Evidence map›Paper›PMID 40686927›Full record

ArticleBrain, behavior, & immunity - health2025

Bidirectional Mendelian randomization analysis of inflammatory factors and sleep related traits.

Zaiming Liao, Sheng Guo, Kunying Wang, Yanmin Xu, Rui Zheng, Binhe Yu, Guoan Zhao, Ruizhi Zhang, Xiaohong Kang, Sizhi Ai

Abstract read
In one paragraph

Article in Brain, behavior, & immunity - health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

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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

1 citing paper in PubMed.

  1. 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

10 authors.

Zaiming LiaoDepartment of Cardiology, Life Science Research Center, The First Affiliated Hospital of Xinxiang Medical University, Weihui, Henan, China.
Sheng GuoCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Kunying WangDepartment of Cardiology, Life Science Research Center, The First Affiliated Hospital of Xinxiang Medical University, Weihui, Henan, China.
Yanmin XuDepartment of Cardiology, Life Science Research Center, The First Affiliated Hospital of Xinxiang Medical University, Weihui, Henan, China.
Rui ZhengCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.
Binhe YuDepartment of Cardiology, Life Science Research Center, The First Affiliated Hospital of Xinxiang Medical University, Weihui, Henan, China.
Guoan ZhaoDepartment of Cardiology, Life Science Research Center, The First Affiliated Hospital of Xinxiang Medical University, Weihui, Henan, China.
Ruizhi ZhangDepartment of Cardiology, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou, 510370, Guangdong, China.
Xiaohong KangDepartment of Radiation Oncology, Life Science Research Center, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, 453100, Henan, China.
Sizhi AiDepartment of Cardiology, Life Science Research Center, The First Affiliated Hospital of Xinxiang Medical University, Weihui, Henan, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Backgrounds: Observational research has shown significant associations between inflammatory factors and sleep. Experimental studies suggested acute increase in the levels of inflammatory markers following sleep deprivation and sleep restriction. However, the causal association between inflammatory factors and sleep remains unclear in chronic and natural settings. Objectives: This study aimed to investigate the causal association of inflammatory factors with chronotype, daytime napping, daytime sleepiness, insomnia symptoms, and sleep duration. Methods: Two-sample bidirectional Mendelian randomization (MR) analysis was employed to investigate the causal associations between 91 inflammatory factors and 7 sleep-related traits. Summary-level data of inflammatory factors were derived from the EBI GWAS Catalog (n = 14,824); sleep-related traits were obtained from UK Biobank. We calculated effect estimates using the inverse-variance weighted (IVW), weighted median, and MR-Egger methods. Heterogeneity and pleiotropy were detected and measured by the MR pleiotropy residual sum and outlier, Cochran's Q statistics, and MR-Egger regression. Results: Significant bidirectional causal associations were observed. The most crucial findings included the causal effects of CD40 (OR = 1.02, 95 % CI: 1.01-1.03), ST1A1 (OR = 0.97, 95 % CI: 0.96-0.99), uPA (OR = 1.03, 95 % CI: 1.01-1.04) on chronotype, and FGF-21 (OR = 1.02, 95 % CI: 1.01-1.03), hGDNF (OR = 1.01, 95 % CI: 1.00-1.02), TNFB (OR = 0.99, 95 % CI: 0.98-1.00), TNFSF14 (OR = 1.01, 95 % CI: 1.00-1.02) on napping. Overall, 30 inflammatory factors were found to causally affect sleep traits, and 20 reciprocal effects were observed. Conclusion: Our study suggested a bidirectional causal association between inflammatory factors and sleep-related traits, such as the roles of CD40, ST1A1, and uPA in regulating chronotype, and FGF-21, hGDNF, and TNFB in influencing daytime napping.

Indexed as

Causal relationshipInflammatory factorsInstrumental variableMendelian randomizationSleep

Identifiers

PMID40686927
PMCPMC12272623

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Registered trials

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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.