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Sleep and Breathing

, Volume 20, Issue 4, pp 1155–1160 | Cite as

Evaluation of oxidative stress markers in obstructive sleep apnea syndrome and additional antioxidant therapy: a review article

  • Amanda Bastos Lira
  • Célio Fernando de Sousa Rodrigues
Sleep Breathing Physiology and Disorders • Review

Abstract

Purpose

The hypoxia and reoxygenation cycles in obstructive sleep apnea syndrome (OSAS) cause a change in the oxidative balance, leading to the formation of reactive oxygen species capable of reacting with other organic molecules impairing their functions. This study aimed to determine the best markers of oxidative stress in OSAS and what better antioxidant agent to be used to treat the disease.

Methods

Searches were conducted in three different databases (PubMed, LILACS, SCIELO), using as descriptors the terms obstructive sleep apnea, oxidative stress, and antioxidant therapy. A total of 120 articles were found but only those considered of interest to the research were selected. Thus, 10 articles were included for further analysis regarding the biomarkers of oxidative stress in OSAS, and 6 articles to evaluate the antioxidant most often used for demonstration of efficacy.

Results

The thioredoxin, malondialdehyde, superoxide dysmutase, and reduced iron were the most commonly used biomarkers and showed a more consistent relationship between increased oxidative stress and OSAS. As antioxidant therapy, vitamin C and N-acetylcysteine (NAC) presented interesting results as a reduction of oxidative stress, which may become an alternative to the complementary treatment of OSAS.

Conclusions

This review’s findings agree mostly to measure that the markers of oxidative stress in OSAS may be a contributing aspect to assessment and monitoring of patient, and the antioxidant therapy appears to be beneficial in the treatment of OSAS.

Keywords

Obstructive sleep apnea Oxidative stress Markers Antioxidant therapy 

Notes

Acknowledgments

The authors would like to thank the University of Alagoas/Brazil.

Compliance with ethical standards

Ethical approval

For this type of study, formal consent is not required.

Conflicts of interest

The authors declare that they have no competing interests.

Funding

No founding was received for this research.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2016

Authors and Affiliations

  • Amanda Bastos Lira
    • 1
  • Célio Fernando de Sousa Rodrigues
    • 2
  1. 1.Medical Sleep and ENT of Santa Casa HospitalMaceióBrazil
  2. 2.University of Alagoas/BrazilMaceióBrazil

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