Circulating endothelial cells and endothelial progenitor cells in obstructive sleep apnea
Kevin Martin1,2, Michael Stanchina3,2, Nicola Kouttab4
1Vascular Research Laboratory, Providence Veterans Affairs Medical Center, 830 Chalkstone Avenue, Providence, RI, 02908, USA.
Lung
|April 11, 2008
Summary
Obstructive sleep apnea (OSA) did not show differences in circulating endothelial cells (CECs) or endothelial progenitor cells (EPCs) compared to controls in individuals without vascular disease. Further research is needed to understand OSA
Area of Science:
- Cardiovascular Science
- Sleep Medicine
- Endothelial Biology
Background:
- Obstructive sleep apnea (OSA) is linked to cardiovascular disease and endothelial dysfunction.
- Elevated circulating endothelial cells (CECs) and reduced endothelial progenitor cells (EPCs) are markers of vascular injury and disease risk.
Purpose of the Study:
- To investigate if OSA is associated with altered levels of CECs and EPCs in individuals without pre-existing vascular disease.
Main Methods:
- Recruited 17 OSA patients and 10 controls, all without vascular disease.
- Quantified CECs and EPCs using magnetic bead separation and flow cytometry.
- Compared cell counts between groups and correlated with apnea-hypopnea index (AHI) and nadir SaO(2).
Main Results:
- No significant differences in CEC or EPC counts were found between OSA patients and controls.
- OSA patients had higher AHI, lower nadir SaO(2), and increased sleepiness.
Conclusions:
- This study found no association between OSA and altered CEC or EPC levels in subjects without vascular disease.
- OSA may not impact these specific markers of endothelial cell injury in the absence of underlying vascular conditions.
Related Concept Videos
Sleep Apnea
Sleep apnea is a condition where breathing stops intermittently during sleep, often leading to significant health issues. Each episode can last from 10 to 20 seconds or more and is frequently accompanied by a brief arousal from sleep. This disturbance, largely unnoticed by the individual, can lead to severe daytime fatigue. Commonly, individuals seek help after being informed by their partners about loud snoring and noticeable breathing pauses during sleep.
The condition is more prevalent among...
The condition is more prevalent among...
Regulation of Angiogenesis and Blood Supply
Rapidly dividing tumors, embryos, and wounded tissues require more oxygen than usual, lowering the oxygen concentration in the blood. At low oxygen or hypoxic conditions, an oxygen-sensitive transcription factor called the hypoxia-inducible factor 1 or HIF1 is activated. HIF1 is a dimeric protein of alpha (ɑ) and beta (β) subunits. Under optimal oxygen conditions, HIF1β is present in the nucleus while HIF1ɑ remains in the cytosol. HIF1ɑ is hydroxylated by prolyl hydroxylase and factor...
Production of Formed Elements
Hemangioblasts are multipotent stem cells originating from the mesoderm. They give rise to hematopoietic stem cells (HSCs), which undergo hematopoiesis to produce all the formed elements of blood. This process is regulated by a complex network of hematopoietic growth factors, including transcription factors, growth factors, and cytokines. These factors stimulate the HSCs to divide and differentiate, though some HSCs remain undifferentiated to maintain a self-renewing pool.
Most HSCs commit to...
Most HSCs commit to...
Differentiation of Common Myeloid Progenitor Cells
Common myeloid progenitors (CMPs) are oligopotent cells that can differentiate into granulocytes and macrophages. Granulocytes and macrophages are essential for protecting the body against bacterial, viral, or fungal infections. They migrate from the bone marrow into the circulating blood to reach specific tissue sites where they differentiate and help in immune surveillance. However, they survive only for a few days and must be continuously made available to the organism to maintain a robust...
Hematopoiesis
The process of blood cell formation is called hematopoiesis. Hematopoiesis starts early during development, on the seventh day of embryogenesis. This phase of hematopoiesis is called the primitive wave, wherein the extraembryonic yolk sac allows the production of erythroid cells and endothelial cells from a common precursor called hemangioblast. The erythroid cells provide oxygen to support the growth of the rapidly dividing embryo. Hemangioblasts later develop into hematopoietic stem cells or...
Regulation of Hematopoietic Stem Cells
All blood and immune cells are produced from the multipotent hematopoietic stem cells (HSCs) by the process of hematopoiesis. However, they all have a limited life span. In addition, many are depleted in immune surveillance or combatting an injury or infection. This makes blood one of the most regenerative tissues. Hematopoiesis helps replenish these blood and immune cells, restoring the body's normal functioning. However, overproduction of blood and immune cells can make them cancerous or...


