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Thiamet-G facilitates reparative dentin formation via modulating O-GlcNAcylation and inflammation. Thiamet-G通过调节o - glcn酰化和炎症促进修复性牙本质的形成。
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-16 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1739168
Elina Pokharel, Tae-Young Kim, Bandana Rana, Je-Hee Jang, Jae-Hee Lee, Seo-Young An, Chang-Hyeon An, Hitoshi Yamamoto, Mee-Seon Kim, Wern-Joo Sohn, Youngkyun Lee, Jung-Hong Ha, Do-Yeon Kim, Jae-Kwang Jung, Jae-Young Kim

Introduction: O-GlcNAcylation, a reversible post-translational modification regulated by O-GlcNAc transferase (OGT) and O-GlcNAcase (OGA), is involved in various cellular processes, such as proliferation, differentiation, and inflammation modulation. Developmental study revealed that proper O-GlcNAcylation mediated by OGT is vital for tooth morphogenesis. However, the function of O-GlcNAcylation during reparative dentin formation is still unknown. To understand its therapeutic relevance in regenerative dentistry, we examined the potential of OGA inhibitor, Thiamet-G, in reparative dentin formation using both in vitro and in vivo approaches.

Methods: Human dental pulp stem cells were cultivated to examine cell viability, alkaline phosphatase (ALP) activity, and mRNA expression of reparative dentin-related genes. Furthermore, the dental pulp of the upper first molar in 8-week-old male ICR mice was exposed, and Thiamet-G was locally delivered for in vivo studies. Histological and immunohistochemical alterations were analyzed after 3 and 5 days post-cavity preparation, and dentin-bridge formation was evaluated at 42 days using histology and micro-CT.

Results: In vitro, Thiamet-G treatment facilitated proliferation, ALP activity, and upregulated expression of reparative dentin-related genes, including BMP2, BSP, DSPP, OCN, and RUNX2. In vivo, Thiamet-G treated specimens showed the altered localizations of NESTIN, NF-κB, MPO, OPN, RUNX2, TGF-β1, and TNF-α at 3 and 5 days post exposure, suggesting enhanced dentin regeneration and modulated inflammation. Particularly, at 42 days, Thiamet-G treated specimens exhibited enhanced dentin-bridge formation, confirmed by micro-CT imaging and histology.

Conclusion: Thiamet-G treatment facilitated reparative dentin formation by modulating inflammation and regulating regenerating signaling, suggesting its potential as a therapeutic agent.

o - glcnac酰化是一种可逆的翻译后修饰,由o - glcnnac转移酶(OGT)和O-GlcNAcase (OGA)调控,参与多种细胞过程,如增殖、分化和炎症调节。发育研究表明,OGT介导的o - glcn酰化对牙齿的形态发生至关重要。然而,o - glcn酰化在修复性牙本质形成过程中的作用尚不清楚。为了了解其在再生牙科中的治疗相关性,我们通过体外和体内两种方法研究了OGA抑制剂Thiamet-G在修复性牙本质形成中的潜力。方法:培养人牙髓干细胞,检测细胞活力、碱性磷酸酶(ALP)活性和修复牙本质相关基因mRNA表达。此外,暴露8周龄雄性ICR小鼠上第一磨牙的牙髓,局部递送Thiamet-G进行体内研究。在造腔后第3天和第5天进行组织学和免疫组织化学改变分析,并在第42天通过组织学和显微ct评估牙本质桥的形成。结果:Thiamet-G处理可促进体外修复牙本质相关基因BMP2、BSP、DSPP、OCN、RUNX2的增殖、ALP活性和表达上调。在体内,Thiamet-G处理的标本在暴露后3和5天显示NESTIN、NF-κB、MPO、OPN、RUNX2、TGF-β1和TNF-α的定位改变,表明增强了牙本质再生和调节了炎症。特别是,在第42天,Thiamet-G处理的标本显示出增强的牙本质桥形成,显微ct成像和组织学证实了这一点。结论:Thiamet-G治疗通过调节炎症和再生信号促进修复性牙本质的形成,提示其作为治疗药物的潜力。
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引用次数: 0
The effects of total sleep deprivation on the circadian rhythms and psychophysiological factors in military cadets; a comparison between wakefulness in light and darkness. 完全睡眠剥夺对军校学员生理节律及心理生理因素的影响光明和黑暗中清醒的比较。
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-16 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1732257
Kateřina Skálová, Jan Maleček, David Kolář, Kateřina Červená, Jana Kopřivová, James Tufano, Dan Omcirk, Jan Padecký, Tomas Vetrovsky, Zdeňka Bendová

Objectives: Both sleep deprivation (SD) and light at night have negative effects on human health and performance. The aim of our work was to compare the intermediate effects of total SD under two lighting conditions: full indoor lighting and darkness mimicking natural nocturnal wakefulness.

Methods: We examined melatonin levels during SD nights, locomotor activity and peripheral temperature rhythms, cognitive performance, mood, hunger, glycaemia and food preference after SD and recovery sleep. Statistical evaluation included ANOVA with FDR correction and confidence intervals.

Results: SD transiently altered peripheral temperature rhythm and post-SD activity, with faster resynchronisation after SD in darkness. Subjective sleepiness increased after SD, with light at night alleviating morning sleepiness. Positive affect decreased after SD but normalised after recovery sleep in both groups. Negative affect worsened in the morning after SD in darkness. Cognitive performance declined after SD, but this effect was higher after SD in darkness. Preprandial glycaemia was higher after recovery sleep following SD in darkness, and sweet taste preference was significantly higher after SD in darkness.

Conclusion: Light exposure during SD may lead to lower subjective sleepiness and better cognitive performance the next morning compared to SD in darkness. However, light during SD also causes more pronounced and persistent disruptions to circadian rhythms of temperature and activity. This underscores the trade-off between the short-term benefits of nocturnal light exposure and its potential long-term impacts on circadian health.

目的:睡眠剥夺和夜间光照对人体健康和工作表现都有负面影响。我们工作的目的是比较总SD在两种照明条件下的中间效应:完全室内照明和模仿自然夜间清醒的黑暗。方法:我们检测了SD夜间褪黑激素水平、运动活动和外周温度节律、认知表现、SD和恢复性睡眠后的情绪、饥饿、血糖和食物偏好。统计评价包括方差分析和FDR校正和置信区间。结果:SD瞬间改变外周温度节律和SD后活动,在黑暗中SD后再同步更快。SD后主观困倦感增加,夜间灯光缓解早晨困倦。两组患者的积极情绪在SD后有所下降,但在恢复性睡眠后恢复正常。在黑暗中进行SD后,消极情绪在早晨加重。SD后认知表现下降,但在黑暗中SD后这种影响更大。黑暗SD后恢复睡眠后餐前血糖升高,甜味偏好显著升高。结论:与黑暗中的SD相比,SD期间的光照可降低主观困倦程度,并可改善第二天早晨的认知表现。然而,SD期间的光线也会对温度和活动的昼夜节律造成更明显和持续的破坏。这强调了夜间光照的短期益处及其对昼夜健康的潜在长期影响之间的权衡。
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引用次数: 0
Mediating effect analysis of postprandial triglyceride on Omega-3 and nonalcoholic fatty liver disease in individuals with normal fasting lipid levels. 餐后甘油三酯对正常空腹脂质水平人群中Omega-3和非酒精性脂肪肝的中介作用分析
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-16 eCollection Date: 2026-01-01 DOI: 10.3389/fphys.2026.1742536
Luxuan Li, Yale Tang, Yilin Hou, Xiaoyu Wang, Dandan Liu, Peipei Tian, Guangyao Song

Background: The association between Omega-3 (ω-3)and non-alcoholic fatty liver disease (NAFLD) in individuals with normal fasting lipid levels subjects is unclear. In addition, few studies have explored whether postprandial triglyceride levels (PTG) mediates the association between ω-3 and NAFLD. We aimed to analyze the mediating effect of PTG on ω-3 and NAFLD.

Methods: In March 2024, volunteers were recruited from the Hebei Provincial People's Hospital. In total, 108 volunteers met the inclusion criteria. The basic information and biochemical parameters, as well as ω-3 and PTG were collected. NAFLD was diagnosed according to abdominal ultrasonography. The clinical characteristics of the participants was analyzed by quartiles of ω-3 (O1-O4 quartiles) and PTG (P1-P4 quartiles), respectively. Pearson correlation analysis was performed to investigate the correlation between ω-3 and PTG. Multivariate logistic regression analysis was applied to analyze the effect of ω-3 and PTG on NAFLD. Bootstrap was conducted to explore whether PTG mediated the association between ω-3 and NAFLD.

Results: Pearson correlation analysis indicated that ω-3 was negatively associated with PTG. Multivariate logistic regression analysis indicated that compared to the low ω-3 group, the risk of NAFLD significantly decreased in high ω-3 group [OR = 0.024 (0.006 ∼ 0.104)]. Mediating effect analysis showed that ω-3 significantly directly influenced NAFLD prevalence [β = -0.077, 95%CI (-0.128, -0.026)], and PTG partly mediated the indirect effect of the ω-3 on NAFLD prevalence [β = -0.084, 95%CI (-0.130, -0.037)], and the mediating effect accounted for 52.17% of the total effects.

Conclusion: In this cross-sectional analysis, both ω-3 and PTG were predictors of NAFLD, and PTG partly statistically mediated the indirect effect of the ω-3 on NAFLD prevalence.

背景:Omega-3 (ω-3)与空腹脂质水平正常的非酒精性脂肪性肝病(NAFLD)之间的关系尚不清楚。此外,很少有研究探讨餐后甘油三酯水平(PTG)是否介导ω-3与NAFLD之间的关联。我们旨在分析PTG对ω-3和NAFLD的中介作用。方法:于2024年3月在河北省人民医院招募志愿者。总共有108名志愿者符合入选标准。采集了基本信息和生化参数,ω-3和PTG。经腹部超声诊断为NAFLD。以ω-3 (0 ~ o4)和PTG (p1 ~ p4)为四分位数分析受试者的临床特征。采用Pearson相关分析考察ω-3与PTG的相关性。采用多因素logistic回归分析ω-3、PTG对NAFLD的影响。采用Bootstrap方法探讨PTG是否介导ω-3与NAFLD之间的关联。结果:Pearson相关分析显示ω-3与PTG呈负相关。多因素logistic回归分析显示,与低ω-3组相比,高ω-3组NAFLD发生风险显著降低[OR = 0.024(0.006 ~ 0.104)]。中介效应分析显示,ω-3显著直接影响NAFLD患病率[β = -0.077, 95%CI (-0.128, -0.026)], PTG部分介导ω-3对NAFLD患病率的间接影响[β = -0.084, 95%CI(-0.130, -0.037)],中介效应占总效应的52.17%。结论:在本横断面分析中,ω-3和PTG均为NAFLD的预测因子,且PTG在一定程度上介导了ω-3对NAFLD患病率的间接影响。
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引用次数: 0
Effect of hemodialysis in end-stage renal disease patients on pulmonary function tests: a meta-analysis of cross-sectional studies. 终末期肾病患者血液透析对肺功能测试的影响:横断面研究的荟萃分析
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-16 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1712525
Qing Zhang, Youyou Xu, Dan Huang, Jiaru Jiang, Sicong Jiang, Huichao Wu

Background: Hemodialysis, the principal therapy for end-stage renal disease (ESRD), directly influences pulmonary mechanics by alleviation of fluid overload and uremic toxin accumulation. Hemodialysis (HD), the main renal replacement therapy, removes excess volume and solutes, but its acute effects on pulmonary function remain uncertain. This meta-analysis evaluates impact of hemodialysis on pulmonary function and examines pre-to post-dialysis changes in spirometric parameters among ESRD patients.

Methods: We conducted meta-analysis of cross-sectional studies that measured pulmonary function in ESRD patients on maintenance hemodialysis. Data from 16 eligible studies (n = 719 patients) were synthesized. Our analysis was focused on changes in forced expiratory volume in 1 s (FEV1), forced vital capacity (FVC), FEV1/FVC ratio, forced expiratory flow at 25%-75% (FEF25-75), and peak expiratory flow rate (PEFR). Statistical analysis was performed using random-effects models to calculate pooled mean differences (MD) for spirometric outcomes.

Results: Hemodialysis was associated with significant improvements in percent-predicted FEV1 (+8.99%) and FVC(+12.87%), while absolute changes in these parameters were small and not statistically significant. The FEV1/FVC ratio and PEFR also improved in percent-predicted terms. Sensitivity analyses confirmed stability of results, though high heterogeneity (I2>75%) was observed for several outcomes. Publication bias was minimal, with Egger's and Begg's tests indicating no significant asymmetry, except for borderline Begg's p-value for FVC (%pred). These improvements likely reflect ultrafiltration-mediated relief of pulmonary congestion and modulation of uremic milieu.

Conclusion: Hemodialysis acutely mitigates renal failure-related pulmonary restriction, with percent-predicted spirometry showing consistent gains. These effects highlight role of dialysis prescriptions and fluid management strategies in optimizing respiratory as well as renal outcomes.

背景:血液透析是终末期肾病(ESRD)的主要治疗方法,通过减轻液体负荷和尿毒症毒素积累直接影响肺力学。血液透析(HD),主要的肾脏替代疗法,去除多余的体积和溶质,但其对肺功能的急性影响仍不确定。本荟萃分析评估了血液透析对肺功能的影响,并检查了ESRD患者透析前后肺活量参数的变化。方法:我们对测量维持血液透析的ESRD患者肺功能的横断面研究进行了meta分析。综合了16项符合条件的研究(n = 719例患者)的数据。我们的分析重点是1秒内用力呼气量(FEV1)、用力肺活量(FVC)、FEV1/FVC比值、25%-75%用力呼气流量(FEF25-75)和呼气流量峰值(PEFR)的变化。采用随机效应模型进行统计分析,计算肺活量测定结果的汇总平均差异(MD)。结果:血液透析与预测FEV1百分比(+8.99%)和FVC(+12.87%)的显著改善相关,而这些参数的绝对变化很小,无统计学意义。FEV1/FVC比率和PEFR在百分比预测方面也有所改善。敏感性分析证实了结果的稳定性,尽管在几个结果中观察到很高的异质性(2 - 75%)。发表偏倚最小,Egger's和Begg's检验表明,除了FVC的Begg's p值(%pred)的边缘外,没有显著的不对称。这些改善可能反映了超滤介导的肺充血缓解和尿毒症环境的调节。结论:血液透析急性减轻肾功能衰竭相关的肺限制,百分比预测肺活量测量显示一致的收益。这些影响突出了透析处方和液体管理策略在优化呼吸和肾脏结果中的作用。
{"title":"Effect of hemodialysis in end-stage renal disease patients on pulmonary function tests: a meta-analysis of cross-sectional studies.","authors":"Qing Zhang, Youyou Xu, Dan Huang, Jiaru Jiang, Sicong Jiang, Huichao Wu","doi":"10.3389/fphys.2025.1712525","DOIUrl":"10.3389/fphys.2025.1712525","url":null,"abstract":"<p><strong>Background: </strong>Hemodialysis, the principal therapy for end-stage renal disease (ESRD), directly influences pulmonary mechanics by alleviation of fluid overload and uremic toxin accumulation. Hemodialysis (HD), the main renal replacement therapy, removes excess volume and solutes, but its acute effects on pulmonary function remain uncertain. This meta-analysis evaluates impact of hemodialysis on pulmonary function and examines pre-to post-dialysis changes in spirometric parameters among ESRD patients.</p><p><strong>Methods: </strong>We conducted meta-analysis of cross-sectional studies that measured pulmonary function in ESRD patients on maintenance hemodialysis. Data from 16 eligible studies (n = 719 patients) were synthesized. Our analysis was focused on changes in forced expiratory volume in 1 s (FEV<sub>1</sub>), forced vital capacity (FVC), FEV<sub>1</sub>/FVC ratio, forced expiratory flow at 25%-75% (FEF<sub>25-75</sub>), and peak expiratory flow rate (PEFR). Statistical analysis was performed using random-effects models to calculate pooled mean differences (MD) for spirometric outcomes.</p><p><strong>Results: </strong>Hemodialysis was associated with significant improvements in percent-predicted FEV<sub>1</sub> (+8.99%) and FVC(+12.87%), while absolute changes in these parameters were small and not statistically significant. The FEV<sub>1</sub>/FVC ratio and PEFR also improved in percent-predicted terms. Sensitivity analyses confirmed stability of results, though high heterogeneity (I<sup>2</sup>>75%) was observed for several outcomes. Publication bias was minimal, with Egger's and Begg's tests indicating no significant asymmetry, except for borderline Begg's p-value for FVC (%pred). These improvements likely reflect ultrafiltration-mediated relief of pulmonary congestion and modulation of uremic milieu.</p><p><strong>Conclusion: </strong>Hemodialysis acutely mitigates renal failure-related pulmonary restriction, with percent-predicted spirometry showing consistent gains. These effects highlight role of dialysis prescriptions and fluid management strategies in optimizing respiratory as well as renal outcomes.</p>","PeriodicalId":12477,"journal":{"name":"Frontiers in Physiology","volume":"16 ","pages":"1712525"},"PeriodicalIF":3.2,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12855113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146104702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Fasting vs. post-breakfast tabata exercise: implications for substrate metabolism and energy expenditure in young normal-weight women. 空腹与早餐后tabata运动:对年轻正常体重女性底物代谢和能量消耗的影响
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-16 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1721312
Yongbo Wang, Yanbai Han, Zhuoyue Cheng, Yaqing Fan, Hongli Wang

Introduction: With the rising prevalence of obesity, time-efficient high-intensity exercises like Tabata training have gained significant attention for weight management. However, the effects of fasting versus post-breakfast states on substrate metabolism and energy expenditure during Tabata exercise remain unclear. This study aimed to investigate the metabolic responses to Tabata exercise under fasting and post-breakfast conditions in women, providing insight into how nutritional status acutely influences substrate utilization and energy expenditure.

Methods: Eighteen young normal-weight women (age 25.3 ± 3.1 years; BMI 20.9 ± 1.1 kg/m2)completed a randomized counterbalanced crossover trial, performing a 4-min Tabata workout under fasting (11-15 h overnight fast) and post-breakfast (90 min after a standardized meal) conditions. Gas exchange was continuously monitored to calculate fat oxidation, glucose oxidation, and energy expenditure.

Results: Fat oxidation was significantly higher in the fasting condition at all analyzed time points, with the largest difference observed at 60 s (1.05 ± 0.18 vs. 0.61 ± 0.07 g/min, p < 0.001). In contrast, glucose oxidation was consistently higher in the post-breakfast condition, peaking at 150 s (3.65 ± 0.52 vs. 3.38 ± 0.46 g/min, p < 0.001). Total energy expenditure was also greater post-breakfast, reaching 10.18 ± 0.29 kcal/min at 120 s compared with 9.70 ± 0.39 kcal/min in the fasting condition (p < 0.001).

Conclusion: Fasting and post-breakfast conditions elicit distinct acute metabolic responses during Tabata exercise in women. Fat oxidation was higher in the fasting state, while glucose oxidation and total energy expenditure were consistently higher in the post-breakfast state.

导读:随着肥胖症的日益流行,像Tabata训练这样的高时间效率的高强度运动在体重管理方面受到了极大的关注。然而,空腹与早餐后状态对Tabata运动中底物代谢和能量消耗的影响尚不清楚。本研究旨在研究女性空腹和早餐后Tabata运动的代谢反应,为营养状况如何严重影响底物利用和能量消耗提供见解。方法:18名正常体重的年轻女性(年龄25.3±3.1岁;BMI 20.9±1.1 kg/m2)完成了一项随机平衡交叉试验,在禁食(11-15小时过夜禁食)和早餐后(标准化餐后90分钟)条件下进行4分钟Tabata锻炼。连续监测气体交换以计算脂肪氧化、葡萄糖氧化和能量消耗。结果:在所有分析时间点,空腹状态下脂肪氧化均显著升高,60 s时差异最大(1.05±0.18 vs. 0.61±0.07 g/min, p < 0.001)。相比之下,葡萄糖氧化在早餐后持续升高,在150 s达到峰值(3.65±0.52比3.38±0.46 g/min, p < 0.001)。早餐后总能量消耗也更高,120s时达到10.18±0.29 kcal/min,而空腹时为9.70±0.39 kcal/min (p < 0.001)。结论:空腹和早餐后条件引起不同的急性代谢反应在Tabata运动妇女。脂肪氧化在空腹状态下更高,而葡萄糖氧化和总能量消耗在早餐后状态下一直更高。
{"title":"Fasting vs. post-breakfast tabata exercise: implications for substrate metabolism and energy expenditure in young normal-weight women.","authors":"Yongbo Wang, Yanbai Han, Zhuoyue Cheng, Yaqing Fan, Hongli Wang","doi":"10.3389/fphys.2025.1721312","DOIUrl":"10.3389/fphys.2025.1721312","url":null,"abstract":"<p><strong>Introduction: </strong>With the rising prevalence of obesity, time-efficient high-intensity exercises like Tabata training have gained significant attention for weight management. However, the effects of fasting <i>versus</i> post-breakfast states on substrate metabolism and energy expenditure during Tabata exercise remain unclear. This study aimed to investigate the metabolic responses to Tabata exercise under fasting and post-breakfast conditions in women, providing insight into how nutritional status acutely influences substrate utilization and energy expenditure.</p><p><strong>Methods: </strong>Eighteen young normal-weight women (age 25.3 ± 3.1 years; BMI 20.9 ± 1.1 kg/m<sup>2</sup>)completed a randomized counterbalanced crossover trial, performing a 4-min Tabata workout under fasting (11-15 h overnight fast) and post-breakfast (90 min after a standardized meal) conditions. Gas exchange was continuously monitored to calculate fat oxidation, glucose oxidation, and energy expenditure.</p><p><strong>Results: </strong>Fat oxidation was significantly higher in the fasting condition at all analyzed time points, with the largest difference observed at 60 s (1.05 ± 0.18 vs. 0.61 ± 0.07 g/min, p < 0.001). In contrast, glucose oxidation was consistently higher in the post-breakfast condition, peaking at 150 s (3.65 ± 0.52 vs. 3.38 ± 0.46 g/min, p < 0.001). Total energy expenditure was also greater post-breakfast, reaching 10.18 ± 0.29 kcal/min at 120 s compared with 9.70 ± 0.39 kcal/min in the fasting condition (p < 0.001).</p><p><strong>Conclusion: </strong>Fasting and post-breakfast conditions elicit distinct acute metabolic responses during Tabata exercise in women. Fat oxidation was higher in the fasting state, while glucose oxidation and total energy expenditure were consistently higher in the post-breakfast state.</p>","PeriodicalId":12477,"journal":{"name":"Frontiers in Physiology","volume":"16 ","pages":"1721312"},"PeriodicalIF":3.2,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12855119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146104683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Repeated-sprint training with low lung volume voluntary hypoventilation performed continuously throughout each set in healthy females. 在每组健康女性中连续进行低肺容量自愿低通气的重复冲刺训练。
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-15 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1713797
Léa Devantay, Grégoire P Millet, Antoine Raberin

Purpose: This study aimed to investigate the acute responses induced by a session of repeated-sprint training in hypoxia (RSH) induced by voluntary hypoventilation at low lung volume (VHL) performed continuously throughout the exercise in healthy females.

Methods: Thirteen females performed, in a randomized order, two sessions of repeated sprints (three sets of eight 10-s all-out sprints): with normal breathing (RSN) vs. with VHL performed continuously throughout each set (RSH-VHL). Peak and mean power output, heart rate, stroke volume, cardiac output, pulse oxygen saturation, muscle oxygenation in the vastus lateralis and the biceps brachii, blood lactate concentration, rate of perceived exertion and perceived difficulty of breathing and pedalling were assessed.

Results: RSH-VHL did not induce desaturation (97.5 ± 2.0 for RSH-VHL vs. 98.0% ± 1.6% for RSN; p = 0.243) nor greater muscle deoxygenation in the vastus lateralis (mean minimum tissue saturation index: 62.3% ± 4.3% vs. 61.5% ± 4.4%; p = 0.193) or the short head of the biceps (36.6% ± 10.0% vs. 34.2% ± 13.7%; p = 0.320). Significantly lower training load indices were observed from the first set onwards during RSH-VHL compared with RSN: mean peak power output (311 ± 45 vs. 382 ± 46 W; p < 0.001) and blood lactate concentration (6.8 ± 2.9 vs. 9.9 ± 3.0 mmol/L; p = 0.003). The perceived difficulty of breathing was higher during RSH-VHL than RSN from the first set onwards (8.2 ± 2.2 vs. 6.0 ± 0.9; p = 0.022).

Conclusion: This study showed that, although participants reported increased breathing difficulty during RSH-VHL performed continuously, this condition did not result in significant systemic or local hypoxia. Moreover, it led to a lower training load compared to RSN. When VHL is performed continuously throughout each set, rather than only during sprints, it may be too strenuous, inducing a significant reduction in training load.

目的:本研究旨在探讨健康女性在低肺量(VHL)自发性低通气(VHL)诱导的缺氧(RSH)条件下连续进行重复短跑训练所引起的急性反应。方法:13名女性按随机顺序进行两次重复冲刺(三组8次10秒全力冲刺):正常呼吸(RSN)和VHL (RSH-VHL)在每组中连续进行。评估峰值和平均功率输出、心率、搏量、心输出量、脉搏血氧饱和度、股外侧肌和肱二头肌的肌肉氧合、血乳酸浓度、感知用力率、感知呼吸和蹬车困难。结果:RSH-VHL不会引起失饱和(RSH-VHL组为97.5±2.0,RSN组为98.0%±1.6%,p = 0.243),也不会引起股外侧肌更大的肌肉缺氧(平均最小组织饱和指数:62.3%±4.3%比61.5%±4.4%,p = 0.193)或二头肌短头(36.6%±10.0%比34.2%±13.7%,p = 0.320)。与RSN相比,RSH-VHL训练负荷指数从第一组开始显著降低:平均峰值功率输出(311±45 W)比382±46 W, p < 0.001)和血乳酸浓度(6.8±2.9 vs 9.9±3.0 mmol/L, p = 0.003)。从第一组开始,RSH-VHL患者的感知呼吸困难高于RSN患者(8.2±2.2比6.0±0.9;p = 0.022)。结论:本研究表明,尽管参与者报告在RSH-VHL持续执行过程中呼吸困难增加,但这种情况并未导致明显的全身或局部缺氧。此外,与RSN相比,它导致了更低的训练负荷。当VHL在每组中连续进行,而不是只在冲刺时进行时,它可能过于剧烈,导致训练负荷的显著减少。
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引用次数: 0
Optimal exercise modalities and dose for enhancing intelligence in children and adolescents: a Bayesian network meta-analysis. 提高儿童和青少年智力的最佳运动方式和剂量:贝叶斯网络荟萃分析。
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-15 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1685099
Yan Wang, Junyu Wang, Lin Zhang, Chengji Wang, Guotuan Wang, Changdong Li, Yuan Yuan, Bopeng Qiu, Yong Yang

Background: To compare the effects of various exercise modalities on intelligence and determine the optimal exercise dose for children and adolescents.

Methods: A systematic review and Bayesian network meta-analysis following PRISMA guidelines was conducted. Four databases were searched up to 1 April 2025. Eligible RCTs involved participants aged 5-18 years and assessed exercise interventions with intelligence outcomes (general, fluid, or crystallized). Standardized mean differences (SMDs) with corresponding 95% confidence interval or credible intervals were calculated. Dose-response relationships were analyzed using model-based network meta-analysis.

Results: Fifteen RCTs with 3,400 participants were included. Exercise was linked to small-to-moderate improvements in general (SMD = 0.59), fluid (SMD = 0.43), and crystallized intelligence (SMD = 0.64). Dual-task balance training (DTBT) produced the most consistent and significant benefits across all domains. Yoga and multi-component exercise also showed positive effects. Optimal outcomes were achieved with sessions lasting ≥117.7 min, three times weekly, totaling 220 min per week for at least 11.12 weeks. An inverted U-shaped dose-response curve indicated diminishing returns beyond the optimal frequency and duration.

Conclusion: DTBT is the most effective exercise modality for improving intelligence in children and adolescents. The findings provide evidence-based guidance for designing school and clinical exercise programs to support cognitive development during growth.

背景:比较不同运动方式对智力的影响,确定儿童和青少年的最佳运动剂量。方法:根据PRISMA指南进行系统综述和贝叶斯网络meta分析。截至2025年4月1日,检索了四个数据库。符合条件的随机对照试验纳入了5-18岁的参与者,并评估了运动干预与智力结果(一般、液态或结晶)的关系。计算具有相应95%置信区间或可信区间的标准化平均差(SMDs)。使用基于模型的网络元分析分析剂量-反应关系。结果:纳入15项随机对照试验,共3400名受试者。锻炼与一般智力(SMD = 0.59)、液体智力(SMD = 0.43)和结晶智力(SMD = 0.64)的小到中度改善有关。双任务平衡训练(dbt)在所有领域都产生了最一致和最显著的好处。瑜伽和多成分运动也显示出积极的效果。治疗时间≥117.7分钟,每周3次,总计220分钟,持续至少11.12周,达到最佳效果。倒u型剂量-反应曲线表明,超过最佳频率和持续时间后,收益递减。结论:dbt是提高儿童青少年智力最有效的运动方式。研究结果为设计学校和临床锻炼项目提供了基于证据的指导,以支持成长过程中的认知发展。
{"title":"Optimal exercise modalities and dose for enhancing intelligence in children and adolescents: a Bayesian network meta-analysis.","authors":"Yan Wang, Junyu Wang, Lin Zhang, Chengji Wang, Guotuan Wang, Changdong Li, Yuan Yuan, Bopeng Qiu, Yong Yang","doi":"10.3389/fphys.2025.1685099","DOIUrl":"10.3389/fphys.2025.1685099","url":null,"abstract":"<p><strong>Background: </strong>To compare the effects of various exercise modalities on intelligence and determine the optimal exercise dose for children and adolescents.</p><p><strong>Methods: </strong>A systematic review and Bayesian network meta-analysis following PRISMA guidelines was conducted. Four databases were searched up to 1 April 2025. Eligible RCTs involved participants aged 5-18 years and assessed exercise interventions with intelligence outcomes (general, fluid, or crystallized). Standardized mean differences (SMDs) with corresponding 95% confidence interval or credible intervals were calculated. Dose-response relationships were analyzed using model-based network meta-analysis.</p><p><strong>Results: </strong>Fifteen RCTs with 3,400 participants were included. Exercise was linked to small-to-moderate improvements in general (SMD = 0.59), fluid (SMD = 0.43), and crystallized intelligence (SMD = 0.64). Dual-task balance training (DTBT) produced the most consistent and significant benefits across all domains. Yoga and multi-component exercise also showed positive effects. Optimal outcomes were achieved with sessions lasting ≥117.7 min, three times weekly, totaling 220 min per week for at least 11.12 weeks. An inverted U-shaped dose-response curve indicated diminishing returns beyond the optimal frequency and duration.</p><p><strong>Conclusion: </strong>DTBT is the most effective exercise modality for improving intelligence in children and adolescents. The findings provide evidence-based guidance for designing school and clinical exercise programs to support cognitive development during growth.</p>","PeriodicalId":12477,"journal":{"name":"Frontiers in Physiology","volume":"16 ","pages":"1685099"},"PeriodicalIF":3.2,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12851973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146104726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Post-activation potentiation enhancement induction strategies with different rest intervals on jump performance: a meta-analysis. 不同休息时间对跳跃表现的激活后增强诱导策略:一项荟萃分析。
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-15 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1696129
Ying Zhou, Xiaoqin Zhang, Jian Wang

Objective: This meta-analysis aimed to systematically evaluate the effects of post-activation potentiation enhancement (PAPE) on jump performance and explore its optimal induction strategies.

Methods: Randomized controlled trials (RCTs) investigating the influence of PAPE training on jump performance were retrieved from Web of Science, PubMed, Scopus, and EBSCO. Literature screening was conducted using the Cochrane Risk of Bias Tool. Quality assessment and statistical analyses were performed using RevMan 5.4 software, while sensitivity analysis and funnel plots were employed to evaluate result stability and publication bias.

Results: A total of 22 RCTs involving 468 participants were included. The meta-analysis demonstrated that PAPE significantly improved jump performance [SMD = 1.36, 95% CI (0.89, 1.83), P < 0.0001]. Subgroup analysis indicated that exercise intensity might be a source of heterogeneity across studies.The largest effect sizes with statistical significance were observed in the following subgroups: exercise mode (Back squat) [SMD = 2.85, 95% CI (0.98, 4.73), P = 0.003], gender (Male) [SMD = 1.53, 95% CI (0.92, 2.14), P < 0.0001], outcome extracted (Counter movement jump) [SMD = 1.34, 95% CI (0.86, 1.81), P < 0.0001], exercise intensity (Moderate Intensity) [SMD = 2.46, 95% CI (1.71, 3.22), P < 0.0001], and rest interval (3-7 min) [SMD = 1.47, 95% CI (0.79, 2.14), P < 0.0001].

Conclusion: PAPE may serve as a potentially effective strategy for enhancing jumping performance under appropriate conditions. In exercises aimed at improving jumping performance, back squats and medium-intensity induction appear to yield the most pronounced benefits. A 3-7 min recovery interval works best, though adjustments should be made based on individual exercise factors.

Systematic review registration: http://inplasy.com, identifier INPLASY202430008.

目的:本荟萃分析旨在系统评估激活后增强(PAPE)对跳远成绩的影响,并探索其最佳诱导策略。方法:从Web of Science、PubMed、Scopus和EBSCO中检索PAPE训练对跳远成绩影响的随机对照试验(RCTs)。使用Cochrane偏倚风险工具进行文献筛选。采用RevMan 5.4软件进行质量评价和统计分析,采用敏感性分析和漏斗图评价结果的稳定性和发表偏倚。结果:共纳入22项随机对照试验,涉及468名受试者。荟萃分析显示,PAPE显著改善了跳跃性能[SMD = 1.36, 95% CI (0.89, 1.83), P < 0.0001]。亚组分析表明,运动强度可能是研究异质性的一个来源。最大的尺度效应与统计学意义观察下面的子组:运动模式(蹲)(SMD = 2.85, 95% CI (0.98, 4.73), P = 0.003),性别(男)(SMD = 1.53, 95% CI (0.92, 2.14), P < 0.0001),结果提取(计数器运动跳)[SMD = 1.34, 95% CI (0.86, 1.81), P < 0.0001),运动强度(中等强度)[SMD = 2.46, 95% CI (1.71, 3.22), P < 0.0001),和休息时间间隔(3 - 7分钟)(SMD = 1.47, 95% CI (0.79, 2.14), P < 0.0001)。结论:在适当的条件下,PAPE可能是提高跳远成绩的有效策略。在旨在提高跳跃能力的练习中,后蹲和中等强度的诱导似乎能产生最明显的好处。3-7分钟的恢复间隔效果最好,但应根据个人运动因素进行调整。系统评审注册:http://inplasy.com,标识符INPLASY202430008。
{"title":"Post-activation potentiation enhancement induction strategies with different rest intervals on jump performance: a meta-analysis.","authors":"Ying Zhou, Xiaoqin Zhang, Jian Wang","doi":"10.3389/fphys.2025.1696129","DOIUrl":"10.3389/fphys.2025.1696129","url":null,"abstract":"<p><strong>Objective: </strong>This meta-analysis aimed to systematically evaluate the effects of post-activation potentiation enhancement (PAPE) on jump performance and explore its optimal induction strategies.</p><p><strong>Methods: </strong>Randomized controlled trials (RCTs) investigating the influence of PAPE training on jump performance were retrieved from Web of Science, PubMed, Scopus, and EBSCO. Literature screening was conducted using the Cochrane Risk of Bias Tool. Quality assessment and statistical analyses were performed using RevMan 5.4 software, while sensitivity analysis and funnel plots were employed to evaluate result stability and publication bias.</p><p><strong>Results: </strong>A total of 22 RCTs involving 468 participants were included. The meta-analysis demonstrated that PAPE significantly improved jump performance [<i>SMD</i> = 1.36, 95% <i>CI</i> (0.89, 1.83), <i>P</i> < 0.0001]. Subgroup analysis indicated that exercise intensity might be a source of heterogeneity across studies.The largest effect sizes with statistical significance were observed in the following subgroups: exercise mode (Back squat) [<i>SMD</i> = 2.85, 95% <i>CI</i> (0.98, 4.73), <i>P</i> = 0.003], gender (Male) [<i>SMD</i> = 1.53, 95% <i>CI</i> (0.92, 2.14), <i>P</i> < 0.0001], outcome extracted (Counter movement jump) [<i>SMD</i> = 1.34, 95% <i>CI</i> (0.86, 1.81), <i>P</i> < 0.0001], exercise intensity (Moderate Intensity) [<i>SMD</i> = 2.46, 95% <i>CI</i> (1.71, 3.22), <i>P</i> < 0.0001], and rest interval (3-7 min) [<i>SMD</i> = 1.47, 95% <i>CI</i> (0.79, 2.14), <i>P</i> < 0.0001].</p><p><strong>Conclusion: </strong>PAPE may serve as a potentially effective strategy for enhancing jumping performance under appropriate conditions. In exercises aimed at improving jumping performance, back squats and medium-intensity induction appear to yield the most pronounced benefits. A 3-7 min recovery interval works best, though adjustments should be made based on individual exercise factors.</p><p><strong>Systematic review registration: </strong>http://inplasy.com, identifier INPLASY202430008.</p>","PeriodicalId":12477,"journal":{"name":"Frontiers in Physiology","volume":"16 ","pages":"1696129"},"PeriodicalIF":3.2,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12852009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146104696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Pyridoxamine reduces inflammatory and microcirculatory abnormalities in metabolic dysfunction-associated steatohepatitis and modulates key factors in the hepatic AGE/ALE signaling pathway. 吡哆沙明减少代谢功能障碍相关脂肪性肝炎的炎症和微循环异常,并调节肝脏AGE/ALE信号通路中的关键因素。
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-15 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1736221
Raquel Rangel Silvares, Beatriz Peres de Araujo, Evelyn Nunes Goulart Da Silva Pereira, Karine Lino Rodrigues, Juliana Magalhães Chaves Barbosa, Juliana Florencio da Silva, Vivian Vieira Dias da Silva, Marjo Van de Aarenburg, Jean Scheijen, Kristiaan Wouters, Casper Schalkwijk, Anissa Daliry

Metabolic dysfunction-associated steatohepatitis (MASH) is an increasing public health concern for which new therapies are urgently needed. As growing evidence suggests that the advanced glycation/lipoxidation end products (AGE/ALE) pathway contribute to disease progression, we investigated how pyridoxamine modulates hepatic AGE/ALE-related signaling in a murine model of MASH, as well as its pharmacological impact on key features of MASH. C57BL/6 mice were fed either a standard diet (Control) or a high-fat, high-carbohydrate diet with 2% cholesterol (HFHC + CHOL2%) for 12 weeks. From weeks 6-12, subgroups of both diet groups received pyridoxamine (200 mg/kg/day), while the remaining mice received vehicles. Body and liver weights, blood glucose levels, adipose tissue distribution, liver histology, serum biochemistry, microcirculation, inflammatory cytokines, oxidative stress, and AGE/ALE signaling were assessed. The HFHC + CHOL2% group showed marked steatosis, inflammation, and impaired hepatic microcirculation. Pyridoxamine treatment attenuated metabolic and hepatic changes, reducing weight gain, hyperglycemia, fat accumulation, steatosis, collagen deposition, and the expression of proinflammatory cytokines associated with MASH. Pyridoxamine significantly reduced systemic levels of reactive dicarbonyls, such as glyoxal and 3-deoxyglucosone, and prevented the accumulation of fluorescent AGE/ALE and CML in both serum and liver. In addition, in the liver, pyridoxamine downregulates RAGE, CD36, and galectin-3 receptors, while upregulating detoxifying mediators, including AGE-R1 and glyoxalase-1. In this context, the metabolic and hepatoprotective effects of pyridoxamine appear to be associated with a rebalancing of key components of the AGE/ALE signalling pathway, potentially attenuating the toxic feedback loop that contributes.

代谢功能障碍相关脂肪性肝炎(MASH)是一个日益关注的公共卫生问题,迫切需要新的治疗方法。随着越来越多的证据表明晚期糖基化/脂氧化终产物(AGE/ALE)途径有助于疾病进展,我们研究了吡脲胺如何在小鼠MASH模型中调节肝脏AGE/ALE相关信号,以及其对MASH关键特征的药理学影响。C57BL/6小鼠分别饲喂标准饮食(对照组)和高脂肪、高碳水化合物饮食(含2%胆固醇)(HFHC + CHOL2%) 12周。从第6-12周开始,两个饮食组的亚组均给予吡哆沙明(200 mg/kg/d),其余小鼠给予载药。评估体重和肝脏重量、血糖水平、脂肪组织分布、肝脏组织学、血清生化、微循环、炎症细胞因子、氧化应激和AGE/ALE信号。HFHC + CHOL2%组出现明显的脂肪变性、炎症和肝脏微循环受损。吡哆沙明治疗可减轻代谢和肝脏变化,减轻体重增加、高血糖、脂肪堆积、脂肪变性、胶原沉积和与MASH相关的促炎细胞因子的表达。吡哆沙明可显著降低全身活性二羰基水平,如乙二醛和3-脱氧葡萄糖酮,并阻止血清和肝脏中荧光AGE/ALE和CML的积累。此外,在肝脏中,吡哆沙胺下调RAGE、CD36和半乳糖凝集素-3受体,同时上调解毒介质,包括AGE-R1和glyoxalase-1。在这种情况下,吡哆沙胺的代谢和肝脏保护作用似乎与AGE/ALE信号通路关键成分的再平衡有关,可能会减弱起作用的毒性反馈回路。
{"title":"Pyridoxamine reduces inflammatory and microcirculatory abnormalities in metabolic dysfunction-associated steatohepatitis and modulates key factors in the hepatic AGE/ALE signaling pathway.","authors":"Raquel Rangel Silvares, Beatriz Peres de Araujo, Evelyn Nunes Goulart Da Silva Pereira, Karine Lino Rodrigues, Juliana Magalhães Chaves Barbosa, Juliana Florencio da Silva, Vivian Vieira Dias da Silva, Marjo Van de Aarenburg, Jean Scheijen, Kristiaan Wouters, Casper Schalkwijk, Anissa Daliry","doi":"10.3389/fphys.2025.1736221","DOIUrl":"10.3389/fphys.2025.1736221","url":null,"abstract":"<p><p>Metabolic dysfunction-associated steatohepatitis (MASH) is an increasing public health concern for which new therapies are urgently needed. As growing evidence suggests that the advanced glycation/lipoxidation end products (AGE/ALE) pathway contribute to disease progression, we investigated how pyridoxamine modulates hepatic AGE/ALE-related signaling in a murine model of MASH, as well as its pharmacological impact on key features of MASH. C57BL/6 mice were fed either a standard diet (Control) or a high-fat, high-carbohydrate diet with 2% cholesterol (HFHC + CHOL2%) for 12 weeks. From weeks 6-12, subgroups of both diet groups received pyridoxamine (200 mg/kg/day), while the remaining mice received vehicles. Body and liver weights, blood glucose levels, adipose tissue distribution, liver histology, serum biochemistry, microcirculation, inflammatory cytokines, oxidative stress, and AGE/ALE signaling were assessed. The HFHC + CHOL2% group showed marked steatosis, inflammation, and impaired hepatic microcirculation. Pyridoxamine treatment attenuated metabolic and hepatic changes, reducing weight gain, hyperglycemia, fat accumulation, steatosis, collagen deposition, and the expression of proinflammatory cytokines associated with MASH. Pyridoxamine significantly reduced systemic levels of reactive dicarbonyls, such as glyoxal and 3-deoxyglucosone, and prevented the accumulation of fluorescent AGE/ALE and CML in both serum and liver. In addition, in the liver, pyridoxamine downregulates RAGE, CD36, and galectin-3 receptors, while upregulating detoxifying mediators, including AGE-R1 and glyoxalase-1. In this context, the metabolic and hepatoprotective effects of pyridoxamine appear to be associated with a rebalancing of key components of the AGE/ALE signalling pathway, potentially attenuating the toxic feedback loop that contributes.</p>","PeriodicalId":12477,"journal":{"name":"Frontiers in Physiology","volume":"16 ","pages":"1736221"},"PeriodicalIF":3.2,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12852023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146104653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Re-ascent triggered high-altitude pulmonary and cerebral edema in a Tibetan with pre-existing high-altitude polycythemia: a Case Report. 高原红细胞增多症患者再次上升引发高原肺水肿和脑水肿1例。
IF 3.2 3区 医学 Q2 PHYSIOLOGY Pub Date : 2026-01-15 eCollection Date: 2025-01-01 DOI: 10.3389/fphys.2025.1685329
He Huang, Shuaijun Yuan, Limin Zhang, Jiaye Song, Dengwei Xue, Dongmei Liu, Jingxin Cao

High-altitude pulmonary edema (HAPE), high-altitude cerebral edema (HACE), and high-altitude polycythemia (HAPC) are each rarely observed in Tibetan populations. The coexistence of HAPE, HACE, and HAPC in the same person has not been previously documented. Here, we report the case of a native Tibetan male with HAPC who developed both HAPE and HACE upon re-ascent to an altitude of 3,650 m after a 27-day stay at low altitude. On the 3rd-4th day post-return, the patient exhibited persistent dyspnea, chest tightness, hypersomnia, intermittent agitation, and confusion. Chest CT and multimodal neuroimaging confirmed the presence of HAPE and HACE. Treatment followed guidelines (supplemental oxygen, high-dose dexamethasone) along with supportive measures, resulting in clinical resolution. This is the first reported case of co-occurring HAPE, HACE and HAPC in a native Tibetan upon re-ascent, suggesting that pre-existing HAPC may be a significant risk factor for severe acute high-altitude illness in this setting.

高原肺水肿(HAPE)、高原脑水肿(HACE)和高原红细胞增多症(HAPC)在藏族人群中都很少见。HAPE、HACE和HAPC同时发生在同一个人身上,以前没有文献记载。在这里,我们报告了一例本地藏族男性HAPC患者,他在低海拔停留27天后再次上升到3650米的高度,并发HAPE和HACE。返回后第3 -4天,患者出现持续性呼吸困难、胸闷、嗜睡、间歇性躁动和精神错乱。胸部CT和多模态神经影像学证实HAPE和HACE的存在。治疗遵循指南(补充氧气,大剂量地塞米松)和支持措施,导致临床缓解。这是首次报道的HAPE、HACE和HAPC同时发生在土著藏族人再次登山时的病例,提示先前存在的HAPC可能是该地区严重急性高原疾病的重要危险因素。
{"title":"Re-ascent triggered high-altitude pulmonary and cerebral edema in a Tibetan with pre-existing high-altitude polycythemia: a Case Report.","authors":"He Huang, Shuaijun Yuan, Limin Zhang, Jiaye Song, Dengwei Xue, Dongmei Liu, Jingxin Cao","doi":"10.3389/fphys.2025.1685329","DOIUrl":"10.3389/fphys.2025.1685329","url":null,"abstract":"<p><p>High-altitude pulmonary edema (HAPE), high-altitude cerebral edema (HACE), and high-altitude polycythemia (HAPC) are each rarely observed in Tibetan populations. The coexistence of HAPE, HACE, and HAPC in the same person has not been previously documented. Here, we report the case of a native Tibetan male with HAPC who developed both HAPE and HACE upon re-ascent to an altitude of 3,650 m after a 27-day stay at low altitude. On the 3rd-4th day post-return, the patient exhibited persistent dyspnea, chest tightness, hypersomnia, intermittent agitation, and confusion. Chest CT and multimodal neuroimaging confirmed the presence of HAPE and HACE. Treatment followed guidelines (supplemental oxygen, high-dose dexamethasone) along with supportive measures, resulting in clinical resolution. This is the first reported case of co-occurring HAPE, HACE and HAPC in a native Tibetan upon re-ascent, suggesting that pre-existing HAPC may be a significant risk factor for severe acute high-altitude illness in this setting.</p>","PeriodicalId":12477,"journal":{"name":"Frontiers in Physiology","volume":"16 ","pages":"1685329"},"PeriodicalIF":3.2,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12852030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146104708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
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