平均年龄20.47±2.02岁)在睡眠实验室完成1小时午觉,并进行多导睡眠仪记录。醒来后,研究人员使用问卷对睡眠质量和困倦程度进行自我评价。午间小睡的睡眠结构各不相同:47.3%的参与者在一小时的小睡中依次经历了第1、2和3阶段的非快速眼动(NREM)睡眠,而27.5%的参与者在熄灯后40到60分钟之间出现了快速眼动(REM)睡眠,16.5%的参与者在15分钟内出现了快速眼动(REM)睡眠。小睡后,达到第三阶段睡眠的参与者报告了更好的睡眠质量,但主观困倦不受午睡所包含的睡眠阶段或觉醒时的睡眠阶段的影响。这些发现强调了午间小睡的睡眠结构的多样性,表明在研究午睡的影响时可能需要考虑到这种可变性。
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引用次数: 0
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Sleep and Biological Rhythms
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