Review Article

Role of Oxidative Stress in the Neurocognitive Dysfunction of Obstructive Sleep Apnea Syndrome

Table 1

Association between OS and cognitive dysfunction in OSAS patients.

ReferenceE groupC groupOS biomarkers leverCognitive testCognitive functionRelevance

Sales et al., 2013 [96]14 male OSA 13 male
subjects
Lower level of VitE, SOD, and VitB11 and higher homocysteine. Unchanged VitC, catalase, glutathione, and VitB12 levelWCST, the Digit Symbol Substitution Test, Digit Span, the Similarities Test, the Logical Memory and Verbal Paired Association Tests, and the Rey-Osterrieth Complex Figure TestWorse attention, working memory, and verbal memory performanceShowing correlation between SOD, VitE, and cognitive function

Li et al., 2014 [9]28 OSAS16 healthy adultsSignificantly reduced serum SOD concentration and increased MDA concentration in OSAHSMoCADelay recall, calculation, and language were impaired in OSASSerum SOD and MDA level were correlated with impaired neurocognitive function

Li and Qin,  2007 [97]18 OSAS14 healthy adultsIncreased serum NO concentration WMS-RC,
WAIS-RC
Impaired memory (visual recognition and digit symbols)The NO concentration was negatively related to cognitive function

Huang et al., 2014 [98]41 OSAHS44 healthy adultsHigher Nox activity and serum 8-OHdG concentration in OSAHSMMSE, MoCAImpaired delay recall, attention, language, visual spatial, and executive function in OSAHSCognitive function was negatively associated with the Nox activity and serum 8-OHdG level

Yang et al., 2013 [99]67 OSAHS20 healthy adultsElevated AOPP, MDA and reduced SOD level in OSA patientsMMSE, ESS, and CDTImpaired attention, calculation, and memoryAOPP, MDA, and SOD concentration were associated with the MMSE and CDT score

ESS: Epworth sleepiness scale; MMSE: mini-mental state examination; CDT: clocking drawing test; MoCA: Montreal Cognitive Assessment; WMS-RC: Wechsler memory scale-revised in China; WAIS-RC: Wechsler adult intelligence-revised in China; MDA: malondialdehyde; SOD: superoxide dismutase; AOPP: advanced oxidation protein products.