Evidence map›Paper›PMID 40909136›Full record

ArticleFrontiers in neuroscience2025

Investigating the impact of type 2 diabetes mellitus on brain function in obstructive sleep apnea patients using regional homogeneity and seed-based functional connectivity methods.

Wang Zhezi, Xiong Yanxi, Xie Xingwu, Li Sheng, Mo Bencheng, Su Guangping, Lv Yunyi, Liu Yue

Abstract read
In one paragraph

Article in Frontiers in neuroscience, 2025. 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

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

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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.

  1. 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.

Wang ZheziDepartment of Radiology Imaging Center, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, China.
Xiong YanxiDepartment of Radiology Imaging Center, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, China.
Xie XingwuDepartment of Radiology Imaging Center, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, China.
Li ShengDepartment of Radiology Imaging Center, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, China.
Mo BenchengDepartment of Radiology Imaging Center, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, China.
Su GuangpingDepartment of Radiology Imaging Center, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, China.
Lv YunyiDepartment of Radiology Imaging Center, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, China.
Liu YueDepartment of Radiology Imaging Center, Renmin Hospital, Hubei University of Medicine, Shiyan, Hubei, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aims to investigate the effects of Type 2 Diabetes Mellitus (T2DM) on brain function in patients with Obstructive Sleep Apnea (OSA) using Regional Homogeneity (ReHo) combined with seed-based Functional Connectivity (FC) methods. Materials and methods: 46 OSA patients, 38 OSA with T2DM patients, and 34 healthy controls (HC) were prospectively recruited. Clinical data were collected from all participants, and neuropsychological testing was performed using the Montreal Cognitive Assessment (MoCA), Mini-Mental State Examination (MMSE), and Epworth Sleepiness Scale (ESS). Resting-state functional magnetic resonance imaging (rs-fMRI) data were collected, and ReHo combined with seed-based FC analysis was used to assess brain function differences among the three groups. Finally, partial correlation analysis was conducted to investigate the relationship between clinical variables and imaging metrics ofthe differential brain regions. Results: Compared to HCs group, the OSA group showed increased ReHo in the left occipital gyrus, and decreased ReHo in the right fusiform gyrus and left cerebellum region 8. Furthermore, FC between the left occipital gyrus and left cerebellum region 8, as well as between the right fusiform gyrus and left cerebellum region 3, was significantly decreased. Partial correlation analysis revealed a significant negative correlation between ReHo in the right fusiform gyrus and the Oxygen Desaturation Index (ODI), and a significant positive correlation between FC in the left cerebellum region 8 and MMSE scores. Compared to the OSA group, the OSA with T2DM group exhibited decreased ReHo in the left occipital gyrus, with increased FC between the left occipital gyrus and left thalamus. Partial correlation analysis showed that ReHo in the left occipital gyrus was significantly negatively correlated with the Insulin Resistance Index (IRI), while FC in the left thalamus was negatively correlated with MoCA scores and positively correlated with hemoglobinA1c (HbA1c) levels. Conclusion: T2DM affects brain function in OSA patients, further exacerbating cognitive burden. These findings provide valuable insights into the neuropathological mechanisms ofT2DM in OSA and support the development of objective neuroimaging biomarkers.

Indexed as

cognitive impairmentfunctional connectivityOSAregional homogeneityresting-state functional magnetic resonance imagingT2DM

Identifiers

PMID40909136
PMCPMC12405157

What Socratic holds

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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.