Evidence map›Paper›PMID 26869872›Full record

ArticleFrontiers in neuroscience2016

Chronic Intermittent Hypoxia Alters Local Respiratory Circuit Function at the Level of the preBötzinger Complex.

Alfredo J Garcia, Sebastien Zanella, Tatiana Dashevskiy, Shakil A Khan, Maggie A Khuu, Nanduri R Prabhakar, Jan-Marino Ramirez

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neuroscience, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed
3.7field-weighted citation impact, top 7% 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

44 citing papers in PubMed, 80 citations in OpenAlex.

  1. Article
  2. Review
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  4. Divergent ventilatory responses during opioid-induced respiratory depression in response to repeated fentanyl use.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
  5. Leveraging intrinsic non-sinusoidal patterns to infer search behavior to predict exposure to respiratory stressors.American journal of physiology. Lung cellular and molecular physiology · 2025
    Article
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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

7 authors at 2 institutions in 1 country.

Alfredo J GarciaCenter for Integrative Brain Research, Seattle Children's Research Institute Seattle, WA, USA.
Sebastien ZanellaCenter for Integrative Brain Research, Seattle Children's Research Institute Seattle, WA, USA.
Tatiana DashevskiyCenter for Integrative Brain Research, Seattle Children's Research Institute Seattle, WA, USA.
Shakil A KhanInstitute for Integrative Physiology, The University of Chicago Chicago, IL, USA.
Maggie A KhuuCenter for Integrative Brain Research, Seattle Children's Research Institute Seattle, WA, USA.
Nanduri R PrabhakarInstitute for Integrative Physiology, The University of Chicago Chicago, IL, USA.
Jan-Marino RamirezCenter for Integrative Brain Research, Seattle Children's Research InstituteSeattle, WA, USA; Departments of Neurological Surgery and Pediatrics, University of WashingtonSeattle, WA, USA.
University of Chicago · USNeurological Surgery · US

Funding

Integrative Consequences of HypoxiaP01HL090554 · NHLBI · UNIVERSITY OF CHICAGO · PI PRABHAKAR, NANDURI R · 2008 to 2017
$21.4M
NHLBI NIH HHS P01 HL090554
6 · The paper itself

Abstract

Chronic intermittent hypoxia (CIH) is a common state experienced in several breathing disorders, including obstructive sleep apnea (OSA) and apneas of prematurity. Unraveling how CIH affects the CNS, and in turn how the CNS contributes to apneas is perhaps the most challenging task. The preBötzinger complex (preBötC) is a pre-motor respiratory network critical for inspiratory rhythm generation. Here, we test the hypothesis that CIH increases irregular output from the isolated preBötC, which can be mitigated by antioxidant treatment. Electrophysiological recordings from brainstem slices revealed that CIH enhanced burst-to-burst irregularity in period and/or amplitude. Irregularities represented a change in individual fidelity among preBötC neurons, and changed transmission from preBötC to the hypoglossal motor nucleus (XIIn), which resulted in increased transmission failure to XIIn. CIH increased the degree of lipid peroxidation in the preBötC and treatment with the antioxidant, 5,10,15,20-Tetrakis (1-methylpyridinium-4-yl)-21H,23H-porphyrin manganese(III) pentachloride (MnTMPyP), reduced CIH-mediated irregularities on the network rhythm and improved transmission of preBötC to the XIIn. These findings suggest that CIH promotes a pro-oxidant state that destabilizes rhythmogenesis originating from the preBötC and changes the local rhythm generating circuit which in turn, can lead to intermittent transmission failure to the XIIn. We propose that these CIH-mediated effects represent a part of the central mechanism that may perpetuate apneas and respiratory instability, which are hallmark traits in several dysautonomic conditions.

Indexed as

apneas of prematurityintermittent hypoxiaobstructive sleep apneaoxidative stresspreBötzinger complex

Identifiers

PMID26869872
PMCPMC4740384
OpenAlexW2259774739

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.