Evidence map›Paper›PMID 27595323›Full record

ArticleNature medicine2016

Purinergic receptors in the carotid body as a new drug target for controlling hypertension.

Wioletta Pijacka, Davi J A Moraes, Laura E K Ratcliffe, Angus K Nightingale, Emma C Hart, Melina P da Silva, Benedito H Machado, Fiona D McBryde, Ana P Abdala, Anthony P Ford and 1 more

Open access · greenAbstract read
In one paragraph

Article in Nature medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 107 papers.

0numbers the graph read from it
0cells of the map it votes in
107citing papers in PubMed
10.0field-weighted citation impact, top 1% 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

107 citing papers in PubMed, 184 citations in OpenAlex.

  1. Gefapixant as a P2X3 receptor antagonist treatment for obstructive sleep apnea: a randomized controlled trial.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Trial
  2. Testing individual baroreflex responses to hypoxia-induced peripheral chemoreflex stimulation.Clinical autonomic research : official journal of the Clinical Autonomic Research Society · 2020
    Trial
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  13. Endogenous forms of ATP-ATPProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  14. Article
  15. Obligatory neural feedback control of exercise cardiorespiratory function and performance.Journal of applied physiology (Bethesda, Md. : 1985) · 2025
    Review
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47 more citing papers are in PubMed but not listed here.

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

11 authors at 4 institutions in 3 countries.

Wioletta PijackaSchool of Physiology, Pharmacology &Neuroscience, Biomedical Sciences, University of Bristol, Bristol, UK.
Davi J A MoraesDepartment of Physiology, School of Medicine of Ribeirao Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Laura E K RatcliffeCardioNomics Research Group, Clinical Research and Imaging Centre, University of Bristol, Bristol, UK.
Angus K NightingaleCardioNomics Group, Department of Cardiology, Bristol Heart Institute, University Hospitals Bristol National Health Service Foundation Trust, Bristol, UK.ORCID 0000-0001-9435-726X
Emma C HartSchool of Physiology, Pharmacology &Neuroscience, Biomedical Sciences, University of Bristol, Bristol, UK.
Melina P da SilvaDepartment of Physiology, School of Medicine of Ribeirao Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Benedito H MachadoDepartment of Physiology, School of Medicine of Ribeirao Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.
Fiona D McBrydeSchool of Physiology, Pharmacology &Neuroscience, Biomedical Sciences, University of Bristol, Bristol, UK.
Ana P AbdalaSchool of Physiology, Pharmacology &Neuroscience, Biomedical Sciences, University of Bristol, Bristol, UK.ORCID 0000-0001-6051-2591
Anthony P FordAfferent Pharmaceuticals, San Mateo, California, USA.
Julian F R PatonSchool of Physiology, Pharmacology &Neuroscience, Biomedical Sciences, University of Bristol, Bristol, UK.
University of Bristol · GBUniversidade de São Paulo · BRNational Health Service · GBUniversity of Auckland · NZ

Funding

CRCNS: Modeling the respiratory-sympathetic coupling in neurogenic hypertensionR01AT008632 · NCCIH · INDIANA UNIVERSITY INDIANAPOLIS · PI MOLKOV, YAROSLAV · 2015 to 2019
$1.4M
Biotechnology and Biological Sciences Research Council BB/L014181/1British Heart Foundation FS/11/1/28400British Heart Foundation RG/12/6/29670NCCIH NIH HHS R01 AT008632
6 · The paper itself

Abstract

In view of the high proportion of individuals with resistance to antihypertensive medication and/or poor compliance or tolerance of this medication, new drugs to treat hypertension are urgently needed. Here we show that peripheral chemoreceptors generate aberrant signaling that contributes to high blood pressure in hypertension. We discovered that purinergic receptor P2X3 (P2rx3, also known as P2x3) mRNA expression is upregulated substantially in chemoreceptive petrosal sensory neurons in rats with hypertension. These neurons generate both tonic drive and hyperreflexia in hypertensive (but not normotensive) rats, and both phenomena are normalized by the blockade of P2X3 receptors. Antagonism of P2X3 receptors also reduces arterial pressure and basal sympathetic activity and normalizes carotid body hyperreflexia in conscious rats with hypertension; no effect was observed in rats without hypertension. We verified P2X3 receptor expression in human carotid bodies and observed hyperactivity of carotid bodies in individuals with hypertension. These data support the identification of the P2X3 receptor as a potential new target for the control of human hypertension.

Indexed as

AnimalsBlood PressureCarotid BodyChemoreceptor CellsHypertensionMalePatch-Clamp TechniquesPurinergic P2X Receptor AntagonistsRatsRats, Inbred SHRRats, WistarReceptors, Purinergic P2X3Reflex, AbnormalRNA, MessengerSensory Receptor CellsP2rx3 protein, ratPurinergic P2X Receptor AntagonistsReceptors, Purinergic P2X3RNA, Messenger

Identifiers

PMID27595323
PMCPMC5750397
OpenAlexW2516502922

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.