Evidence map›Paper›PMID 33117010›Full record

ArticleNature and science of sleep2020

How Does Chronic Intermittent Hypoxia Influence Upper Airway Stability in Rats?

Yanling Meng, Wenyang Li, Ying Zou, Ye Yao, Hong Huang, Jianjun Sun, Xiaomeng Li, Shu Guo, Xilong Zhang, Wei Wang

Open access · goldAbstract read
In one paragraph

Article in Nature and science of sleep, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
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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

10 authors at 2 institutions in 1 country.

Yanling MengInstitute of Respiratory Disease, The First Hospital of China Medical University, Shenyang, People's Republic of China.
Wenyang LiInstitute of Respiratory Disease, The First Hospital of China Medical University, Shenyang, People's Republic of China.
Ying ZouInstitute of Respiratory Disease, The First Hospital of China Medical University, Shenyang, People's Republic of China.
Ye YaoInstitute of Respiratory Disease, The First Hospital of China Medical University, Shenyang, People's Republic of China.
Hong HuangInstitute of Respiratory Disease, The First Hospital of China Medical University, Shenyang, People's Republic of China.
Jianjun SunInstitute of Respiratory Disease, The First Hospital of China Medical University, Shenyang, People's Republic of China.
Xiaomeng LiInstitute of Respiratory Disease, The First Hospital of China Medical University, Shenyang, People's Republic of China.
Shu GuoDepartment of Plastic Surgery, The First Hospital of China Medical University, Shenyang, People's Republic of China.ORCID 0000-0001-9094-1602
Xilong ZhangDepartment of Respiratory and Critical Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, People's Republic of China.
Wei WangInstitute of Respiratory Disease, The First Hospital of China Medical University, Shenyang, People's Republic of China.
First Hospital of China Medical University · CNJiangsu Province Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundObstructive sleep apnea (OSA) is characterized by repetitive episodes of upper airway collapse during sleep. The contraction of upper airway dilator muscles plays a crucial role in maintaining UA patency. Chronic intermittent hypoxia (CIH) is the most important pathophysiological process of OSA. Exposure to CIH induced not only the damage of dilator muscles but also the plasticity of the muscles. This study aimed to dynamically assess the influence of CIH on the upper airway.

methodsThe experiments were performed on 44 rats. They were randomly divided into a normoxia (NO) group (n=22) and CIH group (n=22). In each group (n=6, respectively), EMG, transcranial magnetic stimulation (TMS) response, and critical pressure (Pcrit) value were recorded on day 0 (the day before exposure), and the 7th, 14th, 21st, and 28th day of air/CIH exposure. For each group, 16 rats were used for transmission electron microscopy observations on day 0, and the 7th, 14th and 28th day of air/CIH exposure (n=4 for every time point).

resultsCompared to the NO group at the same point, the CIH group showed a damaged ultrastructure of genioglossus, increased activity of genioglossus corticomotor area, and increased Pcrit of the upper airway from the 7th to the 28th day of CIH. Increased EMG activity occurred at the 14th day of CIH and lasted for 2 weeks.

conclusionThe elevated genioglossus corticomotor excitability in response to the CIH could not counterbalance the damage effect of CIH on upper airway dilator muscles, which ultimately increased the collapsibility of the upper airway.

Indexed as

chronic intermittent hypoxiaelectromyogramtranscranial magnetic stimulationultrastructureupper airway critical pressure

Identifiers

PMID33117010
PMCPMC7573330
OpenAlexW3097376493

What OpenQuestion holds

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Registered trials

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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.