Evidence map›Paper›PMID 26951402›Full record

ArticleSleep2016

Localizing Effects of Leptin on Upper Airway and Respiratory Control during Sleep.

Qiaoling Yao, Huy Pho, Jason Kirkness, Ellen E Ladenheim, Sheng Bi, Timothy H Moran, David D Fuller, Alan R Schwartz, Vsevolod Y Polotsky

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Sleep, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05761756 (Applied Physiology of Oxygen Toxicity), which is not on this map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
3.2field-weighted citation impact, top 8% 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.

NCT05761756 narecruitingnot on this mapstarted 2023, after this paper: background citation

Applied Physiology of Oxygen Toxicity: Mechanisms in Humans

TypeinterventionalSponsorDuke UniversityRan2023 to 2026Enrolled62ConditionsOxygen Toxicity, Hypercapnia, SeizuresArmsSleep Deprivation, Caffeine, Methylphenidate, Carbon Dioxide
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 62 citations in OpenAlex.

  1. Article
  2. Review
  3. Leptin alleviates obesity hypoventilationbioRxiv : the preprint server for biology · 2026
    Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Sleep Disturbance and Metabolic Dysfunction: The Roles of Adipokines.International journal of molecular sciences · 2022
    Review
  15. Obstructive sleep apnea.Handbook of clinical neurology · 2022
    Review
  16. Article
  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

9 authors at 4 institutions in 2 countries.

Qiaoling YaoDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Huy PhoDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Jason KirknessDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Ellen E LadenheimDepartment of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD.
Sheng BiDepartment of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD.
Timothy H MoranDepartment of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD.
David D FullerDepartments of Physical Therapy, University of Florida, Gainesville, FL.
Alan R SchwartzDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Vsevolod Y PolotskyDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD.
Johns Hopkins University · USJohns Hopkins Medicine · USUniversity of Florida · USXinjiang Medical University · CN

Funding

Melanocortin 4 signaling in the carotid body in obesityR01HL133100 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Vsevolod Y Polotsky, Wan-yee Tang · 2016 to 2026
$7.1M
Treatment of Sleep Apnea by Targeting Leptin SignalingR01HL128970 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI MENDELOWITZ, DAVID, POLOTSKY, VSEVOLOD Y · 2015 to 2023
$5.4M
Dorsomedial Hypothalamic Signaling Pathways and Energy BalanceR01DK104867 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI BI, SHENG · 2016 to 2019
$1.9M
NHLBI NIH HHS R01 HL128970NHLBI NIH HHS R01 HL133100NIDDK NIH HHS R01 DK104867
6 · The paper itself

Abstract

STUDY

objectivesObesity hypoventilation and obstructive sleep apnea are common complications of obesity linked to defects in respiratory pump and upper airway neural control. Leptin-deficient ob/ob mice have impaired ventilatory control and inspiratory flow limitation during sleep, which are both reversed with leptin. We aimed to localize central nervous system (CNS) site(s) of leptin action on respiratory and upper airway neuroventilatory control.

methodsWe localized the effect of leptin to medulla versus hypothalamus by administering intracerbroventricular leptin (10 μg/2 μL) versus vehicle to the lateral (n = 14) versus fourth ventricle (n = 11) of ob/ob mice followed by polysomnographic recording. Analyses were stratified for effects on respiratory (nonflow-limited breaths) and upper airway (inspiratory flow limitation) functions. CNS loci were identified by (1) leptin-induced signal transducer and activator of transcription 3 (STAT3) phosphorylation and (2) projections of respiratory and upper airway motoneurons with a retrograde transsynaptic tracer (pseudorabies virus).

resultsBoth routes of leptin administration increased minute ventilation during nonflow-limited breathing in sleep. Phrenic motoneurons were synaptically coupled to the nucleus of the solitary tract, which also showed STAT3 phosphorylation, but not to the hypothalamus. Inspiratory flow limitation and obstructive hypopneas were attenuated by leptin administration to the lateral but not to the fourth cerebral ventricle. Upper airway motoneurons were synaptically coupled with the dorsomedial hypothalamus, which exhibited STAT3 phosphorylation.

conclusionsLeptin relieves upper airway obstruction in sleep apnea by activating the forebrain, possibly in the dorsomedial hypothalamus. In contrast, leptin upregulates ventilatory control through hindbrain sites of action, possibly in the nucleus of the solitary tract.

Indexed as

AnimalsHypothalamusHypoventilationLeptinMaleMiceMotor NeuronsObesityPhosphorylationPolysomnographyRespirationRespiratory SystemSleepSleep Apnea, ObstructiveSolitary NucleusSTAT3 Transcription FactorLeptinStat3 protein, mouseSTAT3 Transcription Factordorsomedial hypothalamusnucleus of the solitary tractobesity hypoventilation syndromeob/ob mousesleep apnea syndrome

Identifiers

PMID26951402
PMCPMC4835308
OpenAlexW2342392325

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.