Evidence map›Paper›PMID 40808320›Full record

ArticleJournal of sleep research2026

Sleep and Rhythmic Profile After Pineal Gland Removal in Humans.

Renata de Andrade Prado Gobetti, Clarissa Bueno, Letícia M S F A Soster, Anna Carolina de Campos de Barros Luvizotto Monazzi, Fernanda Gaspar do Amaral, Andréa Maria Capellano, Nasjla Saba da Silva, José Cipolla-Neto

Abstract read
In one paragraph

Article in Journal of sleep research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

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

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

  1. Pooled it
  2. Article
  3. Article
  4. 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

8 authors.

Renata de Andrade Prado GobettiDepartment of Neurology of the Clinical Hospital, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.ORCID 0009-0008-4688-3394
Clarissa BuenoDepartment of Neurology of the Clinical Hospital, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Letícia M S F A SosterChildren's Institute of the Clinical Hospital, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Anna Carolina de Campos de Barros Luvizotto MonazziChildren's Institute of the Clinical Hospital, Faculty of Medicine, University of São Paulo, São Paulo, Brazil.
Fernanda Gaspar do AmaralDepartment of Physiology, Federal University of São Paulo, São Paulo, Brazil.
Andréa Maria CapellanoDivision of Pediatric Oncology, Pediatric Oncology Institute/GRAACC, Federal University of São Paulo, São Paulo, Brazil.
Nasjla Saba da SilvaDivision of Pediatric Oncology, Pediatric Oncology Institute/GRAACC, Federal University of São Paulo, São Paulo, Brazil.
José Cipolla-NetoDepartment of Physiology and Biophysics, Institute of Biomedical Sciences, University of São Paulo, São Paulo, Brazil.ORCID 0000-0003-3748-3731

Funding

Fundação de Amparo à Pesquisa do Estado de São Paulo 19/24327-5
6 · The paper itself

Abstract

Melatonin, a hormone produced by the pineal gland, is classically described as a central circadian modulator. However, the impact of its absence on circadian rhythmicity in humans remains poorly understood. Pinealectomised patients, in whom melatonin secretion is chronically suppressed, represent a valuable clinical model to investigate the physiological role of this hormone in sleep and temporal organisation. This study evaluated sleep quality and sleep disorders, as well as circadian rhythmicity, in 17 individuals who underwent surgical or radiotherapeutic treatment for pineal tumours and exhibited confirmed absence of circulating melatonin. Participants were assessed through structured clinical interviews, standardised sleep questionnaires, sleep diaries and actigraphy recording for a minimum of 15 consecutive days. Rhythmic analysis was performed for sleep/wakefulness and rest/activity data. Mild nocturnal sleep symptoms were reported, but diurnal complaints were frequent. Despite the chronic absence of melatonin, all subjects maintained a 24-h sleep/wake cycle, and none met criteria for circadian sleep/wake disorders. We conclude that melatonin demonstrated not to be crucial for the maintenance of the circadian sleep/wake cycle in individuals with chronic melatonin absence due to pineal gland removal and minor sleep complaints are present in this population. Other synchroniser mechanisms possibly involving non-photic entrainment might play an important role in the maintenance of the circadian rhythm.

Indexed as

Circadian RhythmMelatoninPinealectomyPineal GlandSleepSleep Wake DisordersActigraphyAdultAgedFemaleHumansMaleMiddle AgedSleep QualitySurveys and QuestionnairesWakefulnessMelatoninactigraphycircadian rhythmmelatoninpinealectomypineal gland tumoursleep disorders

Identifiers

PMID40808320
PMCPMC13003271

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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.