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Effect of live-high, train-low strategy induced by chronic low-dose carbon monoxide exposure on haematological parameters and performance in trained individuals. 慢性低剂量一氧化碳暴露诱导的高生活、低训练策略对训练个体血液学参数和运动表现的影响。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-12 DOI: 10.1113/EP093005
Simone Villanova, Simone Porcelli, Lena Ekström, Daniele A Cardinale

Altitude training enhances haematological adaptations and endurance at sea level, typically requiring exposure to ∼2500 m altitude for 3-4 weeks. Emerging evidence suggests that low-dose carbon monoxide (CO) inhalation might mimic hypoxia and might be used by elite athletes. In this study, we examine whether periodic low-dose CO exposure can replicate the live-high, train-low model in well-trained individuals, focusing primarily on haematological and performance effects of CO exposure, with haematological markers commonly used to interpret haemoglobin mass changes discussed as exploratory. Eight well-trained individuals (four males and four females) participated in a randomized crossover study. They completed two training blocks of 4 weeks at sea level: one with CO inhalation (INCO) to simulate live-high, train-low and one with ambient air as a control (AIR), separated by a 6 month washout. Haematological variables, in vivo muscle oxidative capacity and performance metrics were assessed before and after each intervention. After INCO, haemoglobin mass (p = 0.018; +53.6 ± 10.8 g. vs. +0.8 ± 11.8 g), red blood cell volume (p = 0.032; +156.6 ± 66.7 mL vs. -65.1 ± 50.7 mL) and blood volume (p = 0.036; +240.4 ± 120.5 mL vs. -208.3 ± 167.5 mL) increased significantly compared with AIR. INCO significantly reduced immature reticulocytes (p = 0.04), but muscle oxidative capacity and performance metrics remained unchanged. These findings suggest that daily low-dose CO exposure at sea level over 4 weeks enhanced haematological adaptations more than standard training but did not affect muscle oxidative capacity or performance.

高原训练可以提高血液学适应能力和在海平面的耐力,通常需要暴露在海拔2500米的地方3-4周。新出现的证据表明,低剂量的一氧化碳(CO)吸入可能模拟缺氧,可能被优秀运动员使用。在本研究中,我们研究了周期性低剂量CO暴露是否可以在训练有素的个体中复制高活低训练模型,主要关注CO暴露对血液学和运动性能的影响,并讨论了通常用于解释血红蛋白质量变化的血液学标志物。8名训练有素的个体(4男4女)参加了一项随机交叉研究。他们在海平面上完成了两个为期4周的训练:一个是CO吸入(INCO),模拟生活高,训练低,另一个是环境空气作为对照(air),间隔6个月的洗脱期。在每次干预前后评估血液学变量、体内肌肉氧化能力和性能指标。INCO术后血红蛋白质量(p = 0.018; +53.6±10.8 g对+0.8±11.8 g)、红细胞体积(p = 0.032; +156.6±66.7 mL对-65.1±50.7 mL)、血容量(p = 0.036; +240.4±120.5 mL对-208.3±167.5 mL)较AIR组显著增加。INCO显著降低了未成熟网织红细胞(p = 0.04),但肌肉氧化能力和性能指标保持不变。这些研究结果表明,与标准训练相比,每天在海平面上暴露低剂量CO超过4周,可以增强血液学适应,但不影响肌肉氧化能力或表现。
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引用次数: 0
Impacts of exercise, renin-angiotensin system modulation or both on skeletal muscle circadian gene expression. 运动、肾素-血管紧张素系统调节或两者对骨骼肌昼夜节律基因表达的影响。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-11 DOI: 10.1113/EP092318
Emily L Zumbro, Liliana C Baptista, Taylor Taylor, Abbi R Hernandez, Anisha Banerjee, Yi Sun, YouFeng Yang, Qiuhong Li, Thomas W Buford

Ageing negatively affects quality of life and healthspan, and interventions are needed to slow this progressive decline. Previously, we have demonstrated the potential functional benefits of combining a genetically modified probiotic (GMP) targeting the non-canonical arm of the renin-angiotensin system (RAS) with exercise training. Initial RNAseq studies indicated the potential of the interventions to influence circadian physiology. Therefore, the objective of this study was to evaluate the expression of circadian-related genes in the tibialis anterior and soleus muscles in male and female aged rats in response to the administration of the GMP, exercise training and multiple controls. Following 12 weeks of the intervention, circadian-related genes were differentially expressed in male and female aged rats and between tissues, primarily influenced by the exercise intervention, with potential additive effects of the GMP. Several genes were also significantly associated with measures of physical performance. Thus, combining exercise with a RAS-related GMP may have potential functional benefits in late life, potentially related to circadian-related impacts within skeletal muscle.

老龄化对生活质量和健康寿命产生负面影响,需要采取干预措施来减缓这种逐渐下降的趋势。先前,我们已经证明了将针对肾素-血管紧张素系统(RAS)非规范分支的转基因益生菌(GMP)与运动训练相结合的潜在功能益处。最初的RNAseq研究表明,干预措施可能影响昼夜生理。因此,本研究的目的是评估雄性和雌性老年大鼠胫骨前肌和比目鱼肌中昼夜节律相关基因在给药GMP、运动训练和多重对照下的表达。干预12周后,昼夜节律相关基因在雄性和雌性老龄大鼠中以及组织间存在差异表达,主要受到运动干预的影响,并可能存在GMP的叠加效应。有几个基因也与身体表现显著相关。因此,将运动与ras相关的GMP相结合可能在晚年具有潜在的功能益处,可能与骨骼肌中与昼夜节律相关的影响有关。
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引用次数: 0
Effects of high-intensity interval training on cardiac function in hypertensive and normotensive men: Effects of antihypertensive treatment. 高强度间歇训练对高血压和正常血压男性心功能的影响:降压治疗的效果。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-09 DOI: 10.1113/EP093164
Mads Fischer, Jon Egelund, Matteo Fiorenza, Thomas S Ehlers, Michael Nyberg, Jesper J Linde, Lasse Gliemann, Thomas P Gunnarsson, Jens Bangsbo

Exercise training is recommended for individuals with hypertension because it has been shown to lower blood pressure and reverse left ventricular concentric remodelling and mass. However, it is unclear how hypertensive individuals respond in comparison to normotensive individuals and to what extent medical treatment affects the outcome of training. Our aim was to assess the effect of a 6 week high-intensity interval training (HIIT) intervention on cardiac adaptations in subjects with treated or untreated essential hypertension compared with normotensive control subjects. Cardiac function was evaluated by echocardiography in 11 medicated hypertensive men, who adhered to treatment during the intervention but refrained from medication for 4 days prior to and during measurements (MED-HYP), in 9 untreated hypertensive men (HYP) and in 10 age-matched normotensive men before and after HIIT. At baseline, HYP and MED-HYP had lower mitral valve E/A ratio (MED-HYP, 0.86 ± 0.2; HYP, 0.99 ± 0.1; P < 0.05) compared with normotensive men (1.37 ± 0.4). The HIIT stroke volume in normotensive men only improved maximum oxygen uptake (change, 178 ± 239 mL O2/min). The E/e' ratio (echocardiographic risk marker of cardiac events) increased (P < 0.05) with HIIT in MED-HYP, with no change in normotensive men and HYP. Men with treated and untreated essential hypertension display diminished cardiac adaptation and less improvement in cardiopulmonary fitness in response to HIIT compared with normotensive counterparts. Additionally, MED-HYP increased E/e' with HIIT, potentially raising the risk of primary cardiac events. Therefore, further research is required to assess the interactive effects of exercise training and antihypertensive treatment.

运动训练被推荐给高血压患者,因为它已被证明可以降低血压并逆转左心室同心重构和肿块。然而,目前尚不清楚高血压个体与正常个体相比如何反应,以及药物治疗在多大程度上影响训练结果。我们的目的是评估6周高强度间歇训练(HIIT)干预对接受治疗或未接受治疗的原发性高血压患者心脏适应性的影响,并与血压正常的对照组进行比较。通过超声心动图评估11名高血压患者的心功能,这些患者在干预期间坚持治疗,但在测量(MED-HYP)之前和期间没有服药4天(MED-HYP), 9名未治疗的高血压患者(HYP)和10名年龄匹配的高血压患者在HIIT前后。在基线时,HYP和MED-HYP的二尖瓣E/A比较低(MED-HYP, 0.86±0.2;HYP, 0.99±0.1;p2 /min)。超声心动图心脏事件危险指标E/ E比值升高(P
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引用次数: 0
Postexercise muscle oxygen uptake kinetics in older breast cancer survivors and healthy individuals: Association with myosteatosis. 老年乳腺癌幸存者和健康个体运动后肌肉摄氧量动力学:与肌骨化病的关系
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-08 DOI: 10.1113/EP093370
Nathan R Weeldreyer, Thomas J McMurtry, Stephen J Foulkes, Amanda Shewman, Edith Pituskin, Rachel J Skow, Richard B Thompson, Justin Grenier, Deirdre E O'Neill, Robert C Welsh, Mark J Haykowsky, Corey R Tomczak

Reduced cardiorespiratory fitness is common among breast cancer survivors and, although traditionally attributed to cardiac dysfunction, might also be related to peripheral skeletal muscle abnormalities. We examined peak and submaximal plantar-flexion exercise and recovery kinetics for lower-leg oxygen uptake ( V ̇ O 2 ${dot V_{{{mathrm{O}}_2}}}$ ), blood flow and arteriovenous O2 difference in 35 older, female long-term breast cancer survivors (age, 70 ± 5 years; 14 ± 6 years post-treatment) and 19 age- and sex-matched healthy control subjects using MRI. The calf intermuscular fat to skeletal muscle ratio was evaluated using fat- and water-separated MRI to quantify myosteatosis. No significant differences were found between groups for lower-leg V ̇ O 2 ${dot V_{{{mathrm{O}}_2}}}$ , blood flow or arteriovenous O2 difference at peak or during submaximal plantar-flexion exercise. Recovery kinetics for these measures were similar between groups (all P > 0.05). No differences were found in calf muscle mass between breast cancer survivors and control subjects. A higher intermuscular fat to skeletal muscle ratio was significantly associated with reduced peak (cycle exercise) pulmonary V ̇ O 2 ${dot V_{{{mathrm{O}}_2}}}$ (r = -0.37, P = 0.01), lower plantar-flexion power output (r = -0.325, P = 0.012) and delayed muscle V ̇ O 2 ${dot V_{{{mathrm{O}}_2}}}$ recovery kinetics in both groups (r = -0.325, P = 0.015). Older, female long-term breast cancer survivors have comparable lower-limb skeletal muscle oxidative capacity to control subjects. However, myosteatosis represents a key determinant of exercise performance and recovery kinetics regardless of breast cancer history. Interventions targeting skeletal muscle quality might be effective in improving both submaximal and maximal exercise tolerance and recovery kinetics in older women with or without a breast cancer diagnosis.

心肺功能下降在乳腺癌幸存者中很常见,虽然传统上归因于心功能障碍,但也可能与周围骨骼肌异常有关。我们用MRI检查了35名老年女性乳腺癌长期幸存者(年龄70±5岁;治疗后14±6年)和19名年龄和性别匹配的健康对照者的峰值和次极大跖弯曲运动和下肢摄氧量(V * O * 2 {{{ mathm {O}}_2}}}$)、血流和动静脉O2差异的恢复动力学。使用脂肪和水分离MRI评估小腿肌间脂肪与骨骼肌的比率,以量化肌骨化病。两组之间小腿V (O) 2 ${dot V_{{ mathm {O}}_2}}}$、峰值和次极大跖屈运动时血流量和动静脉O2差异无显著性差异。这些指标的恢复动力学在组间相似(均P < 0.05)。在乳腺癌幸存者和对照组之间没有发现小腿肌肉质量的差异。较高的肌间脂肪与骨骼肌之比与两组肺活量峰值(循环运动)降低(r = -0.37, P = 0.01)、跖屈曲功率输出降低(r = -0.325, P = 0.012)和肌肉V²${dot V_{{ maththrm {O}}_2}}}$恢复动力学延迟(r = -0.325, P = 0.015)显著相关。老年女性乳腺癌长期存活者下肢骨骼肌氧化能力与对照组相当。然而,无论乳腺癌病史如何,肌骨化病是运动表现和恢复动力学的关键决定因素。针对骨骼肌质量的干预措施可能有效地改善有或没有乳腺癌诊断的老年妇女的亚极限和最大运动耐量和恢复动力学。
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引用次数: 0
Cellular microenvironment of erythropoietin-producing cells in hypoxic and injured mouse kidneys. 缺氧和损伤小鼠肾脏红细胞生成素生成细胞的细胞微环境。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-08 DOI: 10.1113/EP093422
Olga M Lempke, Thomas Knöpfel, Stellor Nlandu Khodo, Roland H Wenger

The main sources of circulating erythropoietin (Epo) in the adult are kidney Norn cells, a recently identified interstitial cell type capable of becoming renal Epo-producing (REP) cells following a local decrease in tissue oxygenation. REP cells are restricted to small clusters in the corticomedullary border region, suggesting that their microenvironment is relevant for cell differentiation and/or proper regulation of Epo production. Possibly for the same reason, REP cells cease to produce Epo in injured kidneys, which is rapidly reverted by stabilizers of the hypoxia-inducible factor (HIF). To shed new light on the mechanisms governing Epo production, we combined spatial transcriptomics, mRNA fluorescence in situ hybridization and sequential immunofluorescence, enabling the characterization of the immediate neighbourhood of active REP cells. Although in the hypoxic mouse kidney REP cells were closest to proximal tubule segments (S) S1 to S2/3 and endothelial cells, Epo was reinduced by HIF stabilizers in injured kidneys in the vicinity of damaged proximal tubule cells that expressed high levels of injury markers. In contrast, the Norn and endothelial cell profiles remained normal. The REP cell microenvironment switched from pathways involved in energy metabolism in hypoxic conditions to inflammatory and fibrotic pathways in injury conditions. In summary, these data demonstrate that in the diseased kidney HIF stabilizers reinduce Epo expression in REP cells with a metabolically inactive proximal tubule neighbourhood, consistent with a causal role for tubular cells during the loss of Epo expression.

成人循环红细胞生成素(Epo)的主要来源是肾Norn细胞,这是一种最近发现的间质细胞类型,能够在局部组织氧合减少后成为肾生成Epo (REP)细胞。REP细胞被限制在皮质髓质边界区域的小簇中,这表明它们的微环境与细胞分化和/或Epo产生的适当调节有关。可能出于同样的原因,在受损肾脏中,REP细胞停止产生Epo,这可以通过低氧诱导因子(HIF)的稳定剂迅速恢复。为了揭示Epo产生的新机制,我们结合了空间转录组学、mRNA荧光原位杂交和序列免疫荧光,从而能够表征活性REP细胞的近邻。尽管在缺氧小鼠肾脏中,REP细胞最靠近近端小管段(S) S1至S2/3和内皮细胞,但在表达高水平损伤标志物的损伤近端小管细胞附近的损伤肾脏中,HIF稳定剂可以重新诱导Epo。相比之下,Norn和内皮细胞谱保持正常。REP细胞微环境从缺氧条件下参与能量代谢的途径转变为损伤条件下参与炎症和纤维化的途径。总之,这些数据表明,在患病肾脏中,HIF稳定剂在代谢不活跃的近端小管附近的REP细胞中重新诱导Epo表达,这与小管细胞在Epo表达丧失过程中的因果作用一致。
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引用次数: 0
Impact of heat exposure during immobilization-induced de-training and re-training on aerobic capacity and haemoglobin mass. 固定化诱导的去训练和再训练期间热暴露对有氧能力和血红蛋白质量的影响。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-06 DOI: 10.1113/EP092931
Scott Cocking, Nathan Townsend, Mariem Labidi, Khouloud Mtibaa, Marine Alhammoud, Nada Nasir, Nelda Nader, Karim Khalladi, Claire Tourny, Abdulaziz Farooq, Sebastien Racinais

The aim of this work was to assess the effect of heat exposure on cardiorespiratory and haematological responses during de-training and re-training. Nineteen men (33.8 ± 2.7 years; 182 ± 5.7 cm, 84.4 ± 9.3 kg) completed 4 weeks of pre-training followed by heat exposure (HEAT; n = 9) or control (CON; n = 10). Both groups then de-trained for 2 weeks with lower-limb immobilization followed by 2 weeks of re-training. Cardiorespiratory fitness and total haemoglobin mass (Hbmass) were measured at baseline (BASE), prior to (IMMOpre) and following (IMMOpost) immobilization and after a 'return-to-sport' (RTSpost) training phase. Compared with IMMOpre, V ̇ O 2 ${dot V_{{{mathrm{O}}_2}}}$ at the gas exchange threshold (GET) was reduced (d = -0.53; P < 0.005) at IMMOpost, whereas maximal oxygen uptake ( V ̇ O 2 max ${dot V_{{{mathrm{O}}_2}{mathrm{max}}}}$ ) did not change significantly (d = 0.14; P = 0.07). The reduction in GET V ̇ O 2 ${dot V_{{{mathrm{O}}_2}}}$ was more pronounced for HEAT than CON (d = -0.77; P = 0.001). At IMMOpost, GET and peak power output were lower than IMMOpre (d = -1.4, P < 0.005 and d = 0.43, P = 0.01, respectively), however there was no difference between groups. At RTSpost, the V ̇ O 2 ${dot V_{{{mathrm{O}}_2}}}$ at GET increased again in both groups yet remained lower than IMMOpre although the reduction in HEAT (d = -0.42; P = 0.43) was less than CON (d = -0.8; P = 0.05). At RTSpost, HEAT fully recovered GET power losses compared to IMMOpost (d = 1.1; P = 0.001), while CON only showed a trivial change (d = 0.07; P = 0.1). No significant changes were observed in Hbmass, haematocrit or plasma volume throughout the study (P ≥ 0.763). Heat exposure did not attenuate a decline in cardiorespiratory fitness during immobilization-induced de-training, but could potentiate its recovery upon re-commencement of training.

这项工作的目的是评估热暴露对去训练和再训练期间心肺和血液学反应的影响。19名男性(33.8±2.7岁;182±5.7 cm, 84.4±9.3 kg)完成了为期4周的预训练,随后进行了热暴露(heat, n = 9)或对照组(CON, n = 10)。两组再训练2周,下肢固定,再训练2周。在基线(BASE)、imopre固定前和imopst固定后以及“重返运动”(RTSpost)训练阶段测量心肺适能和总血红蛋白质量(Hbmass)。与imopre相比,气体交换阈值(GET)下的v_2 ${dot V_{{mathrm{O}}_2}}}$降低(d = -0.53; P),而最大吸氧量(v_2 max ${ mathrm{O}}_2}{mathrm{max}}}}$)变化不显著(d = 0.14, P = 0.07)。HEAT组比CON组更明显地降低了GET v_2 ${dot V_{{ maththrm {O}}_2}}}$ (d = -0.77; P = 0.001)。在imopre时,GET和峰值功率输出均低于imopre (d = -1.4), P post时,两组在GET时的V³O 2 ${dot V_{{ maththrm {O}}_2}} $再次升高,但仍低于imopre,但HEAT的降低(d = -0.42, P = 0.43)小于CON (d = -0.8, P = 0.05)。与IMMOpost相比,在RTSpost下,HEAT完全恢复了GET功率损失(d = 1.1; P = 0.001),而CON仅显示出微不足道的变化(d = 0.07; P = 0.1)。在整个研究过程中,未观察到Hbmass、红细胞压积或血浆体积的显著变化(P≥0.763)。热暴露并不能减弱固定所致的去训练期间的心肺适应性下降,但可以在重新开始训练时增强其恢复。
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引用次数: 0
Effect of hypoxia on muscle activation at equivalent absolute and relative intensity during incremental and constant load exercise to task failure. 在递增和恒定负荷运动到任务失败过程中,同等绝对和相对强度下缺氧对肌肉激活的影响。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-06 DOI: 10.1113/EP093320
Dania Ibrahim, Youmna Elsayed Hassanein, Nathan E Townsend

We examined the impact of moderate hypoxia (HYPO) on muscle activation during incremental exercise matched for both absolute and equivalent relative intensity. Fifteen active subjects (10 males, 5 females) completed two ramp incremental test and two step tests in normoxia (NORM; F i O 2 ${F_{{mathrm{i}}{{mathrm{O}}_2}}}$  = 0.209) and HYPO ( F i O 2 ${F_{{mathrm{i}}{{mathrm{O}}_2}}}$ ≈ 0.135) in counterbalanced order. The respiratory compensation point (RCP) determined from ramp testing was used to normalize relative intensity during step testing, which included a final stage to task failure (TF) above RCP. Electromyography (EMG) was recorded for rectus femoris (RF), vastus lateralis (VL) and vastus medialis (VM), and normalized to a pre-test maximal sprint effort. Linear mixed modelling was used to examine fixed effects of condition (NORM, HYPO) and intensity (absolute, relative) on EMG activity. During the ramp test, HYPO significantly reduced V ̇ O 2 peak ${dot V_{{{mathrm{O}}_2}{mathrm{peak}}}}$ (∼13%), PPO (∼15%), and power at RCP (∼16%). EMG breakpoints occurred at lower absolute intensity in HYPO for RF and VL. When matched for relative intensity, muscle activity was lower in HYPO for VM and VL, but not RF. EMG activity at TF revealed a similar pattern whereby a strong association to absolute power was present regardless of test protocol or F i O 2 ${F_{{mathrm{i}}{{mathrm{O}}_2}}}$ . These results suggest that altered relative metabolic stress has a negligible impact on muscle activation at work rates below the RCP. For exercise in the severe domain our data aligns with the theory that muscle activation is not critically regulated to a given level at TF, but appears to be task-specific and independent of oxygen availability.

我们研究了适度缺氧(HYPO)对绝对和等效相对强度的增量运动中肌肉激活的影响。15名活跃受试者(男10名,女5名)在正常缺氧条件下(NORM; Fi O 2 ${F_{mathrm{i}}{{mathrm{O}}_2}}}$ = 0.209)和HYPO条件下(Fi O 2 ${F_{mathrm{i}}{{mathrm{O}}_2}} $≈0.135)按平衡顺序完成2个斜坡递增试验和2个台阶试验。斜坡试验确定的呼吸代偿点(RCP)用于对阶梯试验期间的相对强度进行归一化,其中包括高于RCP的最后阶段到任务失败(TF)。记录股直肌(RF)、股外侧肌(VL)和股内侧肌(VM)的肌电图(EMG),并将其归一化为测试前最大冲刺努力。采用线性混合模型检验条件(NORM、HYPO)和强度(绝对、相对)对肌电活动的固定影响。在斜坡试验中,HYPO显著降低了v_2峰值${dot V_{{mathrm{O}}_2}{mathrm{峰值}}}}$(~ 13%)、PPO(~ 15%)和RCP功率(~ 16%)。在RF和VL的HYPO中,肌电断点出现在较低的绝对强度。当相对强度匹配时,VM和VL的HYPO肌肉活动较低,但RF没有。TF的肌电活动显示了类似的模式,即无论测试方案或F i O 2 ${F_{mathrm{i}}{{mathrm{O}}_2}}}$,都存在与绝对功率的强关联。这些结果表明,在低于RCP的工作速率下,相对代谢应激的改变对肌肉激活的影响可以忽略不计。对于严重领域的运动,我们的数据与肌肉激活不受TF特定水平的严格调节的理论一致,但似乎是任务特异性的,与氧气供应无关。
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引用次数: 0
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
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Experimental Physiology
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