Evidence map›Paper›PMID 36278348›Full record

ArticleJournal of Alzheimer's disease : JAD2022

Autonomic Dysfunction Impairs Baroreflex Function in an Alzheimer's Disease Animal Model.

John C Ehlen, Cassadi M Forman, Daniela Ostrowski, Tim D Ostrowski

Open access · greenAbstract read
In one paragraph

Article in Journal of Alzheimer's disease : JAD, 2022. 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
0.7field-weighted citation impact, top 29% 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, 4 citations in OpenAlex.

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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

4 authors at 2 institutions in 1 country.

John C EhlenDepartment of Physiology, Kirksville College of Osteopathic Medicine, A.T. Still University of Health Sciences, Kirksville, MO, USA.
Cassadi M FormanDepartment of Biology, Truman State University, Kirksville, MO, USA.
Daniela OstrowskiDepartment of Biology, Truman State University, Kirksville, MO, USA.
Tim D OstrowskiDepartment of Physiology, Kirksville College of Osteopathic Medicine, A.T. Still University of Health Sciences, Kirksville, MO, USA.
A.T. Still University · USTruman State University · US

Funding

Respiratory dysfunction in Alzheimer's disease and its link to oxidative damage within the brain stem.R15AG065927 · NIA · A.T. STILL UNIVERSITY OF HEALTH SCIENCES · PI OSTROWSKI, TIM D. · 2021 to 2021
$387k
NIA NIH HHS R15 AG065927
6 · The paper itself

Abstract

backgroundAlzheimer's disease (AD) patients frequently present with orthostatic hypotension. This inability to reflexively increase blood pressure on standing is a serious health concern and increases the risk of stroke and cardiovascular diseases.

objectiveSince there are no clear mechanisms for orthostatic hypotension in human AD, the present study assessed the autonomic changes that could explain this comorbidity in an AD animal model.

methodsWe used the established streptozotocin-induced rat model of AD (STZ-AD), which mimics many hallmark symptoms of sporadic AD in humans. Baroreflex responses were analyzed in anesthetized STZ-AD rats using femoral catheterization for blood pressure and heart rate, and autonomic activity was assessed using specific blockers and splanchnic sympathetic nerve recordings. Expression levels of autonomic receptors at the heart were examined using the western blot technique.

resultsBaroreflex function in STZ-AD showed a blunted heart rate (HR) response to low blood pressure challenges, and the maximal sympathetic nerve activity was reduced. Conversely, HR responses to high blood pressure were similar to control, indicating no change in parasympathetic nerve activity. Under resting conditions, autonomic blockade demonstrated a baseline shift to increased sympathetic tone in STZ-AD. Protein expression levels of beta-1 adrenergic receptor and muscarinic acetylcholine receptor M2 in the heart were unchanged.

conclusionOur study provides the first data on the pathological influence of AD on baroreflex function, which primarily affected the sympathetic nervous system in STZ-AD. These results represent the first mechanisms that may correlate with the orthostatic hypotension in human AD.

Indexed as

Alzheimer DiseaseAutonomic Nervous System DiseasesHypotension, OrthostaticAnimalsAutonomic Nervous SystemBaroreflexBlood PressureDisease Models, AnimalHeart RateHumansRatsAutonomic nervous systemblood pressureheart rateorthostatic hypotensionparasympathetic nervous systemstreptozotocinsympathetic nervous system

Identifiers

PMID36278348
PMCPMC9742304
OpenAlexW4307000090

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.