Evidence map›Paper›PMID 36864609›Full record

ArticleSleep2023

Sympathetic dysregulation induced by postnatal intermittent hypoxia.

Marlusa Karlen-Amarante, Isabela P Leirão, Pedro L Katayama, Eduardo Colombari, Paloma G Bittencourt-Silva, Miguel F Menezes, Daniel B Zoccal

Erratum issuedOpen access · bronzeAbstract read
PubMed Publisher
In one paragraph

Article in Sleep, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 28% 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

5 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Oxygen extremes, inflammation, and neonatal breathing.Respiratory physiology & neurobiology
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Marlusa Karlen-AmaranteDepartment of Physiology and Pathology, School of Dentistry, São Paulo State University, Araraquara, SP, Brazil.ORCID 0000-0002-4733-3035
Isabela P LeirãoDepartment of Physiology and Pathology, School of Dentistry, São Paulo State University, Araraquara, SP, Brazil.
Pedro L KatayamaDepartment of Physiology and Pathology, School of Dentistry, São Paulo State University, Araraquara, SP, Brazil.
Eduardo ColombariDepartment of Physiology and Pathology, School of Dentistry, São Paulo State University, Araraquara, SP, Brazil.
Paloma G Bittencourt-SilvaDepartment of Physiology and Pathology, School of Dentistry, São Paulo State University, Araraquara, SP, Brazil.
Miguel F MenezesDepartment of Physiology and Pathology, School of Dentistry, São Paulo State University, Araraquara, SP, Brazil.
Daniel B ZoccalDepartment of Physiology and Pathology, School of Dentistry, São Paulo State University, Araraquara, SP, Brazil.ORCID 0000-0002-0369-5907
Universidade Estadual Paulista (Unesp) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

STUDY

objectivesExposure to postnatal chronic intermittent hypoxia (pCIH), as experienced in sleep-disordered breathing, is a risk factor for developing cardiorespiratory diseases in adulthood. pCIH causes respiratory instability and motor dysfunction that persist until adult life. In this study, we investigated the impact of pCIH on the sympathetic control of arterial pressure in rats. METHODS AND

resultsNeonate male Holtzman rats (P0-1) were exposed to pCIH (6% O2 for 30 seconds, every 10 minutes, 8 h/day) during their first 10-15 days of life, while control animals were maintained under normoxia. In early adult life (P25-40), freely behaving pCIH animals (n = 13) showed higher baseline arterial pressure levels linked to augmented sympathetic-mediated variability than control animals (n = 12, p < 0.05). Using decerebrated in situ preparations, we found that juvenile pCIH rats exhibited a twofold increase in thoracic sympathetic nerve activity (n = 14) and elevated firing frequency of ventromedullary presympathetic neurons (n = 7) compared to control rats (n = 6-7, p < 0.05). This pCIH-induced sympathetic dysregulation was associated with increased HIF-1α (hypoxia-inducible factor 1 alpha) mRNA expression in catecholaminergic presympathetic neurons (n = 5, p < 0.05). At older age (P90-99), pCIH rats displayed higher arterial pressure levels and larger depressor responses to ganglionic blockade (n = 6-8, p < 0.05), confirming the sympathetic overactivity state.

conclusionspCIH facilitates the vasoconstrictor sympathetic drive by mechanisms associated with enhanced firing activity and HIF-1α expression in ventromedullary presympathetic neurons. This excessive sympathetic activity persists until adulthood resulting in high blood pressure levels and variability, which contribute to developing cardiovascular diseases.

Indexed as

HypertensionAnimalsArterial PressureHypoxiaMaleRatsRats, Sprague-DawleyRats, WistarSympathetic Nervous Systembrainstemhypertensionintermittent hypoxiapostnatalsympathetic activity

Identifiers

PMID36864609
OpenAlexW4323036122

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.