RT info:eu-repo/semantics/article T1 Increased Plasma Levels of Asymmetric Dimethylarginine and Soluble CD40 Ligand in Patients with Sleep Apnea A1 Barceló, Antonia A1 Peña, Mónica de la A1 Ayllón, Olga A1 Vega Agapito, María Victoria A1 Piérola, Javier A1 Pérez, Gerardo A1 González, Constancio A1 Alonso, Alberto A1 Agustí, Alvar GN K1 Sleep apnea, Biomarkers, Endothelial dysfunction, Atherosclerosis, Obesity AB Cardiovascular (CV) diseases are a leadingcause of mortality and they are frequent in patients with theobstructive sleep apnea syndrome (OSAS). Objectives: Inthis study we investigated if OSAS influences CV functionindependently of other CV risk factors frequently present inthese patients (e.g. obesity, high blood pressure). Methods:We compared plasma markers of endothelial dysfunction,asymmetric dimethylarginine (ADMA) and endothelin-1 (ET-1), and atherosclerosis progression (soluble fraction of theCD40 ligand, sCD40L) in OSAS patients with (n = 23) andwithout (n = 18) concurrent CV risk factors, as well as inhealthy subjects (n = 23). Results: Plasma ADMA (p ! 0.01)and sCD40L (p ! 0.05) were abnormally increased in patientswith OSAS versus healthy controls, but they were not influencedby the presence or absence of CV risk factors in OSAS.ET-1 levels were not different between the three groups ofsubjects studied. Conclusions: OSAS is associated with endothelialinjury and atherosclerosis progression independentlyof other CV risk factors. PB Karger YR 2009 FD 2009-10 LK https://uvadoc.uva.es/handle/10324/65609 UL https://uvadoc.uva.es/handle/10324/65609 LA eng NO Respiration, octubre 2009, vol. 77, p.85-90 NO Producción Científica DS UVaDOC RD 05-feb-2025