Evidence map›Paper›PMID 40175421›Full record

ArticleScientific reports2025

Assessment of continuous positive airway pressure effect on the circadian clock signaling pathway in obstructive sleep apnea patients.

Agata Gabryelska, Szymon Turkiewicz, Adrian Gajewski, Julia Jaromirska, Dominik Strzelecki, Piotr Białasiewicz, Maciej Chałubiński, Marcin Sochal

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Observational
  5. Article
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

8 authors.

Agata GabryelskaDepartment of Sleep Medicine and Metabolic Disorder, Medical University of Lodz, Lodz, Poland. agata.gabryelska@umed.lodz.pl.
Szymon TurkiewiczDepartment of Sleep Medicine and Metabolic Disorder, Medical University of Lodz, Lodz, Poland.
Adrian GajewskiDepartment of Immunology and Allergy, Medical University of Lodz, Lodz, Poland.
Julia JaromirskaDepartment of Sleep Medicine and Metabolic Disorder, Medical University of Lodz, Lodz, Poland.
Dominik StrzeleckiDepartment of Affective and Psychotic Disorders, Medical University of Lodz, Lodz, Poland.
Piotr BiałasiewiczDepartment of Sleep Medicine and Metabolic Disorder, Medical University of Lodz, Lodz, Poland.
Maciej ChałubińskiDepartment of Immunology and Allergy, Medical University of Lodz, Lodz, Poland.
Marcin SochalDepartment of Sleep Medicine and Metabolic Disorder, Medical University of Lodz, Lodz, Poland.

Funding

Narodowym Centrum Nauki 2018/31/N/NZ5/03931
6 · The paper itself

Abstract

Obstructive sleep apnea (OSA) is associated with circadian rhythm dysregulation plausibly through affecting clock genes. The study's purpose was to investigate the effect of one-night continuous positive airway pressure treatment (CPAP treatment) on circadian clock genes: BMAL1, CLOCK, CRY1, and PER1 at mRNA and protein levels. The study included 30 OSA patients, who underwent diagnostic polysomnography (PSG) and next a one-night effective CPAP treatment with PSG monitoring (CPAP). The blood was collected in the evening before and the morning after PSG and CPAP. Protein levels and mRNA expression were measured using ELISA and qRT-PCR, respectively. The increase in PER1 expression was observed in the morning after compared to the evening before CPAP (p = 0.005); additionally, PER1 protein level decreased in the morning after CPAP compared to the morning after PSG (p = 0.035). In CLOCK protein levels significant changes were observed: an increase in the morning after CPAP compared to the morning after PSG (p = 0.049), an increase in the morning after CPAP compared to the evening before (p = 0.006), and an increase in difference between the morning after and evening before CPAP vs. difference between morning after and evening before PSG (p = 0.012). Obtained results suggest that even short-term effective CPAP treatment might reverse circadian clock signaling pathway disruption in OSA.

Indexed as

Circadian ClocksContinuous Positive Airway PressureSignal TransductionSleep Apnea, ObstructiveAdultARNTL Transcription FactorsCircadian RhythmCLOCK ProteinsCryptochromesFemaleHumansMaleMiddle AgedPeriod Circadian ProteinsPolysomnographyRNA, MessengerARNTL Transcription FactorsBMAL1 protein, humanCLOCK protein, humanCLOCK ProteinsCRY1 protein, humanCryptochromesPER1 protein, humanPeriod Circadian ProteinsRNA, MessengerCircadian clockContinuous positive airway pressure (CPAP)Obstructive sleep apnea (OSA)Polysomnography (PSG)

Identifiers

PMID40175421
PMCPMC11965340

What Socratic holds

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LicenceCC BY-NC-ND
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.