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Comparison of Different Modeling Methods for Obstructive Sleep Apnea
- LI Tianjiao, HAN Jiming, RUI Dong, NIE Tingyu, ZHAO Libo, ZHAO Zhe, ZHANG Mingru, LIU Lin
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2025, 42(5):
85-92.
DOI: 10.3969/ j. issn.1006-6179.2025.05.013
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Objective To comparatively analyze the advantages and disadvantages of three different
modeling methods for obstructive sleep apnea (OSA): chronic intermittent hypoxia (CIH), sodium
hyaluronate gel injection at the junction of the hard and soft palate (HA-T), and botulinum toxin type A
injection into the genioglossus muscle (BoNT-A).Methods Twenty-four 8-week-old male Sprague Dawley rats were randomly divided into four groups: control, CIH, HA-T, and BoNT-A. Rats in the
control group were kept in a normoxic environment. The CIH group underwent daily intermittent
hypoxia exposure for 8 hours over 4 weeks. The HA-T group received HA-T injections at the hard-soft
palate junction, while the BoNT-A group received BoNT-A injections into the genioglossus muscle,
followed by a 4-week observation period. Successful modeling was assessed by monitoring periodic
changes in body weight, blood oxygen saturation (SpO2
) at the end of the 4th week, the maximum
distance from the free edge of the soft palate to the trachea, hematoxylin-eosin (HE) staining of left
lung tissue, and ELISA detection of blood inflammatory factors.Results Compared with the control
group, the CIH, HA-T, and BoNT-A groups exhibited weight loss. Both the HA-T and BoNT-A groups
showed significantly reduced mean SpO2
[HA-T(89.00±2.61)vs. (93.50±1.38), P<0.05], [BoNT
A(85.17±4.22)vs. (93.50±1.38), P<0.001]. The BoNT-A group demonstrated a significant
narrowing of the maximum distance from the soft palate free edge to the trachea (2.70±0.14) vs.
(3.18±0.14), P<0.001. HE staining revealed lung tissue damage in the CIH, HA-T, and BoNT-A
groups compared with the control group. ELISA result showed that TNF-α and IL-1β levels were
significantly elevated in the CIH group [TNF-α(36.98±5.16) vs. (13.16±1.67), P<0.01], [IL-1β
(16.58±1.09) vs. (11.09±1.54), P<0.05, while TNF-α levels were also markedly increased in the
BoNT-A group (51.00±7.64) vs. (13.16±1.67), P<0.001. TNF-α levels in the CIH and BoNT-A
groups were significantly higher than in the HA-T group [CIH(36.98±5.16) vs. (18.10±4.60), P<
0.05], [BoNT-A(51.00±7.64)vs. (18.10±4.60), P<0.001].Conclusion All three modeling
methods successfully induced OSA-like symptoms in rats, while the BoNT-A group exhibiting the most
pronounced upper airway obstruction.