Evidence map›Paper›PMID 26472867›Full record

ArticleJournal of applied physiology (Bethesda, Md. : 1985)2016

The effect of leptin replacement on sleep-disordered breathing in the leptin-deficient ob/ob mouse.

H Pho, A B Hernandez, R S Arias, E B Leitner, S Van Kooten, J P Kirkness, H Schneider, P L Smith, V Y Polotsky, A R Schwartz

Open access · greenAbstract read
In one paragraph

Article in Journal of applied physiology (Bethesda, Md. : 1985), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

36 citing papers in PubMed, 55 citations in OpenAlex.

  1. Article
  2. Leptin alleviates obesity hypoventilationbioRxiv : the preprint server for biology · 2026
    Article
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  14. Review
  15. Article
  16. Obstructive sleep apnea.Handbook of clinical neurology · 2022
    Review
  17. Article
  18. Article
  19. Article
  20. 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

10 authors at 3 institutions in 1 country.

H PhoDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland;
A B HernandezDepartment of Pulmonary, Critical Care, and Sleep Medicine, Mount Sinai Hospital, New York, New York;
R S AriasDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland;
E B LeitnerUniversity of Michigan Medical School, Ann Arbor, Michigan; and.
S Van KootenDepartment of Biomedical Engineering, Johns Hopkins University, Baltimore, Maryland.
J P KirknessDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland;
H SchneiderDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland;
P L SmithDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland;
V Y PolotskyDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland;
A R SchwartzDepartment of Medicine, Division of Pulmonary and Critical Care Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland; aschwar2@jhmi.edu.
Johns Hopkins University · USMount Sinai Hospital · USUniversity of Michigan–Ann Arbor · US

Funding

JHU-UMD Diabetes Research CenterP30DK079637 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI AHIMA, REXFORD S. · 2013 to 2017
$9.7M
Treatment of Sleep Apnea by Targeting Leptin SignalingR01HL128970 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI MENDELOWITZ, DAVID, POLOTSKY, VSEVOLOD Y · 2015 to 2023
$5.4M
UPPER AIRWAY CONTROL OF TRANSTRACHEAL INSUFFLATIONR01HL050381 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI SCHWARTZ, ALAN R. · 1999 to 2012
$5.2M
Sleep Apnea and Dysregulation of Lipid MetabolismR01HL080105 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI POLOTSKY, VSEVOLOD Y · 2005 to 2014
$3.4M
SEGMENTAL CONTROL OF PHARYNGEAL COLLAPSIBILITYR29HL050381 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI SCHWARTZ, ALAN R · 1994 to 1998
–
NHLBI NIH HHS 1R01-HL-128970-01NHLBI NIH HHS HL-050381NHLBI NIH HHS HL-080105NHLBI NIH HHS R01 HL080105NHLBI NIH HHS R01 HL128970NIDDK NIH HHS P30 DK079637
6 · The paper itself

Abstract

Obese leptin-deficient (ob/ob) mice demonstrate defects in upper airway structural and neuromuscular control. We hypothesized that these defects predispose to upper airway obstruction during sleep, and improve with leptin administration. High-fidelity polysomnographic recordings were conducted to characterize sleep and breathing patterns in conscious, unrestrained ob/ob mice (23 wk, 67.2 ± 4.1 g, n = 13). In a parallel-arm crossover study, we compared responses to subcutaneous leptin (1 μg/h) vs. vehicle on respiratory parameters during NREM and REM sleep. Upper airway obstruction was defined by the presence of inspiratory airflow limitation (IFL), as characterized by an early inspiratory plateau in airflow at a maximum level (V̇Imax) with increasing effort. The severity of upper airway obstruction (V̇Imax) was assessed along with minute ventilation (V̇E), tidal volume (VT), respiratory rate (RR), inspiratory duty cycle, and mean inspiratory flow at each time point. IFL occurred more frequently in REM sleep (37.6 ± 0.2% vs. 1.1 ± 0.0% in NREM sleep, P < 0.001), and leptin did not alter its frequency. V̇Imax (3.7 ± 1.1 vs. 2.7 ± 0.8 ml/s, P < 0.001) and V̇E increased (55.4 ± 22.0 vs. 39.8 ± 16.4 ml/min, P < 0.001) with leptin vs. vehicle administration. The increase in V̇E was due to a significant increase in VT (0.20 ± 0.06 vs. 0.16 ± 0.05 ml, P < 0.01) rather than RR. Increases in V̇E were attributable to increases in mean inspiratory flow (2.5 ± 0.8 vs. 1.8 ± 0.6 ml/s, P < 0.001) rather than inspiratory duty cycle. Similar increases in V̇E and its components were observed in non-flow-limited breaths during NREM and REM sleep. These responses suggest that leptin stabilized pharyngeal patency and increased drive to both the upper airway and diaphragm during sleep.

Indexed as

AnimalsCross-Over StudiesDiaphragmLeptinMaleMiceMice, Inbred C57BLObesityPharynxPolysomnographyRespiratory Function TestsRespiratory MechanicsSleepSleep Apnea SyndromesSleep, REMLeptinleptinneuromuscular controlob/obobstructive sleep apneapharyngeal collapsibility

Identifiers

PMID26472867
PMCPMC4698442
OpenAlexW2281535538

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.