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To compare the number and function of regular T cell of patients with obstructive sleep apnea (OSA) versus that of age-, gender- and BMI (body mass index)-matched controls
Patients with obstructive sleep apnea (OSA) experience intermittent hypoxemia and arousal during sleep due to recurrent collapse of upper airway. Epidemiologic evidence showed they were at higher risk for autoimmune diseases. The regular T cell (Treg) has a crucial role in controlling autoimmunity. In this study, 40 OSA patients and 40 age-, gender- and BMI-matched controls will be recruited. Peripheral venous blood of the participants is drawn for numeration of CD4+CD25+FoxP3+ regular T cells by flow cytometry. As well, the CD4+CD25+ regular T cells are enriched by MACS and tested for their suppressive functions on proliferation assays. Th12+ CD4+ cells are also measured.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| OSA | The study group enrolled patients with OSA, fulfilling the following requirements
|
| |
| Control | The control group enrolled age-, gender- and BMI-matched individuals without OSA, fulfilling the following requirements
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OSA | Biological | This study aims to compare the difference in the number and function of regulatory T cells between OSA patients and controls. The investigators will draw peripheral venous blood samples from both groups and measure the number and function of their regulatory T cells. However, some, NOT ALL, of OSA patients may receive continuous positive airway pressure (CPAP) treatment-the standard therapy for severe-to-moderate OSA. Use of CPAP is based on physician's suggestion and patients' decision, but not for this study. The devices are provided by patients themselves and its type/brand is not limited or prespecified. For those with CPAP therapy, their blood sample will be re-collected 26 weeks later to repeat measurement for subgroup analysis. |
| Measure | Description | Time Frame |
|---|---|---|
| The number and function of regular T cells in peripheral venous blood | 0-26 week |
| Measure | Description | Time Frame |
|---|---|---|
| The number of Th12+ CD4+ cells | 0-26 week |
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Inclusion Criteria:
Exclusion Criteria:
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OSA patients free of other specific conditions affecting immunity are enrolled in this study.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kun-Ta Chou, MD | Contact | +886-2-28712121 | 2440 | hbjoue@vghtpe.gov.tw |
| Name | Affiliation | Role |
|---|---|---|
| Kun-Ta Chou, MD | Taipei Veterans General Hospital, Taiwan | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Chest department, Taipei Veteran General Hospital | Recruiting | Taipei | Taiwan | 112 | Taiwan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25331065 | Background | Chou KT, Liu CC, Hsu HS, Chang SC, Chen YM, Perng DW, Hsu YT, Lee YC, Hung SC. Nocturnal stem cell mobilization in patients with obstructive sleep apnoea: a pilot study. Eur J Clin Invest. 2014 Dec;44(12):1189-96. doi: 10.1111/eci.12353. | |
| 19342412 | Background | Kotsianidis I, Nakou E, Bouchliou I, Tzouvelekis A, Spanoudakis E, Steiropoulos P, Sotiriou I, Aidinis V, Margaritis D, Tsatalas C, Bouros D. Global impairment of CD4+CD25+FOXP3+ regulatory T cells in idiopathic pulmonary fibrosis. Am J Respir Crit Care Med. 2009 Jun 15;179(12):1121-30. doi: 10.1164/rccm.200812-1936OC. Epub 2009 Apr 2. |
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| ID | Term |
|---|---|
| D012891 | Sleep Apnea Syndromes |
| D001327 | Autoimmune Diseases |
| ID | Term |
|---|---|
| D001049 | Apnea |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D020919 | Sleep Disorders, Intrinsic |
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the whole blood of enrollees
|
| D020920 |
| Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D007154 | Immune System Diseases |