Evidence map›Paper›PMID 32369590›Full record

ArticleSleep2020

Proteomic biomarkers of sleep apnea.

Aditya Ambati, Yo-El Ju, Ling Lin, Alexander N Olesen, Henriette Koch, Julien Jacques Hedou, Eileen B Leary, Vicente Peris Sempere, Emmanuel Mignot, Shahrad Taheri

Abstract read
In one paragraph

Article in Sleep, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Artificial intelligence in the diagnosis of obstructive sleep apnea: a scoping review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
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  5. Article
  6. Review
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  9. Article
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  12. Human serum proteomics reveals a molecular signature after one night of sleep deprivation.Sleep advances : a journal of the Sleep Research Society · 2024
    Article
  13. Article
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  15. Article
  16. Review
  17. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Aditya AmbatiCenter for Sleep Sciences and Medicine, Stanford University School of Medicine, Palo Alto, CA.
Yo-El JuDepartment of Neurology, Washington University School of Medicine, St. Louis, MO.
Ling LinCenter for Sleep Sciences and Medicine, Stanford University School of Medicine, Palo Alto, CA.
Alexander N OlesenCenter for Sleep Sciences and Medicine, Stanford University School of Medicine, Palo Alto, CA.
Henriette KochCenter for Sleep Sciences and Medicine, Stanford University School of Medicine, Palo Alto, CA.
Julien Jacques HedouCenter for Sleep Sciences and Medicine, Stanford University School of Medicine, Palo Alto, CA.
Eileen B LearyCenter for Sleep Sciences and Medicine, Stanford University School of Medicine, Palo Alto, CA.
Vicente Peris SempereCenter for Sleep Sciences and Medicine, Stanford University School of Medicine, Palo Alto, CA.
Emmanuel MignotCenter for Sleep Sciences and Medicine, Stanford University School of Medicine, Palo Alto, CA.
Shahrad TaheriDepartment of Medicine and Clinical Research Core, Weill Cornell Medicine-Qatar, Qatar Foundation-Education City, Doha, Qatar.

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University Institute of Clinical and Translational Sciences (KL2) KL2TR002346 · NCATS · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 2017 to 2026
$14.0M
Washington University Institute of Clinical and Translational SciencesKL2TR000450 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$8.8M
Washington University Institute of Clinical and Translational Sciences (KL2)KL2RR024994 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$8.6M
TARGETING SLOW WAVE SLEEP TO CONTROL NEURONAL ACTIVITY AND AMYLOID-BETA DYNAMICSK23NS089922 · NINDS · WASHINGTON UNIVERSITY · PI JU, YO-EL S · 2015 to 2019
$889k
NCATS NIH HHS KL2 TR000450NCATS NIH HHS KL2 TR002346NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345NCRR NIH HHS KL2 RR024994NINDS NIH HHS K23 NS089922
6 · The paper itself

Abstract

STUDY

objectivesObstructive sleep apnea (OSA) is characterized by recurrent partial to complete upper airway obstructions during sleep, leading to repetitive arousals and oxygen desaturations. Although many OSA biomarkers have been reported individually, only a small subset have been validated through both cross-sectional and intervention studies. We sought to profile serum protein biomarkers in OSA in unbiased high throughput assay.

methodsA highly multiplexed aptamer array (SomaScan) was used to profile 1300 proteins in serum samples from 713 individuals in the Stanford Sleep Cohort, a patient-based registry. Outcome measures derived from overnight polysomnography included Obstructive Apnea Hypopnea Index (OAHI), Central Apnea Index (CAI), 2% Oxygen Desaturation index, mean and minimum oxygen saturation indices during sleep. Additionally, a separate intervention-based cohort of 16 individuals was used to assess proteomic profiles pre- and post-intervention with positive airway pressure.

resultsOAHI was associated with 65 proteins, predominantly pathways of complement, coagulation, cytokine signaling, and hemostasis which were upregulated. CAI was associated with two proteins including Roundabout homolog 3 (ROBO3), a protein involved in bilateral synchronization of the pre-Bötzinger complex and cystatin F. Analysis of pre- and post intervention samples revealed IGFBP-3 protein to be increased while LEAP1 (Hepicidin) to be decreased with intervention. An OAHI machine learning classifier (OAHI >=15 vs OAHI<15) trained on SomaScan protein measures alone performed robustly, achieving 76% accuracy in a validation dataset.

conclusionsMultiplex protein assays offer diagnostic potential and provide new insights into the biological basis of sleep disordered breathing.

Indexed as

ProteomicsSleep Apnea SyndromesBiomarkersCross-Sectional StudiesHumansPolysomnographyReceptors, Cell SurfaceRoundabout ProteinsBiomarkersReceptors, Cell SurfaceROBO3 protein, humanRoundabout Proteinsapneabiomarkersoxygen saturationpolysomnographyproteomicsserumsleep-disordered breathing

Identifiers

PMID32369590
PMCPMC7686561

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.