Pulmonary dysfunction in overweight and obese children with obstructive sleep apnoea

Abstract Introduction Overweight and obese children are at risk of obstructive sleep apnoea (OSA) and abnormal pulmonary function (PF). Aim Investigate the relationship between body mass index (BMI), OSA on PF in children. Materials & Method Seventy‐four children were recruited. Mixed obstructive apnoea‐hypopnea index (MOAHI), BMI, oxygen saturation (SpO2), forced expiratory volume one second (FEV1), forced vital capacity (FVC) and fractionated exhaled nitric oxide (FeNO) were measured. Results Twenty‐four and thirty children had mild OSA and moderate‐to‐severe OSA respectively. BMI correlated negatively with SpO2 nadir (r = −.363, p = .001). FVC, FEV1 and nadir SpO2 values decreased with OSA severity (p < .001). The odds of a child with OSA having an abnormal spirometry was 3.16 (95% CI: 1.08, 9.22). There was significant association between FeNO and AHI (r = .497, <.001). Discussion Overweight and obese children with OSA have significant abnormalities in pulmonary function independent of BMI. OSA severity and elevated FeNO also correlated with diminishing lung function

In vivo imaging and analysis of cerebrovascular hemodynamic responses and tissue oxygenation in the mouse brain

Published in final edited form as: Nat Protoc. 2018 June ; 13(6): 1377–1402. doi:10.1038/nprot.2018.034.Cerebrovascular dysfunction has an important role in the pathogenesis of multiple brain disorders. Measurement of hemodynamic responses in vivo can be challenging, particularly as techniques are often not described in sufficient detail and vary between laboratories. We present a set of standardized in vivo protocols that describe high-resolution two-photon microscopy and intrinsic optical signal (IOS) imaging to evaluate capillary and arteriolar responses to a stimulus, regional hemodynamic responses, and oxygen delivery to the brain. The protocol also describes how to measure intrinsic NADH fluorescence to understand how blood O2 supply meets the metabolic demands of activated brain tissue, and to perform resting-state absolute oxygen partial pressure (pO2) measurements of brain tissue. These methods can detect cerebrovascular changes at far higher resolution than MRI techniques, although the optical nature of these techniques limits their achievable imaging depths. Each individual procedure requires 1–2 h to complete, with two to three procedures typically performed per animal at a time. These protocols are broadly applicable in studies of cerebrovascular function in healthy and diseased brain in any of the existing mouse models of neurological and vascular disorders. All these procedures can be accomplished by a competent graduate student or experienced technician, except the two-photon measurement of absolute pO2 level, which is better suited to a more experienced, postdoctoral-level researcher.This work was supported by US National Institutes of Health grants R01AG023084, R01NS090904, R01NS034467, R01AG039452, R01NS100459, and P01AG052350 to B.V.Z.; grants R24NS092986, R01EB018464, and R01NS091230 to S.S., S.A.V., and D.A.B.; by funding from the Alzheimer's Association and Cure Alzheimer's fund to B.V.Z.; and by funding from the Fondation Leducq Transatlantic Network of Excellence for the Study of Perivascular Spaces in Small Vessel Disease (ref. no. 16 CVD 05) to B.V.Z. We thank R. Jaswal for helping to create Figure 8. We gratefully acknowledge the feedback, forum posts, and questions from our peers regarding the techniques presented here, which provided the inspiration for the writing of the manuscript. (R01AG023084 - US National Institutes of Health; R01NS090904 - US National Institutes of Health; R01NS034467 - US National Institutes of Health; R01AG039452 - US National Institutes of Health; R01NS100459 - US National Institutes of Health; P01AG052350 - US National Institutes of Health; R24NS092986 - US National Institutes of Health; R01EB018464 - US National Institutes of Health; R01NS091230 - US National Institutes of Health; Alzheimer's Association; Cure Alzheimer's fund; 16 CVD 05 - Fondation Leducq Transatlantic Network of Excellence for the Study of Perivascular Spaces in Small Vessel Disease)https://www.nature.com/articles/nprot.2018.034Accepted manuscrip