Evidence map›Paper›PMID 27955897›Full record

ArticleBiological psychiatry2017

Orexins Mediate Sex Differences in the Stress Response and in Cognitive Flexibility.

Laura A Grafe, Amanda Cornfeld, Sandra Luz, Rita Valentino, Seema Bhatnagar

Abstract read
In one paragraph

Article in Biological psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed
4.3field-weighted citation impact, top 5% 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

74 citing papers in PubMed, 136 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Orexinergic responses to environmental stressors in the zebrafish gut.Journal of comparative physiology. B, Biochemical, systemic, and environmental physiology · 2026
    Article
  5. Article
  6. Sex differences in neuromodulatory subcortical systems and their implications for Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Sex-specific relationships between stress coping and avoidance behavior.bioRxiv : the preprint server for biology · 2026
    Article
  11. COAddiction biology · 2026
    Article
  12. Article
  13. Sleep deprivation engages the orexin/hypocretin system to regulate food reward seeking.The international journal of neuropsychopharmacology · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Hypocretin in the nucleus accumbens shell modulates social approach in female but not male California mice.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Article
  20. Article

14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Laura A GrafeDepartment of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Amanda CornfeldUniversity of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Sandra LuzDepartment of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Rita ValentinoDepartment of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Seema BhatnagarDepartment of Anesthesiology and Critical Care, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania. Electronic address: bhatnagars@email.chop.edu.
Children's Hospital of Philadelphia · USUniversity of Pennsylvania · US

Funding

Training Program in Neurodevelopmental DisabilitiesT32NS007413 · NINDS · CHILDREN'S HOSP OF PHILADELPHIA · PI AMELIA J EISCH, ERIC D MARSH · 1998 to 2026
$8.9M
Sex differences in orexinsR01MH109975 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI BHATNAGAR, SEEMA · 2016 to 2020
$2.1M
Orexins contribute to sex differences in habituation to stress and cognitive functionF32MH109269 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI GRAFE, LAURA · 2015 to 2017
$67k
NIMH NIH HHS F32 MH109269NIMH NIH HHS R01 MH109975NINDS NIH HHS T32 NS007413
6 · The paper itself

Abstract

backgroundWomen are twice as likely as men to experience stress-related psychiatric disorders. The biological basis of these sex differences is poorly understood. Orexins are altered in anxious and depressed patients. Using a rat model of repeated stress, we examined whether orexins contribute to sex differences in outcomes relevant to stress-related psychiatric diseases.

methodsBehavioral, neural, and endocrine habituation to repeated restraint stress and subsequent cognitive flexibility was examined in adult male and female rats. In parallel, orexin expression and activation were determined in both sexes, and chromatin immunoprecipitation was used to determine transcription factors acting at the orexin promoter. Designer receptors exclusively activated by designer drugs were used to inhibit orexin activation throughout repeated restraint to determine if the stress-related impairments in female rats could be reduced.

resultsFemale rats exhibited impaired habituation to repeated restraint with subsequent deficits in cognitive flexibility compared with male rats. Increased orexin expression and activation were observed in female rats compared with male rats. The higher expression of orexin messenger RNA in female rats was due to actions of glucocorticoid receptors on the orexin promoter, as determined by chromatin immunoprecipitation. Inhibition of orexins using designer receptors exclusively activated by designer drugs in female rats throughout repeated restraint abolished their heightened hypothalamic-pituitary-adrenal responsivity and reduced stress-induced cognitive impairments.

conclusionsOrexins mediate the impairments in adaptations to repeated stress and in subsequent cognitive flexibility exhibited by female rats and provide evidence for a broader role for orexins in mediating functions relevant to stress-related psychiatric diseases.

Indexed as

Sex CharacteristicsAnimalsChromatin ImmunoprecipitationCognitionFemaleHabituation, PsychophysiologicHypothalamo-Hypophyseal SystemMaleOrexinsPituitary-Adrenal SystemRatsRats, Sprague-DawleyReceptors, GlucocorticoidRestraint, PhysicalRNA, MessengerStress, PsychologicalOrexinsReceptors, GlucocorticoidRNA, MessengerCognitive flexibilityDREADDsHabituationOrexinsSex differencesStress

Identifiers

PMID27955897
PMCPMC5359079
OpenAlexW2537084688

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.