Evidence map›Paper›PMID 24688164›Full record

Trial reportSleep2014

Treatment of obstructive sleep apnea alters cancer-associated transcriptional signatures in circulating leukocytes.

Sina A Gharib, Ashley N Seiger, Amanda L Hayes, Reena Mehra, Sanjay R Patel

Abstract readClinical Trial
In one paragraph

Trial report in Sleep, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

  1. [Research Advances in Obstructive Sleep Apnea and Lung Cancer Comorbidity].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2026
    Review
  2. Article
  3. Sleep and Cancer.Cancers · 2025
    Review
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Obstructive Sleep Apnea and Incident Cancer: A Large Retrospective Multicenter Clinical Cohort Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
    Article
  11. Review
  12. Obesity, sleep apnea, and cancer.International journal of obesity (2005) · 2020
    Review
  13. Article
  14. Article
  15. Five-year relative survival in sleep apnea patients with a subsequent cancer diagnosis.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2020
    Article
  16. Cancer and Sleep Apnea: Cutaneous Melanoma as a Case Study.American journal of respiratory and critical care medicine · 2019
    Review
  17. Review
  18. Article
  19. Sleep apnea and subsequent cancer incidence.Cancer causes & control : CCC · 2018
    Article
  20. The genetics of obstructive sleep apnoea.Respirology (Carlton, Vic.) · 2018
    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

5 authors.

Sina A GharibComputational Medicine Core, Center for Lung Biology ; UW Medicine Sleep Center, Department of Medicine, University of Washington, Seattle, WA.
Ashley N SeigerDivision of Sleep Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA.
Amanda L HayesDigestive Disorders Institute.
Reena MehraSleep Disorders Center, Neurologic Institute, Cleveland Clinic Foundation, Cleveland, OH.
Sanjay R PatelDivision of Sleep Medicine, Department of Medicine, Brigham and Women's Hospital, Boston, MA.

Funding

Elucidation of the Influence of Sleep Apnea on Risk of Atrial FibrillationR01HL109493 · NHLBI · CLEVELAND CLINIC LERNER COM-CWRU · PI MEHRA, REENA · 2011 to 2015
$3.7M
NHLBI NIH HHS R01 HL109493
6 · The paper itself

Abstract

rationaleObstructive sleep apnea (OSA) has been associated with a number of chronic disorders that may improve with effective therapy. However, the molecular pathways affected by continuous positive airway pressure (CPAP) treatment are largely unknown. We sought to assess the system-wide consequences of CPAP therapy by transcriptionally profiling peripheral blood leukocytes (PBLs).

methodsSubjects in whom severe OSA was diagnosed were treated with CPAP, and whole-genome expression measurement of PBLs was performed at baseline and following therapy. We used gene set enrichment analysis (GSEA) to identify pathways that were differentially enriched. Network analysis was then applied to highlight key drivers of processes influenced by CPAP.

resultsEighteen subjects with significant OSA underwent CPAP therapy and microarray analysis of their PBLs. Treatment with CPAP improved apnea-hypopnea index (AHI), daytime sleepiness, and blood pressure, but did not affect anthropometric measures. GSEA revealed a number of enriched gene sets, many of which were involved in neoplastic processes and displayed downregulated expression patterns in response to CPAP. Network analysis identified several densely connected genes that are important modulators of cancer and tumor growth.

conclusionsEffective therapy of OSA with CPAP is associated with alterations in circulating leukocyte gene expression. Functional enrichment and network analyses highlighted transcriptional suppression in cancer-related pathways, suggesting potentially novel mechanisms linking OSA with neoplastic signatures.

Indexed as

Continuous Positive Airway PressureAnthropometryBlood PressureFemaleGene Regulatory NetworksHumansLeukocytesMaleMiddle AgedNeoplasmsOligonucleotide Array Sequence AnalysisSleepSleep Apnea, ObstructiveTranscription, GeneticTranscriptomecancerMicroarraynetworksleep apneawhite blood cell

Identifiers

PMID24688164
PMCPMC3954174

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.