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Decrease of perforin positive CD3+γδ-T cells in patients with obstructive sleep disordered breathing

dc.contributor.authorStaats, Richard
dc.contributor.authorRodrigues, Raquel
dc.contributor.authorBarros, André
dc.contributor.authorNicolau, Leonor Bacelar
dc.contributor.authorAguiar, Margarida
dc.contributor.authorFernandes, Dina
dc.contributor.authorMoreira, Susana
dc.contributor.authorSimões, André
dc.contributor.authorSilva-Santos, Bruno
dc.contributor.authorRodrigues, João Valença
dc.contributor.authorBarbara, Cristina
dc.contributor.authorAlmeida, António Bugalho de
dc.contributor.authorMoita, Luis Ferreira
dc.date.accessioned2017-12-21T16:47:47Z
dc.date.available2017-12-21T16:47:47Z
dc.date.issued2017
dc.description© The Author(s) 2017 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.pt_PT
dc.description.abstractIntroduction: Sleep related breathing disorders (SRBD) cause sleep fragmentation, intermittent hypoxia or a combination of both leading to homeostasis perturbations, including in the immune system. We investigated whether SRBD patients with or without intermittent hypoxia show substantial differences in perforin and granzyme-B positive peripheral blood lymphocytes. Methods: A total of 87 subjects were included and distributed as follows: 24 controls (C), 19 patients with respiratory effort related arousals due to increased upper airway resistance (UAR) without hypoxic events, 24 obese patients with obstructive sleep apnea (OSA) (oOSA), and 20 without obesity (noOSA). After olysomnographic recording, we analyzed in fasting blood samples routine hematologic and biochemical parameters and the percentage of lymphocytes containing the proteins perforin and granzyme-B (GrB). Kruskal-Wallis tests and a posteriori multiple comparisons were applied for statistical analysis of results. Results: Perforin-positive γδ-cells revealed significant differences between groups (p = 0.017), especially between the Control group and the oOSA (p-value = 0.04); the remaining SRBD groups also showed differences from the control (C vs UAR: p = 0.08; C vs noOSA = 0.09), but they did not raise to statistical significance. There were no differences among the SRBD groups. Granzyme-B cells were decreased in SRBD patients, but the differences were not statistically significant. No additional statistical significant result was found in the other investigated lymphocyte subsets. Conclusions: Obstructive sleep-disordered breathing is associated with a decrease in perforin-positive CD3+γδ-T cells. Although this finding was detected in lean patients without intermittent hypoxia, the reduction was only statistically significant in obese patients with severe OSA. Because CD3+γδ-T cells play an important role in the control of tumor cells, our findings are directly relevant for the study of the association of OSA and cancer.pt_PT
dc.description.sponsorshipLFM directs the Innate Immunity and Inflammation Laboratory at IGC, is an FCT Investigator and receives financial support from Fundação para a Ciência e Tecnologia (FCT) and the European Research Council (ERC-2014-CoG 647,888-iPROTECTION). The sponsors had no role in the design or conduct of this research.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationSleep Breath (2017)pt_PT
dc.identifier.doi10.1007/s11325-017-1602-6pt_PT
dc.identifier.issn1522-1709
dc.identifier.urihttp://hdl.handle.net/10451/30176
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSpringerpt_PT
dc.relation.publisherversionhttps://link.springer.com/journal/11325pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectSleep-related breathing disorderspt_PT
dc.subjectObstructive sleep apneapt_PT
dc.subjectPerforin and granzyme-B-positive peripheral blood lymphocytespt_PT
dc.subjectCancerpt_PT
dc.subjectObesitypt_PT
dc.titleDecrease of perforin positive CD3+γδ-T cells in patients with obstructive sleep disordered breathingpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleSleep and Breathingpt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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