Evidence map›Paper›PMID 17660395›Full record

ArticleAmerican journal of physiology. Heart and circulatory physiology2007

Cutaneous neuronal nitric oxide is specifically decreased in postural tachycardia syndrome.

Julian M Stewart, Marvin S Medow, Christopher T Minson, Indu Taneja

Open access · greenAbstract read
In one paragraph

Article in American journal of physiology. Heart and circulatory physiology, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
6.4field-weighted citation impact, top 3% of its field
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

32 citing papers in PubMed, 69 citations in OpenAlex.

  1. High-sodium diet does not worsen endothelial function in female patients with postural tachycardia syndrome.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2021
    Trial
  2. Trial
  3. Trial
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  5. Endothelial nitric oxide synthase control mechanisms in the cutaneous vasculature of humans in vivo.American journal of physiology. Heart and circulatory physiology · 2008
    Trial
  6. Article
  7. Article
  8. Ten days of repeated local forearm heating does not affect cutaneous vascular function.Journal of applied physiology (Bethesda, Md. : 1985) · 2017
    Article
  9. Article
  10. Postural Tachycardia Syndrome: Beyond Orthostatic Intolerance.Current neurology and neuroscience reports · 2015
    Review
  11. Article
  12. Sex- and limb-specific differences in the nitric oxide-dependent cutaneous vasodilation in response to local heating.American journal of physiology. Regulatory, integrative and comparative physiology · 2014
    Article
  13. Blunted cerebral blood flow velocity in response to a nitric oxide donor in postural tachycardia syndrome.American journal of physiology. Heart and circulatory physiology · 2014
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Ascorbate improves circulation in postural tachycardia syndrome.American journal of physiology. Heart and circulatory physiology · 2011
    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

4 authors at 1 institution in 1 country.

Julian M StewartThe Center for Pediatric Hypotension, New York Medical College, Ste. 3050, 19 Bradhurst Ave., Hawthorne, NY 10532, USA. stewart@nymc.edu
Marvin S Medow
Christopher T Minson
Indu Taneja
New York Medical College · US

Funding

Local Vasoconstriction in Postural Tachycardia SyndromeR01HL074873 · NHLBI · NEW YORK MEDICAL COLLEGE · PI STEWART, JULIAN M · 2004 to 2013
$3.4M
Vascular Dysfunction in CFSR01HL087803 · NHLBI · NEW YORK MEDICAL COLLEGE · PI STEWART, JULIAN M · 2008 to 2011
$1.6M
Detecting Endothelial Dysfunction in Renal FailureR21DK071647 · NIDDK · NEW YORK MEDICAL COLLEGE · PI STEWART, JULIAN M · 2006 to 2007
$426k
NHLBI NIH HHS 5R01-HL-74873NHLBI NIH HHS R01 HL074873NHLBI NIH HHS R01 HL087803NIDDK NIH HHS 1R21-DK-071647NIDDK NIH HHS R21 DK071647
6 · The paper itself

Abstract

Low flow postural tachycardia syndrome (POTS), is associated with reduced nitric oxide (NO) activity assumed to be of endothelial origin. We tested the hypothesis that cutaneous microvascular neuronal NO (nNO) is impaired, rather than endothelial NO (eNO), in POTS. We performed three sets of experiments on subjects aged 22.5 +/- 2 yr. We used laser-Doppler flowmetry response to sequentially increase acetylcholine (ACh) doses and the local cutaneous heating response of the calf as bioassays for NO. During local heating we showed that when the selective neuronal nNO synthase (nNOS) inhibitor N(omega)-nitro-L-arginine-2,4-L-diaminobutyric amide (N(omega), 10 mM) was delivered by intradermal microdialysis, cutaneous vascular conductance (CVC) decreased by an amount equivalent to the largest reduction produced by the nonselective NO synthase (NOS) inhibitor nitro-L-arginine (NLA, 10 mM). We demonstrated that the response to ACh was minimally attenuated by nNOS blockade using N(omega) but markedly attenuated by NLA, indicating that eNO largely comprises the receptor-mediated NO release by ACh. We further demonstrated that the ACh dose response was minimally reduced, whereas local heat-mediated NO-dependent responses were markedly reduced in POTS compared with control subjects. This is consistent with intact endothelial function and reduced NO of neuronal origin in POTS. The local heating response was highly attenuated in POTS [60 +/- 6 percent maximum CVC(%CVC(max))] compared with control (90 +/- 4 %CVC(max)), but the plateau response decreased to the same level with nNOS inhibition (50 +/- 3 %CVC(max) in POTS compared with 47 +/- 2 %CVC(max)), indicating reduced nNO bioavailability in POTS patients. The data suggest that nNO activity but not NO of endothelial NOS origin is reduced in low-flow POTS.

Indexed as

PostureAcetylcholineAdolescentAdultBlood Flow VelocityCase-Control StudiesDose-Response Relationship, DrugEndothelium, VascularEnzyme InhibitorsFemaleHot TemperatureHumansLaser-Doppler FlowmetryMicrocirculationNeuronsNitric OxideAcetylcholineEnzyme InhibitorsNitric OxideNitric Oxide Synthase Type INitric Oxide Synthase Type IIINitroarginineN(omega)-nitroarginine-2,4-diaminobutryic amideNOS1 protein, humanNOS3 protein, humanVasodilator Agents

Identifiers

PMID17660395
PMCPMC4511496
OpenAlexW2103260468

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.