title: Thiol/disulfide homeostasis as a novel indicator of oxidative stress in obstructive sleep apnea patients.
abstract: The aim of the present study was to assess thiol/disulfide (SS) homeostasis as a novel indicator of oxidative stress in patients with obstructive sleep apnea (OSA) and to investigate the effect of continuous positive airway pressure (CPAP) therapy on oxidative parameters.
  
  
  
  Prospective clinical study.
  
  
  
  A total of 104 subjects, 44 in an OSA group and 60 in two control groups (control simple snoring group, control OSA group) were included. The levels of parameters were measured using the Erel and Neselioglu method in patients with moderate or severe OSA before and after CPAP therapy.
  
  
  
  The serum native thiol (SH) and total SH levels as well as the %SH/total SH ratio were significantly lower (P < 0.05) in OSA patients compared to controls, and the SS level and %SS/SH and %SS/total SH ratios were significantly higher (P < 0.05). After CPAP therapy, the native SH level and %SH/total SH ratio were significantly higher (P < 0.05) than before CPAP therapy, and the SS level and %SS/SH and %SS/total SH ratios were significantly lower (P < 0.05). Significant negative correlations were evident between the apnea/hypopnea index (AHI) and the native SH level and %SH/total SH ratio (P < 0.05) before CPAP therapy; and significant positive correlations were seen between the AHI and the %SS/SH and %SS/total SH ratios but not with the SS level.
  
  
  
  We found that oxidative stress was increased and CPAP therapy had a positive effect in patients with moderate or severe OSA.
  
  
  
  3b. Laryngoscope, 127:E244-E250, 2017.
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery.
authors.forename: Mehmet Emre
authors.initials: ME
authors.lastname: Dinc
authors.affiliation: Department of Sleep Laboratory, Yedikule Chest Disease and Thoracic Surgery Training and Research Hospital, Istanbul.
authors.forename: Cengiz
authors.initials: C
authors.lastname: Ozdemir
authors.affiliation: Department of Medical Biochemistry, Istanbul Gaziosmanpasa Taksim Research and Training Hospital.
authors.forename: Nilhan Nurlu
authors.initials: NN
authors.lastname: Ayan
authors.affiliation: Medical Faculty, Department of Otolaryngology, Head and Neck Surgery, Yuzuncu Yıl University, Van.
authors.forename: Nazım
authors.initials: N
authors.lastname: Bozan
authors.affiliation: Department of Otolaryngology, Head and Neck Surgery.
authors.forename: Seckin
authors.initials: S
authors.lastname: Ulusoy
authors.affiliation: Department of Medical Biochemistry.
authors.forename: Cemile
authors.initials: C
authors.lastname: Koca
authors.affiliation: Department of Medical Biochemistry, Dışkapı Yıldırım Bayezit Training and Research Hospital, Ankara, Turkey.
authors.forename: Ozcan
authors.initials: O
authors.lastname: Erel
mesh_terms: D000328:Adult; D015415:Biomarkers / Q000097:blood*; D016022:Case-Control Studies; D045422:Continuous Positive Airway Pressure; D004220:Disulfides / Q000097:blood*; D005260:Female; D006706:Homeostasis / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018384:Oxidative Stress / Q000502:physiology*; D017286:Polysomnography; D011446:Prospective Studies; D020181:Sleep Apnea, Obstructive / Q000097:blood* / Q000628:therapy; D013438:Sulfhydryl Compounds / Q000097:blood*
chemical_list: D015415:Biomarkers; D004220:Disulfides; D013438:Sulfhydryl Compounds
keywords: Sleep apnea; continuous positive airway pressure therapy; disulfide; obstructive; oxidative stress; thiol