Evidence map›Paper›PMID 27783860›Full record

ReviewComprehensive Physiology2016

Neural Control of the Upper Airway: Respiratory and State-Dependent Mechanisms.

Leszek Kubin

Open access · greenAbstract readReview
In one paragraph

Review in Comprehensive Physiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed
–field-weighted citation impact
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

52 citing papers in PubMed, 77 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Leptin alleviates obesity hypoventilationbioRxiv : the preprint server for biology · 2026
    Article
  5. Article
  6. Outcompeting opioid-induced respiratory depression.Journal of thoracic disease · 2026
    Article
  7. Article
  8. Observational
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Effects of vocal-motor interference on vocal pitch imitation.Attention, perception & psychophysics · 2025
    Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. Review
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

1 author at 1 institution in 1 country.

Leszek KubinDepartment of Biomedical Sciences, School of Veterinary Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
University of Pennsylvania · US

Funding

SCOR IN NEUROBIOLOGY SLEEP AND SLEEP APNEAP50HL060287 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI DAVIES, RICHARD O · 1998 to 2007
$17.2M
PREMOTOR CONTROL OF UPPER AIRWAY AND REM SLEEP ATONIAR01HL047600 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KUBIN, LESZEK K · 1992 to 2018
$5.6M
HYPOTHALAMO-BRAINSTEM CONTROL OF SLEEPNESS AND AROUSALR01HL071097 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KUBIN, LESZEK K · 2002 to 2011
$3.2M
Upper airway control during disrupted and misaligned sleepR01HL116508 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KUBIN, LESZEK K · 2013 to 2015
$1.2M
NHLBI NIH HHS P50 HL060287NHLBI NIH HHS R01 HL047600NHLBI NIH HHS R01 HL071097NHLBI NIH HHS R01 HL116508
6 · The paper itself

Abstract

Upper airway muscles subserve many essential for survival orofacial behaviors, including their important role as accessory respiratory muscles. In the face of certain predisposition of craniofacial anatomy, both tonic and phasic inspiratory activation of upper airway muscles is necessary to protect the upper airway against collapse. This protective action is adequate during wakefulness, but fails during sleep which results in recurrent episodes of hypopneas and apneas, a condition known as the obstructive sleep apnea syndrome (OSA). Although OSA is almost exclusively a human disorder, animal models help unveil the basic principles governing the impact of sleep on breathing and upper airway muscle activity. This article discusses the neuroanatomy, neurochemistry, and neurophysiology of the different neuronal systems whose activity changes with sleep-wake states, such as the noradrenergic, serotonergic, cholinergic, orexinergic, histaminergic, GABAergic and glycinergic, and their impact on central respiratory neurons and upper airway motoneurons. Observations of the interactions between sleep-wake states and upper airway muscles in healthy humans and OSA patients are related to findings from animal models with normal upper airway, and various animal models of OSA, including the chronic-intermittent hypoxia model. Using a framework of upper airway motoneurons being under concurrent influence of central respiratory, reflex and state-dependent inputs, different neurotransmitters, and neuropeptides are considered as either causing a sleep-dependent withdrawal of excitation from motoneurons or mediating an active, sleep-related inhibition of motoneurons. Information about the neurochemistry of state-dependent control of upper airway muscles accumulated to date reveals fundamental principles and may help understand and treat OSA. © 2016 American Physiological Society. Compr Physiol 6:1801-1850, 2016.

Indexed as

AnimalsHumansNeuronsNeurotransmitter AgentsPeptidesRespiratory MusclesRespiratory SystemSleep Apnea SyndromesNeurotransmitter AgentsPeptides

Identifiers

PMID27783860
PMCPMC5242202
OpenAlexW2519269934

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.