Evidence map›Paper›PMID 41784837›Full record

ArticleSleep & breathing = Schlaf & Atmung2026

Identification of shared biomarkers for obstructive sleep apnea and sarcopenia via differential expression and WGCNA analysis.

Fei Jiang, Yang Xu, Bin Zheng, Guang-Lei Zhang, Ren-Hu Li

Abstract read
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2026. 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

5 authors.

Fei Jiang *Department of Anesthesiology, Lu'an Hospital of Anhui Medical University, Lu'an, Anhui, 237000, China.
Yang Xu *Department of Pain, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, 441021, China.
Bin ZhengDepartment of Pain, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, Hubei, 441021, China.
Guang-Lei ZhangDepartment of Anesthesiology, Lu'an Hospital of Anhui Medical University, Lu'an, Anhui, 237000, China.
Ren-Hu LiDepartment of Anesthesiology, Lu'an Hospital of Anhui Medical University, Lu'an, Anhui, 237000, China. lirenhu2008@163.com.ORCID 0000-0002-3118-9163

Funding

Population Health Foundation of Anhui Province AHWJ2024BAc30015
6 · The paper itself

Abstract

backgroundObstructive sleep apnea (OSA) and sarcopenia are common age-related conditions that significantly reduce quality of life. OSA is characterized by recurrent breathing interruptions and chronic intermittent hypoxia, while sarcopenia involves progressive loss of muscle mass and strength. Accumulating evidence indicates that chronic intermittent hypoxia and sleep fragmentation in OSA may promote muscle wasting via inflammatory pathways (e.g., NF-κB), oxidative stress, and impaired protein synthesis. Conversely, sarcopenia-related muscle weakness may worsen upper airway collapsibility, creating a vicious cycle. However, the molecular mechanisms linking OSA and sarcopenia remain poorly understood.

methodsWe performed differential expression analysis on OSA and sarcopenia datasets from the Gene Expression Omnibus (GEO) and used weighted gene co-expression network analysis (WGCNA) to identify candidate biomarkers, with functional enrichment assessed under false discovery rate (FDR) correction. A diagnostic model was constructed based on key genes and validated using receiver operating characteristic (ROC), calibration, and decision curves. Immune cell infiltration was analyzed using the CIBERSORT algorithm.

resultsWe identified 123 differentially expressed genes shared by OSA and sarcopenia, enriched in pathways related to muscle function, cellular stress, metabolic disorders, and neurodegeneration. WGCNA identified ESF1, ZNF117, and C2orf49 as core genes. The diagnostic model showed high accuracy (area under the curve (AUC): 0.912 for OSA, and 0.967 for sarcopenia in training; 0.787 for OSA, and 0.744 for sarcopenia in validation). These genes were closely associated with pro-inflammatory immune cells.

conclusionThis study identifies ESF1, ZNF117, and C2orf49 as potential shared biomarkers for OSA and sarcopenia. The robust diagnostic model and the observed tissue-specific gene dysregulation illuminate the systemic interplay between these conditions, offering insights for risk stratification and future mechanistic research.

Indexed as

SarcopeniaSleep Apnea, ObstructiveBiomarkersHumansBiomarkersBiomarkersObstructive sleep apneaSarcopeniaWGCNA

Identifiers

PMID41784837
PMCPMC12963098

What Socratic holds

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LicenceCC BY-NC-ND
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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.