Evidence map›Paper›PMID 25641347›Full record

ArticleRespiratory physiology & neurobiology2015

Impact of unilateral denervation on transdiaphragmatic pressure.

Luther C Gill, Carlos B Mantilla, Gary C Sieck

Open access · greenAbstract read
In one paragraph

Article in Respiratory physiology & neurobiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

28 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
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  5. Article
  6. Chloroquine impairs maximal transdiaphragmatic pressure generation in old mice.Journal of applied physiology (Bethesda, Md. : 1985) · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Inhibition of TrkB kinase activity impairs transdiaphragmatic pressure generation.Journal of applied physiology (Bethesda, Md. : 1985) · 2020
    Article
  12. Article
  13. Diaphragm Muscle Adaptations in Health and Disease.Drug discovery today. Disease models · 2019
    Article
  14. Diaphragm muscle function following midcervical contusion injury in rats.Journal of applied physiology (Bethesda, Md. : 1985) · 2019
    Article
  15. Article
  16. Article
  17. Phrenic motor neuron loss in aged rats.Journal of neurophysiology · 2018
    Article
  18. Article
  19. Breathing: Motor Control of Diaphragm Muscle.Physiology (Bethesda, Md.) · 2018
    Review
  20. Compensatory effects following unilateral diaphragm paralysis.Respiratory physiology & neurobiology · 2017
    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

3 authors at 1 institution in 1 country.

Luther C GillDepartment of Physiology and Biomedical Engineering, Mayo Clinic, 200 First Street SW, Rochester, MN, USA.
Carlos B MantillaDepartment of Physiology and Biomedical Engineering, Mayo Clinic, 200 First Street SW, Rochester, MN, USA; Department of Anesthesiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Gary C SieckDepartment of Physiology and Biomedical Engineering, Mayo Clinic, 200 First Street SW, Rochester, MN, USA; Department of Anesthesiology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA. Electronic address: Sieck.Gary@mayo.edu.
Mayo Clinic · US

Funding

Respiratory Control in Old AgeR01AG044615 · NIA · MAYO CLINIC ROCHESTER · PI MANTILLA, CARLOS B, SIECK, GARY C. · 2013 to 2025
$6.9M
Recovery of Respiratory Function After Spinal Cord InjuryR01HL096750 · NHLBI · MAYO CLINIC ROCHESTER · PI MANTILLA, CARLOS B, SIECK, GARY C. · 2010 to 2017
$4.9M
Interdisciplinary Training in Lung Physiology and Biomedical EngineeringT32HL105355 · NHLBI · MAYO CLINIC ROCHESTER · PI PRAKASH, Y. S., SIECK, GARY C. · 2012 to 2021
$3.9M
NHLBI NIH HHS HL105355NHLBI NIH HHS HL96750NHLBI NIH HHS R01 HL096750NHLBI NIH HHS T32 HL105355NIA NIH HHS AG44615NIA NIH HHS R01 AG044615
6 · The paper itself

Abstract

The diaphragm muscle (DIAm) has a large reserve capacity for force generation such that in rats, the transdiaphragmatic pressure (Pdi) generated during ventilatory behaviors is less than 50% of maximal Pdi (Pd(imax)) elicited by bilateral phrenic nerve stimulation. Accordingly, we hypothesized that following unilateral denervation (DNV), the ability of the contralateral DIAm to generate sufficient Pdi to accomplish ventilatory behaviors will not be compromised and normal ventilation (as determined by arterial blood gas measurements) will not be impacted, although neural drive to the DIAm increases. In contrast, we hypothesized that higher force, non-ventilatory behaviors requiring Pdi generation greater than 50% of Pd(imax) will be compromised following DIAm hemiparalysis, i.e., increased neural drive cannot fully compensate for lack of force generating capacity. Pdi generated during ventilatory behaviors (eupnea and hypoxia (10% O2)-hypercapnia (5% CO2)) did not change after DNV and arterial blood gases were unaffected by DNV. However, neural drive to the contralateral DIAm, assessed by the rate of rise of root mean squared (RMS) EMG at 75 ms after onset of inspiratory activity (RMS75), increased after DNV (p<0.05). In contrast, Pdi generated during higher force, non-ventilatory behaviors was significantly reduced after DNV (p < 0.01), while RMS75 was unchanged. These findings support our hypothesis that only non-ventilatory behaviors requiring Pdi generation greater than 50% of Pd(imax) are impacted after DNV. Clinically, these results indicate that an evaluation of DIAm weakness requires examination of Pdi across multiple motor behaviors, not just ventilation.

Indexed as

DenervationPhrenic NerveAnimalsBlood Gas AnalysisDiaphragmElectromyographyFunctional LateralityMalePlethysmography, Whole BodyPressureRandom AllocationRats, Sprague-DawleyRespirationDiaphragmDNVTransdiaphragmatic pressureVentilation

Identifiers

PMID25641347
PMCPMC4449269
OpenAlexW2086546135

What OpenQuestion holds

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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.