The objective of this work was to investigate the role of ZFP36 in mitral valve prolapse (MVP). Mitral valve and plasma were collected to assess the expression of ZFP36, transforming growth factor β (TGF-β), collagen and elastin and apoptosis rates. Mitral valve interstitial cells (MICs) were transfected with ZFP36 plasmids to observe changes in the secretion of collagen, elastin and matrix metalloproteinases (MMPs) and apoptosis rates. MICs were exposed to TGF-β1 to evaluate the changes in expression of collagen, elastin, MMPs and ZFP36 and apoptosis. Subsequently, after transfection with ZFP36 plasmid, exogenous TGF-β1 was added to the MICs, and the secretion of collagen, elastin and MMPs and apoptosis rate were re-evaluated. Finally, transcriptome and RNA immunoprecipitation (RIP) sequencing was conducted to identify downstream genes of TGF-β1 that could bind to ZFP36. Patients with MVP showed elevated levels of TGF-β1 in plasma and increased rates of apoptosis, along with higher expression of ZFP36, TGF-β1, collagen and elastin in the prolapsed valve. Overexpression of ZFP36 in MICs did not significantly alter the secretion of collagen or elastin or apoptosis rates. TGF-β1 promoted apoptosis of MICs, increased the secretion of collagen, elastin, MMP-3,9, ZFP36 and reduced the expression of MMP-1,2,13. Moreover, overexpression of ZFP36 inhibited the effects of TGF-β1 on MICs. Co-analysis of transcriptome and RIP sequencing identified three genes: CFAP184, GTP binding protein 6 (GBP6) and HERC6. Knockdown of GBP6 reduced the pro-apoptotic effects of TGF-β1 on MICs. ZFP36 exerts a protective role in MVP by inhibiting the effects of TGF-β1 on MICs. Notably, ZFP36 can mitigate the pro-apoptotic effects of TGF-β1 on MICs through the GBP6 pathway.
{"title":"ZFP36 inhibits the pro-apoptotic effects of transforming growth factor β1 on mitral valve interstitial cells via the GTP-binding protein 6 pathway in mitral valve prolapse.","authors":"Meng Zhao, Zhaoyi Zhu, Yawei Dai, Li Jiang, Qihan Wen, Yingjie Zhang, Qingyang Shi, Yihu Tang, Jingxin Zhou, Yanhu Wu","doi":"10.1113/EP092930","DOIUrl":"https://doi.org/10.1113/EP092930","url":null,"abstract":"<p><p>The objective of this work was to investigate the role of ZFP36 in mitral valve prolapse (MVP). Mitral valve and plasma were collected to assess the expression of ZFP36, transforming growth factor β (TGF-β), collagen and elastin and apoptosis rates. Mitral valve interstitial cells (MICs) were transfected with ZFP36 plasmids to observe changes in the secretion of collagen, elastin and matrix metalloproteinases (MMPs) and apoptosis rates. MICs were exposed to TGF-β1 to evaluate the changes in expression of collagen, elastin, MMPs and ZFP36 and apoptosis. Subsequently, after transfection with ZFP36 plasmid, exogenous TGF-β1 was added to the MICs, and the secretion of collagen, elastin and MMPs and apoptosis rate were re-evaluated. Finally, transcriptome and RNA immunoprecipitation (RIP) sequencing was conducted to identify downstream genes of TGF-β1 that could bind to ZFP36. Patients with MVP showed elevated levels of TGF-β1 in plasma and increased rates of apoptosis, along with higher expression of ZFP36, TGF-β1, collagen and elastin in the prolapsed valve. Overexpression of ZFP36 in MICs did not significantly alter the secretion of collagen or elastin or apoptosis rates. TGF-β1 promoted apoptosis of MICs, increased the secretion of collagen, elastin, MMP-3,9, ZFP36 and reduced the expression of MMP-1,2,13. Moreover, overexpression of ZFP36 inhibited the effects of TGF-β1 on MICs. Co-analysis of transcriptome and RIP sequencing identified three genes: CFAP184, GTP binding protein 6 (GBP6) and HERC6. Knockdown of GBP6 reduced the pro-apoptotic effects of TGF-β1 on MICs. ZFP36 exerts a protective role in MVP by inhibiting the effects of TGF-β1 on MICs. Notably, ZFP36 can mitigate the pro-apoptotic effects of TGF-β1 on MICs through the GBP6 pathway.</p>","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145488236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Time course of acid-base regulation at high-altitude: A century of insight.","authors":"Andrew R Steele, Jordan D Bird, Michael M Tymko","doi":"10.1113/EP093365","DOIUrl":"https://doi.org/10.1113/EP093365","url":null,"abstract":"","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145488264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Feng Hu, Yali Wang, Guangyu Li, Guangyu Wang, Qi Zhuang, Jinyao Jiang, Danfeng Hu, Lihui Zheng, Yan Yao, Minhua Zang, Jun Pu
Acute myocardial infarction is a leading cause of morbidity and mortality, with ischaemia-reperfusion (I/R) injury exacerbating myocardial damage. Vagus nerve stimulation (VNS) has been reported to exert cardioprotective effects, but its efficacy in preconditioning against I/R injury requires further investigation. We evaluated the cardioprotective effects of VNS preconditioning in a rat model of acute myocardial infarction with induced I/R injury. Sixty rats were randomized into Pre-VNS, Control and Sham groups. The Pre-VNS group received 1 week of low-level cervical VNS before induction of I/R injury; stimulation was deactivated 30 min before ischaemia. Survival, echocardiographic function, reperfusion arrhythmias, arrhythmia inducibility, infarct size, apoptosis and inflammatory cytokines were assessed. Survival did not differ significantly between Pre-VNS and Control groups (75.0% vs. 65.0%, p = 0.497). However, Pre-VNS animals exhibited preserved cardiac function, with higher ejection fraction and fractional shortening (p < 0.001). VNS preconditioning reduced the incidence of reperfusion arrhythmia during left anterior descending coronary artery ligature release (p = 0.006) and decreased the arrhythmia index on programmed stimulation (p = 0.003). Infarct size and cardiomyocyte apoptosis were significantly attenuated (p < 0.001), accompanied by markedly lower serum interleukin-1β, interleukin-6 and tumour necrosis factor-alpha levels (p < 0.001). VNS preconditioning effectively mitigates I/R injury by improving cardiac function, reducing infarct size and arrhythmias, and attenuating inflammatory and apoptotic responses.
急性心肌梗死是发病率和死亡率的主要原因,缺血再灌注(I/R)损伤加重了心肌损伤。迷走神经刺激(VNS)已被报道具有心脏保护作用,但其对I/R损伤的预适应效果有待进一步研究。研究了VNS预处理对大鼠急性心肌梗死I/R损伤模型的心脏保护作用。60只大鼠随机分为vns前组、对照组和假手术组。前VNS组在诱导I/R损伤前给予1周的低水平颈椎VNS;缺血前30分钟停止刺激。评估存活、超声心动图功能、再灌注心律失常、心律失常诱发性、梗死面积、细胞凋亡和炎症因子。术前vns组和对照组的生存率无显著差异(75.0% vs. 65.0%, p = 0.497)。然而,vns前动物表现出保留的心脏功能,具有较高的射血分数和分数缩短(p
{"title":"Cardioprotection via vagus nerve stimulation preconditioning: Reducing ischaemia-reperfusion injury and arrhythmic risk.","authors":"Feng Hu, Yali Wang, Guangyu Li, Guangyu Wang, Qi Zhuang, Jinyao Jiang, Danfeng Hu, Lihui Zheng, Yan Yao, Minhua Zang, Jun Pu","doi":"10.1113/EP092950","DOIUrl":"https://doi.org/10.1113/EP092950","url":null,"abstract":"<p><p>Acute myocardial infarction is a leading cause of morbidity and mortality, with ischaemia-reperfusion (I/R) injury exacerbating myocardial damage. Vagus nerve stimulation (VNS) has been reported to exert cardioprotective effects, but its efficacy in preconditioning against I/R injury requires further investigation. We evaluated the cardioprotective effects of VNS preconditioning in a rat model of acute myocardial infarction with induced I/R injury. Sixty rats were randomized into Pre-VNS, Control and Sham groups. The Pre-VNS group received 1 week of low-level cervical VNS before induction of I/R injury; stimulation was deactivated 30 min before ischaemia. Survival, echocardiographic function, reperfusion arrhythmias, arrhythmia inducibility, infarct size, apoptosis and inflammatory cytokines were assessed. Survival did not differ significantly between Pre-VNS and Control groups (75.0% vs. 65.0%, p = 0.497). However, Pre-VNS animals exhibited preserved cardiac function, with higher ejection fraction and fractional shortening (p < 0.001). VNS preconditioning reduced the incidence of reperfusion arrhythmia during left anterior descending coronary artery ligature release (p = 0.006) and decreased the arrhythmia index on programmed stimulation (p = 0.003). Infarct size and cardiomyocyte apoptosis were significantly attenuated (p < 0.001), accompanied by markedly lower serum interleukin-1β, interleukin-6 and tumour necrosis factor-alpha levels (p < 0.001). VNS preconditioning effectively mitigates I/R injury by improving cardiac function, reducing infarct size and arrhythmias, and attenuating inflammatory and apoptotic responses.</p>","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145457920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Georgia S Clarke, Hui Li, Elaheh Heshmati, Kelly M Gembus, Stephanie E O'Hara, Lisa M Nicholas, Kathryn L Gatford, Amanda J Page
Poor maternal nutrition and excessive gestational weight gain predict future development of obesity in offspring. Preclinically, maternal obesity induced by a high-fat, high-sugar diet (HFHSD) induces hyperphagia and obesity in offspring. We hypothesized that this might, in part, reflect reduced peripheral gastric vagal afferent (GVA) satiety signalling. Female Glu Venus mice were fed a standard laboratory diet (SLD) or HFHSD for 11 weeks before mating and throughout pregnancy and lactation. Offspring were weaned onto a SLD, then housed in metabolic cages at 6-7 weeks old to assess feeding behaviour. In vitro single-fibre GVA recordings were conducted on tissue collected from 8-week-old mice. Before mating, HFHSD dams were 13% heavier, with 66% higher relative fat mass compared with SLD dams. Maternal diet had no impact on total food intake or offspring weight. Meal size during the light phase was 14% larger in HFHSD than control offspring. Meal duration was longer in HFHSD than control offspring of both sexes across 24 h and the dark phase, and in females during the light phase. HFHSD offspring ate fewer meals than control offspring across all time periods. Tension-sensitive GVAs responded less to stretch in male, but not female, HFHSD than SLD offspring. Mucosal GVA responses to mucosal stroking were unaffected by maternal diet or offspring sex. In conclusion, exposure in utero and during lactation to elevated maternal adiposity and maternal HFHSD consumption induces male-specific programming of reduced GVA responses to stretch. Meal size was increased in both sexes only during the light phase, suggesting programming of other appetite-regulatory pathways by this exposure.
{"title":"Impact of long-term maternal high-fat, high-sugar feeding on gastric vagal afferent responses and feeding behaviour in mouse offspring.","authors":"Georgia S Clarke, Hui Li, Elaheh Heshmati, Kelly M Gembus, Stephanie E O'Hara, Lisa M Nicholas, Kathryn L Gatford, Amanda J Page","doi":"10.1113/EP093108","DOIUrl":"https://doi.org/10.1113/EP093108","url":null,"abstract":"<p><p>Poor maternal nutrition and excessive gestational weight gain predict future development of obesity in offspring. Preclinically, maternal obesity induced by a high-fat, high-sugar diet (HFHSD) induces hyperphagia and obesity in offspring. We hypothesized that this might, in part, reflect reduced peripheral gastric vagal afferent (GVA) satiety signalling. Female Glu Venus mice were fed a standard laboratory diet (SLD) or HFHSD for 11 weeks before mating and throughout pregnancy and lactation. Offspring were weaned onto a SLD, then housed in metabolic cages at 6-7 weeks old to assess feeding behaviour. In vitro single-fibre GVA recordings were conducted on tissue collected from 8-week-old mice. Before mating, HFHSD dams were 13% heavier, with 66% higher relative fat mass compared with SLD dams. Maternal diet had no impact on total food intake or offspring weight. Meal size during the light phase was 14% larger in HFHSD than control offspring. Meal duration was longer in HFHSD than control offspring of both sexes across 24 h and the dark phase, and in females during the light phase. HFHSD offspring ate fewer meals than control offspring across all time periods. Tension-sensitive GVAs responded less to stretch in male, but not female, HFHSD than SLD offspring. Mucosal GVA responses to mucosal stroking were unaffected by maternal diet or offspring sex. In conclusion, exposure in utero and during lactation to elevated maternal adiposity and maternal HFHSD consumption induces male-specific programming of reduced GVA responses to stretch. Meal size was increased in both sexes only during the light phase, suggesting programming of other appetite-regulatory pathways by this exposure.</p>","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145451205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jason H Mateika, Danny Hammo, Dylan M Kissane, Ali Azarbarzin
The magnitude of progressive augmentation (PA) and ventilatory long-term facilitation (vLTF) are two forms of respiratory plasticity that are enhanced in some humans with obstructive sleep apnoea (OSA). This response might be linked to repeated nocturnal exposure to intermittent hypoxia or other traits connected to OSA. A meta-analysis was completed using data from 91 OSA participants who completed one of two mild intermittent hypoxia protocols during wakefulness. Two iterations of a subset regression analysis were completed to identify the best model that predicted the magnitude of PA or vLTF. Novel (e.g., arousal and hypoxic burden) or standard indicators of sleep apnoea (e.g., apnoea/hypopnoea index), anthropometric variables, protocol elements and physiological variables measured during wake and sleep were included as independent variables. After model selection, a multiple linear regression analysis was used to identify the most impactful variables in the model. The hypoxic ventilatory response (HVR) alone (R = 0.589, P < 0.001) or in combination with the arousal index (R = 0.625, P < 0.015 for both variables) predicted the magnitude of PA, whilst the HVR in combination with the arousal burden (R = 0.602, P < 0.001) or arousal index (R = 0.593, P < 0.002 for all variables) predicted the magnitude of vLTF. The HVR and markers of arousal are strong predictors of the magnitude of PA and vLTF. In contrast, markers of apnoea severity, including the hypoxic burden, did not add to the ability to predict the magnitude of PA or vLTF.
进行性增强(PA)和通气长期促进(vLTF)是两种形式的呼吸可塑性,在一些阻塞性睡眠呼吸暂停(OSA)患者中得到增强。这种反应可能与夜间反复暴露于间歇性缺氧或与OSA相关的其他特征有关。一项荟萃分析使用了91名OSA参与者的数据,这些参与者在清醒期间完成了两种轻度间歇性缺氧方案中的一种。完成了两次迭代的子集回归分析,以确定预测PA或vLTF大小的最佳模型。独立变量包括睡眠呼吸暂停的新指标(如觉醒和缺氧负担)或标准指标(如呼吸暂停/低呼吸暂停指数)、人体测量变量、方案要素和清醒和睡眠期间测量的生理变量。模型选择后,采用多元线性回归分析来确定模型中最具影响的变量。单独低氧通气反应(HVR) (R = 0.589, P
{"title":"The hypoxic ventilatory response and arousal burden predict the magnitude of ventilatory long-term facilitation in humans with obstructive sleep apnoea.","authors":"Jason H Mateika, Danny Hammo, Dylan M Kissane, Ali Azarbarzin","doi":"10.1113/EP093163","DOIUrl":"https://doi.org/10.1113/EP093163","url":null,"abstract":"<p><p>The magnitude of progressive augmentation (PA) and ventilatory long-term facilitation (vLTF) are two forms of respiratory plasticity that are enhanced in some humans with obstructive sleep apnoea (OSA). This response might be linked to repeated nocturnal exposure to intermittent hypoxia or other traits connected to OSA. A meta-analysis was completed using data from 91 OSA participants who completed one of two mild intermittent hypoxia protocols during wakefulness. Two iterations of a subset regression analysis were completed to identify the best model that predicted the magnitude of PA or vLTF. Novel (e.g., arousal and hypoxic burden) or standard indicators of sleep apnoea (e.g., apnoea/hypopnoea index), anthropometric variables, protocol elements and physiological variables measured during wake and sleep were included as independent variables. After model selection, a multiple linear regression analysis was used to identify the most impactful variables in the model. The hypoxic ventilatory response (HVR) alone (R = 0.589, P < 0.001) or in combination with the arousal index (R = 0.625, P < 0.015 for both variables) predicted the magnitude of PA, whilst the HVR in combination with the arousal burden (R = 0.602, P < 0.001) or arousal index (R = 0.593, P < 0.002 for all variables) predicted the magnitude of vLTF. The HVR and markers of arousal are strong predictors of the magnitude of PA and vLTF. In contrast, markers of apnoea severity, including the hypoxic burden, did not add to the ability to predict the magnitude of PA or vLTF.</p>","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145457994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Potential pitfalls of using a correction to normative values for the assessment of acid-base compensation during early ascent to high altitude.","authors":"Nicole V Bushfield, Trevor A Day","doi":"10.1113/EP093321","DOIUrl":"https://doi.org/10.1113/EP093321","url":null,"abstract":"","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145444229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jane Lewis, Barry J Mcdonnell, Mark Butlin, Edward Johnston, Amira Tairi, Thomas Griffiths, Gisele Bentley, Peter Sykes, Keeron Stone
Prolonged sitting inherent to long-haul air travel can acutely decrease lower-limb blood flow and increase brachial blood pressure. Healthy motion seating (HMS), which passively alters sitting interface pressure and posture, is a promising technology which may attenuate the deleterious effects of long-haul air travel. The aim of this study was to determine the impact of an innovative airplane passenger seat motion feature, aerospace HMS, on lower-limb blood flow and blood pressure in response to 6.5 h of simulated long-haul air travel. In a randomised cross-over design, 19 healthy adults completed a 6.5 h long-haul flight simulation in aerospace seating equipped with (HMS) and without (CON) healthy motion technology. Superficial femoral artery blood flow, brachial blood pressure, and perceptions of mood disturbance, pain and discomfort were measured before and after flight simulation. In linear mixed models there was a significant interaction (condition × time) effect for superficial femoral artery blood flow, with a decrease in lower-limb blood flow in CON (-22.4 mL/min; 95% CI: -2.41, -42.39; P = 0.032) but not HMS (3.7 mL/min; 95% CI: -16.3, 23.67; P = 0.720) across the 6.5 h flight simulation. There were no interaction, group nor time effects for blood pressure. Mood, pain and discomfort all worsened across the 6.5 h flight simulation (time, all P < 0.05), but there were no interaction nor group effects. The passive alterations in sitting interface pressure, posture and movement created by aerospace HMS can prevent prolonged sitting-induced reductions in local lower-limb blood flow typical of long-haul air travel.
长途航空旅行所固有的长时间坐着会严重减少下肢血流量,增加肱血压。健康运动座椅(HMS)是一种很有前途的技术,它可以被动地改变坐姿界面的压力和姿势,从而减轻长途航空旅行的有害影响。本研究的目的是确定一种创新的飞机乘客座椅运动特征,航空航天HMS,对6.5小时模拟长途航空旅行的下肢血流量和血压的影响。在一项随机交叉设计中,19名健康成年人在配备(HMS)和不配备(CON)健康运动技术的航空座椅上完成了6.5小时的长途飞行模拟。在飞行模拟前后测量股浅动脉血流、肱血压、情绪障碍、疼痛和不适的感觉。在线性混合模型中,对股浅动脉血流有显著的相互作用(条件×时间)效应,在6.5小时的飞行模拟中,CON的下肢血流量减少(-22.4 mL/min; 95% CI: -2.41, -42.39; P = 0.032),但HMS的下肢血流量减少(3.7 mL/min; 95% CI: -16.3, 23.67; P = 0.720)。对血压没有相互作用、组效应和时间效应。在6.5小时的飞行模拟中,情绪、疼痛和不适都恶化了
{"title":"The impact of healthy motion seating on lower-limb blood flow and blood pressure response to simulated long-haul air travel.","authors":"Jane Lewis, Barry J Mcdonnell, Mark Butlin, Edward Johnston, Amira Tairi, Thomas Griffiths, Gisele Bentley, Peter Sykes, Keeron Stone","doi":"10.1113/EP092920","DOIUrl":"https://doi.org/10.1113/EP092920","url":null,"abstract":"<p><p>Prolonged sitting inherent to long-haul air travel can acutely decrease lower-limb blood flow and increase brachial blood pressure. Healthy motion seating (HMS), which passively alters sitting interface pressure and posture, is a promising technology which may attenuate the deleterious effects of long-haul air travel. The aim of this study was to determine the impact of an innovative airplane passenger seat motion feature, aerospace HMS, on lower-limb blood flow and blood pressure in response to 6.5 h of simulated long-haul air travel. In a randomised cross-over design, 19 healthy adults completed a 6.5 h long-haul flight simulation in aerospace seating equipped with (HMS) and without (CON) healthy motion technology. Superficial femoral artery blood flow, brachial blood pressure, and perceptions of mood disturbance, pain and discomfort were measured before and after flight simulation. In linear mixed models there was a significant interaction (condition × time) effect for superficial femoral artery blood flow, with a decrease in lower-limb blood flow in CON (-22.4 mL/min; 95% CI: -2.41, -42.39; P = 0.032) but not HMS (3.7 mL/min; 95% CI: -16.3, 23.67; P = 0.720) across the 6.5 h flight simulation. There were no interaction, group nor time effects for blood pressure. Mood, pain and discomfort all worsened across the 6.5 h flight simulation (time, all P < 0.05), but there were no interaction nor group effects. The passive alterations in sitting interface pressure, posture and movement created by aerospace HMS can prevent prolonged sitting-induced reductions in local lower-limb blood flow typical of long-haul air travel.</p>","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145444223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Tingting Fang, Alex Chan, Janice Chew-Harris, Toan Pham
The left ventricle (LV) is the primary pumping chamber of the heart, generating high systolic pressure to sustain systemic circulation. LV contractile dysfunction is a hallmark of various cardiovascular diseases and is associated with mitochondrial dysfunction, characterised by decreased oxidative phosphorylation (OXPHOS) capacity and increased oxidative stress. While our understanding of cardiac mitochondrial physiology has been gained from studies on LV tissues in animal models or atrial tissues in human studies, findings are often generalised across cardiac regions. Given that fundamental differences in anatomical structure, physiological function and metabolic demands exist between the LV and left atrium (LA), this study aimed to compare mitochondrial bioenergetics between LV and LA tissues from healthy rat hearts. Using high-resolution respirometry coupled with fluorimetry, we assessed mitochondrial respiration, ATP production and hydrolysis, and reactive oxygen species (ROS) production rates. Protein expression of mitochondrial respiratory complexes and antioxidant enzymes was quantified using western blotting. Our results showed that per tissue mass, LV tissues exhibited greater mitochondrial OXPHOS respiration, ATP production and hydrolysis rates, ROS production rate, and higher protein levels of mitochondrial complexes and antioxidant enzymes, consistent with higher citrate synthase activity as a marker of mitochondrial content. However, when normalised to mitochondrial content, LV tissues exhibited lower OXPHOS respiration and ATP production, expression of mitochondrial complexes and antioxidant proteins compared to LA. This study provides new insights into chamber-specific differences in mitochondrial function under physiological conditions, suggesting the importance of considering regional mitochondrial profiles in studies of cardiac mitochondrial function in health and disease.
{"title":"Distinct profiles of mitochondrial bioenergetics and redox balance in left atrial and ventricular myocardium in the healthy rat heart.","authors":"Tingting Fang, Alex Chan, Janice Chew-Harris, Toan Pham","doi":"10.1113/EP093102","DOIUrl":"https://doi.org/10.1113/EP093102","url":null,"abstract":"<p><p>The left ventricle (LV) is the primary pumping chamber of the heart, generating high systolic pressure to sustain systemic circulation. LV contractile dysfunction is a hallmark of various cardiovascular diseases and is associated with mitochondrial dysfunction, characterised by decreased oxidative phosphorylation (OXPHOS) capacity and increased oxidative stress. While our understanding of cardiac mitochondrial physiology has been gained from studies on LV tissues in animal models or atrial tissues in human studies, findings are often generalised across cardiac regions. Given that fundamental differences in anatomical structure, physiological function and metabolic demands exist between the LV and left atrium (LA), this study aimed to compare mitochondrial bioenergetics between LV and LA tissues from healthy rat hearts. Using high-resolution respirometry coupled with fluorimetry, we assessed mitochondrial respiration, ATP production and hydrolysis, and reactive oxygen species (ROS) production rates. Protein expression of mitochondrial respiratory complexes and antioxidant enzymes was quantified using western blotting. Our results showed that per tissue mass, LV tissues exhibited greater mitochondrial OXPHOS respiration, ATP production and hydrolysis rates, ROS production rate, and higher protein levels of mitochondrial complexes and antioxidant enzymes, consistent with higher citrate synthase activity as a marker of mitochondrial content. However, when normalised to mitochondrial content, LV tissues exhibited lower OXPHOS respiration and ATP production, expression of mitochondrial complexes and antioxidant proteins compared to LA. This study provides new insights into chamber-specific differences in mitochondrial function under physiological conditions, suggesting the importance of considering regional mitochondrial profiles in studies of cardiac mitochondrial function in health and disease.</p>","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145444272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thomas McCarthy, Ben J Lee, James J McCormick, Kelli E King, Emma R McCourt, Luana C Main, Robert D Meade, Glen P Kenny
Older adults with reduced thermoregulatory capabilities are increasingly at risk of heat-related pathophysiological outcomes (e.g., acute kidney injury, heatstroke) due to increasingly frequent, prolonged and intense heatwaves. Foot immersion and neck cooling have been proposed as practical, non-electrical cooling strategies for protecting older adults during heatwaves, though evidence supporting their efficacy is limited. This study evaluated the effect of foot immersion with or without neck cooling on systemic proteins associated with acute kidney injury (NGAL, KIM-1), intestinal enterocyte damage (IFABP), immune activation (sCD14) and systemic inflammation (IL-6, TNF-α, CRP) in older adults. Seventeen participants (nine females; median [IQR] age 72 [69-74] years) completed three randomized 6-h passive heat exposures (38°C, 35% relative humidity) with no-cooling, foot immersion in 20°C water, or foot immersion with neck cooling via wet towels. Thermal and cardiovascular strain were measured throughout exposures, with venous blood samples collected pre- and post-exposure. Body core temperature increased by ∼1.1°C (P < 0.001) with no changes in any measured systemic proteins (all P > 0.05) across conditions. Foot immersion with or without neck cooling modestly reduced heart rate, mean skin temperature, whole-body sweat rate and fluid consumption (P < 0.05), but had no effect on body core temperature or systemic protein concentrations (all P > 0.05) relative to no-cooling. These findings do not support the efficacy of these interventions for mitigating hyperthermia in older adults during heatwaves. Further research is warranted to evaluate their efficacy for protecting against heat-related acute kidney injury, intestinal enterocyte damage, immune activation, or systemic inflammation under more severe exposure conditions.
{"title":"Effect of foot immersion and neck cooling on renal, intestinal, immune and inflammatory markers in older adults exposed to extreme heat.","authors":"Thomas McCarthy, Ben J Lee, James J McCormick, Kelli E King, Emma R McCourt, Luana C Main, Robert D Meade, Glen P Kenny","doi":"10.1113/EP093094","DOIUrl":"https://doi.org/10.1113/EP093094","url":null,"abstract":"<p><p>Older adults with reduced thermoregulatory capabilities are increasingly at risk of heat-related pathophysiological outcomes (e.g., acute kidney injury, heatstroke) due to increasingly frequent, prolonged and intense heatwaves. Foot immersion and neck cooling have been proposed as practical, non-electrical cooling strategies for protecting older adults during heatwaves, though evidence supporting their efficacy is limited. This study evaluated the effect of foot immersion with or without neck cooling on systemic proteins associated with acute kidney injury (NGAL, KIM-1), intestinal enterocyte damage (IFABP), immune activation (sCD14) and systemic inflammation (IL-6, TNF-α, CRP) in older adults. Seventeen participants (nine females; median [IQR] age 72 [69-74] years) completed three randomized 6-h passive heat exposures (38°C, 35% relative humidity) with no-cooling, foot immersion in 20°C water, or foot immersion with neck cooling via wet towels. Thermal and cardiovascular strain were measured throughout exposures, with venous blood samples collected pre- and post-exposure. Body core temperature increased by ∼1.1°C (P < 0.001) with no changes in any measured systemic proteins (all P > 0.05) across conditions. Foot immersion with or without neck cooling modestly reduced heart rate, mean skin temperature, whole-body sweat rate and fluid consumption (P < 0.05), but had no effect on body core temperature or systemic protein concentrations (all P > 0.05) relative to no-cooling. These findings do not support the efficacy of these interventions for mitigating hyperthermia in older adults during heatwaves. Further research is warranted to evaluate their efficacy for protecting against heat-related acute kidney injury, intestinal enterocyte damage, immune activation, or systemic inflammation under more severe exposure conditions.</p>","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145430670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The antihypertensive mechanism of sodium-glucose cotransporter 2 (SGLT2) inhibitors has been traditionally attributed to osmotic diuresis. However, emerging evidence reveals multifaceted mechanisms beyond diuresis, including regulation of the renin-angiotensin-aldosterone system, sympathetic nervous system suppression, ion homeostasis restoration, anti-inflammatory/antioxidant actions, weight loss and improved vascular function. These synergistic pathways collectively reduce blood pressure and provide cardiorenal protection in cardiovascular-kidney-metabolic (CKM) syndrome patients. Elucidating these multi-target antihypertensive effects holds critical implications for optimizing therapeutic strategies, mitigating cardiorenal risks and establishing SGLT2 inhibitors as adjunctive antihypertensive therapy in CKM syndrome patients.
{"title":"Sodium-glucose cotransporter 2 inhibitors for hypertension in cardiovascular-kidney-metabolic syndrome.","authors":"Chunxiang Xu, Xingyu Qiu, Nan Xu, Gensheng Zhang, Enyin Lai, Liang Zhao","doi":"10.1113/EP092813","DOIUrl":"https://doi.org/10.1113/EP092813","url":null,"abstract":"<p><p>The antihypertensive mechanism of sodium-glucose cotransporter 2 (SGLT2) inhibitors has been traditionally attributed to osmotic diuresis. However, emerging evidence reveals multifaceted mechanisms beyond diuresis, including regulation of the renin-angiotensin-aldosterone system, sympathetic nervous system suppression, ion homeostasis restoration, anti-inflammatory/antioxidant actions, weight loss and improved vascular function. These synergistic pathways collectively reduce blood pressure and provide cardiorenal protection in cardiovascular-kidney-metabolic (CKM) syndrome patients. Elucidating these multi-target antihypertensive effects holds critical implications for optimizing therapeutic strategies, mitigating cardiorenal risks and establishing SGLT2 inhibitors as adjunctive antihypertensive therapy in CKM syndrome patients.</p>","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2025-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145430673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}