Evidence map›Paper›PMID 26024683›Full record

ReviewAmerican journal of physiology. Heart and circulatory physiology2015

Neural control of circulation and exercise: a translational approach disclosing interactions between central command, arterial baroreflex, and muscle metaboreflex.

Lisete C Michelini, Donal S O'Leary, Peter B Raven, Antonio C L Nóbrega

Abstract readReview
In one paragraph

Review in American journal of physiology. Heart and circulatory physiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

55 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  15. Cardiac Baroreflex Is Preserved After the Recovery From COVID-19 Men and Women.Journal of clinical hypertension (Greenwich, Conn.) · 2025
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  17. Relationship between resting augmentation index and spontaneous cardiac baroreflex sensitivity during handgrip exercise in postmenopausal women.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2025
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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

4 authors.

Lisete C MicheliniDepartment of Physiology and Biophysics, Biomedical Sciences Institute, University of São Paulo, São Paulo, Brazil;
Donal S O'LearyDepartment of Physiology, Wayne State University School of Medicine, Detroit, Michigan;
Peter B RavenDepartment of Integrative Physiology, University of North Texas Health Science Center, Fort Worth, Texas; and.
Antonio C L NóbregaDepartment of Physiology and Pharmacology, Fluminense Federal University, Niteroi, Brazil anobrega@id.uff.br.

Funding

BLOOD PRESSURE CONTROL DURING EXERCISE IN HEART FAILURER01HL055473 · NHLBI · WAYNE STATE UNIVERSITY · PI O'LEARY, DONAL S · 1996 to 2024
$9.8M
Mechanisms Mediating Enhanced Sympatho-Activation During Exercise in HypertensionR01HL126706 · NHLBI · WAYNE STATE UNIVERSITY · PI O'LEARY, DONAL S · 2016 to 2019
$2.2M
WORKING MEMORY IN OBSTRUCTIVE SLEEP APNEA-AN fMRI STUDYK23HL004457 · NHLBI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI THOMAS, ROBERT JOSEPH · 2002 to 2006
$756k
NHLBI NIH HHS HL-04457NHLBI NIH HHS HL-55743NHLBI NIH HHS K23 HL004457NHLBI NIH HHS R01 HL055473NHLBI NIH HHS R01 HL126706
6 · The paper itself

Abstract

The last 100 years witnessed a rapid and progressive development of the body of knowledge concerning the neural control of the cardiovascular system in health and disease. The understanding of the complexity and the relevance of the neuroregulatory system continues to evolve and as a result raises new questions. The purpose of this review is to articulate results from studies involving experimental models in animals as well as in humans concerning the interaction between the neural mechanisms mediating the hemodynamic responses during exercise. The review describes the arterial baroreflex, the pivotal mechanism controlling mean arterial blood pressure and its fluctuations along with the two main activation mechanisms to exercise: central command (parallel activation of central somatomotor and autonomic descending pathways) and the muscle metaboreflex, the metabolic component of exercise pressor reflex (feedback from ergoreceptors within contracting skeletal muscles). In addition, the role of the cardiopulmonary baroreceptors in modulating the resetting of arterial baroreflex is identified, and the mechanisms in the central nervous system involved with the resetting of baroreflex function during dynamic exercise are also described. Approaching a very relevant clinical condition, the review also presents the concept that the impaired arterial baroreflex function is an integral component of the metaboreflex-mediated exaggerated sympathetic tone in subjects with heart failure. This increased sympathetic activity has a major role in causing the depressed ventricular function observed during submaximal dynamic exercise in these patients. The potential contribution of a metaboreflex arising from respiratory muscles is also considered.

Indexed as

BaroreflexExerciseAnimalsArteriesCentral Nervous SystemHumansMuscle, SkeletalVasomotor Systemautonomicbaroreflexcentral commandexercisemetaboreflex

Identifiers

PMID26024683
PMCPMC4631530

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.