Comparison of two exhaled biomarkers in children with and without sleep disordered breathing

Mario Barreto1, Paolo Montuschi2, Melania Evangelisti1

  • 1Pediatric Unit Sant'Andrea Hospital, NESMOS Department, Faculty of Medicine and Psychology, "Sapienza" University, Rome, Italy.

Sleep Medicine
|April 23, 2018
PubMed

Insights

8-isoprostane (8-IsoP) in exhaled breath condensate effectively identifies obstructive sleep apnea (OSA) in children. This biomarker correlates with disease severity and predicts OSA, unlike nitric oxide levels.

Area of Science:

  • Pediatric Pulmonology
  • Sleep Medicine
  • Biomarker Research

Background:

  • Airway inflammation and oxidative stress are implicated in pediatric sleep disordered breathing (SDB).
  • Understanding biomarkers for SDB severity is crucial for diagnosis and management.

Purpose of the Study:

  • To measure 8-isoprostane (8-IsoP) in exhaled breath condensate (EBC) and fractional exhaled nitric oxide (FeNO) in children with SDB.
  • To assess the relationship between these biomarkers, SDB severity, and overnight changes.

Main Methods:

  • Exhaled measurements (EBC for 8-IsoP, FeNO) were performed in 46 children with SDB and 20 healthy controls.
  • SDB severity was assessed using polysomnography, categorizing participants into primary snoring (PS) and obstructive sleep apnea (OSA).

Main Results:

  • Children with OSA showed higher 8-IsoP levels in EBC compared to PS patients and controls.
  • 8-IsoP levels correlated with apnea-hypopnea index (AHI) and oxygen saturation (SaO2), and accurately predicted OSA.
  • FeNO levels did not correlate with disease severity, though they increased in mild OSA patients overnight.

Conclusions:

  • 8-isoprostane in EBC is a valuable biomarker for distinguishing OSA from PS and healthy controls in children.
  • 8-IsoP levels reflect SDB severity and can predict OSA, offering a potential diagnostic tool.
Abstract

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