| Summary: | <p>Abstract</p> <p>Background</p> <p>Cognitive impairment is one of the main consequences of obstructive sleep apnea (OSA) and is usually attributed in part to the oxidative stress caused by intermittent hypoxia in cerebral tissues. The presence of oxygen-reactive species in the brain tissue should be produced by the deoxygenation-reoxygenation cycles which occur at tissue level during recurrent apneic events. However, how changes in arterial blood oxygen saturation (SpO<sub>2</sub>) during repetitive apneas translate into oxygen partial pressure (PtO<sub>2</sub>) in brain tissue has not been studied. The objective of this study was to assess whether brain tissue is partially protected from intermittently occurring interruption of O<sub>2 </sub>supply during recurrent swings in arterial SpO<sub>2 </sub>in an animal model of OSA.</p> <p>Methods</p> <p>Twenty-four male Sprague-Dawley rats (300-350 g) were used. Sixteen rats were anesthetized and non-invasively subjected to recurrent obstructive apneas: 60 apneas/h, 15 s each, for 1 h. A control group of 8 rats was instrumented but not subjected to obstructive apneas. PtO<sub>2 </sub>in the cerebral cortex was measured using a fast-response oxygen microelectrode. SpO<sub>2 </sub>was measured by pulse oximetry. The time dependence of arterial SpO<sub>2 </sub>and brain tissue PtO<sub>2 </sub>was carried out by Friedman repeated measures ANOVA.</p> <p>Results</p> <p>Arterial SpO<sub>2 </sub>showed a stable periodic pattern (no significant changes in maximum [95.5 ± 0.5%; m ± SE] and minimum values [83.9 ± 1.3%]). By contrast, brain tissue PtO<sub>2 </sub>exhibited a different pattern from that of arterial SpO<sub>2</sub>. The minimum cerebral cortex PtO<sub>2 </sub>computed during the first apnea (29.6 ± 2.4 mmHg) was significantly lower than baseline PtO<sub>2 </sub>(39.7 ± 2.9 mmHg; p = 0.011). In contrast to SpO<sub>2</sub>, the minimum and maximum values of PtO<sub>2 </sub>gradually increased (p < 0.001) over the course of the 60 min studied. After 60 min, the maximum (51.9 ± 3.9 mmHg) and minimum (43.7 ± 3.8 mmHg) values of PtO<sub>2 </sub>were significantly greater relative to baseline and the first apnea dip, respectively.</p> <p>Conclusions</p> <p>These data suggest that the cerebral cortex is partially protected from intermittently occurring interruption of O<sub>2 </sub>supply induced by obstructive apneas mimicking OSA.</p>
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