Evidence map›Paper›PMID 26669206›Full record

ArticleAmerican journal of respiratory and critical care medicine2016

AMP-activated Protein Kinase Deficiency Blocks the Hypoxic Ventilatory Response and Thus Precipitates Hypoventilation and Apnea.

Amira D Mahmoud, Sophronia Lewis, Lara Juričić, Utibe-Abasi Udoh, Sandy Hartmann, Maurits A Jansen, Oluseye A Ogunbayo, Paolo Puggioni, Andrew P Holmes, Prem Kumar and 6 more

Open access · greenAbstract read
In one paragraph

Article in American journal of respiratory and critical care medicine, 2016. 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
1.9field-weighted citation impact, top 15% 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, 52 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Genetic adaptations shaping survival, pregnancy, and life at high altitude and sea level.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Review
  4. AdaptiveiScience · 2025
    Article
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  13. Constitutive Expression of Hif2α Confers Acute OAdvances in experimental medicine and biology · 2023
    Article
  14. Oxygen regulation of breathing is abolished in mitochondrial complex III-deficient arterial chemoreceptors.Proceedings of the National Academy of Sciences of the United States of America · 2022
    Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Review
  20. AMPK and the Need to Breathe and Feed: What's the Matter with Oxygen?International journal of molecular sciences · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 2 countries.

Amira D Mahmoud1 Centre for Integrative Physiology.
Sophronia Lewis1 Centre for Integrative Physiology.
Lara Juričić2 Centre for Cardiovascular Science, and.
Utibe-Abasi Udoh1 Centre for Integrative Physiology.
Sandy Hartmann1 Centre for Integrative Physiology.
Maurits A Jansen2 Centre for Cardiovascular Science, and.
Oluseye A Ogunbayo1 Centre for Integrative Physiology.
Paolo Puggioni1 Centre for Integrative Physiology.
Andrew P Holmes3 Institute of Clinical Sciences, University of Birmingham, Birmingham, United Kingdom.
Prem Kumar3 Institute of Clinical Sciences, University of Birmingham, Birmingham, United Kingdom.
Jorge Navarro-Dorado1 Centre for Integrative Physiology.
Marc Foretz4 Institut Cochin, INSERM U1016, Paris, France.
Benoit Viollet4 Institut Cochin, INSERM U1016, Paris, France.
Mayank B Dutia1 Centre for Integrative Physiology.
Ian Marshall7 Centre for Clinical Brain Sciences, College of Medicine and Veterinary Medicine, University of Edinburgh, Edinburgh, United Kingdom.
A Mark Evans1 Centre for Integrative Physiology.ORCID 0000-0002-4650-7208
University of Edinburgh · GBDélégation Paris 5 · FRInserm · FRUniversity of Birmingham · GB

Funding

British Heart Foundation RG/12/14/29885Wellcome TrustWellcome Trust WT081195MA
6 · The paper itself

Abstract

rationaleModulation of breathing by hypoxia accommodates variations in oxygen demand and supply during, for example, sleep and ascent to altitude, but the precise molecular mechanisms of this phenomenon remain controversial. Among the genes influenced by natural selection in high-altitude populations is one for the adenosine monophosphate-activated protein kinase (AMPK) α1-catalytic subunit, which governs cell-autonomous adaptations during metabolic stress.

objectivesWe investigated whether AMPK-α1 and/or AMPK-α2 are required for the hypoxic ventilatory response and the mechanism of ventilatory dysfunctions arising from AMPK deficiency.

methodsWe used plethysmography, electrophysiology, functional magnetic resonance imaging, and immediate early gene (c-fos) expression to assess the hypoxic ventilatory response of mice with conditional deletion of the AMPK-α1 and/or AMPK-α2 genes in catecholaminergic cells, which compose the hypoxia-responsive respiratory network from carotid body to brainstem. MEASUREMENTS AND MAIN

resultsAMPK-α1 and AMPK-α2 deletion virtually abolished the hypoxic ventilatory response, and ventilatory depression during hypoxia was exacerbated under anesthesia. Rather than hyperventilating, mice lacking AMPK-α1 and AMPK-α2 exhibited hypoventilation and apnea during hypoxia, with the primary precipitant being loss of AMPK-α1 expression. However, the carotid bodies of AMPK-knockout mice remained exquisitely sensitive to hypoxia, contrary to the view that the hypoxic ventilatory response is determined solely by increased carotid body afferent input to the brainstem. Regardless, functional magnetic resonance imaging and c-fos expression revealed reduced activation by hypoxia of well-defined dorsal and ventral brainstem nuclei.

conclusionsAMPK is required to coordinate the activation by hypoxia of brainstem respiratory networks, and deficiencies in AMPK expression precipitate hypoventilation and apnea, even when carotid body afferent input is normal.

Indexed as

AMP-Activated Protein KinasesAnimalsApneaDisease Models, AnimalElectrophysiologyHypoventilationHypoxiaMagnetic Resonance ImagingMiceMice, KnockoutPlethysmographyAMP-Activated Protein Kinasesadenosine monophosphate–activated protein kinaseapneabrainstemhypoxiaventilation

Identifiers

PMID26669206
PMCPMC4872655
OpenAlexW2343626454

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.