Evidence map›Paper›PMID 30726117›Full record

ArticleAmerican journal of physiology. Regulatory, integrative and comparative physiology2019

Functional sympatholysis is impaired in end-stage renal disease.

Justin D Sprick, Ryan M Downey, Doree Lynn Morison, Ida T Fonkoue, Yunxiao Li, Dana DaCosta, Derick Rapista, Jeanie Park

Open access · bronzeAbstract read
In one paragraph

Article in American journal of physiology. Regulatory, integrative and comparative physiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Blood Flow Restriction Training in Hemodialysis Patients: Clinical Benefits, Challenges, and Future Perspectives.Hemodialysis international. International Symposium on Home Hemodialysis · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Neurocirculatory regulation and adaptations to exercise in chronic kidney disease.American journal of physiology. Heart and circulatory physiology · 2023
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Functional sympatholysis is preserved in healthy young Black men during rhythmic handgrip exercise.American journal of physiology. Regulatory, integrative and comparative physiology · 2020
    Article
  19. Metabolic acidosis augments exercise pressor responses in chronic kidney disease.American journal of physiology. Regulatory, integrative and comparative physiology · 2019
    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

8 authors at 1 institution in 1 country.

Justin D SprickDivision of Renal Medicine, Department of Medicine, Emory University School of Medicine , Atlanta, Georgia.
Ryan M DowneyDivision of Renal Medicine, Department of Medicine, Emory University School of Medicine , Atlanta, Georgia.ORCID 0000-0003-4144-1155
Doree Lynn MorisonDivision of Renal Medicine, Department of Medicine, Emory University School of Medicine , Atlanta, Georgia.
Ida T FonkoueDivision of Renal Medicine, Department of Medicine, Emory University School of Medicine , Atlanta, Georgia.
Yunxiao LiDepartment of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University , Atlanta, Georgia.
Dana DaCostaDivision of Renal Medicine, Department of Medicine, Emory University School of Medicine , Atlanta, Georgia.
Derick RapistaDivision of Renal Medicine, Department of Medicine, Emory University School of Medicine , Atlanta, Georgia.
Jeanie ParkDivision of Renal Medicine, Department of Medicine, Emory University School of Medicine , Atlanta, Georgia.
Emory University · US

Funding

IRACDA Fellowships in Research and Science Training (FIRST)K12GM000680 · NIGMS · EMORY UNIVERSITY · PI BROWN, LOU ANN S, MCCARTY, NAEL A · 2000 to 2024
$41.2M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Neurovascular Regulation During Exercise In Humans With Chronic Kidney DiseaseR01HL135183 · NHLBI · EMORY UNIVERSITY · PI Jeanie Park · 2017 to 2026
$5.4M
Nephrology Institutional Training Grant FLSA SupplementT32DK007656 · NIDDK · EMORY UNIVERSITY · PI SANDS, JEFF M, WALL, SUSAN MARIE · 1990 to 2020
$3.5M
Summer Undergraduate Program in Emory Renal Research (SUPERR)R25DK101390 · NIDDK · EMORY UNIVERSITY · PI Jason Cobb, Jeanie Park · 2014 to 2026
$1.4M
CSRD VA I01 CX001065NCRR NIH HHS UL1 RR025008NHLBI NIH HHS R01 HL135183NIDDK NIH HHS R25 DK101390NIDDK NIH HHS T32 DK007656NIGMS NIH HHS K12 GM000680
6 · The paper itself

Abstract

Patients with end-stage renal disease (ESRD) have decreased exercise capacity and exercise intolerance that contribute to cardiovascular risk. One potential mechanism underlying exercise intolerance in ESRD is impaired ability to oppose sympathetically mediated vasoconstriction within exercising skeletal muscle (i.e., functional sympatholysis, FS). We hypothesized that ESRD patients have impaired FS compared with healthy (CON) and hypertensive (HTN) controls and that impaired FS is related to circulating levels of the uremic toxin asymmetric dimethyl arginine (ADMA), an endogenous nitric oxide synthase inhibitor. Near-infrared spectroscopy-derived oxygen tissue saturation index (TSI) of the forearm muscle was measured continuously in 33 participants (9 CON, 14 HTN, 10 ESRD) at rest and during low-dose (-20 mmHg) lower body negative pressure (LBNP), moderate rhythmic handgrip exercise, and LBNP with concomitant handgrip exercise (LBNP+handgrip). Resting muscle TSI was lower in ESRD than in CON and HTN groups (CON = 67.8 ± 1.9%, HTN = 67.2 ± 1.1%, ESRD = 62.7 ± 1.5%,

Indexed as

Exercise ToleranceVasoconstrictionAdultArginineBiomarkersBlood VesselsCase-Control StudiesFemaleForearmHumansKidney Failure, ChronicMaleMiddle AgedMuscle ContractionMuscle, SkeletalRegional Blood FlowArginineBiomarkersN,N-dimethylargininechronic kidney diseaseexercise hyperemianeural control of circulation, skeletal muscle blood flow

Identifiers

PMID30726117
PMCPMC6589597
OpenAlexW2914311756

What OpenQuestion holds

Textmetadata
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.