Evidence map›Paper›PMID 26625865›Full record

ReviewCurrent opinion in nephrology and hypertension2016

Cutaneous control of blood pressure.

Randall S Johnson, Jens Titze, Richard Weller

Open access · greenAbstract readReview
In one paragraph

Review in Current opinion in nephrology and hypertension, 2016. 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
1.9field-weighted citation impact, top 14% 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, 42 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Antibiotics (Basel, Switzerland) · 2025
    Review
  7. Article
  8. Targeting Sodium in Heart Failure.Journal of personalized medicine · 2024
    Review
  9. Role of Lymphangiogenesis in Cardiac Repair and Regeneration.Methodist DeBakey cardiovascular journal · 2023
    Review
  10. Review
  11. Skin Sodium and Blood Pressure Regulation.Electrolyte & blood pressure : E & BP · 2022
    Review
  12. Article
  13. Article
  14. Article
  15. Global warming, heat-related illnesses, and the dermatologist.International journal of women's dermatology · 2021
    Review
  16. Article
  17. Article
  18. Review
  19. Skin Sodium and Hypertension: a Paradigm Shift?Current hypertension reports · 2018
    Review
  20. Clocking skin sodium.American journal of physiology. Regulatory, integrative and comparative physiology · 2018
    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 3 institutions in 3 countries.

Randall S JohnsonaDepartment of Physiology, Development and Neuroscience, University of Cambridge, Cambridge, UK bDivision of Clinical Pharmacology, Vanderbilt University School of Medicine, Nashville, Tennessee, USA cInterdisciplinary Center for Clinical Research, Friedrich-Alexander-University, Erlangen-Nürnberg, Germany dUniversity Department of Dermatology, University of Edinburgh, Lauriston Building, Lauriston Place, Edinburgh, UK.
Jens Titze
Richard Weller
Friedrich-Alexander-Universität Erlangen-Nürnberg · DEUniversity of Cambridge · GBUniversity of Edinburgh · GB

Funding

Lymphatic Regulation of Skin Electrolyte Metabolism and Blood PressureR01HL118579 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI TITZE, JENS MARC · 2013 to 2017
$1.9M
NHLBI NIH HHS R01 HL118579NHLBI NIH HHS R01 HL118579-01
6 · The paper itself

Abstract

purpose of reviewTextbook theory holds that blood pressure (BP) is regulated by the brain, by blood vessels, or by the kidney. Recent evidence suggests that BP could be regulated in the skin. RECENT

findingsThe skin holds a complex capillary counter current system, which controls body temperature, skin perfusion, and apparently systemic BP. Epidemiological data suggest that sunlight exposure plays a role in controlling BP. Ultraviolet A radiation produces vasodilation and a fall in BP. Keratinocytes and immune cells control blood flow in the extensive countercurrent loop system of the skin by producing nitric oxide, a key regulator of vascular tone. The balance between hypoxia-inducible factor-1α and hypoxia-inducible factor-2α activity in keratinocytes controls skin perfusion, systemic thermoregulation, and systemic BP by nitric oxide-dependent mechanisms. Furthermore, the skin accumulates Na which generates a barrier to promote immunological host defense. Immune cells control skin Na metabolism and the clearance of Na via the lymphatic system. Reduced lymphatic clearance increases BP. SUMMARY: Apart from the well-known role of the brain, blood vessels, and the kidney, the skin is important for systemic BP control in humans and in experimental animals.

Indexed as

AnimalsBlood PressureCardiovascular DiseasesHumansKeratinocytesMacrophagesRegional Blood FlowSkinSodiumSunlightSodium

Identifiers

PMID26625865
PMCPMC5432654
OpenAlexW2210774140

What OpenQuestion holds

Textmetadata
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.