Evidence map›Paper›PMID 42287391›Full record

ArticleEuropean journal of applied physiology2026

Imbalanced cortisol/BDNF signals and oxidative stress underscore temporary cognitive impairment in deep divers after in water/surface decompression: proof of concept.

Simona Mrakic-Sposta, Simone Di Cianni, Gabriele Lombardi, Enrico Moccia, Gualtiero Meloni, Alessandra Vezzoli, Manuel Marzola, Gerardo Bosco

Abstract read
In one paragraph

Article in European journal of applied physiology, 2026. 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

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

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.

Simona Mrakic-SpostaInstitute of Clinical Physiology, National Research Council (IFC-CNR), Piazza Dell'Ospedale Maggiore, 3, 20162, Milan, Italy. simona.mrakicsposta@cnr.it.ORCID http://orcid.org/0000-0001-7359-2690
Simone Di CianniInstitute of Diving Pathophysiology, Italian Navy, Varignano - Le Grazie, 19025, ComSubin, Italy.
Gabriele LombardiInstitute of Diving Pathophysiology, Italian Navy, Varignano - Le Grazie, 19025, ComSubin, Italy.
Enrico MocciaInstitute of Diving Pathophysiology, Italian Navy, Varignano - Le Grazie, 19025, ComSubin, Italy.ORCID http://orcid.org/0000-0002-0696-2310
Gualtiero MeloniInstitute of Diving Pathophysiology, Italian Navy, Varignano - Le Grazie, 19025, ComSubin, Italy.
Alessandra VezzoliInstitute of Clinical Physiology, National Research Council (IFC-CNR), Piazza Dell'Ospedale Maggiore, 3, 20162, Milan, Italy.ORCID http://orcid.org/0000-0002-0277-163X
Manuel MarzolaDepartment of Medicine and Aging Science, "G. d'Annunzio" University of Chieti-Pescara, 66100, Chieti, Italy.ORCID http://orcid.org/0009-0000-5859-5869
Gerardo BoscoDepartment of Medicine and Aging Science, "G. d'Annunzio" University of Chieti-Pescara, 66100, Chieti, Italy. gerardo.bosco@unich.it.ORCID http://orcid.org/0000-0002-1155-0628

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMilitary deep divers experience extreme environmental stressors, particularly with prolonged diving. Alterations such as hyperbaric conditions and variable O

methodsThree Deep Divers (Italian Navy-Comsubin), with an average age of 31.00 ± 2.64 years, carried out a technical surface-supplied bounce diving in open water (-89m) in the Mediterranean Sea. From them, we collected saliva and urine samples before diving (T0), after deep diving followed by water-surface decompression (T1), and after complete subemersion (T2). To assess for pro-inflammatory and stress conditions, we evaluated reactive oxygen species (ROS) production, DNA oxidation (8-OHdG), total antioxidant capacity (TAC), nitric oxide (NO

resultsAt T1, ROS production increased (+ 121%) and continued to increase just to T2, coupled to a continuous rise in 8-OHdG, and a contemporary decline in TAC. Simultaneously, cortisol levels increased while those of dopamine decreased (-27%). BDNF levels were also sizably elevated (+ 175%). Conversely, no changes in pro-inflammatory markers and NO concentrations were evident.

conclusionsOxidative stress and neurotransmitter increase and/or decrease (according to biomarkers evaluated) occur post-deep diving, suggesting preventative strategies to mitigate cognitive impairment.

Indexed as

Brain-Derived Neurotrophic FactorCognitive DysfunctionDecompressionDivingHydrocortisoneOxidative StressAdultDiving and Hyperbaric MedicineHumansMaleNitric OxideReactive Oxygen SpeciesBDNF protein, humanBrain-Derived Neurotrophic FactorHydrocortisoneNitric OxideReactive Oxygen SpeciesBDNFCortisolDecompressionHormonesInflammationMilitaryOxidative stress

Identifiers

PMID42287391
PMCPMC13541860

What OpenQuestion holds

Textmetadata
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.