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| Name | Class |
|---|---|
| University of Exeter | OTHER |
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Dysfunctional adipose tissue predisposes to cardiovascular disease. Similarly, the risk of cardiovascular disease appears to be increased in subjects with obstructive sleep apnoea. Reduced adipose tissue oxygen availability has been described in obesity and may also be a mechanism in obstructive sleep apnoea. Hypoxia induces inflammation and fibrosis in adipose tissue which are factors contributing to cardiovascular risk. The investigators hypothesize that adipose tissue's oxygen uptake is reduced in subjects with obstructive sleep apnoea by comparing in vivo AT oxygenation and blood flow in tissue of control subjects.
Assessment includes a adipose tissue biopsy and measurement of oxygenation and blood flow by a Clarke type electrodes and non-invasive Doppler techniques.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| men with obstructive sleep apnoea | Continuous positive airway pressure devices |
| |
| control subjects | subjects with no obstructive sleep apnoea |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Continuous positive airway pressure devices | Device | overnight use of CPAP device |
|
| Measure | Description | Time Frame |
|---|---|---|
| pO2 in adipose tissue by Clarke type electrode | Measurement of pO2 by Clarke type electrode | 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| blood flow in adipose tissue by laser Doppler techniques | assessment of tissue blood flow by laser Doppler techniques | 4 months |
| Measure | Description | Time Frame |
|---|---|---|
| adipose tissue gene expression of HIF-1alpha | adipose tissue expression of hypoxia related genes | 4 months |
Inclusion Criteria:
Exclusion Criteria:
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Subjects with newly diagnosed obstructive sleep apnoea and controls
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| Name | Affiliation | Role |
|---|---|---|
| Katarina Kos, FRCP,PhD | University of Exeter | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| NIHR Clinical Research Facility | Exeter | EX25DW | United Kingdom | |||
| Royal Devon and Exeter NHS Foundation Trust |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28131740 | Background | Thorn CE, Knight B, Pastel E, McCulloch LJ, Patel B, Shore AC, Kos K. Adipose tissue is influenced by hypoxia of obstructive sleep apnea syndrome independent of obesity. Diabetes Metab. 2017 Jun;43(3):240-247. doi: 10.1016/j.diabet.2016.12.002. Epub 2017 Jan 26. |
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| ID | Term |
|---|---|
| D020181 | Sleep Apnea, Obstructive |
| D009765 | Obesity |
| D000860 | Hypoxia |
| ID | Term |
|---|---|
| D012891 | Sleep Apnea Syndromes |
| D001049 | Apnea |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
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adipose tissue and blood samples
| Exeter |
| EX25DW |
| United Kingdom |
| D020919 |
| Sleep Disorders, Intrinsic |
| D020920 | Dyssomnias |
| D012893 | Sleep Wake Disorders |
| D009422 | Nervous System Diseases |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012818 | Signs and Symptoms, Respiratory |