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Cicco S, Castellana G, Marra L, Di Lecce V, Carratù P, Prete M, Ranieri G, Resta O, Carpagnano GE, Racanelli V, Dragonieri S, Vacca A. Galectin-3 and neutrophil-to-lymphocyte ratio are indicative of heart remodelling and disease severity in patients with obstructive sleep apnoea. Sleep Med 2021; 82:117-124. [PMID: 33910161 DOI: 10.1016/j.sleep.2021.03.039] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/19/2020] [Revised: 03/08/2021] [Accepted: 03/29/2021] [Indexed: 02/06/2023]
Abstract
BACKGROUND Galectin-3, considered as a new inflammatory marker; it is increased in cardiovascular disease. We investigated Galectin-3 in relation to heart damage in patients with OSA and its role in inflammation, based on the Neutrophil-to-Lymphocyte Ratio (NLR). METHODS Sixty-three consecutive patients (45 males, 18 females, 58.60 ± 12.28 years old) were studied. According to the Apnoea-Hypopnoea Index (AHI) patients were divided into Group 1 - non-severe (AHI <30) (17 males and 10 females, 59.89 ± 10.62 years old) and Group 2 - severe (AHI ≥30) (29 males and 6 females, aged 57.53 ± 13.30 years old) OSA. All patients underwent morning blood gas analysis, laboratory tests, nocturnal polygraphy, and echocardiography. RESULTS Galectin-3 was significantly increased in Group 2 (p = 0.027) patients. Moreover, it was directly related to left ventricle (LV) mass, left ventricle hypertrophy and LV posterior wall diameter. Tissue Doppler septal velocity (e'), that measures wall motion, was inversely correlated to Galectin-3. Furthermore, a direct association to diastolic dysfunction, evaluated as E/e' ratio, was observed. In line with these data, a direct correlation between Galectin-3 and left atrium volume was also found. Galectin-3 and percentage of total registration time with nocturnal oxygen saturation <90% (TST90) were directly correlated (p = 0.0003), while Galectin-3 and mean nocturnal SpO2 were negatively correlated (p = 0.0045). We found a direct correlation between Galectin-3 and NLR (p = 0.011). Finally, Galectin-3 was able to predict 3-yr mortality with a specificity of 83.33% and a sensitivity of 91.84%. CONCLUSION Galectin-3 showed a direct association to nocturnal respiratory indices and to cardiac remodelling in patients with OSA. OSA-induced inflammation may play an important role in the pathogenesis of heart damage.
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Affiliation(s)
- Sebastiano Cicco
- Unit of Internal Medicine "Guido Baccelli", Department of Biomedical Sciences and Human Oncology, University of Bari Aldo Moro Medical School, Piazza Giulio Cesare 11, I-70124 Bari, BA, Italy.
| | - Giorgio Castellana
- Respiratory Rehabilitation, Istituti Clinici Scientifici Maugeri IRCCS, Bari, BA, Italy
| | - Lorenzo Marra
- UOC Pneumologia, Presidio Ospedaliero San Giuseppe Moscati, Taranto, TA, Italy
| | - Valentina Di Lecce
- Department of Cardiac, Thoracic, and Vascular Science, Institute of Respiratory Disease, University of Bari Aldo Moro Medical School, Piazza Giulio Cesare 11, I-70124 Bari, BA, Italy
| | - Pierluigi Carratù
- Department of Cardiac, Thoracic, and Vascular Science, Institute of Respiratory Disease, University of Bari Aldo Moro Medical School, Piazza Giulio Cesare 11, I-70124 Bari, BA, Italy
| | - Marcella Prete
- Unit of Internal Medicine "Guido Baccelli", Department of Biomedical Sciences and Human Oncology, University of Bari Aldo Moro Medical School, Piazza Giulio Cesare 11, I-70124 Bari, BA, Italy
| | - Giuseppe Ranieri
- Unit of Internal Medicine "Guido Baccelli", Department of Biomedical Sciences and Human Oncology, University of Bari Aldo Moro Medical School, Piazza Giulio Cesare 11, I-70124 Bari, BA, Italy
| | - Onofrio Resta
- Department of Cardiac, Thoracic, and Vascular Science, Institute of Respiratory Disease, University of Bari Aldo Moro Medical School, Piazza Giulio Cesare 11, I-70124 Bari, BA, Italy
| | - Giovanna Elisiana Carpagnano
- Department of Cardiac, Thoracic, and Vascular Science, Institute of Respiratory Disease, University of Bari Aldo Moro Medical School, Piazza Giulio Cesare 11, I-70124 Bari, BA, Italy
| | - Vito Racanelli
- Unit of Internal Medicine "Guido Baccelli", Department of Biomedical Sciences and Human Oncology, University of Bari Aldo Moro Medical School, Piazza Giulio Cesare 11, I-70124 Bari, BA, Italy
| | - Silvano Dragonieri
- Department of Cardiac, Thoracic, and Vascular Science, Institute of Respiratory Disease, University of Bari Aldo Moro Medical School, Piazza Giulio Cesare 11, I-70124 Bari, BA, Italy
| | - Angelo Vacca
- Unit of Internal Medicine "Guido Baccelli", Department of Biomedical Sciences and Human Oncology, University of Bari Aldo Moro Medical School, Piazza Giulio Cesare 11, I-70124 Bari, BA, Italy
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Pierucci P, Di Lecce V, Marra L, Resta O. Is there a threat of an increase in the rates of obesity hypoventilation syndrome? Expert Rev Respir Med 2019; 14:117-119. [PMID: 31709854 DOI: 10.1080/17476348.2020.1690992] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Paola Pierucci
- Cardio-Thoracic Department, Respiratory and Sleep disorders Unit, Policlinic University hospital, UNIBA, Bari, Italy
| | - Valentina Di Lecce
- Cardio-Thoracic Department, Respiratory and Sleep disorders Unit, Policlinic University hospital, UNIBA, Bari, Italy
| | - Lorenzo Marra
- Cardio-Thoracic Department, Respiratory and Sleep disorders Unit, Policlinic University hospital, UNIBA, Bari, Italy
| | - Onofrio Resta
- Cardio-Thoracic Department, Respiratory and Sleep disorders Unit, Policlinic University hospital, UNIBA, Bari, Italy
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