Evidence map›Paper›PMID 21286497›Full record

ArticleSleep2011

Macrophage migratory inhibitory factor (MIF) may be a key factor in inflammation in obstructive sleep apnea.

Kate M Edwards, Lianne M Tomfohr, Paul J Mills, Jos A Bosch, Sonia Ancoli-Israel, Jose S Loredo, Joel Dimsdale

Open access · greenAbstract read
In one paragraph

Article in Sleep, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 34% of its field
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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

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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 at 3 institutions in 3 countries.

Kate M EdwardsDepartment of Psychiatry, University of California-San Diego, 9500 Gilman Drive, La Jolla, CA 92093, USA. kmedwards@ucsd.edu
Lianne M Tomfohr
Paul J Mills
Jos A Bosch
Sonia Ancoli-Israel
Jose S Loredo
Joel Dimsdale
San Diego State University · USUniversity of California, San Diego · USHeidelberg University · DE

Funding

VIRAL MALIGNANCYP30CA023100 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DIANE M SIMEONE · 1985 to 2026
$124.9M
BNP and Neuroimmune Characteristics of CHF &DepressionR01HL073355 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI MILLS, PAUL J · 2005 to 2014
$5.6M
STRESS PHYSIOLOGY, DIETARY SALT, AND HYPERTENSIONR01HL036005 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DIMSDALE, JOEL E · 1985 to 2010
$5.1M
SLEEP APNEA &HYPERTENSION--ROLE OF SYMP NERVOUS SYSTEMR01HL044915 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DIMSDALE, JOEL E · 1991 to 2008
$4.7M
SLEEP CONSOLIDATION IN A NURSING HOME POPULATIONR01AG008415 · NIA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ANCOLI-ISRAEL, SONIA · 1989 to 2011
$3.0M
NCI NIH HHS CA23100NCI NIH HHS P30 CA023100NHLBI NIH HHS HL073355NHLBI NIH HHS HL36005NHLBI NIH HHS HL44915NHLBI NIH HHS R01 HL036005NHLBI NIH HHS R01 HL044915NHLBI NIH HHS R01 HL073355NIA NIH HHS AG08415NIA NIH HHS R01 AG008415
6 · The paper itself

Abstract

STUDY

objectivesThis study investigated the 24-hour variation of macrophage migratory inhibitory factor (MIF), a cytokine which induces insensitivity to the anti-inflammatory effects of glucocorticoids, in patients with untreated obstructive sleep apnea (OSA) as compared to healthy adults with no OSA.

participantsFifty-three men and women with OSA (mean apnea/hypopnea index [AHI] = 39.5) and 24 healthy adults (Non-OSA, AHI = 5.1). MEASUREMENTS: Over a 24-h period, blood was collected every 2 h for MIF and cortisol determination. The following night, sleep was monitored with polysomnography.

resultsMIF showed a strong 24-h variation, with a peak at 04:00 and a nadir at 22:00. Patients with OSA showed 25% higher MIF levels (area under the curve) over 24 h than healthy controls. Furthermore, MIF levels were significantly associated with AHI and total arousal index (ArI), even after adjusting for BMI. Cortisol showed the expected 24-h variation (peaking at 06:00), but no cortisol differences were observed between OSA and Non-OSA groups.

conclusionMIF is elevated in patients with OSA and is related to OSA severity, while there was no difference in cortisol levels. MIF is a pro-inflammatory cytokine which additionally inhibits the anti-inflammatory effects of glucocorticoids. Thus, elevated MIF levels in OSA may contribute to elevated inflammation.

Indexed as

Analysis of VarianceArea Under CurveFemaleHumansHydrocortisoneInflammationMacrophage Migration-Inhibitory FactorsMaleMiddle AgedPolysomnographySeverity of Illness IndexSleep Apnea, ObstructiveHydrocortisoneMacrophage Migration-Inhibitory FactorscortisolinflammationMIFObstructive sleep apnea

Identifiers

PMID21286497
PMCPMC3022935
OpenAlexW18925082

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.