Evidence map›Paper›PMID 23095976›Full record

ArticlePediatric research2013

Caffeine improves the ability of serotonin-deficient (Pet-1-/-) mice to survive episodic asphyxia.

Kevin J Cummings, Kathryn G Commons, Felicia L Trachtenberg, Aihua Li, Hannah C Kinney, Eugene E Nattie

Open access · bronzeAbstract read
In one paragraph

Article in Pediatric research, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.3field-weighted citation impact, top 24% 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

10 citing papers in PubMed, 26 citations in OpenAlex.

  1. Reducing the risk of sudden unexpected infant death: the caffeine hypothesis.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
  2. Article
  3. Article
  4. The Serotonin Brainstem Hypothesis for the Sudden Infant Death Syndrome.Journal of neuropathology and experimental neurology · 2019
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Caffeine inhibits acetylcholinesterase, but not butyrylcholinesterase.International journal of molecular sciences · 2013
    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

6 authors at 4 institutions in 1 country.

Kevin J CummingsDepartment of Biomedical Sciences, College of Veterinary Medicine, University of Missouri, Columbia, MO, USA. cummingske@missouri.edu
Kathryn G Commons
Felicia L Trachtenberg
Aihua Li
Hannah C Kinney
Eugene E Nattie
Boston Children's Hospital · USDartmouth College · USMissouri College · USNew England Research Institutes · US

Funding

VENTRAL MEDULLA, BREATHING, AND CENTRAL CHEMORECEPTIONP01HD036379 · NICHD · HARVARD MEDICAL SCHOOL · PI DYMECKI, SUSAN M. · 1998 to 2017
$32.2M
CSF AND THE CENTRAL CHEMICAL CONTROL OF BREATHINGR37HL028066 · NHLBI · DARTMOUTH COLLEGE · PI NATTIE, EUGENE EDWARD · 1999 to 2008
$3.5M
BRAINSTEM MATURATION IN THE SUDDEN INFANT DEATH SYNDROMER37HD020991 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI KINNEY, HANNAH CHASE · 2000 to 2010
$3.3M
BRAINSTEM MATURATION IN THE SUDDEN INFANT DEATH SYNDROMER01HD020991 · NICHD · CHILDREN'S HOSPITAL BOSTON · PI HAYNES, ROBIN LYNN, KINNEY, HANNAH CHASE · 1986 to 2015
$3.3M
CSF AND THE CENTRAL CHEMICAL CONTROL OF BREATHINGR01HL028066 · NHLBI · DARTMOUTH COLLEGE · PI LI, AIHUA, NATTIE, EUGENE EDWARD · 1985 to 2017
$3.1M
NHLBI NIH HHS HL28066NHLBI NIH HHS R01 HL028066NHLBI NIH HHS R37 HL028066NICHD NIH HHS HD20991NICHD NIH HHS HD36379NICHD NIH HHS P01 HD036379NICHD NIH HHS R01 HD020991NICHD NIH HHS R37 HD020991
6 · The paper itself

Abstract

backgroundIn neonatal rodents, serotonin (5-HT) neurons are critical for successful autoresuscitation. We hypothesized that caffeine, a respiratory stimulant, would hasten the onset of gasping and improve autoresuscitation in 5-HT-deficient, Pet-1(-/-) mice.

methodsUsing a head-out system and electrocardiogram, we measured respiratory and heart rate (HR) responses of Pet-1(-/-) rodents and their littermates during episodic asphyxia at postnatal days 8-9 (P8-9). After a baseline recording, we injected either vehicle or caffeine (i.p.) at doses of 1, 5, or 10 mg/kg. We then induced 10 brief (~30 s) episodes of asphyxia, each interspersed with 5 min of room air to allow autoresuscitation. In addition to measuring survival, we measured the duration of hypoxic apnea (time to initiate gasping) and time to recover eupnea and HR.

resultsCaffeine had a dose-dependent effect of hastening the onset of gasping, recovery of breathing, and restoration of HR in Pet-1(-/-) (but not in wild-type) rodents, thereby improving survival across asphyxic episodes. Increased survival was strongly correlated with hastened onset of gasping.

conclusionOur data suggest that caffeine reduces mortality relating to asphyxia and 5-HT deficiency. These findings may be relevant for efforts to reduce the incidence of sudden infant death syndrome (SIDS), given that SIDS is associated with failed autoresuscitation and reduced brainstem 5-HT.

Indexed as

Analysis of VarianceAnimalsAsphyxiaCaffeineDNA PrimersElectrocardiographyGenotypeHeart RateMiceMice, KnockoutPolymerase Chain ReactionRespirationSerotoninTranscription FactorsCaffeineDNA PrimersFev protein, mouseSerotoninTranscription Factors

Identifiers

PMID23095976
PMCPMC4399823
OpenAlexW2033875181

What OpenQuestion holds

Textmetadata
LicenceTDM
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.