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APOBR Is Downregulated in EBV+ Tonsils of Children with Obstructive Sleep-Disordered Breathing
Regie Lyn P Santos-Cortez1, Helen Z Gomez1, Christina L Elling1
1Department of Otolaryngology-Head and Neck Surgery, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO 80045, USA.
Researchers identified potential biomarkers for obstructive sleep-disordered breathing (oSDB) in children. Downregulation of the gene APOBR in tonsils, linked to Epstein-Barr virus (EBV) and CPAP treatment, may indicate oSDB severity.
Area of Science:
- Genomics and Molecular Biology
- Sleep Medicine
- Pediatric Research
Background:
- Obstructive sleep-disordered breathing (oSDB) is a growing global health concern with significant comorbidities impacting quality of life.
- Identifying reliable biomarkers for oSDB and its associated conditions is crucial for improving clinical management, especially in pediatric populations.
Purpose of the Study:
- To identify potential biomarkers for obstructive sleep-disordered breathing (oSDB) in pediatric tonsillar tissue.
- To investigate the association of gene expression with Epstein-Barr virus (EBV) infection and the need for continuous positive airway pressure (CPAP) treatment in children with oSDB.
Main Methods:
- Bulk mRNA-sequencing and differential gene expression analysis were performed on tonsil RNA from children with oSDB.
- Gene expression was analyzed based on the presence of Epstein-Barr virus (EBV) and the requirement for CPAP treatment.
- Quantitative PCR (qPCR) was used to validate the expression of selected differentially expressed genes (DEGs) in an independent cohort.
Main Results:
- Nineteen genes were found to be dysregulated in tonsils from EBV-positive or CPAP-requiring children with oSDB.
- The gene *APOBR* was consistently downregulated in both EBV+ and CPAP+ tonsils, with this finding replicated by qPCR.
- In adult oSDB patients, *APOBR* expression showed a positive correlation with age and potentially diastolic blood pressure.
Conclusions:
- *APOBR* and other differentially expressed genes in tonsillar tissue show promise as biomarkers for oSDB severity and related comorbidities.
- The expression levels of *APOBR* may be influenced by latent Epstein-Barr virus (EBV) infection.
- These findings suggest potential diagnostic and prognostic applications of tonsillar gene expression in oSDB across different age groups.
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