Evidence map›Paper›PMID 29223769›Full record

ReviewNeuroscience and biobehavioral reviews2018

Obstructive sleep apnoea and Alzheimer's disease: In search of shared pathomechanisms.

D Polsek, N Gildeh, D Cash, R Winsky-Sommerer, S C R Williams, F Turkheimer, G D Leschziner, M J Morrell, I Rosenzweig

Open access · hybridAbstract readReview
In one paragraph

Review in Neuroscience and biobehavioral reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 2 pooled it
5.8field-weighted citation impact, top 3% 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

50 citing papers in PubMed, 2 syntheses or guidelines pooled it, 116 citations in OpenAlex.

  1. Pooled it
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  8. Effects of positive airway pressure therapy on quality of life in patients with obstructive sleep apnea syndrome.Dusunen adam : Bakirkoy Ruh ve Sinir Hastaliklari Hastanesi yayin organi · 2025
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  15. Role of sleep in neurodegeneration: the consensus report of the 5th Think Tank World Sleep Forum.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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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

9 authors at 5 institutions in 2 countries.

D PolsekSleep and Brain Plasticity Centre, CNS, IoPPN, King's College London, UK; Croatian Institute for Brain Research, Medical School, University of Zagreb, Croatia.
N GildehSleep and Brain Plasticity Centre, CNS, IoPPN, King's College London, UK; Sleep Disorders Centre, Guy's and St Thomas' Hospital, London, UK.
D CashSleep and Brain Plasticity Centre, CNS, IoPPN, King's College London, UK; Department of Neuroimaging, IoPPN, King's College London, UK.
R Winsky-SommererSurrey Sleep Research Centre, Department of Clinical and Experimental Medicine, Faculty of Health and Medical Sciences, University of Surrey, Guildford, UK.
S C R WilliamsDepartment of Neuroimaging, IoPPN, King's College London, UK.
F TurkheimerDepartment of Neuroimaging, IoPPN, King's College London, UK.
G D LeschzinerSleep and Brain Plasticity Centre, CNS, IoPPN, King's College London, UK; Sleep Disorders Centre, Guy's and St Thomas' Hospital, London, UK; Department of Neurology, Guy's and St Thomas' Hospital, London, UK.
M J MorrellAcademic Unit of Sleep and Breathing, National Heart and Lung Institute, Imperial College London, UK and NIHR Respiratory Disease Biomedical Research Unit at the Royal Brompton and Harefield NHS Foundation Trust and Imperial College London, UK.
I RosenzweigSleep and Brain Plasticity Centre, CNS, IoPPN, King's College London, UK; Sleep Disorders Centre, Guy's and St Thomas' Hospital, London, UK. Electronic address: ivana.1.rosenzweig@kcl.ac.uk.
King's College London · GBRoyal Brompton & Harefield NHS Foundation Trust · GBSt Thomas' Hospital · GBUniversity of Surrey · GBUniversity of Zagreb · HR

Funding

Medical Research Council G0900891Medical Research Council G1100809Medical Research Council MC_U120085814Medical Research Council MR/K022733/1Wellcome Trust 103952/Z/14/Z
6 · The paper itself

Abstract

Alzheimer's disease (AD) is a significant public health concern. The incidence continues to rise, and it is set to be over one million in the UK by 2025. The processes involved in the pathogenesis of AD have been shown to overlap with those found in cognitive decline in patients with Obstructive Sleep Apnoea (OSA). Currently, the standard treatment for OSA is Continuous Positive Airway Pressure. Adherence to treatment can, however, be an issue, especially in patients with dementia. Also, not all patients respond adequately, necessitating the use of additional treatments. Based on the body of data, we here suggest that excessive and prolonged neuronal activity might contribute to genesis and acceleration of both AD and OSA in the absence of appropriately structured sleep. Further, we argue that external factors, including systemic inflammation and obesity, are likely to interfere with immunological processes of the brain, and further promote disease progression. If this hypothesis is proven in future studies, it could have far-reaching clinical translational implications, as well as implications for future treatment strategies in OSA.

Indexed as

Alzheimer DiseaseHumansInflammationModels, BiologicalSleep Apnea, ObstructiveSleep Wake DisordersAlzheimer’s diseaseAstrocytesNeuroinflammationObstructive sleep apnea

Identifiers

PMID29223769
PMCPMC6562163
OpenAlexW2775597041

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.