Evidence map›Paper›PMID 40715195›Full record

ArticleScientific reports2025

Circulating CHI3L1 autoantibodies serve as a diagnostic biomarker in patients with obstructive sleep apnea.

Jimin Hao, Yutong Zhao, Zhi Wang, Yulin Wang, Chunling Zhao, Yifei Fang, Liping Dai, Songyun Ouyang

Abstract read
In one paragraph

Article in Scientific reports, 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

8 authors.

Jimin HaoDepartment of Respiratory and Sleep Medicine in the First Affiliated Hospital, Zhengzhou University, Zhengzhou, 450052, Henan, China.
Yutong ZhaoHenan Key Medical Laboratory of Tumor Molecular Biomarkers, Henan Institute of Medical and Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, 450052, Henan, China.
Zhi WangHenan Key Medical Laboratory of Tumor Molecular Biomarkers, Henan Institute of Medical and Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, 450052, Henan, China.
Yulin WangSchool of Chemical Engineering, University of New South Wales, Sydney, NSW, 2052, Australia.
Chunling ZhaoDepartment of Respiratory and Sleep Medicine in the First Affiliated Hospital, Zhengzhou University, Zhengzhou, 450052, Henan, China.
Yifei FangDepartment of Respiratory and Sleep Medicine in the First Affiliated Hospital, Zhengzhou University, Zhengzhou, 450052, Henan, China.
Liping DaiHenan Key Medical Laboratory of Tumor Molecular Biomarkers, Henan Institute of Medical and Pharmaceutical Sciences, Zhengzhou University, Zhengzhou, 450052, Henan, China. lpdai@zzu.edu.cn.
Songyun OuyangDepartment of Respiratory and Sleep Medicine in the First Affiliated Hospital, Zhengzhou University, Zhengzhou, 450052, Henan, China. ouyangsy@163.com.

Funding

National Natural Science Foundation of China U1804195
6 · The paper itself

Abstract

While polysomnography (PSG) is the gold standard for diagnosing obstructive sleep apnea (OSA), its limited availability means that many patients remain undiagnosed. This study seeks to evaluate whether CHI3L1-Ab could serve as a diagnostic biomarker for OSA. A total of 366 individuals, including 333 OSA patients and 33 healthy controls, were recruited for this study, all of whom underwent polysomnography. Enzyme-linked immunosorbent assay (ELISA) was used to measure CHI3L1-Ab levels, and clinical factors were analyzed to assess their relationship with CHI3L1-Ab expression. OSA patients exhibited significantly higher CHI3L1-Ab levels compared to healthy controls (P < 0.05), with an area under the curve (AUC) of 0.721. Subgroup analysis revealed the highest AUC of 0.735 (95% CI 0.637-0.832) in patients with severe OSA. Logistic regression analysis, which incorporated age, BMI and CHI3L1-Ab levels, demonstrated strong predictive performance with an AUC of 0.846 (95% CI 0.815-0.942). The corresponding nomogram allowed individualized risk estimation based on these predictors. The combination of CHI3L1-Ab levels, age and BMI demonstrated strong predictive accuracy in distinguishing OSA from healthy individuals. These findings also suggest that elevated CHI3L1-Ab levels could serve as an independent diagnostic biomarker for OSA.

Indexed as

AutoantibodiesChitinase-3-Like Protein 1Sleep Apnea, ObstructiveAdultAgedBiomarkersCase-Control StudiesFemaleHumansMaleMiddle AgedPolysomnographyROC CurveAutoantibodiesBiomarkersCHI3L1 protein, humanChitinase-3-Like Protein 1BiomarkerChitinase-3-like protein-1 (CHI3L1) AutoantibodiesLogistic regression analysis

Identifiers

PMID40715195
PMCPMC12297705

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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.