Cardiovascular Disease Clinical Trial
Official title:
Fat Biology, Sleep Disorders, and Cardiovascular Disease
Endothelial dysfunction, or abnormal functioning of the lining of blood vessels, appears to
be a key process in the development of cardiovascular disease. Endothelial dysfunction
appears to be caused by both sleep disordered breathing and obesity. As endothelial
dysfunction is among the first clinical marker that predicts future cardiovascular events,
understanding molecular mechanisms leading to impairment of endothelial function is very
important. Endothelial function requires the proper functioning of endothelial nitric oxide
synthase (eNOS). eNOS activity is tightly regulated by caveolin-1, a protein important in
the formation of cellular structures called caveolae. Low levels of caveolin-1 facilitate
optimal nitric oxide synthesis in endothelial cells as caveolin-1 helps to spatially
organize eNOS in close proximity to signaling proteins that are important for eNOS
activation. In certain diseases however, the balance of caveolin-1 and eNOS can be disrupted
resulting in impaired nitric oxide synthesis and leading to endothelial dysfunction.
The investigators therefore seek to characterize levels of caveolin-1, and correlate this
with the presence or absence of sleep disordered breathing, obesity, and cardiovascular
disease. The current IRB protocol covers the performance of fat biopsies on subjects who
have recently completed a sleep study either in the Center for Sleep Medicine or in our
sleep laboratory and were found to have sleep disordered breathing or no sleep disordered
breathing, subject with sleep disordered breathing who have been treated successfully with
continuous positive airway pressure for 3-6 months, and subjects undergoing other studies in
our lab who are obese or non-obese and subjects who have known cardiovascular disease and
subjects without known cardiovascular disease.
n/a
Observational Model: Cohort, Time Perspective: Prospective
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