Evidence map›Paper›PMID 27013952›Full record

ArticleFrontiers in neuroscience2016

Effects of 12 Months Continuous Positive Airway Pressure on Sympathetic Activity Related Brainstem Function and Structure in Obstructive Sleep Apnea.

Luke A Henderson, Rania H Fatouleh, Linda C Lundblad, David K McKenzie, Vaughan G Macefield

2 registry-linked trialsOpen 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. It is linked to 2 registered trials, which are not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.1field-weighted citation impact, top 6% 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.

NCT02886156 nacompletednot on this mapstarted 2017, after this paper: background citation

Effects of Continuous Positive Airway Pressure on Cognitive Function, Neurocognitive Architecture and Function in Patients With Obstructive Sleep Apnea: The Shanghai Multicenter Obstructive Sleep Apnea Therapy Trial

TypeinterventionalSponsorShanghai Jiao Tong University Affiliated Sixth People's HospitalRan2017 to 2021Enrolled148ConditionsApnea, SleepArmsCPAP, BSC
NCT05387122 completednot on this mapstarted 2021, after this paper: background citation

The Effect of Mandibular Advancement Devices on Markers of Cardiovascular Health in Mild to Moderate Obstructive Sleep Apnea Patients Who Are Non-Compliant With Continuous Positive Airway Pressure Therapy

TypeobservationalSponsorUniversity of AlbertaRan2021 to 2024Enrolled4ConditionsObstructive Sleep ApneaArmsmandibular advancement device (MAD)
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 43 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Impact of obstructive sleep apnoea on nocturnal blood pressure: mechanisms and treatment responses - a narrative review.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  5. Review
  6. Article
  7. Article
  8. Sympathetic neural responses to sleep disorders and insufficiencies.American journal of physiology. Heart and circulatory physiology · 2022
    Review
  9. Breathing rate variability in obstructive sleep apnea during wakefulness.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  10. Article
  11. Beat-to-beat blood pressure variability in patients with obstructive sleep apnea.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Where is the brain in all of this?Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2019
    Article
  17. Article
  18. Article
  19. Review
  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

5 authors at 3 institutions in 1 country.

Luke A HendersonNeural Imaging Laboratory, Discipline of Anatomy and Histology, The University of Sydney Sydney, NSW, Australia.
Rania H FatoulehSchool of Medicine, Western Sydney University Sydney, NSW, Australia.
Linda C LundbladNeural Imaging Laboratory, Discipline of Anatomy and Histology, The University of SydneySydney, NSW, Australia; School of Medicine, Western Sydney UniversitySydney, NSW, Australia.
David K McKenzieDepartment of Respiratory Medicine, Prince of Wales Private Hospital Sydney, NSW, Australia.
Vaughan G MacefieldSchool of Medicine, Western Sydney UniversitySydney, NSW, Australia; Neuroscience Research AustraliaSydney, NSW, Australia.
University of Sydney · AUWestern Sydney University · AUPrince of Wales Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Muscle sympathetic nerve activity (MSNA) is greatly elevated in patients with obstructive sleep apnea (OSA) during normoxic daytime wakefulness. Increased MSNA is a precursor to hypertension and elevated cardiovascular morbidity and mortality. However, the mechanisms underlying the high MSNA in OSA are not well understood. In this study we used concurrent microneurography and magnetic resonance imaging to explore MSNA-related brainstem activity changes and anatomical changes in 15 control and 15 OSA subjects before and after 6 and 12 months of continuous positive airway pressure (CPAP) treatment. We found that following 6 and 12 months of CPAP treatment, resting MSNA levels were significantly reduced in individuals with OSA. Furthermore, this MSNA reduction was associated with restoration of MSNA-related brainstem activity and structural changes in the medullary raphe, rostral ventrolateral medulla, dorsolateral pons, and ventral midbrain. This restoration occurred after 6 months of CPAP treatment and was maintained following 12 months CPAP. These findings show that continual CPAP treatment is an effective long-term treatment for elevated MSNA likely due to its effects on restoring brainstem structure and function.

Indexed as

dorsolateral ponshypertensionmedullary rapherostral ventrolateral medullasleep disordered breathing

Identifiers

PMID27013952
PMCPMC4785184
OpenAlexW2304523669

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.