Evidence map›Paper›PMID 33781731›Full record

ReviewExperimental neurology2021

A comprehensive review of respiratory, autonomic and cardiovascular responses to intermittent hypoxia in humans.

Shipra Puri, Gino Panza, Jason H Mateika

Open access · hybridAbstract readReview
In one paragraph

Review in Experimental neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 4% 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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Review
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  11. Article
  12. Article
  13. Review
  14. Author response to Panza et al.The Journal of physiology · 2025
    Article
  15. Reframing SpOFrontiers in physiology · 2025
    Review
  16. Article
  17. Review
  18. Advancements in the neurocirculatory reflex response to hypoxia.American journal of physiology. Regulatory, integrative and comparative physiology · 2024
    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

3 authors at 2 institutions in 1 country.

Shipra PuriJohn D. Dingell Veterans Affairs Medical Center, Detroit, MI 48201, United States of America; Department of Physiology, Wayne State University School of Medicine, Detroit, MI 48201, United States of America.
Gino PanzaJohn D. Dingell Veterans Affairs Medical Center, Detroit, MI 48201, United States of America; Department of Physiology, Wayne State University School of Medicine, Detroit, MI 48201, United States of America.
Jason H MateikaJohn D. Dingell Veterans Affairs Medical Center, Detroit, MI 48201, United States of America; Department of Physiology, Wayne State University School of Medicine, Detroit, MI 48201, United States of America; Department of Internal Medicine, Wayne State University School of Medicine, Detroit, MI 48201, United States of America. Electronic address: jmateika@med.wayne.edu.
Wayne State University · USJohn D. Dingell VA Medical Center · US

Funding

Mild intermittent hypoxia and CPAP: A multi-pronged approach to treat sleep apnea in intact and spinal cord injured humansR01HL142757 · NHLBI · WAYNE STATE UNIVERSITY · PI MATEIKA, JASON H. · 2019 to 2022
$1.5M
Impact of intermittent hypoxia on ventilatory drive and apnea severityR01HL085537 · NHLBI · WAYNE STATE UNIVERSITY · PI MATEIKA, JASON H. · 2007 to 2010
$1.5M
Mild intermittent hypoxia and CPAP: A multi-pronged approach to treat sleep apnea in intact and spinal cord injured humansR56HL142757 · NHLBI · WAYNE STATE UNIVERSITY · PI MATEIKA, JASON H. · 2018 to 2018
$385k
Respiratory and autonomic plasticity following intermittent hypoxiaI01CX000125 · VA · JOHN D DINGELL VA MEDICAL CENTER · PI Jason H. Mateika · 2009 to 2026
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Mild intermittent hypoxia: A therapeutic modality to mitigate co-morbidities and promote recovery of respiratory motor function in spinal cord injured patients with sleep apneaIK1RX002945 · VA · JOHN D DINGELL VA MEDICAL CENTER · PI PANZA, GINO S · 2020 to 2021
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CSRD Research Career Scientist Award ApplicationIK6CX002287 · VA · JOHN D DINGELL VA MEDICAL CENTER · PI Jason H. Mateika · 2021 to 2026
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CSRD VA I01 CX000125CSRD VA IK6 CX002287NHLBI NIH HHS R01 HL085537NHLBI NIH HHS R01 HL142757NHLBI NIH HHS R56 HL142757RRD VA IK1 RX002945
6 · The paper itself

Abstract

This review explores forms of respiratory and autonomic plasticity, and associated outcome measures, that are initiated by exposure to intermittent hypoxia. The review focuses primarily on studies that have been completed in humans and primarily explores the impact of mild intermittent hypoxia on outcome measures. Studies that have explored two forms of respiratory plasticity, progressive augmentation of the hypoxic ventilatory response and long-term facilitation of ventilation and upper airway muscle activity, are initially reviewed. The role these forms of plasticity might have in sleep disordered breathing are also explored. Thereafter, the role of intermittent hypoxia in the initiation of autonomic plasticity is reviewed and the role this form of plasticity has in cardiovascular and hemodynamic responses during and following intermittent hypoxia is addressed. The role of these responses in individuals with sleep disordered breathing and spinal cord injury are subsequently addressed. Ultimately an integrated picture of the respiratory, autonomic and cardiovascular responses to intermittent hypoxia is presented. The goal of the integrated picture is to address the types of responses that one might expect in humans exposed to one-time and repeated daily exposure to mild intermittent hypoxia. This form of intermittent hypoxia is highlighted because of its potential therapeutic impact in promoting functional improvement and recovery in several physiological systems.

Indexed as

Autonomic Nervous SystemCardiovascular SystemChemoreceptor CellsHumansHypoxiaNeuronal PlasticityPulmonary VentilationRespiratory MechanicsSleep Apnea SyndromesSpinal Cord InjuriesBlood pressureLong-term facilitationPeripheral chemoreflexProgressive augmentation

Identifiers

PMID33781731
PMCPMC8527806
OpenAlexW3142131161

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.