作者
万贻麟,石雪峰
文章摘要
阻塞性睡眠呼吸暂停低通气综合征(OSAHS)是指在睡眠期间反复发生部分或完全上呼吸道阻塞,导致间歇性缺氧和睡眠碎片化,并导致机体多系统靶器官功能受损。血浆(及血清)作为沟通全身组织器官的“信息枢纽”,能够动态、综合地反映机体在OSAHS病理状态下的整体代谢表型。近年来,基于血浆/血清的代谢组学研究为揭示OSAHS的系统性代谢紊乱机制、发现具有诊断和预后价值的生物标志物提供了强有力的工具。本文系统综述了OSAHS血浆代谢组学的研究进展,探讨了这些代谢标志物在疾病辅助诊断、严重程度评估、心血管及代谢并发症风险预测中的潜在应用价值,推动该疾病的进一步研究。
文章关键词
阻塞性睡眠呼吸暂停低通气综合征;血浆;代谢组学
参考文献
[1] SALLES C, FREITAS M C, SOUZAA, et al. Metabolomic approach for obstructive sleep apnea in adults: a systematic review[J]. Sleep and Biological Rhythms, 2023, 21(3): 265-277.
[2] XU H, ZHENG X, QIAN Y, et al. Metabolomics profiling for obstructive sleep apnea and simple snorers[J]. Scientific Reports, 2016, 6(1): 30958.
[3] ZHANG W, LANG R. Succinate metabolism: A promising therapeutic target for inflammation, ischemia/reperfusion injury and cancer[J]. Frontiers in Cell and Developmental Biology, 2023, 11: 1266973.
[4] ZHOU L, ZHANG H, LIU L, et al. Intermittent hypoxia aggravates asthma inflammation via NLRP3/IL-1β-dependent pyroptosis mediated by HIF-1α signalling pathway[J]. Chinese Medical Journal, 2025, 138(14): 1714-1729.
[5] DA K, ML G, LB G. Lactate metabolism in health and disease[J]. Advances in experimental medicine and biology, 2025, 1478.
[6] FERNANDES J L, MARTINS F O, OLEA E, et al. Chronic intermittent hypoxia-induced dysmetabolism is associated with hepatic oxidative stress, mitochondrial dysfunction and inflammation[J]. Antioxidants (Basel, Switzerland), 2023, 12(11): 1910.
[7] ZHANG L, XIONG L, FAN L, et al. Vascular lipidomics analysis reveales increased levels of phosphocholine and lysophosphocholine in atherosclerotic mice[J]. Nutrition & Metabolism, 2023, 20(1): 1.
[8] CHAURASIA B, SUMMERS S A. Ceramides in metabolism: Key lipotoxic players[J]. Annual Review of Physiology, 2021, 83: 303-330.
[9] BARNES L A, XU Y, SANCHEZ-AZOFRA A, et al. Duration of intermittent hypoxia impacts metabolic outcomes and severity of murine NAFLD[J]. Frontiers in Sleep, 2023, 2: 1215944.
[10] NEWGARD C B, AN J, BAIN J R, et al. A branched-chain amino acid-related metabolic signature that differentiates obese and lean humans and contributes to insulin resistance[J]. Cell Metabolism, 2009, 9(4): 311-326.
[11] LYNCH C J, ADAMS S H. Branched-chain amino acids in metabolic signalling and insulin resistance[J]. Nature Reviews. Endocrinology, 2014, 10(12): 723-736.
[12] İRIZ A, ŞEMSI R, ESER B, et al. The evaluation of serum tryptophan and kynurenine levels in patients with obstructive sleep apnea syndrome[J]. Sleep & Breathing = Schlaf & Atmung, 2021, 25(3): 1389-1398.
[13] OHIKE Y, KOZAKI K, IIJIMA K, et al. Amelioration of vascular endothelial dysfunction in obstructive sleep apnea syndrome by nasal continuous positive airway pressure--possible involvement of nitric oxide and asymmetric NG, NG-dimethylarginine[J]. Circulation Journal: Official Journal of the Japanese Circulation Society, 2005, 69(2): 221-226.
[14] İN E, ÖZDEMIR C, KAMAN D, et al. Heat shock proteins, L-arginine, and asymmetric dimethylarginine levels in patients with obstructive sleep apnea syndrome[J]. Archivos De Bronconeumologia, 2015, 51(11): 544-550.
[15] CANFORA E E, MEEX R C R, VENEMA K, et al. Gut microbial metabolites in obesity, NAFLD and T2DM[J]. Nature Reviews. Endocrinology, 2019, 15(5): 261-273.
[16] ALLABAND C, LINGARAJU A, MARTINO C, et al. Intermittent hypoxia and hypercapnia alter diurnal rhythms of luminal gut microbiome and metabolome[J]. mSystems, 2021, 6(3): 101128msystems0011621.
[17] TANG W H W, WANG Z, LEVISON B S, et al. Intestinal microbial metabolism of phosphatidylcholine and cardiovascular risk[J]. The New England Journal of Medicine, 2013, 368(17): 1575-1584.
[18] TANG W H W, KITAI T, HAZEN S L. Gut microbiota in cardiovascular health and disease[J]. Circulation Research, 2017, 120(7): 1183-1196.
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