Evidence map›Paper›PMID 39589660›Full record

ArticleSleep & breathing = Schlaf & Atmung2024

Gut microbiota changes in healthy individuals, obstructive sleep apnea patients, and patients treated using continuous positive airway pressure: a whole-genome metagenomic analysis.

Xin Xue, Zhe Zhao, Li-Bo Zhao, Ying-Hui Gao, Wei-Hao Xu, Wei-Meng Cai, Shao-Hua Chen, Tian-Jiao Li, Ting-Yu Nie, Dong Rui and 4 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Sleep & breathing = Schlaf & Atmung, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07364318 (Cognitive Function and Pathophysiological Mechanisms in Adults With Obstructive Sleep Apnea), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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.

NCT07364318 recruitingnot on this map

Cognitive Function and Pathophysiological Mechanisms in Adults With Obstructive Sleep Apnea: Long-term Impact of Positive Airway Pressure Therapy

Typeobservational_patient_registrySponsorComenius UniversityRan2024 to 2027Enrolled30ConditionsOSA - Obstructive Sleep Apnea, Cognitive Functions
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Mechanisms Linking Sleep-Disordered Breathing and Cardiometabolic Disease Risk.Arteriosclerosis, thrombosis, and vascular biology · 2026
    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

14 authors.

Xin XueDepartment of Pulmonary and Critical Care Medicine of the Second Medical Center and National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China.
Zhe ZhaoDepartment of Vasculocardiology, Second Medical Center of Chinese, PLA General Hospital, Beijing, 100853, China.
Li-Bo ZhaoDepartment of Vasculocardiology, Second Medical Center of Chinese, PLA General Hospital, Beijing, 100853, China.
Ying-Hui GaoDepartment of Sleep Medicine, Peking University International Hospital, Beijing, 102206, China.
Wei-Hao XuDepartment of Geriatrics, Guangdong Provincial Geriatrics Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, Guangzhou, People's Republic of China.
Wei-Meng CaiDepartment of Pulmonary and Critical Care Medicine, Second Medical Center of Chinese, PLA General Hospital, Beijing, China.
Shao-Hua ChenDepartment of Pulmonary and Critical Care Medicine, Second Medical Center of Chinese, PLA General Hospital, Beijing, China.
Tian-Jiao LiMedical College, Yan' an University, Yan'an, China.
Ting-Yu NieMedical College, Yan' an University, Yan'an, China.
Dong RuiDepartment of Pulmonary and Critical Care Medicine, Second Medical Center of Chinese, PLA General Hospital, Beijing, China.
Yao MaDepartment of Pulmonary and Critical Care Medicine, Second Medical Center of Chinese, PLA General Hospital, Beijing, China.
Xiao-Shun QianDepartment of Pulmonary and Critical Care Medicine of the Second Medical Center and National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China.
Jun-Ling LinDepartment of Respiratory and Critical Care Medicine, Beijing Chaoyang Hospital Affiliated to Capital Medical University, Beijing, 100020, China. 18611521849@163.com.
Lin LiuDepartment of Pulmonary and Critical Care Medicine of the Second Medical Center and National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China. liulin715@qq.com.

Funding

Military experimental animal special research project SYDW_KY[2021]04Military Health Care Project 22BJZ52Military Health Care Project 23BJZ27
6 · The paper itself

Abstract

purposeThis study investigated variations in gut microbiota among severe obstructive sleep apnea (OSA) patients and changes in gut microbiota after continuous positive airway pressure (CPAP) treatment.

methodFrom November 2020 to August 2021, laboratory-based polysomnography (PSG) was used to measure sleep parameters in healthy controls, severe OSA patients, and severe OSA patients treated with CPAP for three months. A fully automated biochemical analyzer was used to evaluate routine blood tests and biochemical indicators. Whole-genome metagenomic analysis was used to determine the microbial composition of gut samples from all participants. The relationships between gut microbiota and hypertension were examined using correlation analysis.

resultThe relative abundances of Bacteroides, Firmicutes, and Parabacteroides were significantly lower at the species level. Enterobacterales and Turicibacter were significantly higher in participants with severe OSA than healthy controls. Negative correlations were identified between Bacteroides coprocola and systolic blood pressure (SBP) (r =  - 0.710, P = 0.003) and diastolic blood pressure (DBP) (r =  - 0.615, P = 0.015). Conversely, a positive correlation was found between Escherichia coli and SBP (r = 0.568, P = 0.027).

conclusionThe metabolic pathways and gut microbiota differed significantly between the control group and individuals with severe OSA. Additionally, CPAP therapy substantially changed the metabolic pathways and gut microbial composition among patients diagnosed with severe OSA. Correlation analysis further revealed a strong association between Escherichia coli, Bacteroides coprocola, and blood pressure levels.

Indexed as

Continuous Positive Airway PressureGastrointestinal MicrobiomeMetagenomicsSleep Apnea, ObstructiveAdultFemaleHumansMaleMiddle AgedPolysomnographyGut microbiotaObstructive sleep apneaWhole-genome metagenomic analysis

Identifiers

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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.