Evidence map›Paper›PMID 25983695›Full record

ArticleFrontiers in psychiatry2015

Improved Sleep in Military Personnel is Associated with Changes in the Expression of Inflammatory Genes and Improvement in Depression Symptoms.

Whitney S Livingston, Heather L Rusch, Paula V Nersesian, Tristin Baxter, Vincent Mysliwiec, Jessica M Gill

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04896775 (NiteCAPP), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.9field-weighted citation impact, top 5% 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.

NCT04896775 narecruitingnot on this mapstarted 2022, after this paper: background citation

NiteCAPP: Web-based Interventions for Insomnia in Rural Dementia Caregivers: Examination of Sleep, Arousal, Mood, Cognitive, and Immune Outcomes

TypeinterventionalSponsorUniversity of South FloridaRan2022 to 2027Enrolled100ConditionsInsomnia, DementiaArmsNiteCAPP CARES, NiteCAPP SHARES
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 51 citations in OpenAlex.

  1. Sphingolipids in Emotional Well-Being.Journal of neurochemistry · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Sleep disturbances following traumatic brain injury are associated with poor neurobehavioral outcomes in US military service members and veterans.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Genetic Pathways to Insomnia.Brain sciences · 2016
    Review
  19. Article
  20. 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

6 authors at 3 institutions in 1 country.

Whitney S LivingstonNational Institutes of Nursing Research, National Institutes of Health , Bethesda, MD , USA.
Heather L RuschNational Institutes of Nursing Research, National Institutes of Health , Bethesda, MD , USA.
Paula V NersesianNational Institutes of Nursing Research, National Institutes of Health , Bethesda, MD , USA ; Johns Hopkins University School of Nursing , Baltimore, MD , USA.
Tristin BaxterMadigan Army Medical Center , Tacoma, WA , USA.
Vincent MysliwiecMadigan Army Medical Center , Tacoma, WA , USA.
Jessica M GillNational Institutes of Nursing Research, National Institutes of Health , Bethesda, MD , USA.
National Institute of Nursing Research · USMadigan Army Medical Center · USNational Institutes of Health · US

Funding

Traumatic Brain Injury and Sleep Disorders in Military PersonnelZIANR000027 · NINR · NATIONAL INSTITUTE OF NURSING RESEARCH · PI GILL, JESSICA · 2013 to 2021
$4.8M
6 · The paper itself

Abstract

STUDY

objectivesSleep disturbances are common in military personnel and are associated with increased risk for psychiatric morbidity, including posttraumatic stress disorder (PTSD) and depression, as well as inflammation. Improved sleep quality is linked to reductions in inflammatory bio-markers; however, the underlying mechanisms remain elusive.

methodsIn this study, we examine whole genome expression changes related to improved sleep in 68 military personnel diagnosed with insomnia. Subjects were classified into the following groups and then compared: improved sleep (n = 46), or non-improved sleep (n = 22) following three months of standard of care treatment for insomnia. Within subject differential expression was determined from microarray data using the Partek Genomics Suite analysis program and the ingenuity pathway analysis (IPA) was used to determine key regulators of observed expression changes. Changes in symptoms of depression and PTSD were also compared.

resultsAt baseline, both groups were similar in demographics, clinical characteristics, and gene-expression profiles. The microarray data revealed that 217 coding genes were differentially expressed at the follow-up-period compared to baseline in the participants with improved sleep. Expression of inflammatory cytokines were reduced including IL-1β, IL-6, IL-8, and IL-13, with fold changes ranging from -3.19 to -2.1, and there were increases in the expression of inflammatory regulatory genes including toll-like receptors 1, 4, 7, and 8 in the improved sleep group. IPA revealed six gene networks, including ubiquitin, which was a major regulator in these gene-expression changes. The improved sleep group also had a significant reduction in the severity of depressive symptoms.

conclusionInterventions that restore sleep likely reduce the expression of inflammatory genes, which relate to ubiquitin genes and relate to reductions in depressive symptoms.

Indexed as

depressiongene expressioninflammationinsomniamilitary personnel

Identifiers

PMID25983695
PMCPMC4415307
OpenAlexW2046472665

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.