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Exercise, Respiratory and Environmental Physiology: A Tribute from the School of Milano 运动、呼吸和环境生理学:米兰学派的致敬
Pub Date : 2023-01-01 DOI: 10.1007/978-3-031-19197-8
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引用次数: 0
Positive end-expiratory pressure decreases bronchial blood flow in the dog. 呼气末正压降低狗的支气管血流量。
Pub Date : 1985-06-01 DOI: 10.1097/00132586-198506000-00002
E. Baile, R. Albert, W. Kirk, S. Lakshaminarayan, B. Wiggs, P. Paré
Positive end-expiratory pressure (PEEP) increases pulmonary vascular resistance, but its effect on the bronchial circulation is unknown. We have compared two techniques for measuring bronchial blood flow in anesthetized, open-chest, ventilated dogs at varying levels of PEEP. Bronchial blood flow ( Qbr ) to the left lower lobe (LLL) and trachea was measured with radiolabeled microspheres. Total Qbr was partitioned into tracheal, bronchial, and parenchymal fractions. We also measured the bronchopulmonary anastomotic flow ( Qbra ) by attaching cannulas from the lobar pulmonary artery and vein to reservoirs, interrupting the LLL pulmonary blood flow and collecting the flow going into the reservoirs. We measured Qbr and Qbra in 10 animals ventilated with varying levels of PEEP (3, 10, and 15 cmH2O) applied randomly. Pulmonary venous pressure was kept at 0 cmH2O. There was no difference observed between Qbr and Qbra at PEEP 3 and 10 cmH2O, but at PEEP 15 cmH2O, Qbr was greater than Qbra , suggesting that at low left atrial pressures bronchial blood flow drains mainly to the left atrium, whereas at elevated alveolar pressures a larger fraction empties into the right side of the heart. PEEP decreased LLL Qbr and Qbra (P less than 0.01). That fraction of Qbr going to the trachea did not change with PEEP. However, the bronchial and parenchymal fractions decreased.
呼气末正压(PEEP)增加肺血管阻力,但其对支气管循环的影响尚不清楚。我们比较了两种测量麻醉、开胸、通气犬不同PEEP水平下支气管血流量的技术。用放射性标记微球测量左下肺叶和气管的支气管血流量。总Qbr分为气管、支气管和实质部分。我们还测量了支气管肺吻合流量(Qbra),方法是将肺叶动脉和肺静脉的插管连接到储血库,阻断LLL肺血流并收集进入储血库的血流。我们测量了10只随机施加不同PEEP(3、10和15 cmH2O)通气动物的Qbr和Qbra。肺静脉压维持在0 cmH2O。在PEEP 3和10 cmH2O时,Qbr和Qbra无差异,但在PEEP 15 cmH2O时,Qbr大于Qbra,提示在低左房压时,支气管血流主要流向左心房,而在肺泡压升高时,更大比例的血流流入心脏右侧。PEEP降低LLL Qbr和Qbra (P < 0.01)。进入气管的Qbr比例不随PEEP而改变。然而,支气管和实质分数降低。
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引用次数: 6
Changes in the VI-VCO2 relationship during exercise in goats: role of carotid bodies. 山羊运动时VI-VCO2关系的变化:颈动脉体的作用。
Pub Date : 1984-12-01 DOI: 10.1152/jappl.1984.57.6.1894
G S Mitchell, C A Smith, J A Dempsey

To assess the role of carotid bodies in modulating the ventilation-CO2 production relationship, steady-state responses to mild exercise were determined in goats following several experimental manipulations that led to chronic changes in resting ventilation and arterial blood gases. The experimental conditions were 1) control, 2) whole body serotonin depletion (induced by p-chlorophenylalanine, 100 mg/kg), 3) carotid body denervation (CBX), and 4) serotonin depletion with CBX. Resting values of arterial CO2 pressure (Pco2) ranged from 32 to 48 Torr. In each condition, arterial Pco2 was regulated to a similar degree in exercise due to changes in the slope of the ventilation-CO2 production relationship (delta Vi/delta Vco2) in accordance with the requirements of gas exchange. delta Vi/delta Vco2 increased with serotonin depletion both before and after CBX. The principal component of ventilation contributing to changes in delta Vi/delta Vco2 was tidal volume. These results suggest a basic property of the ventilatory control system whereby enhanced ventilatory activity at rest is associated with an increased ventilatory response to exercise via a mechanism that does not require peripheral chemoreceptors.

为了评估颈动脉小体在调节通气-二氧化碳产生关系中的作用,在山羊进行了几次实验操作后,确定了对轻度运动的稳态反应,这些实验操作导致静息通气和动脉血气的慢性变化。实验条件为:1)对照,2)全身血清素耗竭(对氯苯丙氨酸,100 mg/kg诱导),3)颈动脉体去神经支配(CBX), 4)血清素耗竭伴CBX。动脉CO2压(Pco2)静息值为32 ~ 48 Torr。在每种情况下,由于根据气体交换的要求,通气- co2生成关系(δ Vi/ δ Vco2)的斜率发生变化,动脉Pco2在运动中受到相似程度的调节。在CBX前后,δ Vi/ δ Vco2随血清素耗竭而升高。通气对δ Vi/ δ Vco2变化的主要影响因素是潮气量。这些结果表明了通气控制系统的一个基本特性,即休息时通气活动的增强与运动时通气反应的增加有关,其机制不需要外周化学感受器。
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引用次数: 26
Nonuniform brain blood flow response to hypoxia in unanesthetized cats. 未麻醉猫对缺氧的不均匀脑血流反应。
Pub Date : 1984-12-01 DOI: 10.1152/jappl.1984.57.6.1803
J A Neubauer, N H Edelman

In seven unanesthetized cats, radiolabeled microspheres were used to determine regional brain blood flow (rBBF) to the medulla-pons (M-P), midbrain-thalamus (M-T), cerebellum (Cb), and cortex (Cx) during three conditions: 1) control [arterial O2 tension (PaO2) = 81 Torr, arterial CO2 tension (PaCO2) = 26 Torr]; 2) hypocapnic hypoxia (PaO2 = 39 Torr, PaCO2 = 22 Torr); and 3) isocapnic hypoxia (PaO2 = 47 Torr, PaCO2 = 26 Torr). Hypoxia increased blood flow significantly more in the caudal brain stem (M-P) than in the Cx (P less than 0.05) during both hypocapnic hypoxia (M-P/Cx: +33/ +17 ml X min-1 X 100 g-1) and isocapnic hypoxia (M-P/Cx: +13/ -2 ml X min-1 X 100 g-1). Since sympathetic innervation is greater anatomically to rostral than to caudal vessels, we examined the rBBF response to hypocapnic hypoxia in seven additional cats after unilateral superior cervical gangliectomy. All seven cats had a reduction in the cortical-to-caudal brain stem trend on the denervated side of the brain (M-P/Cx: +27/+28 ml X min-1 X 100 g-1) compared with the intact side of the brain (M-P/Cx: +34/+24 ml X min-1 X 100 g-1) owing to both increases in Cx and decreases in M-P flows. We conclude that in unanesthetized cats hypoxia causes a greater increase in the caudal brain stem compared with cortical blood flow, and this differential response is related to modulation by the sympathetic nervous system.(ABSTRACT TRUNCATED AT 250 WORDS)

在7只未麻醉的猫中,用放射性标记的微球测定了在三种情况下脑髓-脑桥(M-P)、中脑-丘脑(M-T)、小脑(Cb)和皮质(Cx)的区域脑血流量(rBBF): 1)控制[动脉O2张力(PaO2) = 81 Torr,动脉CO2张力(PaCO2) = 26 Torr];2)低碳酸缺氧(PaO2 = 39 Torr, PaCO2 = 22 Torr);3)异氧缺氧(PaO2 = 47 Torr, PaCO2 = 26 Torr)。低碳酸缺氧(M-P/Cx: +33/ +17 ml X min-1 X 100 g-1)和异碳酸缺氧(M-P/Cx: +13/ -2 ml X min-1 X 100 g-1)时,低氧使尾侧脑干(M-P)的血流量显著高于Cx (P < 0.05)。由于交感神经在解剖学上对吻侧血管的支配大于对尾侧血管的支配,我们在另外7只猫的单侧颈上神经节切除术后检测了rBBF对低碳缺氧的反应。与脑完整侧(M-P/Cx: +34/+24 ml X min-1 X 100 g-1)相比,所有7只猫的脑去神经侧(M-P/Cx: +27/+28 ml X min-1 X 100 g-1)由于Cx的增加和M-P流量的减少,皮质到尾脑干的趋势都有所减少。我们得出的结论是,在未麻醉的猫中,与皮质血流量相比,缺氧导致尾侧脑干的血流量增加更多,这种差异反应与交感神经系统的调节有关。(摘要删节250字)
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引用次数: 22
Quiet-breathing vs. panting methods for determination of specific airway conductance. 静呼吸法与喘气法测定特定气道电导。
Pub Date : 1984-12-01 DOI: 10.1152/jappl.1984.57.6.1917
W S Krell, K P Agrawal, R E Hyatt

Specific airway conductance (sGaw) was measured during quiet breathing and during panting in 21 normal subjects and 10 patients with obstructive lung disease. The direct method used does not require measuring thoracic gas volume (TGV). Coefficients of variation were 5.5% for panting and 5.1% for quiet breathing. Interobserver variability was 4.7% in the quiet-breathing method and 6.3% in the panting method. The two methods gave equivalent results for sGaw. A slightly greater sGaw was found by the panting method in normal subjects with the highest sGaw values, probably due to widening of the oropharynx-glottis during panting. In six normal subjects studied for intrasubject variability over time, no significant diurnal or day-to-day variability was seen by either method. We conclude that the quiet-breathing method is a simple valid means of determining sGaw and utilizes a physiological respiratory maneuver. Obviation of the need to measure TGV is advantageous. Results are equivalent to those of the panting method and variability is similar.

测定了21例正常受试者和10例阻塞性肺疾病患者在安静呼吸和喘气时的特定气道电导(sGaw)。使用的直接方法不需要测量胸部气体体积(TGV)。喘息的变异系数为5.5%,安静呼吸的变异系数为5.1%。观察者间差异在静呼吸法中为4.7%,在喘气法中为6.3%。两种方法对sGaw的计算结果相当。喘气法发现正常受试者的sGaw略大,sGaw值最高,可能是由于喘气时口咽声门扩大。在6名正常受试者中,研究了受试者内部随时间的变化,两种方法都没有发现明显的日或日变化。我们的结论是,静呼吸法是一种简单有效的方法来确定sGaw和利用生理呼吸操作。避免需要测量TGV是有利的。结果与喘息法相当,变异性相似。
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引用次数: 35
Liposome-mediated augmentation of brain SOD and catalase inhibits CNS O2 toxicity. 脂质体介导的脑SOD和过氧化氢酶增强抑制CNS O2毒性。
Pub Date : 1984-12-01 DOI: 10.1152/jappl.1984.57.6.1674
T Yusa, J D Crapo, B A Freeman

Enzymes specific for O-2 and H2O2 metabolism [superoxide dismutase (SOD) and catalase] can be delivered to the rat brain following entrapment in liposomes and intravenous injection and will protect against hyperbaric O2-induced convulsions in rats. Liposome-mediated superoxide dismutase and catalase augmentation of brain enzyme activity was 2.7-fold and 1.9-fold, respectively, 15 min after intravenous injection of superoxide dismutase plus catalase-entrapped liposomes. Rats treated with liposomes containing superoxide dismutase plus catalase 2 h before 6 ATA 100% O2 exposure had the time to convulsion extended three times that of controls. This protective effect was dose-dependent and was primarily due to augmentation of catalase activity. These findings show O-2 and H2O2 are important mediators of hyperbaric O2-induced central nervous system toxicity and that liposome-mediated augmentation of brain antioxidant enzymes has a biological effect.

O-2和H2O2代谢的特异性酶[超氧化物歧化酶(SOD)和过氧化氢酶]可以通过脂质体包裹和静脉注射传递到大鼠大脑,并可以保护大鼠免受高压o2引起的惊厥。脂质体介导的超氧化物歧化酶和过氧化氢酶在静脉注射超氧化物歧化酶加过氧化氢酶包埋脂质体15 min后,脑酶活性分别提高2.7倍和1.9倍。在6ata 100% O2暴露前2 h用含有超氧化物歧化酶和过氧化氢酶的脂质体处理大鼠惊厥时间延长3倍。这种保护作用是剂量依赖性的,主要是由于过氧化氢酶活性的增强。这些发现表明,o2和H2O2是高压氧诱导中枢神经系统毒性的重要介质,脂质体介导的脑抗氧化酶增强具有生物学效应。
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引用次数: 82
Hypoxic insomnia: effects of carbon monoxide and acclimatization. 缺氧性失眠:一氧化碳与环境适应的影响。
Pub Date : 1984-12-01 DOI: 10.1152/jappl.1984.57.6.1696
J R Pappenheimer

Hypoxia causes severe disruption of both rapid-eye-movement (REM) and non-REM (NREM) sleep. Experiments were performed on rats to determine if hypoxic insomnia is mediated by peripheral chemoreceptors and if normal sleep is restored during acclimatization to low O2. Novel methods were devised to measure distribution of amplitudes of cortical slow waves during NREM sleep and to detect REM sleep from the ratio of amplitudes of theta-to delta-frequency bands in the hippocampal electroencephalogram (EEG). Acute exposure of rats to 10.5% O2 (5,030 m altitude equivalent) during daylight hours virtually abolished REM sleep and shifted the distribution of amplitudes of slow-wave sleep EEG toward awake values. Similar disruption of sleep occurred during inhalation of 0.05% CO with steady-state carboxyhemoglobin of approximately 35%. Respiratory rate and alveolar ventilation were greatly increased by 10.5% O2 but were unaffected by CO. Therefore, hypoxic disruption of sleep was not mediated by peripheral chemoreceptors regulating breathing. Partial recovery of sleep occurred after 1-2 wk of hypoxia, but both REM and NREM were still subnormal after 1 mo. Decreased intensity of NREM sleep during hypoxia, measured by amplitude of cortical slow waves, may explain the disparity between subjective complaints of insomnia at altitude and evaluations of sleep by direct observation or by conventional EEG. Loss of appetite, loss of weight, irritability, and other symptoms of altitude sickness may be related to hypoxic insomnia.

缺氧会导致快速眼动(REM)和非快速眼动(NREM)睡眠的严重中断。在大鼠身上进行了实验,以确定缺氧失眠是否由外周化学感受器介导,以及在适应低氧的过程中是否恢复正常睡眠。设计了一种新的方法来测量非快速眼动睡眠期间皮层慢波的振幅分布,并通过海马脑电图(EEG)中θ - δ频带的振幅比来检测快速眼动睡眠。大鼠在白天急性暴露于10.5%的氧气(相当于海拔5030米)中,实际上破坏了快速眼动睡眠,并使慢波睡眠脑电图波幅分布向清醒值偏移。类似的睡眠中断发生在吸入0.05%的一氧化碳时,稳态碳氧血红蛋白约为35%。呼吸频率和肺泡通气量显著增加,但不受一氧化碳影响。因此,睡眠的缺氧中断不是由调节呼吸的外周化学受体介导的。缺氧1-2周后出现部分睡眠恢复,但1个月后REM和NREM仍低于正常水平。皮层慢波振幅测量的缺氧期间NREM睡眠强度下降,可能解释了高原地区主观失眠主述与直接观察或常规脑电图睡眠评估之间的差异。食欲不振、体重减轻、易怒和其他高原反应症状可能与缺氧性失眠有关。
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引用次数: 19
Metabolic control of cardiac output response to exercise in McArdle's disease. McArdle病运动后心输出量的代谢控制
Pub Date : 1984-12-01 DOI: 10.1152/jappl.1984.57.6.1749
S F Lewis, R G Haller, J D Cook, C G Blomqvist

During dynamic exercise cardiac output (Q) normally increases approximately 5 liters per liter of increase in O2 uptake (Vo2) (i.e., delta Q/delta Vo2 approximately equal to 5), indicative of a tight coupling between systemic O2 transport and utilization. We studied four patients with muscle phosphorylase deficiency (McArdle's disease) in whom Q was normal at rest, but delta Q/delta Vo2 was 14.1 +/- 1.3 during bicycle exercise. Procedures designed to alter the availability of substrates were employed to test the hypothesis that the increased delta Q/delta Vo2 is linked to the abnormal metabolic state of skeletal muscle. Fasting plus prolonged moderate exercise was used to increase the availability of plasma free fatty acid (FFA) and resulted in a normalization of delta Q/delta Vo2 (5.3 +/- 0.4). Hyperglycemia (70% above control levels) partially normalized delta Q/delta Vo2. Nicotinic acid lowered plasma FFA concentration and dramatically increased delta Q/delta Vo2 (4.6 to 13.7) when administered after fasting plus prolonged exercise in one patient. Glucose infusion after nicotinic acid administration markedly lowered delta Q/delta Vo2. The results support the hypothesis and suggest that the metabolic state of skeletal muscle, possibly via activation of muscle afferents, participates in the regulation of systemic O2 transport.

在动态运动中,心输出量(Q)通常每增加1升氧摄取(Vo2)增加约5升(即Q/ Vo2约等于5),表明全身氧运输和利用之间存在紧密耦合。我们研究了4例肌肉磷酸化酶缺乏症(McArdle's disease)患者,他们在休息时Q正常,但在自行车运动时Q/ Vo2为14.1 +/- 1.3。设计程序来改变底物的可用性,以验证增加的δ Q/ δ Vo2与骨骼肌异常代谢状态有关的假设。禁食加长时间的适度运动可以增加血浆游离脂肪酸(FFA)的可用性,并导致δ Q/ δ Vo2正常化(5.3 +/- 0.4)。高血糖(比对照水平高70%)Q/ Vo2部分正常化。一名患者在禁食加长时间运动后服用烟酸可降低血浆FFA浓度,并显著增加δ Q/ δ Vo2(4.6至13.7)。烟酸给药后葡萄糖输注显著降低Q/ Vo2。结果支持了这一假设,表明骨骼肌的代谢状态可能通过激活肌肉传入神经参与了全身氧运输的调节。
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引用次数: 40
Effect of slightly lowered body temperatures on endurance performance in humans. 稍微降低体温对人类耐力表现的影响。
Pub Date : 1984-12-01 DOI: 10.1152/jappl.1984.57.6.1731
V Hessemer, D Langusch, L K Brück, R H Bödeker, T Breidenbach

Eight well-trained male rowers exercised as hard as possible on a bicycle ergometer for 60 min at an ambient temperature of 18 degrees C. On 1 day (precooling test, PRET) exercise was preceded by a double cold exposure that caused starting body temperatures to be approximately 4.5, 1.0, 0.8, and 0.4 degrees C (mean skin, mean body, tympanic, and esophageal temperatures, respectively) lower than in the control test (CONT). In PRET the mean 1-h work rate (172 W) was 6.8% larger than in CONT (161 W), O2 uptake (Vo2) was 9.6% higher (2.86 vs. 2.61 1 X min-1), and O2 pulse was increased by 5.6% (18.8 vs. 17.8 ml), whereas the sweat rate was 20.3% lower in PRET (1.06 vs. 1.33 mg X cm-2.min-1). No differences in heart rate, efficiency, postexercise blood values of lactate, or acid-base status were demonstrated. It appears that the improved performance in PRET was related to an increased O2 supply to the working muscles. Although plasma levels of total beta H-endorphin immunoreactivity were in the same range under both test conditions, different components of beta H-endorphin immunoreactivity were indicated to exist in PRET and CONT.

8名训练有素的男性赛艇运动员在18摄氏度的环境温度下,在自行车测力仪上进行了60分钟的尽可能剧烈的运动。在1天(预冷测试,PRET)运动之前,进行了两次冷暴露,导致开始体温比对照测试(CONT)低大约4.5、1.0、0.8和0.4摄氏度(平均皮肤、平均身体、鼓室和食管温度)。PRET组的平均1小时工作速率(172 W)比CONT组(161 W)高6.8%,氧气摄取(Vo2)高9.6% (2.86 vs. 2.61 1 X min-1),氧气脉冲增加5.6% (18.8 vs. 17.8 ml),而出汗率降低20.3% (1.06 vs. 1.33 mg X cm-2 min-1)。心率、效率、运动后血乳酸值或酸碱状态均无差异。似乎PRET表现的改善与工作肌肉的氧气供应增加有关。虽然在两种测试条件下血浆总β - h -内啡肽免疫反应性水平在同一范围内,但在PRET和CONT中存在不同的β - h -内啡肽免疫反应性成分。
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引用次数: 141
Effect of beta-adrenergic blockade on lactate turnover in exercising dogs. -肾上腺素能阻断对运动犬乳酸转化的影响。
Pub Date : 1984-12-01 DOI: 10.1152/jappl.1984.57.6.1754
B Issekutz

Dogs with indwelling catheters in the jugular vein and in the carotid artery ran on the treadmill (slope: 15%, speed: 133 m/min). Lactate turnover and glucose turnover were measured using [U-14C]lactate and [3-3H]glucose as tracers, according to the primed constant-rate infusion method. In addition, the participation of plasma glucose in lactate production (Ra-L) was measured with [U-14C]glucose. Propranolol was given either (A) before exercise (250 micrograms/kg, iv) or (B) in form of a primed infusion administered to the dog running at a steady rate. Measurements of plasma propranolol concentration showed that in type A experiments plasma propranolol fell in 45 min below the lower limit of the complete beta-blockade. In the first 15 min of work Ra-L rose rapidly; then it fell below that of the control (exercise) values. During steady exercise, the elevated Ra-L was decreased by propranolol infusion close to resting values. beta-Blockade doubled the response of glucose production, utilization, and metabolic clearance rate to exercise. In exercising dogs approximately 40-50% of Ra-L arises from plasma glucose. This value was increased by the blockade to 85-90%. It is concluded that glycogenolysis in the working muscle has a dual control: 1) an intracellular control operating at the beginning of exercise, and 2) a hormonal control involving epinephrine and the beta-adrenergic receptors.

颈静脉和颈动脉留置导管的狗在跑步机上跑步(坡度15%,速度133 m/min)。以[U-14C]乳酸和[3-3H]葡萄糖为示踪剂,采用引物恒速输注法测定乳酸代谢和葡萄糖代谢。此外,用[U-14C]葡萄糖测定血浆葡萄糖对乳酸生成(Ra-L)的参与。心得安在运动前给予(A)(250微克/千克,静脉注射)或(B)以稳定速度给狗注射。血浆心得安浓度测量显示,在A型实验中,血浆心得安在45分钟内降至完全阻断下限以下。工作前15分钟,Ra-L迅速上升;然后下降到控制值(练习值)以下。在稳定运动时,灌注心得安使升高的Ra-L降低到接近静息值。β -阻断剂使葡萄糖产生、利用和代谢清除率对运动的反应加倍。在运动的狗中,大约40-50%的Ra-L来自血浆葡萄糖。这个值被封锁增加到85-90%。由此可见,运动肌肉中的糖原分解具有双重调控:1)运动开始时的细胞内调控;2)肾上腺素和β -肾上腺素能受体参与的激素调控。
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引用次数: 56
期刊
Journal of applied physiology: respiratory, environmental and exercise physiology
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