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Effects of altitude and exercise intensity on cardiac function in rats. 海拔高度和运动强度对大鼠心脏功能的影响
IF 2.6 4区 医学 Q2 PHYSIOLOGY Pub Date : 2024-09-26 DOI: 10.1113/EP092037
Minxia Zhu, Xiaofeng Li, Bing Liu, Jing Guo, Yuanyuan Xiao, Zhiyao Liu, Mengru Duan, Yi Liu

High-altitude exercise affects cardiac function. This study investigated how altitude and exercise intensity interacted to affect cardiac function of Sprague-Dawley rats. Four altitudes (410, 3600, 4600 and 5600 m) and three exercise intensities (non-exercise (N), low-intensity exercise (L) and high-intensity exercise (H)) were tested combinatorically. After 4 weeks of exercise, cardiac function and specific markers of myocardial injury were assessed. With regard to cardiac function, (a) at the same intensity, stroke volume and left ventricular end-diastolic volume were higher in the 3600 m group but lower in the 4600 and 5600 m groups; and (b) the heart rate increased with altitude and intensity. The biochemical results showed that the levels of creatine kinase, myoglobin and cardiac troponin I generally increased with increasing altitude and exercise intensity, significantly for creatine kinase and myoglobin at 4600 and 5600 m. For pathological results, (a) in the non-exercise group, pathological damage was observed only in the 5600 N group; and (b) in the exercised state, varying degrees of injury were noted, except for the 410 and 3600 L groups. There may be a turning point at 3600 m where the injury to the heart increases. Myocardial injury markers exhibited abnormalities before cardiac dysfunction. Detecting these markers is crucial to provide warnings for the individual from cardiac disease during high-altitude exercise.

高海拔运动会影响心脏功能。本研究调查了海拔高度和运动强度如何相互作用影响 Sprague-Dawley 大鼠的心脏功能。对四种海拔高度(410、3600、4600 和 5600 米)和三种运动强度(非运动强度(N)、低强度运动强度(L)和高强度运动强度(H))进行了组合测试。运动 4 周后,对心脏功能和心肌损伤的特定指标进行了评估。在心脏功能方面,(a) 在相同强度下,3600 米组的每搏容积和左心室舒张末期容积较高,而 4600 米和 5600 米组则较低;(b) 心率随海拔高度和强度的增加而增加。生化结果显示,随着海拔高度和运动强度的增加,肌酸激酶、肌红蛋白和心肌肌钙蛋白 I 的水平普遍升高,肌酸激酶和肌红蛋白在 4600 米和 5600 米时显著升高。病理结果方面,(a) 在非运动组中,只有 5600 N 组观察到病理损伤;(b) 在运动状态下,除 410 米和 3600 米组外,均观察到不同程度的损伤。在 3600 米处可能有一个转折点,在那里心脏的损伤会加重。心肌损伤标志物在心脏功能障碍之前就出现了异常。检测这些标志物对于在高海拔运动中为个人提供心脏疾病预警至关重要。
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引用次数: 0
CTRP6-mediated cardiac protection in heart failure via the AMPK/SIRT1/PGC-1α signalling pathway. CTRP6通过AMPK/SIRT1/PGC-1α信号通路介导心衰患者的心脏保护
IF 2.6 4区 医学 Q2 PHYSIOLOGY Pub Date : 2024-09-26 DOI: 10.1113/EP092036
Tingting Fan, Ningjun Zhu, Mengli Li, Zhen Wang, Xianhe Lin

Heart failure (HF) remains a significant global health concern with limited effective treatments available. C1q/TNF-related protein 6 (CTRP6) is a member of the CTRP family analogous to adiponectin and its role in HF pathogenesis remains unclear. Here, we investigated the impact of CTRP6 on HF progression. To mimic heart failure with reduced ejection fraction (HFrEF), we used isoproterenol injection in mice and administered adenovirus vectors expressing CTRP6 (Ad-CTRP6) via tail vein injection. We assessed cardiac function through echocardiography and histology. CTRP6's effects on hypertrophy, fibrosis, apoptosis, oxidative stress and mitochondrial function were analysed. Downstream pathways (phosphorylated AMP-activated protein kinase (p-AMPK), sirtuin 1 (SIRT1) and peroxisome proliferator-activated receptor γ coactivator 1-α (PGC-1α) were studied in heart tissues. In vitro, isoproterenol-stimulated H9c2 cardiomyocytes were treated with CTRP6 to examine viability, apoptosis, F-actin and signalling proteins. Compound C was used to assess AMPK involvement. CTRP6 expression was lower in the plasma of HF patients. In an isoproterenol-induced HFrEF mouse model, adenovirus-mediated overexpression of CTRP6 ameliorated cardiac dysfunction and reduced cardiomyocyte apoptosis, oxidative stress, inflammation and myocardial injury markers. Mechanistically, CTRP6 activation of the AMPK/SIRT1/PGC-1α signalling pathway restored mitochondrial homeostasis, evidenced by reduced mitochondrial reactive oxygen species levels, increased ATP content, and enhanced mitochondrial complex I/III activities in cardiac tissues. In vitro studies using isoproterenol-stimulated H9c2 cardiomyocytes corroborated these findings, demonstrating that CTRP6 upregulation attenuated hypertrophy, apoptosis, oxidative stress and mitochondrial dysfunction. Furthermore, these effects were partially reversed by the AMPK inhibitor Compound C, implicating the involvement of the AMPK pathway in CTRP6-mediated cardioprotection. CTRP6 alleviates HF progression through the AMPK/SIRT1/PGC-1α signalling pathway.

心力衰竭(HF)仍然是全球关注的重大健康问题,但有效的治疗方法却很有限。C1q/TNF相关蛋白6(CTRP6)是CTRP家族的一个成员,类似于脂肪连蛋白,它在心力衰竭发病机制中的作用仍不清楚。在此,我们研究了 CTRP6 对高血压进展的影响。为了模拟射血分数降低的心力衰竭(HFrEF),我们使用异丙肾上腺素注射小鼠,并通过尾静脉注射表达 CTRP6 的腺病毒载体(Ad-CTRP6)。我们通过超声心动图和组织学来评估心脏功能。我们分析了 CTRP6 对肥厚、纤维化、细胞凋亡、氧化应激和线粒体功能的影响。研究了心脏组织的下游通路(磷酸化 AMP 激活蛋白激酶(p-AMPK)、sirtuin 1(SIRT1)和过氧化物酶体增殖激活受体 γ 辅激活因子 1-α(PGC-1α))。在体外,用 CTRP6 处理异丙肾上腺素刺激的 H9c2 心肌细胞,以检测其活力、凋亡、F-肌动蛋白和信号蛋白。化合物 C 用于评估 AMPK 的参与情况。心房颤动患者血浆中的 CTRP6 表达量较低。在异丙肾上腺素诱导的 HFrEF 小鼠模型中,腺病毒介导的 CTRP6 过表达可改善心功能障碍,减少心肌细胞凋亡、氧化应激、炎症和心肌损伤指标。从机理上讲,CTRP6 激活了 AMPK/SIRT1/PGC-1α 信号通路,恢复了线粒体平衡,这表现在线粒体活性氧水平降低、ATP 含量增加以及心脏组织中线粒体复合体 I/III 活性增强。使用异丙肾上腺素刺激的 H9c2 心肌细胞进行的体外研究证实了这些发现,表明 CTRP6 上调可减轻肥大、细胞凋亡、氧化应激和线粒体功能障碍。此外,AMPK 抑制剂化合物 C 部分逆转了这些效应,这表明 AMPK 通路参与了 CTRP6 介导的心脏保护作用。CTRP6通过AMPK/SIRT1/PGC-1α信号通路缓解了高血压的进展。
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引用次数: 0
Neurovascular coupling during dynamic upper body resistance exercise in healthy individuals. 健康人进行动态上肢阻力运动时的神经血管耦合。
IF 2.6 4区 医学 Q2 PHYSIOLOGY Pub Date : 2024-09-25 DOI: 10.1113/EP091970
Stephanie Korad, Toby Mündel, Blake G Perry

During unilateral static and rhythmic handgrip exercise, middle cerebral artery blood velocity (MCAv) increases in the contralateral side to the exercising limb. However, whether this neurovascular coupling-mediated increase in contralateral MCAv is apparent against a background of fluctuating perfusion pressure produced by dynamic resistance exercise (RE) is unclear. We examined the cerebral haemodynamic response to unilateral dynamic RE in 30 healthy individuals (female = 16, mean ± SD: age, 26 ± 6 years; height, 175 ± 10 cm; weight, 74 ± 15 kg; body mass index, 24 ± 5 kg m-2). Participants completed four sets of 10 paced repetitions (15 repetitions min-1) of unilateral bicep curl exercise at 60% of the predicted one-repetition maximum (7 ± 3 kg). Beat-to-beat blood pressure, bilateral MCAv and end-tidal carbon dioxide were measured throughout. One-way ANOVA was used to analyse cardiovascular variables and two-way ANOVA to analyse dependent cerebrovascular variables (side × sets, 2 × 5). A linear mixed model analysis was also performed to investigate the effects of end-tidal carbon dioxide and mean arterial blood pressure on MCAv. In comparison to baseline, within-exercise mean arterial blood pressure increased (P < 0.001) across the sets, whereas bilateral MCAv decreased (P < 0.001). However, no significant interaction effect was observed for any dependent variables (all P > 0.787). The linear mixed model revealed that end-tidal carbon dioxide had the greatest effect on MCAv (estimate = 1.019, t = 8.490, P < 0.001). No differences were seen in contralateral and ipsilateral MCAv during dynamic RE, suggesting that neurovascular coupling contributions during dynamic RE might be masked by other regulators, such as blood pressure.

在单侧静态和有节奏的手握运动中,运动肢体对侧的大脑中动脉血流速度(MCAv)会增加。然而,在动态阻力运动(RE)产生的灌注压力波动背景下,这种神经血管耦合介导的对侧 MCAv 增加是否明显尚不清楚。我们研究了 30 名健康人(女性 = 16,平均 ± SD:年龄,26 ± 6 岁;身高,175 ± 10 厘米;体重,74 ± 15 千克;体重指数,24 ± 5 千克 m-2)对单侧动态阻力运动的脑血流动力学反应。参与者以预测单次最大次数(7 ± 3 千克)的 60% 完成四组 10 次有节奏重复(每分钟重复 15 次)的单侧二头肌卷曲运动。全程测量心跳血压、双侧 MCAv 和潮气末二氧化碳。单因素方差分析用于分析心血管变量,双因素方差分析用于分析脑血管依赖变量(边×组,2×5)。还进行了线性混合模型分析,以研究潮气末二氧化碳和平均动脉血压对 MCAv 的影响。与基线相比,运动内平均动脉血压升高(P 0.787)。线性混合模型显示,潮气末二氧化碳对 MCAv 的影响最大(估计值 = 1.019,t = 8.490,P
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引用次数: 0
Pulse oximetry for the prediction of acute mountain sickness: A systematic review. 用于预测急性登山病的脉搏血氧仪:系统综述。
IF 2.6 4区 医学 Q2 PHYSIOLOGY Pub Date : 2024-09-25 DOI: 10.1113/EP091875
Johnathan S L Goves, Kelsey E Joyce, Sophie Broughton, Julian Greig, Kimberly Ashdown, Arthur R Bradwell, Samuel J E Lucas

Acute mountain sickness (AMS) causes serious illness for many individuals ascending to high altitude (HA), although preventable with appropriate acclimatisation. AMS is a clinical diagnosis, with symptom severity evaluated using the Lake Louise Score (LLS). Reliable methods of predicting which individuals will develop AMS have not been developed. This systematic review evaluates whether a predictive relationship exists between oxygen saturation and subsequent development of AMS. PubMed, PubMed Central, MEDLINE, Semantic Scholar, Cochrane Library, University of Birmingham Library and clinicaltrials.gov databases were systematically searched from inception to 15 June 2023. Human studies involving collection of peripheral blood oxygen saturation ( S p O 2 ${{S}_{{mathrm{p}}{{{mathrm{O}}}_{mathrm{2}}}}}$ ) from healthy lowlanders during ascent to HA that evaluated any relationship between S p O 2 ${{S}_{{mathrm{p}}{{{mathrm{O}}}_{mathrm{2}}}}}$ and AMS severity were considered for eligibility. Risk of bias was assessed using a modified Newcastle-Ottawa Tool for cohort studies (PROPSPERO CRD42023423542). Seven of 980 total identified studies were ultimately included for data extraction. These studies evaluated S p O 2 ${{S}_{{mathrm{p}}{{{mathrm{O}}}_{mathrm{2}}}}}$ and AMS (via LLS) in 1406 individuals during ascent to HA (3952-6300 m). Risk of bias was 'low' for six and 'moderate' for one of the included studies. Ascent profiles and S p O 2 ${{S}_{{mathrm{p}}{{{mathrm{O}}}_{mathrm{2}}}}}$ measurement methodology varied widely, as did the statistical methods for AMS prediction. Decreasing oxygen saturation measured with pulse oximetry during ascent shows a positive predictive relationship for individuals who develop AMS. Studies have high heterogeneity in ascent profile and oximetry measurement protocols. Further studies with homogeneous methodology are required to enable statistical analysis for more definitive evaluation of AMS predictability by pulse oximetry.

急性高山反应(AMS)会给许多登高者带来严重的疾病,尽管通过适当的适应性训练是可以预防的。急性高山反应是一种临床诊断,其症状严重程度可通过路易斯湖评分(LLS)来评估。目前尚未开发出可靠的方法来预测哪些人会出现 AMS。本系统性综述评估了血氧饱和度与随后出现的 AMS 之间是否存在预测关系。系统检索了 PubMed、PubMed Central、MEDLINE、Semantic Scholar、Cochrane Library、伯明翰大学图书馆和 clinicaltrials.gov 等数据库,检索时间从开始到 2023 年 6 月 15 日。符合条件的人类研究包括收集健康低地人在上升到HA时的外周血氧饱和度(S p O 2 ${{S}_{{mathrm{p}}{{{mathrm{O}}}_{mathrm{2}}}}}$ ),并评估S p O 2 ${{S}_{{mathrm{p}}{{mathrm{O}}}_{mathrm{2}}}}}$ 与AMS严重程度之间的关系。使用针对队列研究的改良纽卡斯尔-渥太华工具(PROPSPERO CRD42023423542)评估偏倚风险。在总共 980 项已确定的研究中,有 7 项最终被纳入数据提取范围。这些研究评估了1406人在攀登HA(3952-6300米)时的S p O 2 ${{S}_{{mathrm{p}}{{{mathrm{O}}}_{{mathrm{2}}}}}$ 和AMS(通过LLS)。其中六项研究的偏倚风险为 "低",一项研究的偏倚风险为 "中"。上升曲线和 S p O 2 ${{S}_{mathrm{p}}{{mathrm{O}}}_{mathrm{2}}}}}$ 测量方法差异很大,预测 AMS 的统计方法也是如此。在上升过程中使用脉搏血氧仪测量的血氧饱和度下降与发生 AMS 的个体呈正向预测关系。这些研究在上升曲线和血氧饱和度测量方案方面存在很大的异质性。需要进一步开展方法相同的研究,以便进行统计分析,对脉搏血氧仪预测急性呼吸系统综合症的能力进行更明确的评估。
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引用次数: 0
Correction to 'Pulmonary diffusing capacity to nitric oxide and carbon monoxide during exercise and in the supine position: A test-retest reliability study'. 对 "运动时和仰卧时一氧化氮和一氧化碳的肺弥散能力:重复测试可靠性研究"。
IF 2.6 4区 医学 Q2 PHYSIOLOGY Pub Date : 2024-09-23 DOI: 10.1113/EP092280
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引用次数: 0
RETRACTION: Augmented venoarteriolar response with ageing is associated with morning blood pressure surge 回归:随着年龄的增长,静脉小动脉反应增强与早晨血压骤升有关。
IF 2.6 4区 医学 Q2 PHYSIOLOGY Pub Date : 2024-09-20 DOI: 10.1113/eph.13639

Retraction: J.-K. Yoo, D.-D. Sun, R. S. Parker, M. A. Urey, S. A. Romero, J. S. Lawley, S. Sarma, W. Vongpatanasin, C. G. Crandall, and Q. Fu. (2018). Augmented Venoarteriolar Response with Ageing is Associated with Morning Blood Pressure Surge. Experimental Physiology 103(11), 1448-1455. https://doi.org/10.1113/EP087166

The above article, published online on 20 August 2018 in Wiley Online Library (wileyonlinelibrary.com), has been retracted by agreement between the authors; the journal Editor in Chief, Damian Bailey; The Physiological Society; and John Wiley and Sons Ltd. The authors reported that hypertensive patients had been included by mistake in the database from which the data for this study were drawn. The retraction has been agreed to because the editors and authors agree that these errors substantially altered the results and conclusions of this article.

撤回:J.-K. Yoo, D.-D.Yoo, D.-D.Sun, R. S. Parker, M. A. Urey, S. A. Romero, J. S. Lawley, S. Sarma, W. Vongpatanasin, C. G. Crandall, and Q. Fu.(2018).随年龄增长而增强的静脉血管反应与早晨血压骤升有关。实验生理学》103(11), 1448-1455. https://doi.org/10.1113/EP087166The 上述文章于2018年8月20日在线发表于《威利在线图书馆》(wileyonlinelibrary.com),经作者、期刊主编Damian Bailey、生理学会和John Wiley and Sons Ltd.同意,已被撤回。作者报告称,高血压患者被错误地纳入了数据库,而这项研究的数据正是来源于该数据库。由于编辑和作者一致认为这些错误极大地改变了这篇文章的结果和结论,因此同意撤稿。
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引用次数: 0
Reference values for respiratory muscle strength measured with the S-Index Test in well-trained athletes, e-sports athletes and age-matched controls. 在训练有素的运动员、电子竞技运动员和年龄匹配的对照组中使用 S 指数测试测量呼吸肌力量的参考值。
IF 2.6 4区 医学 Q2 PHYSIOLOGY Pub Date : 2024-09-19 DOI: 10.1113/EP091938
Tomasz Kowalski, Adrian Wilk, Andrzej Klusiewicz, Wojciech Pawliczek, Szczepan Wiecha, Beata Szczepańska, Jadwiga Malczewska-Lenczowska

Respiratory function assessment is crucial in optimizing athletic performance, safeguarding respiratory health, and ensuring athletes can perform at their peak potential while minimizing the risk of respiratory-related issues. The S-Index Test is a dynamic evaluation of respiratory muscle strength. However, no comprehensive reference values regarding the S-Index Test have been reported yet. A total of 597 participants performed the S-Index Test. They were either well-trained athletes (WTA), or e-sports athletes (ESA), or age-matched controls (AMC) groups. The differences in S-Index Test results between sexes and for group-sex, and performance calibre tier-sex interactions were examined. The relationships between S-Index Test results and age, anthropometric indices and training experience were assessed. Reference values for all the groups were provided. Amongst athletes, the highest values were observed in swimmers and rowers, and the lowest in figure skaters and runners. The S-Index Test results were different for the group-sex interaction (P = 0.004, 151.6 ± 29.0 cmH2O for WTA males and 109.8 ± 21.6 cmH2O for WTA females, 136.7 ± 28.0 cmH2O for ESA males and 101.8 ± 22.0 cmH2O for ESA females, 128.7 ± 28.8 cmH2O for AMC males and 70.3 ± 24.7 cmH2O for AMC females) and higher in males than females (P < 0.001, 145.1 ± 30.5 cmH2O for males and 100.8 ± 27.6 cmH2O for females). The higher athletic level, presented as performance calibre tier, was not linked to higher respiratory muscle strength in the WTA group (P = 0.094). However, the Bonferroni correction revealed that except for the singular tier in females, there was a significant effect for all the other tiers and sexes (P < 0.001). The obtained results confirm that regardless of the level of physical activity, the anthropometric features are positively linked with respiratory muscle strength. Furthermore, age and training experience were positively correlated with the S-Index Test results in the WTA group.

呼吸功能评估对于优化运动表现、保护呼吸健康、确保运动员发挥出最佳潜能,同时最大限度地降低呼吸相关问题的风险至关重要。S-Index 测试是对呼吸肌力量的动态评估。然而,目前还没有关于 S-Index 测试综合参考值的报告。共有 597 名参与者进行了 S-Index 测试。他们或是训练有素的运动员(WTA),或是电子竞技运动员(ESA),或是年龄匹配的对照组(AMC)。研究考察了不同性别间 S-Index 测试结果的差异、组别与性别间的差异以及成绩等级与性别间的交互作用。还评估了 S-Index 测试结果与年龄、人体测量指数和训练经验之间的关系。提供了所有组别的参考值。在运动员中,游泳和赛艇运动员的数值最高,花样滑冰和跑步运动员的数值最低。S-Index 测试结果在组别-性别交互作用中存在差异(P = 0.004,WTA 男性为 151.6 ± 29.0 cmH2O,WTA 女性为 109.8 ± 21.6 cmH2O;ESA 男性为 136.7 ± 28.0 cmH2O,ESA 女性为 101.8 ± 22.0 cmH2O)。男性高于女性(男性为 P 2O,女性为 100.8 ± 27.6 cmH2O)。在 WTA 组中,较高的运动水平(以成绩等级表示)与较高的呼吸肌强度无关(P = 0.094)。然而,Bonferroni 校正显示,除了女性的单一级别外,其他级别和性别都有显著影响(P = 0.094)。
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引用次数: 0
Chasing genes at high-altitude. 在高海拔地区追逐基因
IF 2.6 4区 医学 Q2 PHYSIOLOGY Pub Date : 2024-09-19 DOI: 10.1113/EP091877
Samantha Sharma, Qadar Pasha
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引用次数: 0
Nocturnal pulse oximetry for the detection and prediction of acute mountain sickness: An observational study 夜间脉搏血氧仪用于检测和预测急性登山病:一项观察研究。
IF 2.6 4区 医学 Q2 PHYSIOLOGY Pub Date : 2024-09-15 DOI: 10.1113/EP091691
Kelsey E. Joyce, Kimberly Ashdown, John P. Delamere, Chris Bradley, Christopher T. Lewis, Abigail Letchford, Rebekah A. I. Lucas, Will Malein, Owen Thomas, Arthur R. Bradwell, Samuel J. E. Lucas
<p>Acute mountain sickness (AMS) is a well-studied illness defined by clinical features (e.g., headache and nausea), as assessed by the Lake Louise score (LLS). Although obvious in its severe form, early stages of AMS are poorly defined and easily confused with common travel-related conditions. Measurement of hypoxaemia, the cause of AMS, should be helpful, yet to date its utility for identifying AMS susceptibility remains unclear. This study quantified altitude-induced hypoxaemia in individuals during an ascent to 4800 m to determine the utility of nocturnal pulse oximetry measurements for prediction of AMS. Eighteen individuals (36 ± 16 years of age) ascended to 4800 m over 12 days. Symptomology of AMS was assessed each morning via LLS criteria, with participants categorized as either AMS-positive (LLS ≥ 3 with headache) or AMS-negative. Overnight peripheral oxygen saturations (ov-<span></span><math> <semantics> <msub> <mi>S</mi> <mrow> <mi>p</mi> <msub> <mi>O</mi> <mn>2</mn> </msub> </mrow> </msub> <annotation>${{S}_{{mathrm{p}}{{{mathrm{O}}}_2}}}$</annotation> </semantics></math>) were recorded continuously (1 Hz) using portable oximeters. Derivatives of these recordings were compared between AMS-positive and -negative subjects (Mann–Whitney <i>U</i>-test). Exploratory analyses (Pearson's) were conducted to investigate relationships between overnight parameters and AMS severity. Overnight derivatives, including ov-<span></span><math> <semantics> <msub> <mi>S</mi> <mrow> <mi>p</mi> <msub> <mi>O</mi> <mn>2</mn> </msub> </mrow> </msub> <annotation>${{S}_{{mathrm{p}}{{{mathrm{O}}}_2}}}$</annotation> </semantics></math>, heart rate/ov-<span></span><math> <semantics> <msub> <mi>S</mi> <mrow> <mi>p</mi> <msub> <mi>O</mi> <mn>2</mn> </msub> </mrow> </msub> <annotation>${{S}_{{mathrm{p}}{{{mathrm{O}}}_2}}}$</annotation> </semantics></math>, variance, oxygen desaturation index, hypoxic burden and total sleep time at <80% <span></span><math> <semantics> <msub> <mi>S</mi> <mrow> <mi>p</mi> <msub> <mi>
急性高山反应(AMS)是一种经过深入研究的疾病,其临床特征(如头痛和恶心)可通过路易斯湖评分(LLS)进行评估。虽然高山反应的严重程度显而易见,但其早期阶段的定义并不明确,很容易与常见的旅行相关疾病混淆。低氧血症是引起高山反应的原因,因此测量低氧血症应该会有所帮助,但迄今为止,低氧血症在确定高山反应易感性方面的作用仍不明确。本研究量化了个人在上升到海拔 4800 米时由海拔引起的低氧血症,以确定夜间脉搏血氧仪测量值对预测高山反应的实用性。18 人(36 ± 16 岁)在 12 天内登上了海拔 4800 米的高山。每天早上通过 LLS 标准评估 AMS 症状,并将参与者分为 AMS 阳性(LLS ≥ 3 且伴有头痛)或 AMS 阴性。使用便携式血氧仪连续(1 Hz)记录隔夜外周血氧饱和度(ov- S p O 2 ${{S}_{{mathrm{p}}{{{{mathrm{O}}}_2}}$ )。这些记录的衍生物在 AMS 阳性和阴性受试者之间进行比较(曼-惠特尼 U 检验)。进行了探索性分析(Pearson's),以研究隔夜参数与 AMS 严重程度之间的关系。隔夜衍生物包括ov- S p O 2 ${{S}_{mathrm{p}}{{{mathrm{O}}}_2}}$ 、心率/ov- S p O 2 ${{S}_{{mathrm{p}}{{{mathrm{O}}}}_2}}$ 、方差、氧饱和度指数、S p O 2 ${{S}_{mathrm{p}}{{{mathrm{O}}}_2}}$ 时的缺氧负担和总睡眠时间,在 AMS 阳性和阴性受试者之间均存在显著差异(3850 米处的所有 P S p O 2 ${{S}_{mathrm{p}}{{{mathrm{O}}}_2}}$ 与 4800 米处的 LLS 峰值相关(r = 0.58-0.61).这些研究结果突显了夜间血氧仪在预测高海拔上升过程中 AMS 易感性方面的潜力。需要进行进一步调查,以开发、评估和优化预测模型,从而改善 AMS 的管理和预防。
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引用次数: 0
Synbiotic supplementation ameliorates anxiety and myocardial ischaemia–reperfusion injury in hyperglycaemic rats by modulating gut microbiota 通过调节肠道微生物群补充复合益生菌改善高血糖大鼠的焦虑和心肌缺血再灌注损伤
IF 2.6 4区 医学 Q2 PHYSIOLOGY Pub Date : 2024-09-12 DOI: 10.1113/EP092052
Erman Caner Bulut, Deniz Erol Kutucu, Savaş Üstünova, Mehmet Ağırbaşlı, Huri Dedeakayoğulları, Çağatay Tarhan, Ayşegül Kapucu, Berrak Ç. Yeğen, Cihan Demirci Tansel, Ebru Gürel Gürevin

Hyperglycaemia, hyperlipidaemia, hypertension and obesity are the main risk factors affecting the development and prognosis of ischaemic heart disease, which is still an important cause of death today. In our study, male Sprague–Dawley rats were fed either a standard diet (SD) or a high fat and high carbohydrate diet (HF-HCD) for 8 weeks and streptozotocin (STZ) was injected at the seventh week of the feeding period. In one set of rats, a mixture of a prebiotic and probiotics (synbiotic, SYN) was administered by gavage starting from the beginning of the feeding period. Experimental myocardial ischaemia–reperfusion (30 min/60 min) was induced at the end of 8 weeks. Hyperglycaemia, hypertension and increased serum low-density lipoprotein levels occurred in SD- and HF-HCD-fed and STZ-treated rats followed for 8 weeks. Increased density of the Proteobacteria phylum was observed in rats with increased blood glucose levels, indicating intestinal dysbiosis. The severity of cardiac damage was highest in the dysbiotic HF-HCD-fed hyperglycaemic rats, which was evident with increased serum creatine kinase-MB (CK-MB), cardiac troponin I (cTnI), tumour necrosis factor-α, and interleukin-6 levels, along with a decrease in ST-segment resolution index. SYN supplementation to either a normal or a high-fat high-carbohydrate diet improved gut dysbiosis, reduced anxiety, decreased CK-MB and cTnI levels, and alleviated myocardial ischaemia–reperfusion injury in hyperglycaemic rats.

高血糖、高脂血症、高血压和肥胖是影响缺血性心脏病发病和预后的主要风险因素,而缺血性心脏病至今仍是导致死亡的重要原因。在我们的研究中,雄性 Sprague-Dawley 大鼠以标准饮食(SD)或高脂肪、高碳水化合物饮食(HF-HCD)喂养 8 周,并在喂养期的第 7 周注射链脲佐菌素(STZ)。在一组大鼠中,从喂养期开始就以灌胃方式给它们喂食益生元和益生菌的混合物(synbiotic,SYN)。在 8 周结束时诱导实验性心肌缺血再灌注(30 分钟/60 分钟)。SD和HF-HCD喂养的大鼠以及STZ处理的大鼠在8周后出现高血糖、高血压和血清低密度脂蛋白水平升高。在血糖水平升高的大鼠体内观察到蛋白菌门密度增加,表明肠道菌群失调。高血脂-高密度脂蛋白胆固醇喂养的高血糖大鼠的心脏损伤程度最严重,血清肌酸激酶-MB(CK-MB)、心肌肌钙蛋白 I(cTnI)、肿瘤坏死因子-α和白细胞介素-6水平升高,ST段解旋指数下降。在正常饮食或高脂肪高碳水化合物饮食中补充 SYN 可改善肠道菌群失调,减轻焦虑,降低 CK-MB 和 cTnI 水平,并减轻高血糖大鼠的心肌缺血再灌注损伤。
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Experimental Physiology
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