Evidence map›Paper›PMID 42903618›Full record

ReviewFrontiers in neurology2026

The role of histamine in narcolepsy type 1: a narrative review.

Wei Liang, Xue Yan, Yanan Zhao, Dongnan Zhang, Yu Fu, Guifeng Sui, Weimin Zhang

Abstract readReview
In one paragraph

Review in Frontiers in neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Wei Liang *School of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Changchun, China.
Xue Yan *Brain Disease Center, The Third Affiliated Clinical Hospital of Changchun University of Chinese Medicine, Changchun, China.
Yanan ZhaoRehabilitation Department, Brain Disease Center, The Third Affiliated Clinical Hospital of Changchun University of Chinese Medicine, Changchun, China.
Dongnan ZhangRehabilitation Department, Brain Disease Center, The Third Affiliated Clinical Hospital of Changchun University of Chinese Medicine, Changchun, China.
Yu FuRehabilitation Department, Brain Disease Center, The Third Affiliated Clinical Hospital of Changchun University of Chinese Medicine, Changchun, China.
Guifeng SuiRehabilitation Department, Brain Disease Center, The Third Affiliated Clinical Hospital of Changchun University of Chinese Medicine, Changchun, China.
Weimin ZhangBrain Disease Center, The Third Affiliated Clinical Hospital of Changchun University of Chinese Medicine, Changchun, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Narcolepsy type 1 (NT1) is a chronic neurological disorder characterized mainly by impaired wakefulness maintenance and dysregulated rapid eye movement (REM) sleep, which markedly affects patients' daytime functioning and quality of life. The core pathological basis of NT1 is the selective loss of orexinergic neurons. The orexinergic system regulates histaminergic neurons in the tuberomammillary nucleus (TMN) through anatomical projections and functional excitation, while the histaminergic system contributes to cortical activation, arousal maintenance, and attention regulation. Therefore, the orexinergic and histaminergic systems can be regarded as interconnected and functionally complementary components of the arousal network. Previous studies have suggested alterations in histaminergic signaling in NT1, although the specific mechanisms underlying its role in NT1 remain incompletely understood. Current evidence suggests that histamine may play a modulatory role in NT1-associated phenotypes. This review summarizes the physiological functions of the histaminergic system in arousal regulation and discusses its interaction with the orexinergic system. It further analyzes the role of HA in NT1, its influence on clinical phenotypes, and related therapeutic strategies, with the aim of providing insights for mechanistic research and precision treatment of NT1.

Indexed as

HistamineNarcolepsyAnimalsHumansOrexinsHistamineOrexinsexcessive daytime sleepinessH1 receptorH3 receptorhistaminenarcolepsy type 1orexintuberomammillary nucleus

Identifiers

PMID42903618
PMCPMC13681830

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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.