スズキ ケイタ   Keita Suzuki
  鈴木 啓太
   所属   川崎医療福祉大学  リハビリテーション学部 理学療法学科
   職種   助教
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 Oxytocin Receptor Polymorphism Is Associated With Sleep Apnea Symptoms.
掲載誌名 正式名:Journal of the Endocrine Society
略  称:J Endocr Soc
ISSNコード:24721972/24721972
掲載区分国外
巻・号・頁 9(1),pp.bvae198
著者・共著者 Hisanori Goto, Yasuhiko Yamamoto, Hiromasa Tsujiguchi, Takehiro Sato, Reina Yamamoto, Yumie Takeshita, Yujiro Nakano, Takayuki Kannon, Kazuyoshi Hosomichi, Keita Suzuki, Masaharu Nakamura, Yasuhiro Kambayashi, Jiaye Zhao, Atsushi Asai, Koji Katano, Aya Ogawa, Shinobu Fukushima, Aki Shibata, Fumihiko Suzuki, Hirohito Tsuboi, Akinori Hara, Mitsuhiro Kometani, Shigehiro Karashima, Takashi Yoneda, Atsushi Tajima, Hiroyuki Nakamura, Toshinari Takamura
発行年月 2024/11
概要 CONTEXT:Oxytocin supplementation improves obstructive sleep apnea (OSA), and animal studies suggest involvement of oxytocin in respiratory control. However, the relationship between endogenous oxytocin signaling and human sleep status remains undetermined.OBJECTIVE:In this study, we approached the contribution of the intrinsic oxytocin-oxytocin receptor (OXTR) system to OSA by genetic association analysis.METHODS:We analyzed the relationship between OXTR gene polymorphisms and sleep parameters using questionnaire data and sleep measurements in 305 Japanese participants. OSA symptoms were assessed in 225 of these individuals.RESULTS:The OXTR rs2254298 A allele was more frequent in those with OSA symptoms than in those without (P = .0087). Although total scores on the Pittsburgh Sleep Quality Index questionnaire did not differ between the genotypes, breathlessness and snoring symptoms associated with OSA were significantly more frequent in individuals with rs2254298 A genotype (P = .00045 and P = .0089 for recessive models, respectively) than the G genotype. A multivariable analysis confirmed these genotype-phenotype associations even after adjusting for age, sex, and body mass index in a sensitivity analysis. Furthermore, objective sleep efficiency measured by actigraph was not significantly different between genotypes; however, subjective sleep efficiency was significantly lower in the rs2254298 A genotype (P = .013) compared with the G genotype. The frequency of the A allele is higher in East Asians, which may contribute to their lean OSA phenotype.CONCLUSION:The OXTR gene may contribute to OSA symptoms via the respiratory control system, although it could be in linkage disequilibrium with a true causal gene.
DOI 10.1210/jendso/bvae198
PMID 39606181