{"title":"Transcriptomic Profiling in Aged Mice Reveals an Association Between Sevoflurane Anesthesia and Neurocognitive Dysfunction.","authors":"Naiqi Jiang, Junjie Zou, Meiling Tian, Zaibin Jing, Wanting Ding, Lei Wang, Hongzhe Bei, Cuicui Yu","doi":"10.1007/s10571-026-01677-y","DOIUrl":"https://doi.org/10.1007/s10571-026-01677-y","url":null,"abstract":"","PeriodicalId":9742,"journal":{"name":"Cellular and Molecular Neurobiology","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146084470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-29DOI: 10.1007/s10571-026-01679-w
Mariana R Tavares, Gabriel R Estrela, Luana Lavezo, Juliene L S Silva, Ronaldo C Araujo, Michael Bader, Frederick Wasinski
The kallikrein-kinin system (KKS) plays a key role in inflammatory responses, but its specific contribution to neuroinflammation remains to be fully elucidated. The bradykinin B2 receptor (B2R), a principal effector of the KKS, is widely expressed in both neuronal and glial cells in the rodent and human brain. In this study, we investigated the molecular contribution of B2R to neuroinflammation using complementary in vitro and in vivo models. Lipopolysaccharide (LPS) stimulation significantly upregulated B2R mRNA expression in primary astrocyte cultures and in the cortical tissue of wild-type mice. Pharmacological blockade of B2R in astrocytes markedly suppressed the LPS-induced proinflammatory gene expression. In contrast, B2R antagonism in vivo resulted in only partial attenuation of the neuroinflammatory response. Together, these findings suggest cell type-specific roles for B2R and underscore its key contribution to astrocyte-mediated neuroinflammation.
{"title":"Role of Kinin B<sub>2</sub> Receptor Signaling in Astrocyte-driven Neuroinflammation.","authors":"Mariana R Tavares, Gabriel R Estrela, Luana Lavezo, Juliene L S Silva, Ronaldo C Araujo, Michael Bader, Frederick Wasinski","doi":"10.1007/s10571-026-01679-w","DOIUrl":"https://doi.org/10.1007/s10571-026-01679-w","url":null,"abstract":"<p><p>The kallikrein-kinin system (KKS) plays a key role in inflammatory responses, but its specific contribution to neuroinflammation remains to be fully elucidated. The bradykinin B<sub>2</sub> receptor (B<sub>2</sub>R), a principal effector of the KKS, is widely expressed in both neuronal and glial cells in the rodent and human brain. In this study, we investigated the molecular contribution of B<sub>2</sub>R to neuroinflammation using complementary in vitro and in vivo models. Lipopolysaccharide (LPS) stimulation significantly upregulated B<sub>2</sub>R mRNA expression in primary astrocyte cultures and in the cortical tissue of wild-type mice. Pharmacological blockade of B<sub>2</sub>R in astrocytes markedly suppressed the LPS-induced proinflammatory gene expression. In contrast, B<sub>2</sub>R antagonism in vivo resulted in only partial attenuation of the neuroinflammatory response. Together, these findings suggest cell type-specific roles for B<sub>2</sub>R and underscore its key contribution to astrocyte-mediated neuroinflammation.</p>","PeriodicalId":9742,"journal":{"name":"Cellular and Molecular Neurobiology","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146084446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-26DOI: 10.1007/s10571-026-01673-2
Sudena Wang, Chloe Hall, Yong Wang, Leonie Link, Yi Zhang, Alexander Schlägel, Cora Wunder, Christopher Patzke, Matthias Klein, Thomas Mittmann, Michael K E Schäfer
The administration of anaesthesia during pregnancy may have implications for fetal brain development. This study used H1 embryonic stem cell-derived human brain organoids (HBOs) to investigate effects of intermittent propofol exposure (IPE). HBOs were subjected to early IPE from 47 to 50 days in vitro (div), or late IPE from 77 to 80 div, using a clinically supra-anaesthetic concentration of 50 µM propofol. This was followed by cultivation without propofol for an additional 10 div, and HBOs were subsequently analysed at 60 or 90 div. Determination of HBO growth and lactate release did not provide evidence of neurotoxicity. Multi-electrode array recordings indicated an increased neuronal activity at 60 div following early IPE, an effect not observed at 90 div following late IPE. RNA-sequencing revealed that IPE up-regulated genes associated with neurodevelopment and synapse functions at 60 div, which overlapped with naturally up-regulated genes during HBO development from 60 to 90 div. These findings indicate that early IPE accelerates brain maturation in HBOs, suggesting possible deviations from the normal developmental trajectory in the fetal brain.
{"title":"Intermittent Propofol Exposure Induces Neurodevelopmental Alterations in Human Brain Organoids.","authors":"Sudena Wang, Chloe Hall, Yong Wang, Leonie Link, Yi Zhang, Alexander Schlägel, Cora Wunder, Christopher Patzke, Matthias Klein, Thomas Mittmann, Michael K E Schäfer","doi":"10.1007/s10571-026-01673-2","DOIUrl":"https://doi.org/10.1007/s10571-026-01673-2","url":null,"abstract":"<p><p>The administration of anaesthesia during pregnancy may have implications for fetal brain development. This study used H1 embryonic stem cell-derived human brain organoids (HBOs) to investigate effects of intermittent propofol exposure (IPE). HBOs were subjected to early IPE from 47 to 50 days in vitro (div), or late IPE from 77 to 80 div, using a clinically supra-anaesthetic concentration of 50 µM propofol. This was followed by cultivation without propofol for an additional 10 div, and HBOs were subsequently analysed at 60 or 90 div. Determination of HBO growth and lactate release did not provide evidence of neurotoxicity. Multi-electrode array recordings indicated an increased neuronal activity at 60 div following early IPE, an effect not observed at 90 div following late IPE. RNA-sequencing revealed that IPE up-regulated genes associated with neurodevelopment and synapse functions at 60 div, which overlapped with naturally up-regulated genes during HBO development from 60 to 90 div. These findings indicate that early IPE accelerates brain maturation in HBOs, suggesting possible deviations from the normal developmental trajectory in the fetal brain.</p>","PeriodicalId":9742,"journal":{"name":"Cellular and Molecular Neurobiology","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146046117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-24DOI: 10.1007/s10571-026-01678-x
Xiangmiao Li, Jinzhu Bai
{"title":"Mechanisms and Clinical Application Progress of Exercise in the Treatment of Neuropathic Pain.","authors":"Xiangmiao Li, Jinzhu Bai","doi":"10.1007/s10571-026-01678-x","DOIUrl":"https://doi.org/10.1007/s10571-026-01678-x","url":null,"abstract":"","PeriodicalId":9742,"journal":{"name":"Cellular and Molecular Neurobiology","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146040671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ferroptosis, a novel form of cell death primarily characterized by iron overload and lipid peroxidation, differs from traditional apoptosis and is finely regulated by multiple mechanisms. Recent studies have demonstrated that ferroptosis plays vital roles in the onset and progression of cancers, cardiovascular, and neurological diseases. There are several spine-related diseases that affect the bones, limbs, and nervous system, such as spinal cord injuries and intervertebral disc degeneration. With the advancement in research, increasing evidence suggests that ferroptosis plays a role in these conditions and affects their treatment. This review outlines the mechanisms of ferroptosis and discusses the recently reported ferroptotic mechanisms associated with spinal cord injuries and intervertebral disc degeneration. Additionally, it emphasizes the necessity for further research on the intricate links between ferroptosis and disease pathogenesis, as well as the identification of potential targets for clinical treatment. Graphical Abstract. Ferroptosis, characterized by iron accumulation and lipid peroxidation, is emerging as a key player in various diseases, including cancers and neurological disorders. This review explores its involvement in spinal cord injuries and intervertebral disc degeneration, highlighting the need for further research to understand its role in disease pathogenesis and identify potential therapeutic targets.
{"title":"Ferroptosis in Spine-Related Diseases: Mechanistic Insights and Potential Therapeutic Targets.","authors":"Zijing Weng, Haidong Zheng, Huaize Dong, Lu Zhu, Wenbo Liao, Jiyue Xia, Jiangbi Yi, Shuai Feng, Hongyou Jiang, Zhijun Xin","doi":"10.1007/s10571-026-01668-z","DOIUrl":"https://doi.org/10.1007/s10571-026-01668-z","url":null,"abstract":"<p><p>Ferroptosis, a novel form of cell death primarily characterized by iron overload and lipid peroxidation, differs from traditional apoptosis and is finely regulated by multiple mechanisms. Recent studies have demonstrated that ferroptosis plays vital roles in the onset and progression of cancers, cardiovascular, and neurological diseases. There are several spine-related diseases that affect the bones, limbs, and nervous system, such as spinal cord injuries and intervertebral disc degeneration. With the advancement in research, increasing evidence suggests that ferroptosis plays a role in these conditions and affects their treatment. This review outlines the mechanisms of ferroptosis and discusses the recently reported ferroptotic mechanisms associated with spinal cord injuries and intervertebral disc degeneration. Additionally, it emphasizes the necessity for further research on the intricate links between ferroptosis and disease pathogenesis, as well as the identification of potential targets for clinical treatment. Graphical Abstract. Ferroptosis, characterized by iron accumulation and lipid peroxidation, is emerging as a key player in various diseases, including cancers and neurological disorders. This review explores its involvement in spinal cord injuries and intervertebral disc degeneration, highlighting the need for further research to understand its role in disease pathogenesis and identify potential therapeutic targets.</p>","PeriodicalId":9742,"journal":{"name":"Cellular and Molecular Neurobiology","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146040562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-24DOI: 10.1007/s10571-026-01670-5
Nikita Mehta, Maia Vardy, Benayahu Elbaz
PNS injury initiates transcriptional changes in Schwann cells, satellite glial cells and PNS neurons that facilitate regeneration. The signaling pathways that control these transcriptional changes are not fully understood. The canonical/β-catenin Wnt signaling pathway is active during early stages of PNS development, where it controls radial axonal sorting and the onset of PNS myelination. Upon PNS injury, the canonical Wnt signaling pathway is re-activated, suggesting that canonical Wnt signaling plays an important role in PNS regeneration. To explore the potential of the canonical Wnt signaling pathway as a therapeutic target in enhancement of PNS recovery, we used a combination of genetic and pharmacological approaches to either activate or inhibit canonical Wnt signaling during PNS recovery. We found that manipulating canonical Wnt signaling does not alter PNS regeneration. Our data suggest that the canonical Wnt signaling pathway is not a strong therapeutic target for the enhancement of PNS regeneration.
{"title":"Manipulation of Wnt Signaling Pathway during Peripheral Nerve Regeneration.","authors":"Nikita Mehta, Maia Vardy, Benayahu Elbaz","doi":"10.1007/s10571-026-01670-5","DOIUrl":"https://doi.org/10.1007/s10571-026-01670-5","url":null,"abstract":"<p><p>PNS injury initiates transcriptional changes in Schwann cells, satellite glial cells and PNS neurons that facilitate regeneration. The signaling pathways that control these transcriptional changes are not fully understood. The canonical/β-catenin Wnt signaling pathway is active during early stages of PNS development, where it controls radial axonal sorting and the onset of PNS myelination. Upon PNS injury, the canonical Wnt signaling pathway is re-activated, suggesting that canonical Wnt signaling plays an important role in PNS regeneration. To explore the potential of the canonical Wnt signaling pathway as a therapeutic target in enhancement of PNS recovery, we used a combination of genetic and pharmacological approaches to either activate or inhibit canonical Wnt signaling during PNS recovery. We found that manipulating canonical Wnt signaling does not alter PNS regeneration. Our data suggest that the canonical Wnt signaling pathway is not a strong therapeutic target for the enhancement of PNS regeneration.</p>","PeriodicalId":9742,"journal":{"name":"Cellular and Molecular Neurobiology","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146043731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-24DOI: 10.1007/s10571-025-01642-1
Miguel A Ortega, Oscar Fraile-Martinez, Diego Liviu Boaru, Diego De León-Oliva, Patricia De Castro-Martinez, Cielo Garcia-Montero, Beatriz García-González, Isabel Pérez-González, Majd N Michael Alhaddadin, Silvestra Barrena-Blázquez, Laura Lopez-Gonzalez, María Del Val Toledo-Lobo, Leonel Pekarek, Raúl Diaz Pedrero, Melchor Alvarez-Mon, David Cobo-Prieto, Miguel A Saez
{"title":"From Classical to Emerging Biomarkers of Brain and Central Nervous System Tumors. An Evidence-Based Review with a Focus on Gliomas.","authors":"Miguel A Ortega, Oscar Fraile-Martinez, Diego Liviu Boaru, Diego De León-Oliva, Patricia De Castro-Martinez, Cielo Garcia-Montero, Beatriz García-González, Isabel Pérez-González, Majd N Michael Alhaddadin, Silvestra Barrena-Blázquez, Laura Lopez-Gonzalez, María Del Val Toledo-Lobo, Leonel Pekarek, Raúl Diaz Pedrero, Melchor Alvarez-Mon, David Cobo-Prieto, Miguel A Saez","doi":"10.1007/s10571-025-01642-1","DOIUrl":"10.1007/s10571-025-01642-1","url":null,"abstract":"","PeriodicalId":9742,"journal":{"name":"Cellular and Molecular Neurobiology","volume":" ","pages":"33"},"PeriodicalIF":4.8,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146040543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-23DOI: 10.1007/s10571-025-01660-z
Mohammed Jajere Adamu, Li Qiang, Charles Okanda Nyatega, Muhammad Fahad, Ayesha Younis, Adamu Halilu Jabire, Rabiu Sale Zakariyya, Halima Bello Kawuwa
Magnetic resonance imaging (MRI) is central to noninvasive brain tumor assessment, yet clinical uptake of artificial intelligence depends on both accuracy and transparency. This study presents a lightweight and interpretable hybrid framework that fuses features from two efficient convolutional backbones, MobileNetV2 and EfficientNetV2B0, using late fusion with global average pooling and vector concatenation. Classification is performed with a K‑Nearest Neighbors (KNN) head configured with k = 5, Euclidean distance, and distance‑based weighting. The dataset contains 7,023 MRI images drawn from Figshare, SARTAJ, and BR35H. Data were split with a 20% held‑out test set and a validation set equal to 20% of the remaining training pool, yielding 64%/16%/20% train/val/test. Four diagnostic categories were evaluated: Glioma, Meningioma, Pituitary, and Notumor. The confusion matrix shows a compact diagonal, and class‑wise precision, recall, and F1 are consistently high on the test set. A 5‑fold cross‑validation with normality assessment and paired significance testing supports robustness across folds. On the held‑out test set, class‑wise ROC-AUC was 1.00 for all four classes, and overall accuracy was 99.69%. Results should be interpreted in light of the unified dataset; external validation is warranted. Clinical interpretability is supported by class‑wise Grad‑CAM overlays and SHAP analyses, including waterfall plots that quantify individual feature contributions. These findings indicate that a dual‑backbone late‑fusion design coupled with a simple nonparametric classifier delivers strong, balanced performance while providing anatomically plausible case‑level insight into model decisions.
{"title":"Explainable Hybrid Deep Learning Framework Integrating MobileNetV2, EfficientNetV2B0, and KNN for MRI-Based Brain Tumor Classification.","authors":"Mohammed Jajere Adamu, Li Qiang, Charles Okanda Nyatega, Muhammad Fahad, Ayesha Younis, Adamu Halilu Jabire, Rabiu Sale Zakariyya, Halima Bello Kawuwa","doi":"10.1007/s10571-025-01660-z","DOIUrl":"https://doi.org/10.1007/s10571-025-01660-z","url":null,"abstract":"<p><p>Magnetic resonance imaging (MRI) is central to noninvasive brain tumor assessment, yet clinical uptake of artificial intelligence depends on both accuracy and transparency. This study presents a lightweight and interpretable hybrid framework that fuses features from two efficient convolutional backbones, MobileNetV2 and EfficientNetV2B0, using late fusion with global average pooling and vector concatenation. Classification is performed with a K‑Nearest Neighbors (KNN) head configured with k = 5, Euclidean distance, and distance‑based weighting. The dataset contains 7,023 MRI images drawn from Figshare, SARTAJ, and BR35H. Data were split with a 20% held‑out test set and a validation set equal to 20% of the remaining training pool, yielding 64%/16%/20% train/val/test. Four diagnostic categories were evaluated: Glioma, Meningioma, Pituitary, and Notumor. The confusion matrix shows a compact diagonal, and class‑wise precision, recall, and F1 are consistently high on the test set. A 5‑fold cross‑validation with normality assessment and paired significance testing supports robustness across folds. On the held‑out test set, class‑wise ROC-AUC was 1.00 for all four classes, and overall accuracy was 99.69%. Results should be interpreted in light of the unified dataset; external validation is warranted. Clinical interpretability is supported by class‑wise Grad‑CAM overlays and SHAP analyses, including waterfall plots that quantify individual feature contributions. These findings indicate that a dual‑backbone late‑fusion design coupled with a simple nonparametric classifier delivers strong, balanced performance while providing anatomically plausible case‑level insight into model decisions.</p>","PeriodicalId":9742,"journal":{"name":"Cellular and Molecular Neurobiology","volume":" ","pages":""},"PeriodicalIF":4.8,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146040575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
An association between gastroesophageal reflux disease (GERD) and sleep disorder has been reported. However, the magnitude of this association remains poorly understood. Therefore, we aimed to systematically evaluate this relationship. We conducted a comprehensive search for observational studies in eight databases from their inception to February 28, 2025. The characteristics of each study and pooled risk ratio (RR) with corresponding confidence intervals were calculated. Subgroup analyses were performed to explore sources of heterogeneity. A total of eighteen studies involving 110,417 participants met the inclusion criteria and were included in this meta-analysis. Our findings indicate a statistically significant unidirectional association between GERD and sleep disorder (RR = 2.02, 95% CI 1.71 to 2.37). Subgroup analyses consistently demonstrated an association between sleep disorder and GERD regardless of the diagnostic tools used for either condition (P = 0.32 for GERD diagnosis tools and P = 0.80 for sleep disorder diagnosis tools). Sensitivity analysis indicates that the conclusions are highly stable, and GRADEpro evaluation results have a low level of evidence. This meta-analysis reveals a significant correlation between sleep disorder and GERD. More studies under consistent conditions are needed to validate these findings.
胃食管反流病(GERD)与睡眠障碍之间的关联已被报道。然而,人们对这种关联的重要性仍然知之甚少。因此,我们旨在系统地评估这种关系。我们对8个数据库从建立到2025年2月28日的观察性研究进行了全面检索。计算各研究的特征和合并风险比(RR)及其相应的置信区间。进行亚组分析以探索异质性的来源。共有18项研究,涉及110,417名受试者符合纳入标准,并被纳入本荟萃分析。我们的研究结果表明,GERD与睡眠障碍之间存在统计学上显著的单向关联(RR = 2.02, 95% CI 1.71至2.37)。亚组分析一致表明,无论使用何种诊断工具,睡眠障碍和胃食管反流之间都存在关联(胃食管反流诊断工具的P = 0.32,睡眠障碍诊断工具的P = 0.80)。敏感性分析表明,结论具有较高的稳定性,GRADEpro评价结果的证据水平较低。这项荟萃分析揭示了睡眠障碍与胃反流之间的显著相关性。需要在一致的条件下进行更多的研究来验证这些发现。
{"title":"Association between Gastroesophageal Reflux and Sleep Disorder: A Systematic Review and Meta-analysis.","authors":"Chao Ren, Jun-Jie Zou, Zhen Wang, Jia-Jia Yun, Ya-Lei Li, Yu Yang, Ze-Jiong Li, Meng-Yuan Shen","doi":"10.1007/s10571-025-01663-w","DOIUrl":"10.1007/s10571-025-01663-w","url":null,"abstract":"<p><p>An association between gastroesophageal reflux disease (GERD) and sleep disorder has been reported. However, the magnitude of this association remains poorly understood. Therefore, we aimed to systematically evaluate this relationship. We conducted a comprehensive search for observational studies in eight databases from their inception to February 28, 2025. The characteristics of each study and pooled risk ratio (RR) with corresponding confidence intervals were calculated. Subgroup analyses were performed to explore sources of heterogeneity. A total of eighteen studies involving 110,417 participants met the inclusion criteria and were included in this meta-analysis. Our findings indicate a statistically significant unidirectional association between GERD and sleep disorder (RR = 2.02, 95% CI 1.71 to 2.37). Subgroup analyses consistently demonstrated an association between sleep disorder and GERD regardless of the diagnostic tools used for either condition (P = 0.32 for GERD diagnosis tools and P = 0.80 for sleep disorder diagnosis tools). Sensitivity analysis indicates that the conclusions are highly stable, and GRADEpro evaluation results have a low level of evidence. This meta-analysis reveals a significant correlation between sleep disorder and GERD. More studies under consistent conditions are needed to validate these findings.</p>","PeriodicalId":9742,"journal":{"name":"Cellular and Molecular Neurobiology","volume":" ","pages":"32"},"PeriodicalIF":4.8,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146040546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}