Evidence map›Paper›PMID 41369031›Full record

ArticleAnnals of medicine2025

Sleep fragmentation exacerbates myocardial ischemia-reperfusion injury via hypothalamic paraventricular nucleus-resident OX1R-mediated sympathetic hyperactivity in adult mice.

Xiaocheng Zhu, Lizhe Guo, Na Chen, Lu Wang, Sisi Dai, Xingyang Liu, Xiang Chen, Caiyi Wang, Yanan Cao, Hao Hu and 1 more

Abstract read
In one paragraph

Article in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

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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

11 authors.

Xiaocheng ZhuDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0001-9600-0862
Lizhe GuoDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0002-6131-7840
Na ChenDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0001-8797-8535
Lu WangDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0003-2335-6088
Sisi DaiDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0002-8262-8138
Xingyang LiuDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0002-1259-9765
Xiang ChenDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0003-2374-0020
Caiyi WangDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0002-6317-3916
Yanan CaoDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0003-0851-2927
Hao HuDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.
E WangDepartment of Anesthesiology, Xiangya Hospital, Central South University, Changsha, China.ORCID 0000-0001-9463-9769

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectiveSleep fragmentation (SF) is a prevalent sleep disorder with an increased risk of cardiovascular diseases. Although epidemiological studies have shown a strong link between SF and adverse cardiac outcomes, specific central neural mechanisms through which SF exacerbates myocardial ischemia-reperfusion injury (MI/RI) are unclear. This study investigated the role of orexin receptor 1 (OX1R) in the hypothalamic paraventricular nucleus (PVN) in SF-induced aggravation of MI/RI and the underlying mechanism using a mouse model. MATERIALS AND

methodsC57BL/6 mice were subjected to chronic SF for 16 weeks before MI/RI modeling. Cardiac function was assessed by echocardiography. Sympathetic activity was evaluated based on the heart rate variability analysis. Molecular changes were evaluated by western blotting, qRT-PCR, and immunohistochemistry. The

resultsSF mice exhibited significantly worse cardiac dysfunction and larger infarct areas following MI/RI compared to the controls. This was accompanied by enhanced sympathetic nerve activity and elevated catecholamine levels. Specifically, SF upregulated OX1R expression in the PVN and increased the levels of neuronal activation markers such as c-Fos. Pharmacological blockade of OX1R in the PVN significantly ameliorated SF-induced cardiac dysfunction, reduced the infarct size, and suppressed sympathetic hyperactivity post-MI/RI.

conclusionsSF may aggravate MI/RI through PVN OX1R-associated sympathetic hyperactivation. Pharmacological inhibition of OX1R improved cardiac outcomes, supporting the involvement of the PVN OX1R-sympathetic pathway in sleep disruption related cardiac injury.

Indexed as

Myocardial Reperfusion InjuryOrexin ReceptorsParaventricular Hypothalamic NucleusSleep DeprivationSympathetic Nervous SystemAnimalsBenzoxazolesDisease Models, AnimalHeart RateMaleMiceMice, Inbred C57BLNaphthyridinesOrexin Receptor AntagonistsSignal TransductionUrea1-(2-methylbenzoxazol-6-yl)-3-(1,5)naphthyridin-4-yl ureaBenzoxazolesNaphthyridinesOrexin Receptor AntagonistsOrexin ReceptorsUreacardiovascular diseasehypothalamic paraventricular nucleusmyocardial ischemia-reperfusion injuryorexin receptor 1Sleep fragmentationsympathetic nervous system

Identifiers

PMID41369031
PMCPMC12697272

What Socratic holds

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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 Socratic graph.