Evidence map›Paper›PMID 38805791›Full record

ArticleAutonomic neuroscience : basic & clinical2024

Acute hypernatremia increases functional connectivity of NaCl sensing regions in the human brain: An fMRI pilot study.

Joseph M Stock, Nathan T Romberger, Ronald K McMillan, Jae Woo Chung, Megan M Wenner, Sean D Stocker, William B Farquhar, Roxana G Burciu

Abstract read
In one paragraph

Article in Autonomic neuroscience : basic & clinical, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Sex differences in central salt sensing in the human brain.American journal of physiology. Regulatory, integrative and comparative physiology · 2025
    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.

Joseph M StockUniversity of Delaware, Newark, DE, United States of America.
Nathan T RombergerUniversity of Delaware, Newark, DE, United States of America.
Ronald K McMillanUniversity of Delaware, Newark, DE, United States of America.
Jae Woo ChungUniversity of Minnesota, Minneapolis, MN, United States of America.
Megan M WennerUniversity of Delaware, Newark, DE, United States of America.
Sean D StockerUniversity of Pittsburgh, Pittsburgh, PA, United States of America.
William B FarquharUniversity of Delaware, Newark, DE, United States of America.
Roxana G BurciuUniversity of Delaware, Newark, DE, United States of America. Electronic address: rgburciu@udel.edu.

Funding

Vascular Consequences of Duchenne Muscular DystrophyP20GM113125 · NIGMS · UNIVERSITY OF DELAWARE · PI EDWARDS, DAVID G · 2016 to 2025
$23.3M
Forebrain electroneutral transporters in salt-sensitive hypertensionR01HL163906 · NHLBI · UNIVERSITY OF DELAWARE · PI SEAN D STOCKER, Megan M Wenner · 2023 to 2026
$2.8M
Adverse Neurogenic Actions of Dietary SaltR01HL128388 · NHLBI · UNIVERSITY OF DELAWARE · PI FARQUHAR, WILLIAM B, STOCKER, SEAN D · 2016 to 2019
$2.6M
Central Sodium Sensing in Older Humans: Implications for Blood Pressure RegulationR21AG074544 · NIA · UNIVERSITY OF DELAWARE · PI FARQUHAR, WILLIAM B · 2022 to 2023
$440k
Mechanisms of Central Sodium Sensing and Salt-Sensitive HypertensionF32HL158149 · NHLBI · UNIVERSITY OF DELAWARE · PI STOCK, JOSEPH · 2022 to 2024
$170k
Sex Differences in Central Neural Activation During Acute HypernatremiaF31HL170563 · NHLBI · UNIVERSITY OF DELAWARE · PI ROMBERGER, NATHAN · 2023 to 2024
$63k
NHLBI NIH HHS F31 HL170563NHLBI NIH HHS F32 HL158149NHLBI NIH HHS R01 HL128388NHLBI NIH HHS R01 HL163906NIA NIH HHS R21 AG074544NIGMS NIH HHS P20 GM113125
6 · The paper itself

Abstract

Rodent studies demonstrated specialized sodium chloride (NaCl) sensing neurons in the circumventricular organs, which mediate changes in sympathetic nerve activity, arginine vasopressin, thirst, and blood pressure. However, the neural pathways involved in NaCl sensing in the human brain are incompletely understood. The purpose of this pilot study was to determine if acute hypernatremia alters the functional connectivity of NaCl-sensing regions of the brain in healthy young adults. Resting-state fMRI scans were acquired in 13 participants at baseline and during a 30 min hypertonic saline infusion (HSI). We used a seed-based approach to analyze the data, focusing on the subfornical organ (SFO) and the organum vasculosum of the lamina terminalis (OVLT) as regions of interest (ROIs). Blood chemistry and perceived thirst were assessed pre- and post-infusion. As expected, serum sodium increased from pre- to post-infusion in the HSI group. The primary finding of this pilot study was that the functional connectivity between the SFO and a cluster within the OVLT increased from baseline to the late-phase of the HSI. Bidirectional connectivity changes were found with cortical regions, with some regions showing increased connectivity with sodium-sensing regions while others showed decreased connectivity. Furthermore, the functional connectivity between the SFO and the posterior cingulate cortex (a control ROI) did not change from baseline to the late-phase of the HSI. This finding indicates a distinct response within the NaCl sensing network in the human brain specifically related to acute hypernatremia that will need to be replicated in large-scale studies.

Indexed as

HypernatremiaMagnetic Resonance ImagingAdultBrainFemaleHumansMaleNeural PathwaysOrganum VasculosumPilot ProjectsSaline Solution, HypertonicSodium ChlorideSubfornical OrganThirstYoung AdultSaline Solution, HypertonicSodium ChlorideFunctional MRIHypernatremiaNaCl sensingOsmoreceptors

Identifiers

PMID38805791
PMCPMC12067945

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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.