Evidence mapPaperPMID 41155523Full record

ReviewInternational journal of molecular sciences2025

Molecular Biomarkers and Therapeutic Approach of Patients with Diabetes and Obstructive Sleep Apnea.

Viviana Elian, Violeta Popovici, Alexandru Tudor Steriade, Gabriela Radulian, Emma Adriana Ozon, Elena Moroșan, Madalina Musat

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Review
  3. Review
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

7 authors.

Viviana ElianDiabetes, Nutrition and Metabolic Disease Unit, Department of Diabetes, "Carol Davila" University of Medicine and Pharmacy, 020475 Bucharest, Romania.ORCID 0000-0002-9537-8051
Violeta PopoviciCenter for Mountain Economics, "Costin C. Kiritescu" National Institute of Economic Research (INCE-CEMONT), Romanian Academy, 725700 Vatra-Dornei, Romania.ORCID 0000-0001-9696-5728
Alexandru Tudor SteriadeDepartment of Cardio-Thoracic Pathology, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Gabriela RadulianDiabetes, Nutrition and Metabolic Disease Unit, Department of Diabetes, "Carol Davila" University of Medicine and Pharmacy, 020475 Bucharest, Romania.
Emma Adriana OzonDepartment of Pharmaceutical Technology and Biopharmacy, Faculty of Pharmacy, "Carol Davila" University of Medicine and Pharmacy, 020945 Bucharest, Romania.
Elena MoroșanDepartment of Clinical Laboratory and Food Safety, Faculty of Pharmacy, "Carol Davila" University of Medicine and Pharmacy, 020945 Bucharest, Romania.
Madalina MusatDepartment of Endocrinology, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The bidirectional relationship between obstructive sleep apnea (OSA) and type 2 diabetes mellitus (T2DM) represents a critical intersection in metabolic medicine. Therefore, the present review examines the most recent data regarding molecular mechanisms linking OSA and T2DM, analyzing key biomarkers including hypoxia-inducible factors (HIF 1α), inflammatory mediators, adipokines, microRNAs, hormones, and neuropeptides that serve as both diagnostic indicators and potential therapeutic targets. Key molecular findings from the scientific literature report elevated HIF-1α promoting insulin resistance, decreased SIRT1 levels, dysregulated microRNA-181a and microRNA-199a, increased inflammatory cytokines (TNF-α, IL-6, CRP), and altered adipokine profiles with reduced adiponectin and elevated leptin and resistin. Current clinical evidence reveals significant therapeutic potential for modern antidiabetic medications in the management of OSA. GLP-1 receptor agonists, particularly tirzepatide, received FDA approval as the first medication for moderate-to-severe OSA in obese adults, showing a 55-63% AHI reduction. SGLT2 inhibitors also demonstrate promising results through weight loss and cardiovascular protection mechanisms. This integrated approach represents the evolution toward comprehensive OSA management beyond traditional mechanical ventilation strategies. Future research should focus on developing personalized treatment algorithms based on individual molecular biomarker profiles, investigating combination therapies, and exploring novel targets, including chronotherapy agents.

Indexed as

BiomarkersDiabetes Mellitus, Type 2Sleep Apnea, ObstructiveAdipokinesHumansHypoglycemic AgentsHypoxia-Inducible Factor 1, alpha SubunitInsulin ResistanceMicroRNAsAdipokinesBiomarkersHypoglycemic AgentsHypoxia-Inducible Factor 1, alpha SubunitMicroRNAsclinical evidenceGLP-1RAsmolecular markersmolecular mechanismsobstructive sleep apneaSGLT2 inhibitorstirzepatidetype 2 diabetes

Identifiers

PMID41155523
PMCPMC12564514

What Socratic holds

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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.