Evidence map›Paper›PMID 30828636›Full record

ArticleLaryngoscope investigative otolaryngology2019

Neurotrophic factor BDNF is upregulated in soft palate muscles of snorers and sleep apnea patients.

Farhan Shah, Sture Forsgren, Thorbjörn Holmlund, Eva Levring Jäghagen, Diana Berggren, Karl A Franklin, Per Stål

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04326244 (The Relationship Between Obesity-related Molecular Typing and Traditional Chinese Medicine Constitution), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.5field-weighted citation impact, top 10% 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.

NCT04326244 unknown statusnot on this mapstarted 2020, after this paper: background citation

The Relationship Between Obesity-related Molecular Typing and Traditional Chinese Medicine Constitution

TypeobservationalSponsorChang Gung Memorial HospitalRan2020 to 2020Enrolled50ConditionsObstructive Sleep Apnea, ObesityArmsblood test, genetic test, Constitution in Chinese Medicine Questionnaire, Epworth Sleepiness Scale, cephalometry
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. [Effect and mechanism of obstructive sleep apnea on maxillofacial development in children].Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgery · 2024
    Article
  4. Article
  5. Evaluation of clinical and genetic factors in obstructive sleep apnoea.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2023
    Article
  6. Article
  7. Review
  8. Swallowing outcome to speech therapy intervention in resistant hypertensive patients with obstructive sleep apnea.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Article
  9. Article
  10. Review
  11. Myopathy of the upper airway in snoring and obstructive sleep apnea.Laryngoscope investigative otolaryngology · 2022
    Article
  12. Cell-Autonomous Autophagy Protects Against Chronic Intermittent Hypoxia Induced Sensory Nerves and Endothelial Dysfunction of the Soft Palate.Medical science monitor : international medical journal of experimental and clinical research · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. 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

7 authors at 1 institution in 1 country.

Farhan ShahDepartment of Integrative Medical Biology Umeå University Umeå Sweden.
Sture ForsgrenDepartment of Integrative Medical Biology Umeå University Umeå Sweden.
Thorbjörn HolmlundLaboratory of Muscle Biology, the Department of Clinical Sciences, Otolaryngology Umeå University Umeå Sweden.
Eva Levring JäghagenDepartment of Odontology, Oral, and Maxillofacial Radiology Umeå University Umeå Sweden.
Diana BerggrenLaboratory of Muscle Biology, the Department of Clinical Sciences, Otolaryngology Umeå University Umeå Sweden.
Karl A FranklinDepartment of Surgical and Perioperative Sciences Umeå University Umeå Sweden.
Per StålDepartment of Integrative Medical Biology Umeå University Umeå Sweden.ORCID https://orcid.org/0000-0002-9340-5298
Umeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesNeuromuscular injuries are suggested to contribute to upper airway collapse and swallowing dysfunction in patients with sleep apnea. Neurotrophins, a family of proteins involved in survival, development, and function of neurons, are reported to be upregulated in limb muscle fibers in response to overload and nerve damage. We aimed to investigate the expression of two important neurotrophins, brain-derived neurotrophic factor (BDNF) and nerve growth factor (NGF), in muscle fibers of uvula from snorers and sleep apnea patients and to compare these findings with pharyngeal function.

methodsUvula muscle biopsies from 22 patients and 10 controls were analyzed for BDNF, NGF, and cytoskeletal protein desmin using immunohistochemistry. Pharyngeal swallowing function was assessed using videoradiography.

resultsBDNF, but not NGF, was significantly upregulated in a subpopulation of muscle fibers in snoring and sleep apnea patients. Two major immunoreaction patterns for BDNF were observed; a fine grainy point like BDNF staining was displayed in muscle fibers of both patients and controls (41 ± 23 vs. 25 ± 17%, respectively,

conclusionBDNF is upregulated in the upper airway muscles of snorers and sleep apnea patients, and especially in patients with swallowing dysfunction. Upregulation of BDNF is suggested to be a response to denervation, reinnervation, and repair of injured muscle fibers. Our findings propose that damaged upper airway muscles might heal following treatment for snoring and sleep apnea. LEVEL OF EVIDENCE: NA.

Indexed as

brain‐derived neurotrophic factor (BDNF)desminmuscle fibernervenerve‐derived neurotrophic factor (NGF)neuromuscular injuryNeurotrophinsobstructive sleep apneaOSAsnorersswallowing dysfunction

Identifiers

PMID30828636
PMCPMC6383323
OpenAlexW2902409879

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.