RT Journal Article
SR Electronic
T1 Intermittent hypoxia-related alterations in vascular structure and function: a systematic review and meta-analysis of rodent data
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP 2100866
DO 10.1183/13993003.00866-2021
VO 59
IS 3
A1 Olfa Harki
A1 Quentin Boete
A1 Jean-Louis Pépin
A1 Claire Arnaud
A1 Elise Belaidi
A1 Gilles Faury
A1 Charles Khouri
A1 Anne Briançon-Marjollet
YR 2022
UL http://erj.ersjournals.com/content/59/3/2100866.abstract
AB Background Obstructive sleep apnoea and the related intermittent hypoxia (IH) are widely recognised as risk factors for incident cardiovascular diseases. Numerous studies support the deleterious vascular impact of IH in rodents but an overall interpretation is challenging owing to heterogeneity in rodent species investigated and the severity and duration of IH exposure. To clarify this major issue, we conducted a systematic review and meta-analysis to quantify the impact of IH on systemic artery structure and function depending on the different IH exposure designs.Methods We searched PubMed, Embase and Web of Science, and included 125 articles in a meta-analysis, among them 112 using wild-type rodents and 13 using apolipoprotein E knockout (ApoE−/−) mice. We used the standardised mean difference (SMD) to compare results between studies.Results IH significantly increased mean arterial pressure (+13.90 (95% CI 11.88–15.92) mmHg), and systolic and diastolic blood pressure. Meta-regressions showed that mean arterial pressure change was associated with strain and year of publication. IH altered vasodilation in males but not in females and increased endothelin-1-induced but not phenylephrine-induced vasoconstriction. Intima–media thickness significantly increased upon IH exposure (SMD 1.10 (95% CI 0.58–1.62); absolute values +5.23 (2.81–7.84) µm). This increase was observed in mice but not in rats and was negatively associated with age. Finally, IH increased atherosclerotic plaque size in ApoE−/− mice (SMD 1.08 (95% CI 0.80–1.37)).Conclusions Our meta-analysis established that IH, independently of other confounders, has a strong effect on vascular structure and physiology. Our findings support the interest of identifying and treating sleep apnoea in routine cardiology practice.This meta-analysis of rodent studies firmly establishes that intermittent hypoxia (IH), as a model of obstructive sleep apnoea, alters vascular pressure, remodelling and reactivity. Severity of IH and rodent characteristics contribute to this impact. https://bit.ly/3fm45fB