Evidence map›Paper›PMID 24323841›Full record

ArticleThe Journal of comparative neurology2014

Projection neurons of the vestibulo-sympathetic reflex pathway.

Gay R Holstein, Victor L Friedrich, Giorgio P Martinelli

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of comparative neurology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04976101 (A Pilot Study to Assess Sinusoidal Galvanic Vestibular Stimulation in Neurogenic Orthostatic Hypotension), which is not on this map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
2.3field-weighted citation impact, top 13% 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.

NCT04976101 nawithdrawnnot on this mapstarted 2023, after this paper: background citation

A Pilot Study to Assess Sinusoidal Galvanic Vestibular Stimulation in Neurogenic Orthostatic Hypotension

TypeinterventionalSponsorHackensack Meridian HealthRan2023 to 2025Enrolled0ConditionsNeurogenic Orthostatic HypotensionArmsSinosuidal Galvanic Vestibular Stimulation, Placebo
3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 66 citations in OpenAlex.

  1. Association between vestibular dysfunction and osteoporosis in adults: a systematic review and meta-analysis.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Review
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  12. Augmented ocular vestibular-evoked myogenic potentials in postural orthostatic tachycardia syndrome.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2023
    Article
  13. Utricular dysfunction in patients with orthostatic hypotension.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2022
    Article
  14. Article
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  17. Responses of neurons in the rostral ventrolateral medulla of conscious cats to anticipated and passive movements.American journal of physiology. Regulatory, integrative and comparative physiology · 2020
    Article
  18. Review
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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

3 authors at 1 institution in 1 country.

Gay R HolsteinDepartment of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York, 10029; Department of Neuroscience, Icahn School of Medicine at Mount Sinai, New York, New York, 10029.
Victor L Friedrich
Giorgio P Martinelli
Icahn School of Medicine at Mount Sinai · US

Funding

Chemical Anatomy and Synaptology of Vestibulo-Sympathetic PathwaysR01DC008846 · NIDCD · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HOLSTEIN, GAY R · 2008 to 2021
$5.8M
NIDCD NIH HHS DC008846NIDCD NIH HHS R01 DC008846
6 · The paper itself

Abstract

Changes in head position and posture are detected by the vestibular system and are normally followed by rapid modifications in blood pressure. These compensatory adjustments, which allow humans to stand up without fainting, are mediated by integration of vestibular system pathways with blood pressure control centers in the ventrolateral medulla. Orthostatic hypotension can reflect altered activity of this neural circuitry. Vestibular sensory input to the vestibulo-sympathetic pathway terminates on cells in the vestibular nuclear complex, which in turn project to brainstem sites involved in the regulation of cardiovascular activity, including the rostral and caudal ventrolateral medullary regions (RVLM and CVLM, respectively). In the present study, sinusoidal galvanic vestibular stimulation was used to activate this pathway, and activated neurons were identified through detection of c-Fos protein. The retrograde tracer Fluoro-Gold was injected into the RVLM or CVLM of these animals, and immunofluorescence studies of vestibular neurons were conducted to visualize c-Fos protein and Fluoro-Gold concomitantly. We observed activated projection neurons of the vestibulo-sympathetic reflex pathway in the caudal half of the spinal, medial, and parvocellular medial vestibular nuclei. Approximately two-thirds of the cells were ipsilateral to Fluoro-Gold injection sites in both the RVLM and CVLM, and the remainder were contralateral. As a group, cells projecting to the RVLM were located slightly rostral to those with terminals in the CVLM. Individual activated projection neurons were multipolar, globular, or fusiform in shape. This study provides the first direct demonstration of the central vestibular neurons that mediate the vestibulo-sympathetic reflex.

Indexed as

Afferent PathwaysAnimalsBrain StemElectric StimulationFluorescent Antibody TechniqueFluorescent DyesFunctional LateralityMaleMedulla OblongataNeuroanatomical Tract-Tracing TechniquesNeuronsPhotomicrographyProto-Oncogene Proteins c-fosRats, Long-EvansReflexStilbamidines2-hydroxy-4,4'-diamidinostilbene, methanesulfonate saltFluorescent DyesProto-Oncogene Proteins c-fosStilbamidinesblood pressureorthostatic hypotensionRVLMvestibular

Identifiers

PMID24323841
PMCPMC3997612
OpenAlexW2117689825

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.