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Do auditory deviants evoke cortical state changes under anaesthesia? A proof-of-concept study. 听觉偏差是否会引起麻醉下皮层状态的改变?概念验证研究。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-25 DOI: 10.1113/EP093378
Laura H Bohórquez, Manuel S Malmierca, Adam Hockley

Context-dependent sensory processing within the predictive coding framework relies on detecting mismatches between incoming stimuli and internal predictive models. Sensory deviants elicit prediction errors, seen as enhanced neural responses, that update these models and influence attention and behaviour. Although prediction errors have been widely observed across brain regions, the downstream processes remain poorly understood. In this study, we recorded electrocorticography in five urethane-anaesthetised rats and identified cortical slow oscillations, characterised by spontaneous transitions between 'Up' and 'Down' states. Deviant stimuli in an auditory oddball paradigm evoked an initial positive prediction error, followed by a prolonged, all-or-nothing response which spread in a travelling wave across the cortex. Identified as putative evoked cortical Up states, these responses were not evoked by standards, omissions or a many-standards control. Up states following deviants occurred more recently after a previous Up state when compared to spontaneous Up states. In preliminary data from an awake rat, long-latency Up states were not present spontaneously or evoked. In a different rat, anaesthetic depth was key to spontaneous and evoked Up states, with more robust Up/Down states and more reliable triggering of Up states under deeper anaesthesia. These results suggest that sensory deviants may cause shifts in cortical state under anaesthesia, explaining the long-latency mismatch response under anaesthesia and sleep.

预测编码框架内的情景依赖感觉处理依赖于检测传入刺激与内部预测模型之间的不匹配。感觉偏差引起预测错误,被视为增强的神经反应,从而更新这些模型并影响注意力和行为。尽管预测误差在整个大脑区域广泛观察到,但下游过程仍然知之甚少。在这项研究中,我们记录了5只麻醉了氨基甲酸乙酯的大鼠的皮质电图,并确定了皮质缓慢振荡,其特征是在“上”和“下”状态之间自发转换。听觉怪异范式中的异常刺激引发了最初的积极预测错误,随后是长时间的全有或全无反应,这种反应以行波的形式在大脑皮层中传播。这些反应被认定为假定诱发的皮层向上状态,不被标准、遗漏或多标准控制所诱发。与自发的向上状态相比,偏差后的向上状态发生在前一个向上状态之后。在清醒大鼠的初步数据中,长潜伏期向上状态不是自发出现或诱发的。在另一个大鼠中,麻醉深度是自发的和诱发的向上状态的关键,在更深的麻醉下,上/下状态更强健,向上状态的触发更可靠。这些结果表明,感觉偏差可能导致麻醉下皮层状态的变化,解释了麻醉和睡眠下的长潜伏期错配反应。
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引用次数: 0
Effects of a high-sugar mixed meal on cerebrovascular haemodynamics in young, healthy versus middle-aged adults with cardiometabolic risk factors. 高糖混合膳食对具有心血管代谢危险因素的年轻、健康和中年成年人脑血管血流动力学的影响
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-22 DOI: 10.1113/EP093238
Krista S Reed, Molly R Crew, Abby M Frescoln, Spencer M Romanowski, Rudy J Valentine, Wesley K Lefferts

Consumption of a high-sugar mixed meal (HSMM) increases both glucose and insulin and elicits mixed vascular effects, with reduced microvascular blood flow but increased conduit artery diameter and blood flow. In this study, we sought to examine: (1) whether an HSMM elicits vascular segment-specific effects within cerebrovasculature; and (2) whether these responses differ between young healthy adults and middle-aged adults with cardiometabolic disease (CMD) risk factors. Twenty-one young, healthy adults (ages 18-39 years; 24 ± 6 years) and 20 middle-aged adults (ages 40-65 years; 55 ± 5 years) with CMD risk factors (hypertension, obesity or dyslipidaemia) underwent cerebrovascular assessments before and at 30 and 60 min after a 930 kcal HSMM. Carotid and aortic stiffness and carotid artery characteristic impedance were assessed via ultrasound and tonometry. Middle cerebral artery mean velocity, pulsatility index and resistive index were assessed via transcranial Doppler. In comparison to baseline, common carotid artery diameter increased while stiffness decreased, contributing to a decrease in carotid artery characteristic impedance in both groups following the HSMM (p < 0.05). In comparison to baseline, middle cerebral artery mean velocity, pulsatility index and resistive index increased only in young adults (p < 0.05) following the HSMM. Differential increases in cerebral pulsatility among young adults compared with middle-aged adults with CMD risk factors might reflect modest differences in upstream, extracranial artery pulsatile transmission following an HSMM, along with simultaneous, complex intracranial cerebrovascular responses that require further interrogation. Cumulatively, these data suggest that: (1) the cerebrovascular response to an HSMM might differ between segments of the extra- versus intracranial cerebrovasculature; and (2) middle-aged adults with CMD risk factors might have altered cerebrovascular responsiveness to an HSMM compared with young, healthy adults.

食用高糖混合膳食(HSMM)会增加葡萄糖和胰岛素,并引起混合血管效应,微血管血流量减少,但导管动脉直径和血流量增加。在这项研究中,我们试图检验:(1)HSMM是否在脑血管系统中引起血管段特异性作用;(2)这些反应在年轻健康成年人和有心血管代谢疾病(CMD)危险因素的中年人之间是否存在差异。21名有CMD危险因素(高血压、肥胖或血脂异常)的年轻健康成年人(18-39岁;24±6岁)和20名中年成年人(40-65岁;55±5岁)在930 kcal HSMM前、30和60分钟接受了脑血管评估。通过超声和血压计评估颈动脉和主动脉僵硬度以及颈动脉特征阻抗。经颅多普勒测量大脑中动脉平均流速、脉搏指数和阻力指数。与基线相比,颈总动脉直径增加,而硬度降低,导致两组患者在HSMM后颈动脉特征阻抗降低(p
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引用次数: 0
Impaired nitric oxide-dependent endothelial function in young male individuals with obesity before the onset of symptoms and complications. 在症状和并发症发生前,年轻男性肥胖患者一氧化氮依赖性内皮功能受损
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-22 DOI: 10.1113/EP093109
Lucrezia Zuccarelli, Giovanni Baldassarre, Adele Bondesan, Diana Caroli, Roberta De Micheli, Gabriella Tringali, Thomas Favaretto, Joanna Suraj-Prazmowska, Anna Kurpinska, Joanna Majerczak, Stefan Chlopicki, Jerzy A Zoladz, Alessandro Sartorio, Bruno Grassi

Endothelial dysfunction drives obesity-related complications. Doppler ultrasound measurement of blood flow during 1-min passive leg movements (PLM) is a valuable non-invasive tool for assessing endothelial function and nitric oxide (NO)-mediated vasodilation. The objectives of this work were t o identify endothelial dysfunction biomarkers in young individuals with obesity (OB) using the PLM test; to evaluate the effects of a rehabilitation programme on these biomarkers; and to explore associations between PLM data, oxidative metabolism and blood biomarkers of microvascular impairment. Fifteen male OB (age 17 ± 4 years; body mass 121.4 ± 24.1 kg; body mass index 39.3 ± 7.5 kg m-2) were tested before (PRE) and after (POST) a 3-week multidisciplinary body mass reduction programme. Fifteen age-matched normal-weight males (CTRL) underwent PRE measurements. Participants performed an incremental exercise, a PLM test and underwent blood biomarker analysis. Peak oxygen uptake and ventilatory thresholds (mL kg-1 min-1) were ∼40% lower in OB versus CTRL (P < 0.001) and improved by ∼8% in OB POST versus PRE (P < 0.05). Plasma nitrite concentration was lower in OB (0.18 ± 0.09 µmol L-1) versus CTRL (0.51 ± 0.49; P = 0.02). Baseline blood flow, normalized for appendicular muscle mass, was similar between the two groups, whereas peak blood flow, Δpeak (difference between peak and baseline) and the area under the blood flow versus time curve were significantly lower in OB PRE, with improvements in OB POST. Several blood biomarkers of endothelial barrier function and permeability differed in OB versus CTRL. The blunted PLM-induced hyperaemic response and lower plasma nitrite levels indicate impaired endothelial function in young individuals with obesity, occurring before the onset of cardiovascular and metabolic complications.

内皮功能障碍导致肥胖相关并发症。多普勒超声测量1分钟被动腿部运动(PLM)期间的血流是评估内皮功能和一氧化氮(NO)介导的血管舒张的一种有价值的非侵入性工具。这项工作的目的是使用PLM测试识别年轻肥胖患者(OB)的内皮功能障碍生物标志物;评估康复计划对这些生物标志物的影响;并探索PLM数据、氧化代谢和微血管损伤血液生物标志物之间的关联。15名男性OB(年龄17±4岁,体重121.4±24.1 kg,体重指数39.3±7.5 kg m-2)在(PRE)和(POST) 3周多学科减重计划之前和之后进行了测试。15名年龄匹配的正常体重男性(CTRL)进行了PRE测量。参与者进行了增量运动、PLM测试和血液生物标志物分析。与对照组相比,OB组的峰值摄氧量和通气阈值(mL kg-1 min-1)降低约40% (P -1)(0.51±0.49;P = 0.02)。基线血流量,按阑尾肌肉质量归一化,在两组之间相似,而峰值血流量Δpeak(峰值与基线之间的差异)和血流量与时间曲线下的面积在OB PRE中显著降低,OB POST中有所改善。OB组与对照组的内皮屏障功能和通透性的几种血液生物标志物存在差异。plm诱导的充血反应减弱和血浆亚硝酸盐水平降低表明,在心血管和代谢并发症发生之前,年轻肥胖患者的内皮功能受损。
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引用次数: 0
Silly walks: An urgent practical solution to the inactivity and obesity pandemics 傻走路:解决缺乏运动和肥胖流行病的紧急实用解决方案。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-22 DOI: 10.1113/EP093233
Glenn A. Gaesser, Siddhartha S. Angadi, David C. Poole
<p>To assess whether the increased energy cost of silly walking (SW) could enhance physical activity, reduce obesity and extend health span, we retrospectively analysed data from 13 healthy adults (seven males, six females; age 22–71 years) who performed three walking trials. Oxygen uptake (<span></span><math> <semantics> <msub> <mover> <mi>V</mi> <mo>̇</mo> </mover> <msub> <mi>O</mi> <mn>2</mn> </msub> </msub> <annotation>${dot V_{{{mathrm{O}}_2}}}$</annotation> </semantics></math>; in millilitres of O<sub>2</sub> per kilogram per minute), energy expenditure (EE; in kilocalories per minute) and cost per distance (in joules per kilogram per metre) were measured via expired ventilation and gas exchange. Trials included normal walking and two SWs, replicating Monty Python's Michael Palin and John Cleese in the Ministry of Silly Walks sketch (1971). Although both Cleese and Palin SWs evinced greater cost per distance, only the Cleese SW elevated <span></span><math> <semantics> <msub> <mover> <mi>V</mi> <mo>̇</mo> </mover> <msub> <mi>O</mi> <mn>2</mn> </msub> </msub> <annotation>${dot V_{{{mathrm{O}}_2}}}$</annotation> </semantics></math> compared with normal walking (28 ± 5 vs. 11 ± 3 mL/kg/min; EE, +8.0 ± 2.3 and +5.2 ± 0.8 kcal/min in males and females, respectively). Replacing 1–3 min/day of normal walking with the Cleese SW would require an extra energy expenditure of 12 kcal/day (∼4400 kcal/year), approximately twice the energy equivalent of excess weight gain sufficient to explain the obesity pandemic. The EE associated with SW, requiring no additional physical activity, could potentially eliminate future weight gain and, with a modest extra investment of merely 6–23 min/day, SW could redress the obesity pandemic entirely. Crucially, increasing physical activity by SW is expected to elevate cardiorespiratory fitness (<span></span><math> <semantics> <msub> <mover> <mi>V</mi> <mo>̇</mo> </mover> <mrow> <msub> <mi>O</mi> <mn>2</mn> </msub> <mi>max</mi> </mrow> </msub> <annotation>${dot V_{{{mathrm{O}}_2}{mathrm{max}}}}$</annotation> </semantics></math>), thereby diminishing inactivity-related
为了评估傻走(SW)增加的能量消耗是否可以增强身体活动、减少肥胖和延长健康寿命,我们回顾性分析了13名健康成年人(7名男性,6名女性,年龄22-71岁)的数据,他们进行了三次步行试验。通过通风和气体交换测量了氧气吸收量(V * O2 ${dot V_{{ mathm {O}}_2}}}$;单位为每千克每分钟氧气毫升数)、能量消耗(EE;单位为每分钟千卡)和每距离消耗(单位为每千克每米焦耳)。试验包括正常行走和两个SWs,复制Monty Python的Michael Palin和John Cleese在搞笑行走部(1971)中的表演。尽管Cleese和Palin两种步行方式均表现出更高的每距离成本,但与正常步行相比,只有Cleese步行方式提高了V²O²${dot V_{{ mathrm{O}}_2}}}$(男性和女性分别为28±5 vs 11±3 mL/kg/min; EE分别为+8.0±2.3和+5.2±0.8 kcal/min)。用Cleese SW代替1-3分钟/天的正常步行将需要额外的能量消耗12千卡/天(~ 4400千卡/年),大约是足以解释肥胖流行的体重增加的能量当量的两倍。与SW相关的情感表达不需要额外的身体活动,可以潜在地消除未来的体重增加,并且只需每天6-23分钟的适度额外投入,SW就可以完全纠正肥胖的流行。至关重要的是,通过SW增加体力活动有望提高心肺健康(v_2 max ${dot V_{{ mathm {O}}_2}{ mathm {max}}}}$),从而大大减少与不活动相关的疾病。与减肥相结合,相对V * O * max ${dot V_{{mathrm{O}}_2}{mathrm{max}}}}$的增益可达到~ 90%。如果在20世纪70年代采用SW,全球肥胖危机可能会得到预防,或者至少会大大减轻,同时健康状况和健康寿命也会得到相应的改善。
{"title":"Silly walks: An urgent practical solution to the inactivity and obesity pandemics","authors":"Glenn A. Gaesser,&nbsp;Siddhartha S. Angadi,&nbsp;David C. Poole","doi":"10.1113/EP093233","DOIUrl":"10.1113/EP093233","url":null,"abstract":"&lt;p&gt;To assess whether the increased energy cost of silly walking (SW) could enhance physical activity, reduce obesity and extend health span, we retrospectively analysed data from 13 healthy adults (seven males, six females; age 22–71 years) who performed three walking trials. Oxygen uptake (&lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;semantics&gt;\u0000 &lt;msub&gt;\u0000 &lt;mover&gt;\u0000 &lt;mi&gt;V&lt;/mi&gt;\u0000 &lt;mo&gt;̇&lt;/mo&gt;\u0000 &lt;/mover&gt;\u0000 &lt;msub&gt;\u0000 &lt;mi&gt;O&lt;/mi&gt;\u0000 &lt;mn&gt;2&lt;/mn&gt;\u0000 &lt;/msub&gt;\u0000 &lt;/msub&gt;\u0000 &lt;annotation&gt;${dot V_{{{mathrm{O}}_2}}}$&lt;/annotation&gt;\u0000 &lt;/semantics&gt;&lt;/math&gt;; in millilitres of O&lt;sub&gt;2&lt;/sub&gt; per kilogram per minute), energy expenditure (EE; in kilocalories per minute) and cost per distance (in joules per kilogram per metre) were measured via expired ventilation and gas exchange. Trials included normal walking and two SWs, replicating Monty Python's Michael Palin and John Cleese in the Ministry of Silly Walks sketch (1971). Although both Cleese and Palin SWs evinced greater cost per distance, only the Cleese SW elevated &lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;semantics&gt;\u0000 &lt;msub&gt;\u0000 &lt;mover&gt;\u0000 &lt;mi&gt;V&lt;/mi&gt;\u0000 &lt;mo&gt;̇&lt;/mo&gt;\u0000 &lt;/mover&gt;\u0000 &lt;msub&gt;\u0000 &lt;mi&gt;O&lt;/mi&gt;\u0000 &lt;mn&gt;2&lt;/mn&gt;\u0000 &lt;/msub&gt;\u0000 &lt;/msub&gt;\u0000 &lt;annotation&gt;${dot V_{{{mathrm{O}}_2}}}$&lt;/annotation&gt;\u0000 &lt;/semantics&gt;&lt;/math&gt; compared with normal walking (28 ± 5 vs. 11 ± 3 mL/kg/min; EE, +8.0 ± 2.3 and +5.2 ± 0.8 kcal/min in males and females, respectively). Replacing 1–3 min/day of normal walking with the Cleese SW would require an extra energy expenditure of 12 kcal/day (∼4400 kcal/year), approximately twice the energy equivalent of excess weight gain sufficient to explain the obesity pandemic. The EE associated with SW, requiring no additional physical activity, could potentially eliminate future weight gain and, with a modest extra investment of merely 6–23 min/day, SW could redress the obesity pandemic entirely. Crucially, increasing physical activity by SW is expected to elevate cardiorespiratory fitness (&lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;semantics&gt;\u0000 &lt;msub&gt;\u0000 &lt;mover&gt;\u0000 &lt;mi&gt;V&lt;/mi&gt;\u0000 &lt;mo&gt;̇&lt;/mo&gt;\u0000 &lt;/mover&gt;\u0000 &lt;mrow&gt;\u0000 &lt;msub&gt;\u0000 &lt;mi&gt;O&lt;/mi&gt;\u0000 &lt;mn&gt;2&lt;/mn&gt;\u0000 &lt;/msub&gt;\u0000 &lt;mi&gt;max&lt;/mi&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;/msub&gt;\u0000 &lt;annotation&gt;${dot V_{{{mathrm{O}}_2}{mathrm{max}}}}$&lt;/annotation&gt;\u0000 &lt;/semantics&gt;&lt;/math&gt;), thereby diminishing inactivity-related ","PeriodicalId":12092,"journal":{"name":"Experimental Physiology","volume":"110 12","pages":"1751-1761"},"PeriodicalIF":2.8,"publicationDate":"2025-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://physoc.onlinelibrary.wiley.com/doi/epdf/10.1113/EP093233","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145582101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Postural control in humans: a study using transcutaneous spinal cord stimulation. 人体体位控制:经皮脊髓刺激的研究。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-22 DOI: 10.1113/EP093385
Natalia Shamantseva, Ivan Sakun, Tatiana Klishkovskaia, Andrey Aksenov, Vsevolod Lyakhovetskii, Tatiana Moshonkina

The aim of the study was to investigate the spinal mechanisms involved in regulating postural balance in humans. Participants stood in a normal stance, with their spinal postural networks either non-invasively activated or not stimulated by electrical stimulation. Postural sway, muscle activity, joint kinematics and respiratory movements were monitored. Half of the participants depended on external sensory cues for controlling balance (field dependent), whereas the other half did not (field independent). Stimulation was performed at the T11-T12 or L1-L2 vertebral level using intensities below the motor threshold. When participants stood without stimulation, differences in body segment movement in the frontal plane were observed between subgroups, in addition to similarities in segment movement in the sagittal plane. Field-dependent participants demonstrated greater mediolateral sway and pelvic motion and relied more on hip involvement in frontal centre of pressure dynamics than field-independent participants. Stimulation at T11-T12 induced changes in muscle activity and body segment coordination in both groups. It led to a reduction in mediolateral sway and enhanced postural stability, but only in field-dependent individuals. Stimulation at L1-L2 altered muscle activity and joint kinematics in both subgroups without having an effect on postural stability. Stimulation did not affect respiratory movements or posture-respiratory coupling. In the human spinal cord, the interneuronal networks involved in postural regulation are located at the T11-T12 level and operate under supraspinal control. Interneuronal networks at the L1-L2 level also modulate muscle activity and body segment coordination; however, their specific role in regulating upright posture remains unclear.

这项研究的目的是研究与调节人体姿势平衡有关的脊柱机制。参与者以正常的姿势站立,他们的脊柱姿势网络要么是非侵入性激活,要么没有受到电刺激的刺激。监测体位摆动、肌肉活动、关节运动学和呼吸运动。一半的参与者依靠外部感官线索来控制平衡(领域依赖),而另一半则不依赖(领域独立)。使用低于运动阈值的强度在T11-T12或L1-L2椎体水平进行刺激。当参与者在没有刺激的情况下站立时,除了在矢状面的运动相似外,在亚组之间还观察到在额平面的身体节段运动的差异。场依赖型受试者表现出更大的中外侧摇摆和骨盆运动,并且比场依赖型受试者更多地依赖于前部压力动力中心的髋关节受累。T11-T12刺激引起两组肌肉活动和体节协调性的变化。它减少了中外侧的摇摆,增强了姿势的稳定性,但仅适用于场依赖性个体。L1-L2的刺激改变了两个亚组的肌肉活动和关节运动学,但对姿势稳定性没有影响。刺激不影响呼吸运动或姿势-呼吸耦合。在人类脊髓中,参与体位调节的神经元间网络位于T11-T12水平,并在棘上控制下运作。L1-L2水平的神经元间网络也调节肌肉活动和身体节段协调;然而,它们在调节直立姿势中的具体作用尚不清楚。
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引用次数: 0
How do physiological networks respond to normobaric hypoxia and isometric exercise? 生理网络如何响应常压缺氧和等长运动?
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-20 DOI: 10.1113/EP093077
Danilo Bondi, Cecilia Morandotti, Salvatore Annarumma, Carmen Santangelo, Tiziana Pietrangelo, Stefania Fulle, Vittore Verratti

The dynamics of physiological systems are impacted by both exercise and hypoxia. Network models can be used to map the interactions between various physiological components in environmental physiology and exercise using the concepts of information theory. This cross-over study compared three normobaric conditions: control, simulated altitude of 2500 m (fraction of inspired oxygen: F i O 2 ${F_{{mathrm{i}}{{mathrm{O}}_2}}}$ ≈ 15.1%) and 3500 m ( F i O 2 ${F_{{mathrm{i}}{{mathrm{O}}_2}}}$ ≈ 13.5%), and rest vs. isometric exercise through the lens of network physiology. The 12 participants (6 M and 6 F; 22.25 ± 2.42 years; 23.01 ± 3.24 kg/m2) spent ∼30 min in a tent coupled to an altitude simulator, whose last 3 min consisted of a series of nine unilateral isometric maximal contractions of quadriceps. A metabolic system in breath-by-breath mode was used to register cardiorespiratory variables. In-degree, out-degree, and transfer entropy (TE) were computed to capture the information flow between variables. A weighted Jaccard Similarity Index was used to assess network similarities. The increase of V ̇ O 2 ${dot V_{{{mathrm{O}}_2}}}$ in exercise over rest was slightly more prominent during hypoxia (P = 0.054, η2 p = 0.232). Normoxia-hypoxia networks were more similar during resting than exercise. Rest-exercise networks were less similar to each other during simulated altitude of ∼2500 m (P = 0.008, η2 p = 0.353). Neither TE during rest nor during exercise nor the S p O 2 ${S_{{mathrm{p}}{{mathrm{O}}_2}}}$ / F i O 2 ${F_{{mathrm{i}}{{mathrm{O}}_2}}}$ ratio significantly predicted the occurrence of symptoms. Unexpectedly, compared to mild-grade hypoxia, low-grade hypoxia induced more changes in physiological connectivity, with the majority of the connections converging on putative hidden nodes that we suggest are oxygen delivery-dependent. Network approaches could offer new developments in exercise and environmental physiology.

生理系统的动力学受到运动和缺氧的影响。利用信息论的概念,网络模型可以用来映射环境生理学和运动中各种生理成分之间的相互作用。本交叉研究通过网络生理学的视角比较了控制、模拟海拔2500 m(吸入氧分数:F i O 2 ${F_{mathrm{i}}{{mathrm{O}}_2}}}$≈15.1%)和3500 m (F i O 2 ${F_{mathrm{i}}}{{mathrm{O}}_2}} $≈13.5%)三种正压条件下的休息与等长运动。12名参与者(6名男性和6名女性;22.25±2.42岁;23.01±3.24 kg/m2)在一个连接高度模拟器的帐篷中度过了约30分钟,最后3分钟包括一系列9次单侧四头肌等距最大收缩。呼吸模式下的代谢系统被用来记录心肺变量。计算入度、出度和传递熵(TE)来捕获变量之间的信息流。使用加权的Jaccard相似指数来评估网络的相似度。低氧状态下,运动时的v_2 ${dot V_{{ maththrm {O}}_2}}}$较休息时的升高略明显(P = 0.054, η2 P = 0.232)。正常-缺氧网络在休息时比运动时更相似。在模拟海拔~ 2500 m时,休息-运动网络之间的相似性较小(P = 0.008, η2 P = 0.353)。在休息和运动期间,TE和S p O 2 ${S_{ mathm {p}}{{ mathm {O}}_2}} $ / F i O 2 ${F_{ mathm {i}}{{ mathm {O}}_2}}}$比值均不能显著预测症状的发生。出乎意料的是,与轻度缺氧相比,轻度缺氧诱导了更多的生理连接变化,大多数连接集中在假定的隐藏节点上,我们认为这些节点依赖于氧气输送。网络方法可以为运动和环境生理学提供新的发展。
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引用次数: 0
When rehabilitation is not enough, how targeting metabolism can overcome the limited plasticity of skeletal muscle after traumatic injury. 在康复不充分的情况下,靶向代谢如何克服创伤后骨骼肌有限的可塑性。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-20 DOI: 10.1113/EP093074
Sarah M Greising, Jarrod A Call

There is a category of large-scale neuromusculoskeletal injuries that result in long-term functional disabilities, and one such injury is volumetric muscle loss (VML) injury. In addition to the clinical outcomes related to long-term dysfunction, co-morbidities and reduced mobility and physical activity, this review addresses several underexplored physiological limitations of VML at both the whole-body level and within the injured muscle. Our objectives with this review are to provide: (1) critical understanding of the pathophysiological limitations related to VML injury; (2) evidence for emerging treatment options that target the VML-induced metabolic dysregulation; and (3) early functional data on metabolic treatments as a component of regenerative rehabilitation. We highlight new attempts to intervene in this unique pathophysiology, in addition to current unanswered questions for the field.

有一类大规模神经肌肉骨骼损伤可导致长期功能障碍,其中一种损伤是体积性肌肉损失(VML)损伤。除了与长期功能障碍、合并症、活动能力和体力活动减少相关的临床结果外,本综述还探讨了VML在全身水平和受伤肌肉内的几个未被充分探索的生理局限性。本综述的目的是提供:(1)对与VML损伤相关的病理生理限制的批判性理解;(2)针对vml诱导的代谢失调的新治疗方案的证据;(3)代谢治疗作为再生康复组成部分的早期功能数据。我们强调新的尝试干预这种独特的病理生理学,除了目前尚无答案的问题。
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引用次数: 0
Bilateral dynamic cerebral autoregulation assessment during endovascular treatment in large-vessel occlusion stroke. 大血管闭塞性脑卒中血管内治疗过程中双侧动态脑自动调节评估。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-20 DOI: 10.1113/EP093024
Adam Vittrup Heiberg, Troels Gil Lukassen, Thomas Clement Truelsen, Henrik Gutte Borgwardt, Goetz Benndorf, Christine Sølling, Henrik Winther Schytz, Klaus Hansen, Kirsten Møller, Helle Klingenberg Iversen

Recanalization by endovascular treatment (EVT) is effective in acute ischaemic stroke caused by large-vessel occlusion. Better understanding of the pathophysiology could possibly identify targets for improving peri-procedural management and thereby patient outcome. Dynamic cerebral autoregulation (dCA), which maintains cerebral blood flow despite changes in arterial blood pressure (ABP), is reportedly impaired after EVT. Blood pressure thresholds after EVT have previously been individualized by accounting for dCA, which could improve outcome. The conventional method to estimate dCA requires transcranial Doppler, which is difficult to use during EVT. Instead, we investigated dCA during EVT by near-infrared spectroscopy (NIRS) which is more feasible. NIRS and ABP were measured continuously before recanalization, immediately after recanalization, and after general anaesthesia termination for subsequent transfer function analysis yielding the dCA measure of phase shift (0.07-0.2 Hz). Phase shift did not differ between the ischaemic and contralateral hemisphere but the sensitivity to end-tidal CO2 was increased in the ischaemic hemisphere immediately after recanalization. Phase shift over time interacted with 90-day functional outcome including independence and mortality. Hence, patients with good long-term outcome showed increased phase shift during and after EVT, while phase shift decreased in poor outcome patients. In conclusion, dCA did not differ between hemispheres during EVT but was more sensitive to end-tidal CO2 in the ischaemic compared to the contralateral hemisphere and dCA evolved differently in patients with good and poor outcome. Our findings of individual dCA differences during EVT suggest benefit of individualized blood pressure management, which should be addressed in future studies.

血管内再通治疗(EVT)对大血管闭塞引起的急性缺血性脑卒中是有效的。更好地了解病理生理学可能会确定目标,以改善围手术期管理,从而提高患者的预后。动态脑自动调节(dCA),在动脉血压(ABP)变化的情况下维持脑血流,据报道在EVT后受损。EVT后的血压阈值以前已经通过考虑dCA来个体化,这可以改善结果。传统的dCA估计方法需要经颅多普勒,这在EVT期间很难使用。我们采用近红外光谱(NIRS)来研究EVT过程中的dCA,这种方法更可行。在再通前、再通后和全身麻醉结束后连续测量NIRS和ABP,随后进行传递函数分析,得到相移(0.07-0.2 Hz)的dCA测量。相移在缺血半球和对侧半球之间没有差异,但缺血半球对潮末CO2的敏感性在再通后立即增加。随着时间的推移,相移与90天的功能结果相互作用,包括独立性和死亡率。因此,长期预后良好的患者在EVT期间和之后相移增加,而预后较差的患者相移减少。综上所述,EVT期间的dCA在两个半球之间没有差异,但与对侧半球相比,在缺血时,dCA对潮末CO2更敏感,并且在预后好和差的患者中,dCA的进化不同。我们发现EVT期间个体dCA差异表明个体化血压管理的益处,这应该在未来的研究中得到解决。
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引用次数: 0
Response to 'Time-course of acid-base regulation at high altitude: A century of insight' by Andrew R. Steele, Jordan D. Bird and Michael M. Tymko. 对Andrew R. Steele、Jordan D. Bird和Michael M. Tymko撰写的《高海拔酸碱调节的时间进程:一个世纪的洞见》的回应。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-20 DOI: 10.1113/EP093401
Axel Kleinsasser, Martin Burtscher, Benedikt Treml, Sasa Rajsic
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引用次数: 0
Mitophagy in skeletal muscle: Impact of ageing, exercise and disuse. 骨骼肌中的线粒体:衰老、运动和废弃的影响。
IF 2.8 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-11-19 DOI: 10.1113/EP093041
Anastasiya Kuznyetsova, David A Hood

Skeletal muscle plays an important role in whole-body health, quality of life and regulation of metabolism. The maintenance of a healthy mitochondrial pool is imperative for the preservation of skeletal muscle quality and is mediated through mitochondrial quality control consisting of mitochondrial turnover mediated by a balance between organelle synthesis and degradation. The selective tagging and removal of dysfunctional mitochondria is essential for maintaining mitochondrial quality control and is termed mitophagy. The mechanisms of the initial stages of mitophagy involving the recognition and tagging of mitochondria within skeletal muscle are well established, but our understanding of the terminal step involving organelle degradation mediated via lysosomes is in its infancy. An assessment of the proteolytic functions to facilitate the removal and breakdown of dysfunctional mitochondria is crucial for our understanding of the mechanisms of mitophagy, which is essential for maintaining skeletal muscle health. The aim of this review is to address the current knowledge surrounding mitophagy and lysosomal function, alongside distinct physiological conditions, such as ageing, exercise and disuse, that have varying effects on mitophagy and lysosomal adaptations within skeletal muscle.

骨骼肌在全身健康、生活质量和代谢调节中起着重要作用。维持健康的线粒体库对于保持骨骼肌质量至关重要,并且通过线粒体质量控制介导,包括由细胞器合成和降解之间的平衡介导的线粒体周转。选择性标记和去除功能失调的线粒体是维持线粒体质量控制的必要条件,被称为线粒体自噬。涉及骨骼肌内线粒体识别和标记的线粒体自噬初始阶段的机制已经建立,但我们对通过溶酶体介导的细胞器降解的最终步骤的理解尚处于起步阶段。评估蛋白水解功能以促进功能失调线粒体的去除和分解对于我们理解线粒体自噬机制至关重要,线粒体自噬对维持骨骼肌健康至关重要。这篇综述的目的是解决目前关于线粒体自噬和溶酶体功能的知识,以及不同的生理条件,如衰老,运动和废弃,对骨骼肌内的线粒体自噬和溶酶体适应有不同的影响。
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引用次数: 0
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