Evidence map›Paper›PMID 23441827›Full record

ReviewMicrocirculation (New York, N.Y. : 1994)2013

Bang-bang model for regulation of local blood flow.

Aleksander S Golub, Roland N Pittman

Open access · greenAbstract readReview
In one paragraph

Review in Microcirculation (New York, N.Y. : 1994), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 35 citations in OpenAlex.

  1. KMicrovascular research · 2025
    Article
  2. Article
  3. Dynamics of POFrontiers in physiology · 2023
    Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. The role of perfusion in the oxygen extraction capability of skin and skeletal muscle.American journal of physiology. Heart and circulatory physiology · 2016
    Article
  12. Article
  13. Skeletal muscle vasodilation during systemic hypoxia in humans.Journal of applied physiology (Bethesda, Md. : 1985) · 2016
    Review
  14. Review
  15. Muscle blood flow, hypoxia, and hypoperfusion.Journal of applied physiology (Bethesda, Md. : 1985) · 2014
    Review
  16. A paradigm shift for local blood flow regulation.Journal of applied physiology (Bethesda, Md. : 1985) · 2014
    Article
  17. Article
  18. Article
  19. Review
  20. Mitochondrial dysfunction and sarcopenia of aging: from signaling pathways to clinical trials.The international journal of biochemistry & cell biology · 2013
    Review
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

2 authors at 1 institution in 1 country.

Aleksander S GolubDepartment of Physiology and Biophysics, Medical College of Virginia Campus, Virginia Commonwealth University, Richmond, VA, USA. agolub@vcu.edu
Roland N Pittman
Virginia Commonwealth University Medical Center · US

Funding

VASODILATION AND MICROVASCULAR OXYGEN DELIVERYR01HL018292 · NHLBI · VIRGINIA COMMONWEALTH UNIVERSITY · PI PITTMAN, ROLAND N · 1985 to 2011
$4.4M
NHLBI NIH HHS R01 HL018292NHLBI NIH HHS R01 HL18292
6 · The paper itself

Abstract

The classical model of metabolic regulation of blood flow in muscle tissue implies the maintenance of basal tone in arterioles of resting muscle and their dilation in response to exercise and/or tissue hypoxia via the evoked production of vasodilator metabolites by myocytes. A century-long effort to identify specific metabolites responsible for explaining active and reactive hyperemia has not been successful. Furthermore, the metabolic theory is not compatible with new knowledge on the role of physiological radicals (e.g., nitric oxide, NO, and superoxide anion, O2 (-) ) in the regulation of microvascular tone. We propose a model of regulation in which muscle contraction and active hyperemia are considered the physiologically normal state. We employ the "bang-bang" or "on/off" regulatory model which makes use of a threshold and hysteresis; a float valve to control the water level in a tank is a common example of this type of regulation. Active bang-bang regulation comes into effect when the supply of oxygen and glucose exceeds the demand, leading to activation of membrane NADPH oxidase, release of O2 (-) into the interstitial space and subsequent neutralization of the interstitial NO. Switching arterioles on/off when local blood flow crosses the threshold is realized by a local cell circuit with the properties of a bang-bang controller, determined by its threshold, hysteresis, and dead-band. This model provides a clear and unambiguous interpretation of the mechanism to balance tissue demand with a sufficient supply of nutrients and oxygen.

Indexed as

Models, CardiovascularMuscle, SkeletalAnimalsHumansHyperemiaNADPH OxidasesNitric OxideOxygenSuperoxidesNADPH OxidasesNitric OxideOxygenSuperoxidesmetabolic regulationnitric oxideon/off regulationoxygensuperoxide anion

Identifiers

PMID23441827
PMCPMC3700565
OpenAlexW2146639117

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.