Evidence mapPaperPMID 35845993Full record

ReviewFrontiers in physiology2022

Sympathetic and Vagal Nerve Activity in COPD: Pathophysiology, Presumed Determinants and Underappreciated Therapeutic Potential.

Jens Spiesshoefer, Binaya Regmi, Matteo Maria Ottaviani, Florian Kahles, Alberto Giannoni, Chiara Borrelli, Claudio Passino, Vaughan Macefield, Michael Dreher

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in physiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.9field-weighted citation impact, top 5% 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

20 citing papers in PubMed, 26 citations in OpenAlex.

  1. Review
  2. Observational
  3. Nocturnal hypercapnia in obstructive sleep apnoea and obesity hypoventilation: from pathophysiology to measurement and treatment.European respiratory review : an official journal of the European Respiratory Society · 2026
    Review
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Review
  10. Observational
  11. Review
  12. Review
  13. Article
  14. Article
  15. Advancements in the neurocirculatory reflex response to hypoxia.American journal of physiology. Regulatory, integrative and comparative physiology · 2024
    Review
  16. Observational
  17. Review
  18. Review
  19. Review
  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

9 authors at 3 institutions in 3 countries.

Jens SpiesshoeferDepartment of Pneumology and Intensive Care Medicine, University Hospital RWTH Aachen, Aachen, Germany.
Binaya RegmiDepartment of Pneumology and Intensive Care Medicine, University Hospital RWTH Aachen, Aachen, Germany.
Matteo Maria OttavianiInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Florian KahlesDepartment of Cardiology and Vascular Medicine, University Hospital RWTH Aachen, Aachen, Germany.
Alberto GiannoniInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Chiara BorrelliInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Claudio PassinoInstitute of Life Sciences, Scuola Superiore Sant'Anna, Pisa, Italy.
Vaughan MacefieldHuman Autonomic Neurophysiology Laboratory, Baker Heart and Diabetes Institute, Melbourne, VIC, Australia.
Michael DreherDepartment of Pneumology and Intensive Care Medicine, University Hospital RWTH Aachen, Aachen, Germany.
Scuola Superiore Sant'Anna · ITRWTH Aachen University · DEUniversity of Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article explains the comprehensive state of the art assessment of sympathetic (SNA) and vagal nerve activity recordings in humans and highlights the precise mechanisms mediating increased SNA and its corresponding presumed clinical determinants and therapeutic potential in the context of chronic obstructive pulmonary disease (COPD). It is known that patients with COPD exhibit increased muscle sympathetic nerve activity (MSNA), as measured directly using intraneural microelectrodes-the gold standard for evaluation of sympathetic outflow. However, the underlying physiological mechanisms responsible for the sympathoexcitation in COPD and its clinical relevance are less well understood. This may be related to the absence of a systematic approach to measure the increase in sympathetic activity and the lack of a comprehensive approach to assess the underlying mechanisms by which MSNA increases. The nature of sympathoexcitation can be dissected by distinguishing the heart rate increasing properties (heart rate and blood pressure variability) from the vasoconstrictive drive to the peripheral vasculature (measurement of catecholamines and MSNA) (

Indexed as

autonomic nervous systemcardiovascular stresschronic lung diseasesympathetic drivevagal activity

Identifiers

PMID35845993
PMCPMC9281604
OpenAlexW4283332773

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.