Serum neuron-specific enolase (NSE) and hemocysteine levels in obstructive sleep apnea syndrome (OSAS)

Objective: Presence of a biochemical marker of cerebral injury would be of great benefit in obstructive sleep apnea syndrome (OSAS) to screen for even small brain damage and to monitor efficacy of therapy. The aim of this study was to evaluate whether two different parameters in serum, neuron-specif...

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Published in:Turkiye Klinikleri Journal of Medical Sciences Vol. 30; no. 6; pp. 1884 - 1891
Main Authors: Ergün, Pinar, Çiftçi, Bülent, Ergün, Rüçhan, Erdogan, Yurdanur, Turay, Ülkü Yilmaz, Biber, Çigdem, Firat, Selma, Yilmaz, Aydin, Gezici, Ali Riza
Format: research tables/charts Journal Article
Published: Turkiye Klinikleri Dec2010
Online Access:View this record in EBSCOhost
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      dt: Dec2010
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        atl: Serum neuron-specific enolase (NSE) and hemocysteine levels in obstructive sleep apnea syndrome (OSAS)
      aug:
        au:
          Ergün, Pinar
          Çiftçi, Bülent
          Ergün, Rüçhan
          Erdogan, Yurdanur
          Turay, Ülkü Yilmaz
          Biber, Çigdem
          Firat, Selma
          Yilmaz, Aydin
          Gezici, Ali Riza
        affil: Ataturk Chest Diseases and Chest Surgery Center, Department of Chest Diseasess, Gazi University Faculty of Medicine, Ankara
      sug:
        subj:
          Enzymes Blood
          Homocysteine Blood
          Sleep Apnea Syndromes Physiopathology
          Adult
          Biological Markers
          Body Mass Index
          Brain Injuries Diagnosis
          Case Control Studies
          Chi Square Test
          Data Analysis Software
          Descriptive Statistics
          Female
          Fisher's Exact Test
          Human
          Male
          Mann-Whitney U Test
          Middle Age
          Polysomnography
          Spearman's Rank Correlation Coefficient
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Objective: Presence of a biochemical marker of cerebral injury would be of great benefit in obstructive sleep apnea syndrome (OSAS) to screen for even small brain damage and to monitor efficacy of therapy. The aim of this study was to evaluate whether two different parameters in serum, neuron-specific enolase (NSE) and homocysteine, can be used to detect even subtle levels of cerebral injury in OSAS patients. Material and Methods: We studied 38 patients with OSAS and 30 control subjects with an apnea-hypopnea index (AHI) less than five events per hour. All were evaluated by full-night polysomnography, and in the following morning, serum levels of NSE and homocysteine levels were measured using standard techniques. Results: The AHI in OSAS group was 39.2 ± 13.8 (mean ± SD) AH/h. Serum NSE levels were significantly higher in OSAS group (12.3 ± 5.0 ng/ml) than in the control group (8.2 ± 1.9 ng/ml; p< 0.01). No significant difference was detected between the groups with regard to serum homocysteine levels (14.1 ± 6.3 v 14.6 ± 4.8 ?mol/L; p> 0.05). Conclusion: Elevated serum NSE levels were much more correlated with the severity of OSAS, whereas homocysteine levels were in normal range in these OSAS cases who were otherwise healthy. We believe that there is a need for more sensitive biochemical markers and methods for detecting small cerebral injury in patients with sleep apnea syndrome.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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