Evidence map›Paper›PMID 21642978›Full record

ArticleNature medicine2011

Uncoupling the mechanisms of obesity and hypertension by targeting hypothalamic IKK-β and NF-κB.

Sudarshana Purkayastha, Guo Zhang, Dongsheng Cai

Abstract read
In one paragraph

Article in Nature medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 136 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
136citing papers in PubMed, 1 pooled it
9.0field-weighted citation impact, top 1% 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

136 citing papers in PubMed, 1 synthesis or guideline pooled it, 216 citations in OpenAlex.

  1. Pooled it
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  13. [Activation ofNan fang yi ke da xue xue bao = Journal of Southern Medical University · 2024
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  17. AAV-BDNF gene therapy ameliorates a hypothalamic neuroinflammatory signature in theMolecular therapy. Methods & clinical development · 2023
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  20. Hypothalamic inflammation in metabolic disorders and aging.Cellular and molecular life sciences : CMLS · 2021
    Review

76 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Sudarshana PurkayasthaDepartment of Molecular Pharmacology, Albert Einstein College of Medicine, New York, New York, USA.
Guo Zhang
Dongsheng Cai
Albert Einstein College of Medicine · US

Funding

The Hypothalamic Basis of AgingR01AG031774 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI Dongsheng Cai · 2010 to 2026
$6.3M
Role of IKK-Beta/NF-KappaB in Hypothalamic Dysregulation of Energy BalanceR01DK078750 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI CAI, DONGSHENG · 2008 to 2017
$3.8M
NIA NIH HHS R01 AG 031774NIA NIH HHS R01 AG031774NIDDK NIH HHS R01 DK078750
6 · The paper itself

Abstract

Obesity-related hypertension has become an epidemic health problem and a major risk factor for the development of cardiovascular disease (CVD). Recent research on the pathophysiology of obesity has implicated a role for the hypothalamus in the pathogenesis of this condition. However, it remains unknown whether the often-seen coupling of hypertension with obesity can also be explained by hypothalamic dysfunction, despite the emerging appreciation that many forms of hypertension are neurogenic in origin. Our studies here revealed that acute activation of the proinflammatory protein nuclear factor κB (NF-κB) and its upstream activator IκB kinase-β (IKK-β, encoded by Ikbkb) in the mediobasal hypothalamus rapidly elevated blood pressure in mice independently of obesity. This form of hypothalamic inflammation-induced hypertension involved the sympathetic upregulation of hemodynamics and was reversed by sympathetic suppression. Loss-of-function studies further showed that NF-κB inhibition in the mediobasal hypothalamus counteracted obesity-related hypertension in a manner that was dissociable from changes in body weight. In addition, we found that pro-opiomelanocortin (POMC) neurons were crucial for the hypertensive effects of the activation of hypothalamic IKK-β and NF-κB, which underlie obesity-related hypertension. In conclusion, obesity-associated activation of IKK-β and NF-κB in the mediobasal hypothalamus--particularly in the hypothalamic POMC neurons--is a primary pathogenic link between obesity and hypertension. Breaking this pathogenic link may represent an avenue for controlling obesity-related hypertension and CVD without requiring obesity control.

Indexed as

AnimalsBlood PressureHypertensionHypothalamusI-kappa B KinaseMiceMice, Inbred C57BLNF-kappa BObesityPro-OpiomelanocortinTumor Necrosis Factor-alphaI-kappa B KinaseNF-kappa BPro-OpiomelanocortinTumor Necrosis Factor-alpha

Identifiers

PMID21642978
PMCPMC3134198
OpenAlexW2059647625

What OpenQuestion holds

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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.