Evidence map›Paper›PMID 24835174›Full record

ArticleThe Journal of physiology2014

Chronic intermittent hypoxia-hypercapnia blunts heart rate responses and alters neurotransmission to cardiac vagal neurons.

Jhansi Dyavanapalli, Heather Jameson, Olga Dergacheva, Vivek Jain, Mona Alhusayyen, David Mendelowitz

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of physiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.1field-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

24 citing papers in PubMed, 37 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
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  5. Novel approaches to restore parasympathetic activity to the heart in cardiorespiratory diseases.American journal of physiology. Heart and circulatory physiology · 2020
    Review
  6. Sex-steroid-dependent plasticity of brain-stem autonomic circuits.American journal of physiology. Regulatory, integrative and comparative physiology · 2020
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  7. GABAJournal of neurophysiology · 2019
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  13. Detachable glass microelectrodes for recording action potentials in active moving organs.American journal of physiology. Heart and circulatory physiology · 2017
    Article
  14. Article
  15. Article
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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

6 authors at 2 institutions in 1 country.

Jhansi DyavanapalliDepartment of Pharmacology and Physiology, 2300 Eye Street NW, The George Washington University, Washington, DC, 20037, USA.
Heather JamesonDepartment of Pharmacology and Physiology, 2300 Eye Street NW, The George Washington University, Washington, DC, 20037, USA.
Olga DergachevaDepartment of Pharmacology and Physiology, 2300 Eye Street NW, The George Washington University, Washington, DC, 20037, USA.
Vivek JainDepartment of Pharmacology and Physiology, 2300 Eye Street NW, The George Washington University, Washington, DC, 20037, USA Department of Medicine, Medical Faculty Associates, The George Washington University, Washington, DC, 20037, USA.
Mona AlhusayyenDepartment of Pharmacology and Physiology, 2300 Eye Street NW, The George Washington University, Washington, DC, 20037, USA.
David MendelowitzDepartment of Pharmacology and Physiology, 2300 Eye Street NW, The George Washington University, Washington, DC, 20037, USA dmendel@gwu.edu.
George Washington University · USWashington University Medical Center · US

Funding

Nicotine Modulation of Parasympathetic Cardiac NeuronsR01HL072006 · NHLBI · GEORGE WASHINGTON UNIVERSITY · PI MENDELOWITZ, DAVID · 2003 to 2017
$5.4M
NEUROPHYSIOLOGY OF PARASYMPATHETIC CARDIAC NEURONSR01HL049965 · NHLBI · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI MENDELOWITZ, DAVID · 1998 to 2014
$4.6M
MECHANISM OF CARDIORESPIRATORY RHYTHM IN NEONATESR01HL059895 · NHLBI · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI MENDELOWITZ, DAVID · 1998 to 2013
$4.1M
NEUROPHYSIOLOGY OF PARASYMPATHETIC CARDIAC NEURONSR29HL049965 · NHLBI · UNIVERSITY OF TENNESSEE HEALTH SCI CTR · PI MENDELOWITZ, DAVID · 1993 to 1997
–
NHLBI NIH HHS HL49965NHLBI NIH HHS HL59895NHLBI NIH HHS HL72006NHLBI NIH HHS R01 HL072006
6 · The paper itself

Abstract

Patients with obstructive sleep apnoea experience chronic intermittent hypoxia-hypercapnia (CIHH) during sleep that elicit sympathetic overactivity and diminished parasympathetic activity to the heart, leading to hypertension and depressed baroreflex sensitivity. The parasympathetic control of heart rate arises from pre-motor cardiac vagal neurons (CVNs) located in nucleus ambiguus (NA) and dorsal motor nucleus of the vagus (DMNX). The mechanisms underlying diminished vagal control of heart rate were investigated by studying the changes in blood pressure, heart rate, and neurotransmission to CVNs evoked by acute hypoxia-hypercapnia (H-H) and CIHH. In vivo telemetry recordings of blood pressure and heart rate were obtained in adult rats during 4 weeks of CIHH exposure. Retrogradely labelled CVNs were identified in an in vitro brainstem slice preparation obtained from adult rats exposed either to air or CIHH for 4 weeks. Postsynaptic inhibitory or excitatory currents were recorded using whole cell voltage clamp techniques. Rats exposed to CIHH had increases in blood pressure, leading to hypertension, and blunted heart rate responses to acute H-H. CIHH induced an increase in GABAergic and glycinergic neurotransmission to CVNs in NA and DMNX, respectively; and a reduction in glutamatergic neurotransmission to CVNs in both nuclei. CIHH blunted the bradycardia evoked by acute H-H and abolished the acute H-H evoked inhibition of GABAergic transmission while enhancing glycinergic neurotransmission to CVNs in NA. These changes with CIHH inhibit CVNs and vagal outflow to the heart, both in acute and chronic exposures to H-H, resulting in diminished levels of cardioprotective parasympathetic activity to the heart as seen in OSA patients.

Indexed as

Heart RateSynaptic TransmissionAnimalsBlood PressureGABAergic NeuronsHeartHypercapniaHypoxiaRatsRats, Sprague-DawleySleep Apnea, ObstructiveVagus Nerve

Identifiers

PMID24835174
PMCPMC4221821
OpenAlexW2108753959

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.