Evidence map›Paper›PMID 33942365›Full record

ArticleJournal of clinical laboratory analysis2021

Elevated levels of interleukin-35 and interleukin-37 in adult patients with obstructive sleep apnea.

Bi Chen, Ya-Nan Liu, Lei Ji, Ping-Li Liu, Jun He, Yu-Ying Gan, Gui-Juan Ji, Shu-Yang Zhu, Wen-Hui Zhang

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical laboratory analysis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Mechanisms underlying end-organ injury in sleep apnoea.The European respiratory journal · 2026
    Review
  3. Article
  4. Review
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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 1 institution in 1 country.

Bi ChenDepartment of Respiratory and Critical Care Medicine, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.ORCID https://orcid.org/0000-0002-6041-6433
Ya-Nan LiuDepartment of Respiratory and Critical Care Medicine, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Lei JiDepartment of Respiratory and Critical Care Medicine, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Ping-Li LiuDepartment of Respiratory and Critical Care Medicine, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Jun HeDepartment of Respiratory and Critical Care Medicine, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Yu-Ying GanDepartment of Respiratory and Critical Care Medicine, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Gui-Juan JiDepartment of Respiratory and Critical Care Medicine, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Shu-Yang ZhuDepartment of Respiratory and Critical Care Medicine, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.
Wen-Hui ZhangDepartment of Respiratory and Critical Care Medicine, Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.ORCID https://orcid.org/0000-0003-1524-8706
Xuzhou Medical College · CN

Funding

National Natural Science Foundation of China 81600044Six Talent Peaks Project in Jiangsu Province, China WSN-081Xuzhou City Bureau of Science and Technology Project KC KC18058
6 · The paper itself

Abstract

backgroundSystemic inflammation has a critical role in the pathogenesis of obstructive sleep apnea (OSA). Interleukin (IL)-35 and IL-37 have been identified as novel immune-modulating cytokines with anti-inflammatory activities in numerous types of inflammatory disease. The present study aimed to examine the serum levels of IL-35 and IL-37 in patients with OSA, and to investigate their associations with the severity of OSA.

methodsA total of 97 patients, including 67 cases of OSA and 30 age- and gender-matched healthy control subjects, were enrolled in the present study. All subjects were evaluated by overnight polysomnography. Serum IL-35, IL-37, and pro-inflammatory cytokine IL-1β levels were examined by ELISA.

resultsCompared with those in the control subjects, serum IL-35, IL-37, and IL-1β levels were significantly elevated in patients with mild, moderate, or severe OSA. Furthermore, a severity-dependent increase in serum IL-35 and IL-37 levels was observed in patients with OSA. IL-35 and IL-37 levels were positively correlated with the apnea-hypopnea index (r = 0.742 and 0.578, respectively; both p < 0.001), while they were negatively correlated with the mean oxygen saturation (r = -0.461 and -0.339, respectively; both p < 0.001) and lowest oxyhaemoglobin saturation (r = -0.616 and -0.463, respectively; both p < 0.001) in patients with OSA. In addition, a positive correlation was observed between IL-35 or IL-37 and IL-1β levels (all p < 0.001).

conclusionThe serum levels of IL-35 and IL-37 were significantly increased in patients with OSA and associated with the severity of OSA, implying that IL-35 and IL-37 may have a protective role in OSA by counteracting inflammatory responses.

Indexed as

AdultBiomarkersBody Mass IndexCase-Control StudiesFemaleFollow-Up StudiesHumansInterleukin-1Interleukin-1betaInterleukinsMaleMiddle AgedPolysomnographyPrognosisSleep Apnea, ObstructiveBiomarkersIL1B protein, humanIL37 protein, humanInterleukin-1Interleukin-1betainterleukin-35, humanInterleukinsinflammationinterleukin-1βinterleukin-35interleukin-37obstructive sleep apnea

Identifiers

PMID33942365
PMCPMC8183935
OpenAlexW3158153652

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.