Evidence map›Paper›PMID 38683249›Full record

ArticleSleep & breathing = Schlaf & Atmung2024

The Effect of Continuous Positive Airway Pressure (CPAP) Therapy on Serum Caspase-3 Level in Patients with Obstructive Sleep Apnea (OSA).

Mustafa Kemal Kaypak, Ali Nihat Annakkaya, Fatih Davran, Pınar Yıldız Gülhan, Uğur Yüregir

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Article in Sleep & breathing = Schlaf & Atmung, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

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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

1 citing paper in PubMed.

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4 · The record

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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

5 authors.

Mustafa Kemal KaypakFaculty of Medicine, Department of Chest Diseases, Duzce University, Konuralp 81620, Duzce, Turkey.ORCID 0000-0002-7885-2153
Ali Nihat AnnakkayaFaculty of Medicine, Department of Chest Diseases, Duzce University, Konuralp 81620, Duzce, Turkey. annakkaya@gmail.com.ORCID 0000-0002-7661-8830
Fatih DavranFaculty of Medicine, Depertment of Biochemistry, Duzce University, Konuralp 81620, Duzce, Turkey.ORCID 0000-0002-6086-6602
Pınar Yıldız GülhanFaculty of Medicine, Department of Chest Diseases, Duzce University, Konuralp 81620, Duzce, Turkey.ORCID 0000-0002-5347-2365
Uğur YüregirFaculty of Medicine, Department of Chest Diseases, Duzce University, Konuralp 81620, Duzce, Turkey.ORCID 0000-0002-7035-4192

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIntermittent hypoxemia has an important role in the physiopathogenesis of obstructive sleep apnea (OSA) complications. Increased apoptosis due to intermittent hypoxemia may be an important clinical entity in OSA. In this study, we aimed to evaluate caspase-3 enzyme level, which is an indirect marker of increased apoptosis in patients with OSA and to evaluate the effect of OSA treatment with continuous positive airway pressure on caspase-3 enzyme level. MATERIALS AND

methodsThis study included 141 consecutive patients admitted to the sleep-disordered breathing laboratory within 6 months. Caspase-3 was measured in routine blood samples obtained on the morning of polysomnography (PSG) performed at night. The compliance of the patients to CPAP treatment was evaluated and caspase-3 levels were checked again after treatment.

resultsA total of 141 patients, 39 females (27,7%) and 102 males (72,3%) were included in the study. The mean age of the patients was 49 ± 12 years (min-17, max-77). According to PSG results, OSA was detected in 95.7% (135/141) of the cases. Mild OSA was 35 (24.8%), moderate OSA 39 (27.7%) and severe OSA 61 (43.3%) cases. Median caspase-3 enzyme levels were similar in men and women in the study group. There was no statistically significant difference in hemogram parameters and caspase-3 enzyme levels between the groups divided according to the presence and severity of OSA. It was determined that caspase-3 enzyme level did not change significantly after 3 months of CPAP treatment in OSA compared to pretreatment. Caspase-3 was found to have a negative correlation with both the percentage of daily use of CPAP therapy and the percentage of CPAP device use for more than 1 h per night. It was found that the control caspase-3 level decreased statistically significantly as the percentage of daily use of CPAP therapy increased (r = -0.397, p = 0.030). It was found that the control caspase-3 level decreased statistically significantly as the percentage of CPAP therapy use for more than 1 h per night increased (r = -0.411, p = 0.024).

conclusionThe results of this study did not reveal a relationship between the severity of OSA and caspase-3 levels. However, blood caspase-3 levels decreased as treatment compliance increased, suggesting that CPAP treatment may correct increased apoptosis in OSA. There is a need for more comprehensive studies on this issue.

Indexed as

Caspase 3Continuous Positive Airway PressurePolysomnographySleep Apnea, ObstructiveAdolescentAdultAgedApoptosisBiomarkersFemaleHumansMaleMiddle AgedYoung AdultBiomarkersCASP3 protein, humanCaspase 3ApoptosisCaspase-3CPAPIntermittent HypoxemiaObstructive sleep apnea

Identifiers

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Registered trials

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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.