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Immunomodulatory effects of cathelicidin in the gut-brain axis: A novel link between mucosal immunity and neuroinflammation. 抗菌肽在肠-脑轴中的免疫调节作用:粘膜免疫和神经炎症之间的新联系。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-06 DOI: 10.1113/EP093221
Mehrdad Nourizadeh, Amir Arsalan Ghahari, Ehsan Zandi, Seyedeh Zeynab Rasouli, Shaghayegh Davari, Mobina Hoseinzadeh, Mir Alireza Nourazar

Cathelicidins are evolutionarily conserved host defence peptides known for their dual antimicrobial and immunomodulatory functions. Among them, LL-37 in humans and CRAMP in rodents have emerged as crucial regulators of both mucosal immunity and CNS inflammation. This review explores the emerging evidence that positions cathelicidins as key modulators of the gut-brain axis, a bidirectional communication network increasingly implicated in neuroinflammatory and neurodegenerative disorders. Drawing on a diverse body of animal and human research, we examine the multifaceted roles of cathelicidin in maintaining intestinal barrier integrity, shaping microbiota composition and regulating innate immune signalling. Particular attention is paid to how gut-derived metabolites, such as short-chain fatty acids and vitamin D, influence cathelicidin expression, with downstream consequences for both gastrointestinal and neural health. In the CNS, cathelicidin exhibits context-dependent effects, acting as a neuroprotective modulator when derived from neurons, but exacerbating glial-mediated inflammation when sourced from peripheral immune cells. This functional dichotomy underscores the importance of cellular origin, concentration and microenvironmental cues. Furthermore, we delineate how cathelicidin facilitates crosstalk between peripheral and central compartments, serving as both a local effector and a systemic messenger. Collectively, these insights support a reconceptualization of cathelicidin not merely as a passive antimicrobial peptide, but as an active molecular bridge between mucosal immunity and neuroinflammation, with promising implications for diagnostics and therapeutics targeting dysfunction of the gut-brain axis.

抗菌肽是进化上保守的宿主防御肽,以其双重抗菌和免疫调节功能而闻名。其中,人类的LL-37和啮齿动物的抽筋已成为粘膜免疫和中枢神经系统炎症的重要调节因子。这篇综述探讨了将抗菌肽定位为肠-脑轴的关键调节剂的新证据,肠-脑轴是一个与神经炎症和神经退行性疾病日益相关的双向通信网络。根据动物和人类研究的不同机构,我们研究了cathelicidin在维持肠道屏障完整性,塑造微生物群组成和调节先天免疫信号方面的多方面作用。特别关注肠道衍生代谢物,如短链脂肪酸和维生素D,如何影响抗菌肽表达,并对胃肠道和神经健康产生下游影响。在中枢神经系统中,cathelicidin表现出上下文依赖效应,当来源于神经元时,它作为神经保护调节剂,但当来源于外周免疫细胞时,它会加剧胶质介导的炎症。这种功能的二分法强调了细胞起源、浓度和微环境线索的重要性。此外,我们描述了cathelicidin如何促进外周和中央隔室之间的串扰,作为局部效应物和系统信使。总的来说,这些见解支持了cathelicidin的重新概念,它不仅是一种被动的抗菌肽,而且是粘膜免疫和神经炎症之间的活性分子桥梁,对针对肠-脑轴功能障碍的诊断和治疗具有重要意义。
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引用次数: 0
Impact of obesity and an obesogenic environment on cardiotoxin-induced damage and recovery of human myotubes. 肥胖和致肥环境对心脏毒素诱导的人肌管损伤和恢复的影响。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-06 DOI: 10.1113/EP092268
Brian P Sullivan, Lundon C Burton, Allison Ellis, Christopher K Kargl, Deborah Shera, Shihuan Kuang, James F Markworth, Timothy P Gavin

Obesity (BMI ≥ 30 kg/m2) reduces skeletal muscle quality and impairs the myogenic response to muscle damage. The present study investigated if differences exist in myotubes from individuals with (OB) or without (LN) obesity incubated in control (bovine serum albumin [BSA]) or obesogenic (Ob) medium, at baseline or in response to cardiotoxin (CTX)-induced damage and recovery. Differentiated, primary human myotubes from LN and OB donors were cultured in control (BSA-DM) or (Ob-DM) (250 µM palmitate, 250 µM oleate, 100 nM insulin, and 2.5 ng/mL tumour necrosis factor) differentiation medium (DM) for 48 h and treated with 1.0 µM CTX or vehicle control for 1 h (immediately post [IP]). Myotubes recovered in Ob (Ob-GM) or BSA (BSA-GM) growth medium (GM) for 3 days (3D). At baseline, myotubes (LN and OB) incubated in Ob-DM had 5% lower fusion index (FI) and nuclei/tube than BSA-DM. At IP post-CTX, there were no differences in FI or membrane integrity (lactate dehydrogenase), but the reduction in cell viability was greater in OB than LN myotubes and greater in myotubes (LN and OB) incubated in Ob-DM than BSA-DM. At 3D post-CTX, total nuclei, FI, and nuclei/tube were ∼15% lower in myotubes (LN and OB) incubated in Ob-GM than BSA-GM. Expressed as recovery (3D-IP) post-CTX, Ob-GM lowered total nuclei and FI in myotubes without differences between LN and OB. In human myotubes, impaired formation and recovery following damage in obesity appear primarily due to the obesogenic environment rather than inherent, individual differences.

肥胖(BMI≥30 kg/m2)会降低骨骼肌质量,损害肌肉损伤的肌源性反应。本研究调查了在对照(牛血清白蛋白[BSA])或致肥性(OB)培养基中,在基线或对心脏毒素(CTX)引起的损伤和恢复作出反应时,OB和LN肥胖个体的肌管是否存在差异。来自LN和OB供者的分化的原代人肌管在对照(BSA-DM)或(OB -DM)(250µM棕榈酸盐、250µM油酸盐、100 nM胰岛素和2.5 ng/mL肿瘤坏死因子)分化培养基(DM)中培养48小时,并用1.0µM CTX或对照物处理1小时(即刻[IP]后)。肌管在Ob (Ob-GM)或BSA (BSA-GM)生长培养基(GM)中恢复3天(3D)。基线时,在OB - dm中培养的肌管(LN和OB)的融合指数(FI)和核/管比BSA-DM低5%。在ctx后的IP, FI或膜完整性(乳酸脱氢酶)没有差异,但OB的细胞活力下降幅度大于LN肌管,OB - dm中培养的肌管(LN和OB)的细胞活力下降幅度大于BSA-DM。在ctx后3D,在OB - gm中培养的肌管(LN和OB)的总细胞核、FI和核/管比BSA-GM低约15%。以ctx后的恢复(3D-IP)表示,OB - gm降低了肌管中的总核数和FI,而LN和OB之间没有差异。在人类肌管中,肥胖损伤后的形成和恢复受损主要是由于致肥环境,而不是固有的个体差异。
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引用次数: 0
Lipid profiles and nutritional dynamics of long-distance hiking: A longitudinal study on the Colorado Trail. 长距离徒步旅行的脂质分布和营养动态:科罗拉多步道的纵向研究。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-28 DOI: 10.1113/EP093118
Kiaya Johnston, Stephen Selinsky, Benjamin Langworthy, Daniel Craighead

Current literature on the metabolic effects of long-distance hiking is limited to case studies with discrepant findings, and no prior studies have examined the role of diet in shaping these outcomes. In this study, we investigated changes in lipid profiles and dietary factors among 12 participants who completed the Colorado Trail. Blood lipid measures [low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol, total cholesterol and triglycerides] were obtained pre- and post-trail after a 12 h fast using the Lysun Blood Lipid Analyzer. Dietary intake was assessed pre- and on-trail using a validated multiple-pass 24 h recall. Student's paired t-tests evaluated metabolic changes, and regression analyses assessed associations between lipid changes and dietary factors. No lipid exhibited a statistically significant change at the α = 0.05 threshold. However, LDL-C decreased by 17 mg/dL (P = 0.066), suggestive of a biologically meaningful reduction, given the small sample size. Among 81 dietary variables, LDL-C reduction was significantly associated with decreased intake of added sugars (P = 0.030) and ultra-processed foods (P = 0.039) and with increased intake of minimally processed foods (P = 0.044), vitamin C (P = 0.048) and vitamin K (P = 0.047) during hiking. These findings suggest that long-distance hiking might be associated with lower LDL-C and that diet quality, particularly food processing level, might be correlated with this trend. This study is the first to link dietary shifts systematically to metabolic outcomes in thru-hiking, providing hypothesis-generating insights into the physiological adaptations to prolonged physical exertion and the potential for dietary modulation of lipid metabolism.

目前关于长途徒步的代谢影响的文献仅限于有差异结果的案例研究,并且没有先前的研究检查饮食在形成这些结果中的作用。在这项研究中,我们调查了12名完成科罗拉多步道的参与者的脂质谱和饮食因素的变化。禁食12小时后,使用Lysun血脂分析仪测定血脂[低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇、总胆固醇和甘油三酯]。在试验前和试验中,采用经过验证的24小时多重回顾法评估饮食摄入量。学生配对t检验评估代谢变化,回归分析评估脂质变化与饮食因素之间的关联。在α = 0.05阈值下,脂质无显著变化。然而,低密度脂蛋白c降低了17毫克/分升(P = 0.066),提示具有生物学意义的降低,因为样本量小。在81个饮食变量中,LDL-C的降低与远足期间添加糖(P = 0.030)和超加工食品(P = 0.039)的摄入量减少以及最低加工食品(P = 0.044)、维生素C (P = 0.048)和维生素K (P = 0.047)的摄入量增加显著相关。这些发现表明,长途徒步旅行可能与较低的LDL-C有关,而饮食质量,特别是食品加工水平,可能与这一趋势有关。这项研究首次系统地将饮食变化与徒步旅行中的代谢结果联系起来,为长时间体力消耗的生理适应和饮食调节脂质代谢的潜力提供了假说。
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引用次数: 0
Optimising exercise intensity for gut health: Effect on microbiota composition, barrier integrity and inflammation in male Wistar rats. 优化运动强度对肠道健康的影响:对雄性Wistar大鼠微生物群组成、屏障完整性和炎症的影响
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-28 DOI: 10.1113/EP092970
Nova Sylviana, Putri Karisa, Nur Faizah Romadona, Imam Megantara

Exercise influences gut microbiota composition and intestinal permeability, but the optimal intensity for maintaining gut health remains unclear. This study investigates the effects of different exercise intensities on abundance of some gut microbiota, epithelial barrier integrity and inflammatory markers. Male Wistar rats were randomly assigned to control (n = 5), low-intensity (10 m/min, n = 5), moderate-intensity (20 m/min, n = 5) and high-intensity (30 m/min, n = 5) exercise groups, exercising five times per week for 8 weeks. The relative abundance of Akkermansia muciniphila, Faecalibacterium prausnitzii and Escherichia coli was quantified using qPCR, whilst mRNA levels of zonula occludens-1 (ZO-1) and interleukin-6 (IL-6) were assessed as markers of barrier function and inflammation. A. muciniphila and F. prausnitzii abundance increased at moderate exercise intensity (P < 0.005), but decreased at high intensity (P = 0.0019), whereas E. coli rose sharply at high intensity (P < 0.001). ZO-1 expression was higher at moderate (β = 0.30, 95% CI 0.195-0.405, P < 0.001) and high intensity (β = 0.60, 0.495-0.705, P < 0.001), but not at low intensity (β = 0.10, -0.005-0.205, P > 0.05). IL-6 increases similarly (moderate β = 0.50, 0.247-0.753, high β = 1.10, 0.847-1.353, both P < 0.001). In conclusion, moderate-intensity exercise enhanced beneficial microbiota and epithelial barrier integrity, whereas high-intensity exercise promoted E. coli proliferation and IL-6-mediated inflammation, underscoring a dose-dependent, bidirectional regulation of the gut epithelial interface.

运动影响肠道菌群组成和肠道通透性,但维持肠道健康的最佳强度尚不清楚。本研究探讨了不同运动强度对某些肠道微生物群丰度、上皮屏障完整性和炎症标志物的影响。雄性Wistar大鼠随机分为对照组(n = 5)、低强度(10 m/min, n = 5)、中强度(20 m/min, n = 5)和高强度(30 m/min, n = 5)运动组,每周运动5次,连续8周。采用qPCR定量检测嗜粘液阿克曼氏菌、prausnitii粪杆菌和大肠杆菌的相对丰度,同时检测封闭带-1 (ZO-1)和白细胞介素-6 (IL-6) mRNA水平,作为屏障功能和炎症的标志物。中等运动强度下,嗜粘杆菌和prausnitzii丰度增加(p0.05)。白细胞介素-6升高相似(中等β = 0.50, 0.247 ~ 0.753,高β = 1.10, 0.847 ~ 1.353)
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引用次数: 0
Cardiovascular, respiratory and splenic responses to rebreathing and apnoea during exercise. 运动时对再呼吸和呼吸暂停的心血管、呼吸和脾反应。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-28 DOI: 10.1113/EP093350
Theodore Dotevall, Maja Persson, Bodil Sjögreen, Mats H Linér, Angelica Lodin-Sundström, Johan P A Andersson

We investigated integrative physiological responses to eupnoeic exercise (EX), rebreathing exercise (RB), dynamic apnoea (DA) and dynamic apnoea with cold-water face immersion (DAFI) in 20 healthy participants. Trials involved non-steady-state cycle exercise at 60 W for an average duration of 66 s. With increases in heart rate and stroke volume, EX and RB increased cardiac output compared with baseline (mean [SD] EX +47 [13]%, RB +43 [15]%). During DA and DAFI, the increase in cardiac output was attenuated (DA +26 [23]%, DAFI +14 [21]%). EX and RB elicited reductions in total peripheral resistance (EX -37 [7]%, RB -23 [15]%). This reduction was absent during apnoeas (DA +3 [31]%, DAFI +15 [40]%). Pulmonary oxygen uptake was the lowest during DAFI. At the end of hypoxic trials, end-tidal partial pressures of O2 were RB 50.3 [11.9], DA 57.9 [14.0] and DAFI 61.4 [13.6] mmHg, indicating a preservation of the central oxygen store during DA and DAFI. At the same time, peripheral tissue oxygen saturation, measured in the working rectus femoris muscle, declined the most during DA and DAFI (RB -1.4 [3.5]%, DA -4.7 [3.3]%, DAFI -5.6 [4.4]%). Splenic volume increased during EX (+8.4 [5.8]%) but decreased during RB (-10.5 [10.2]%), DA (-6.4 [10.8]) and DAFI (-13.3 [11.1]%) when compared with EX, suggesting erythrocyte mobilization in the threat of hypoxia. The non-steady-state apnoea interventions of the present study evoke a progressive shift from exercise-induced cardiovascular responses towards a diving response, including cardiac, vascular and splenic responses. These responses are amplified to some extent by cold-water face immersion. Apnoea-induced responses lead to central oxygen preservation and a decrease in peripheral oxygen stores.

我们研究了20名健康受试者对清醒运动(EX)、再呼吸运动(RB)、动态呼吸暂停(DA)和冷水面部浸泡式动态呼吸暂停(DAFI)的综合生理反应。试验包括60瓦的非稳态循环运动,平均持续时间66秒。随着心率和搏量的增加,EX和RB与基线相比心输出量增加(平均[SD] EX + 47[13]%, RB + 43[13]%)。在DA和DAFI期间,心输出量的增加有所减弱(DA + 26[23]%, DAFI + 14[23]%)。EX和RB诱导总外周电阻降低(EX - 37[7]%, RB - 23[7]%)。这种减少在呼吸暂停期间不存在(DA +3 [40]%, DAFI +15[40]%)。DAFI期间肺摄氧量最低。缺氧试验结束时,潮末O2分压RB为50.3 [11.9],DA为57.9 [14.0],DAFI为61.4 [13.6]mmHg,表明DA和DAFI期间中心氧储存得到了保存。同时,工作股直肌外周组织血氧饱和度在DA和DAFI期间下降最多(RB -1.4 [3.5]%, DA -4.7 [3.3]%, DAFI -5.6[4.4]%)。脾体积增加(+8.4[5.8]%),而RB(-10.5[10.2]%)、DA(-6.4[10.8])和DAFI(-13.3[11.1]%)时脾体积减少,提示缺氧威胁下红细胞动员。本研究的非稳态呼吸暂停干预引起了从运动诱导的心血管反应到潜水反应的渐进转变,包括心脏、血管和脾反应。这些反应在一定程度上被冷水面部浸泡放大。呼吸暂停引起的反应导致中央氧保存和外周氧储存的减少。
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引用次数: 0
Comparison of blood pressure measurements between the Huawei Watch D smartwatch application and the validated Omron M3 Intellisense device: Observational study. 华为Watch D智能手表应用与欧姆龙M3智能感知设备的血压测量比较:观察性研究。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-26 DOI: 10.1113/EP093286
Jorge Velázquez Saornil, Raúl Frutos Llanes, Sonia Jiménez Blanco, Zacarías Sánchez Milá, José Manuel Barragán Casas, Rosario Pastor Martín, Angélica Campón Chekroun, David Rodríguez Sanz

Popular wearable devices that record a variety of health metrics, such as real-time blood pressure (BP), could play a role in detecting hypertension in the population. The objective of this study was to compare the validity of the Huawei D device with that of the Omron M3 Intellisense device used by health workers. Sampling was used to obtain patients with normal and abnormal BP. Measurements were taken on the wrist via the Huawei Watch D, while measurements were made using the Omron M3 Intellisense (prevalidated) device used by experienced healthcare personnel at the health centre. A total of 100 normotensive and 100 hypertensive patients were analysed. The concordance statistics were calculated, and linear regression analysis was performed. The intraclass correlation coefficient was calculated to assess the concordance between the instruments used in the measurement and among the observers who made the measurements under a two-factor mixed-effects model, with calculation of the degree of absolute concordance in mean measurements. We found moderate results (systolic blood pressure (SBP) at 30 and 60 min and heart rate at 30 min) and nil for the rest [0.63 (0.36-0.78) < 0.001]; in addition, the comparison of the two groups was verified by a Bland-Altamn graph, in which the disparity of the results was observed. The Huawei D BP measuring device was shown to be relatively effective for measuring BP in hypertensive patients. However, the specificity of BP measurement in normotensive patients was not as reliable as in hypertensive patients.

流行的可穿戴设备可以记录各种健康指标,如实时血压(BP),可以在检测人群中的高血压方面发挥作用。本研究的目的是比较卫生工作者使用的华为D设备与欧姆龙M3智能感知设备的有效性。采用采样法获得血压正常和异常患者。通过华为Watch D在手腕上进行测量,而使用欧姆龙M3智能感知(预先验证)设备进行测量,由卫生中心经验丰富的卫生保健人员使用。对100例正常血压患者和100例高血压患者进行了分析。计算一致性统计量,并进行线性回归分析。在双因素混合效应模型下,计算类内相关系数,以评估测量中使用的仪器之间和进行测量的观察者之间的一致性,并计算平均测量的绝对一致性程度。我们发现中度结果(30和60分钟收缩压(SBP)和30分钟心率),其余无[0.63(0.36-0.78)]。
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引用次数: 0
Effect of a single exercise bout on fasting cerebral blood flow and brain insulin sensitivity in middle-aged to older adults. 单次运动对中老年空腹脑血流量和脑胰岛素敏感性的影响。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-24 DOI: 10.1113/EP093333
Steven K Malin, Ankit M Shah, Michal S Berri, David H Zald, Daniel J Battillo

Reductions in brain insulin sensitivity and cerebral blood flow (CBF) have emerged as potential factors contributing to Alzheimer's disease and related dementia. However, no work has tested whether a single bout of exercise can raise brain insulin sensitivity in at-risk adults. The aim of the study was to test whether a single bout of exercise raises brain insulin sensitivity in middle-aged to older adults with cardiometabolic risk. In a counterbalanced pilot study design, 15 cognitively unimpaired (Montreal Cognitive Assessment, 28.2 ± 1.3 a.u.) adults [56.7 ± 2.1 years old; maximal oxygen consumption ( V ̇ O 2 max ${dot V_{{{mathrm{O}}_2}{mathrm{max}}}}$ ), 23.9 ± 0.9 mL/kg/min] with excess body weight (body mass index, 31.8 ± 1.3 kg/m2) and impaired glucose tolerance (haemoglobin A1c, 5.8% ± 0.30%) were randomized to a rest (time-matched control) or acute treadmill exercise bout (70% V ̇ O 2 max ${dot V_{{{mathrm{O}}_2}{mathrm{max}}}}$ for 60 min) in the evening. The next morning, participants arrived fasted to determine brain insulin sensitivity. Plasma glucose and insulin, in addition to CBF, were assessed by pseudo-continuous arterial spin labelling before and after intranasal insulin (40 IU). Cognition (NIH toolbox), aerobic fitness ( V ̇ O 2 max ${dot V_{{{mathrm{O}}_2}{mathrm{max}}}}$ ) and body composition (dual-energy X-ray absorptiometry) were also analysed. There was no difference in plasma glucose or insulin following intranasal with or without exercise. Although cognition was also not improved, exercise increased CBF in the hippocampus, putamen and pallidum (condition effect, P < 0.05). Exercise-induced increases in fasting hippocampus, caudate, pallidum and putamen CBF were correlated with a lowering of CBF responses to insulin. In middle-aged to older adults with cardiometabolic risk, a single bout of exercise increased fasting CBF, and this related to decreased CBF insulin responses in regions related to memory and motor control.

脑胰岛素敏感性和脑血流量(CBF)的降低已成为导致阿尔茨海默病和相关痴呆的潜在因素。然而,目前还没有研究测试过单次锻炼是否能提高高危成年人的大脑胰岛素敏感性。这项研究的目的是测试单次运动是否会提高中年到老年有心脏代谢风险的人的大脑胰岛素敏感性。在一项平衡的先导研究设计中,15名认知未受损的成年人(蒙特利尔认知评估,28.2±1.3 a.u)[56.7±2.1岁;最大耗氧量(V²max ${dot V_{{mathrm{O}}_2}{mathrm{max}}}}$), 23.9±0.9 mL/kg/min,体重超重(体重指数,31.8±1.3 kg/m2)和糖耐量受损(血红蛋白A1c, 5.8%±0.30%)随机分为休息(时间匹配对照)或急性跑步机运动组(70% V²max ${ mathrm{O}}_2}{mathrm{max}}}}$ 60 min)。第二天早上,参与者禁食,以确定大脑胰岛素敏感性。在鼻内注射胰岛素(40 IU)前后,通过伪连续动脉自旋标记评估血浆葡萄糖和胰岛素,以及CBF。同时分析认知(NIH工具箱)、有氧适能(v_2 max ${dot V_{{mathrm{O}}_2}{mathrm{max}}}}$)和体成分(双能x线吸收仪)。在有或没有进行鼻内运动后,血浆葡萄糖和胰岛素没有差异。虽然认知也没有改善,但运动增加了海马、壳核和苍白球的CBF(条件效应,P
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引用次数: 0
Impaired Windkessel function and proximal aortic stiffness: Linking vascular ageing to cognitive decline. 血管功能受损和主动脉近端僵硬:血管老化与认知能力下降有关。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-18 DOI: 10.1113/EP092672
Jun Sugawara, Hirofumi Tanaka

Central arterial stiffening, particularly of the proximal aorta, is increasingly recognised as a pivotal contributor to cardiovascular disease, dementia, and mild cognitive impairment. Loss of Windkessel function amplifies pulsatile pressure, reduces diastolic perfusion and accelerates microvascular damage in the brain. Evidence from epidemiological studies, magnetic resonance imaging investigations and longitudinal data demonstrates disproportionate age-related stiffening of the proximal aorta and its strong association with cognitive decline. Importantly, this process is modifiable: aerobic exercise and unique environmental adaptations, such as those observed in Japanese Ama divers, preserve proximal aortic elasticity. Targeting central arterial stiffness may represent a promising strategy for preventing both vascular disease and brain dysfunction.

中央动脉硬化,特别是近端主动脉硬化,越来越被认为是心血管疾病、痴呆和轻度认知障碍的关键因素。Windkessel功能的丧失会增加脉压,降低舒张灌注,加速脑微血管损伤。来自流行病学研究、磁共振成像调查和纵向数据的证据表明,近端主动脉与年龄不成比例地硬化,并与认知能力下降密切相关。重要的是,这个过程是可以改变的:有氧运动和独特的环境适应,例如在日本Ama潜水员中观察到的,可以保持主动脉近端弹性。靶向中枢动脉僵硬可能是预防血管疾病和脑功能障碍的一种有前途的策略。
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引用次数: 0
On the mechanism of control of the pulse rate. 研究了脉冲速率控制的机理。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-17 DOI: 10.1113/EP093308
Mark I M Noble, Angela J Drake-Holland
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引用次数: 0
The physiology of survival: Breath-hold shallow-water diving. 生存的生理学:屏气浅水潜水。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-17 DOI: 10.1113/EP093322
Andrew H Baker, Ashley Jones, Adrian Mayhew, Carlene McAvoy, Ross Macleod, Hugh Montgomery, Craig Robertson, Jo Talbot, Mike Tipton
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引用次数: 0
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