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Protective effects of low-dose lithium treatment on rat postural muscle under conditions of disuse. 低剂量锂对废用状态下大鼠体位肌的保护作用。
IF 2.9 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-05 DOI: 10.1007/s00424-025-03138-9
Timur M Mirzoev, Sergey A Tyganov, Olga V Turtikova, Vitaly E Kalashnikov, Kristina A Sharlo, Boris S Shenkman
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引用次数: 0
Comment on "spatially dependent tissue distribution of thyroid hormones by plasma thyroid hormone binding proteins". 对“血浆甲状腺激素结合蛋白对甲状腺激素组织分布的空间依赖性”的评论。
IF 2.9 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-09-10 DOI: 10.1007/s00424-025-03111-6
Amnuay Kleebayoon, Viroj Wiwanitkit
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引用次数: 0
Effects of intrarenal afferent stimulation by bradykinin on renal sympathetic nerve activity: tonic inhibition contributing to renal function. 缓激肽肾内传入刺激对肾交感神经活动的影响:促进肾功能的强直抑制。
IF 2.9 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-09-11 DOI: 10.1007/s00424-025-03116-1
Eva Hutter, Tilmann Ditting, Martin Hindermann, Karl F Hilgers, Roland E Schmieder, Christian Morath, Mario Schiffer, Kerstin Amann, Roland Veelken, Kristina Rodionova

Bradykinin (BK) may increase renal sodium excretion by decreasing tubular ENaC activity. Afferent renal nerve activity (ARNA) putatively controls renal sympathetic nerve activity (RSNA) involved in renal sodium handling. We recently found tonic sympatho-inhibition due to intrarenal ARNA stimulation by the TRPV1 agonist capsaicin (CAP). Since BK is known to augment TRPV1 effects, we hypothesized that intrarenally applied BK also tonically inhibits RSNA. Four groups of rats (n = 8; BK, CAP, HOE + BK, NaCl-control) were equipped with arterial and venous catheters for blood pressure (BP) and heart rate (HR) recordings and drug application; bipolar electrodes for RSNA and ARNA recordings, renal arterial catheter for intrarenal administration (IRA) of bradykinin (BK: 10-5 M, 20 µl and 10-4 M; 2.5, 5, 10 µl), capsaicin (CAP 3.3, 6.6, 10 and 33*10-7 M, 10 µl). The B2-receptor antagonist HOE-140 (10-4 M, 40 µl) was administered intravenously (IV) just before IRA BK (HOE + BK), finally the NK1-receptor blocker RP67580 (10-2 M, 15 µl; IV) was applied in all groups at the end of the experiment. IRA BK and CAP momentarily increased ARNA. IRA CAP, IRA BK, and IRA HOE + BK, decreased RSNA from 4.2 ± 0.8 to 1.3 ± 0.2 µV*sec (BK, P < 0.01), 3.6 ± 0.5 to 0.9 ± 0.2 µV*sec (CAP, P < 0.01) and 3.2 ± 0.3 to 0.8 ± 0.1 µV*sec (HOE-BK, P < 0.01). Suppressed RSNA (BK, CAP, HOE + BK) was unmasked by IV RP67580: 1.6 ± 0.5 to 8.6 ± 2.9 µV*sec (BK, P < 0.01); 1.0 ± 0.2 to 6.1 ± 1.5 µV*sec (CAP, P < 0.01); 0.8 ± 0.2 to 4.5 ± 0.8 µV*sec (HOE-BK, P < 0.05). IRA BK was associated with momentary increases of RSNA, abolished by HOE-140. Intrarenal stimulation of renal afferent nerves by BK induced tonic renal sympathodepression likely augmenting sodium and water excretion.

缓激素(BK)可能通过降低肾小管ENaC活性而增加肾脏钠排泄。传入肾神经活动(ARNA)被认为控制参与肾钠处理的肾交感神经活动(RSNA)。我们最近发现由于TRPV1激动剂辣椒素(CAP)刺激肾内ARNA而引起的强直性交感神经抑制。由于已知BK可以增强TRPV1的作用,我们假设静脉内应用BK也可以抑制性地抑制RSNA。4组大鼠(n = 8, BK组、CAP组、HOE + BK组、nacl对照组)均置动脉、静脉导管,记录血压、心率并给药;双极电极用于RSNA和ARNA记录,肾动脉导管用于肾内给药(IRA)缓激肽(BK: 10-5 M, 20µl和10-4 M; 2.5, 5, 10µl),辣椒素(CAP 3.3, 6.6, 10和33*10-7 M, 10µl)。在IRA BK (HOE + BK)之前静脉给药b2受体拮抗剂HOE-140 (10-4 M, 40µl),最后在实验结束时给药nk1受体阻滞剂RP67580 (10-2 M, 15µl; IV)。IRA BK和CAP暂时增加了ARNA。IRA CAP、IRA BK和IRA HOE + BK使RSNA从4.2±0.8µV*sec降低到1.3±0.2µV*sec (BK, P
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引用次数: 0
Acquired cystic fibrosis transmembrane conductance regulator dysfunction. 获得性囊性纤维化跨膜传导调节功能障碍。
IF 2.9 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-13 DOI: 10.1007/s00424-025-03127-y
Michael Eisenhut, Helen Wallace

Rhinorrhoea associated with viral upper respiratory tract infections or reactions to aeroallergens affects all human beings and has been associated with loss of quality of life. Pulmonary fluid accumulation in acute lung injury is a leading cause of hospital admission and death from lower respiratory tract infection and sepsis. In this review, the evidence is presented supporting the hypothesis that both rhinorrhoea and inflammation-related pulmonary fluid accumulation are primarily due to dysfunction of the cystic fibrosis transmembrane conductance regulator (CFTR). Novel concepts of the mechanisms involved are introduced. Upper airway as well as alveolar surface liquid volumes have been shown to be dependent on the function of the CFTR. Its function is regulated directly by cytokines and through increased hydrostatic tissue pressure secondary to vasodilatation in allergic inflammation and infection. Regulation of upper airway fluid secretion manifested in allergic inflammation and viral infections can be explained by CFTR activation through vasodilatation mediated by bradykinin and histamine, and CFTR upregulation by interleukin-4. Alveolar fluid accumulation is related to inactivation of CFTR through microRNA derived from genomic cytokine effects including interleukin-1, interleukin-8, transforming growth factor, and tumour necrosis factor. The role of concomitant sodium-potassium ATPase inhibition is explained. Therapeutic interventions including already known CFTR inhibitors for excessive fluid secretion in the upper respiratory tract and remedies for inflammation-induced fluid accumulation in the lower respiratory tract due to CFTR dysfunction using anti-inflammatory and CFTR activating agents are introduced.

与病毒性上呼吸道感染或对空气过敏原的反应相关的鼻漏影响所有人,并与生活质量的下降有关。急性肺损伤中肺积液是导致下呼吸道感染和败血症住院和死亡的主要原因。在这篇综述中,证据支持这一假设,即鼻漏和炎症相关的肺部积液主要是由于囊性纤维化跨膜传导调节剂(CFTR)功能障碍。介绍了相关机制的新概念。上呼吸道以及肺泡表面液体体积已被证明依赖于CFTR的功能。其功能直接受细胞因子调节,并通过变应性炎症和感染中继发于血管扩张的静水组织压力增加。变应性炎症和病毒感染对上呼吸道液体分泌的调节可以通过缓激肽和组胺介导的血管舒张激活CFTR和白细胞介素-4上调CFTR来解释。肺泡积液与CFTR的失活有关,通过基因组细胞因子(包括白细胞介素-1、白细胞介素-8、转化生长因子和肿瘤坏死因子)产生的microRNA使CFTR失活。解释了伴随的钠钾atp酶抑制的作用。治疗干预措施包括已知的用于上呼吸道液体分泌过多的CFTR抑制剂,以及使用抗炎剂和CFTR激活剂治疗由于CFTR功能障碍引起的下呼吸道炎症性液体积聚。
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引用次数: 0
Evaluation of the relationship between intercostal muscle oxygenation measured by near-infrared spectroscopy and exercise capacity in group E COPD patients. 近红外光谱测量E组COPD患者肋间肌氧合与运动能力关系的评价。
IF 2.9 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-13 DOI: 10.1007/s00424-025-03126-z
Felipe Contreras-Briceño, Maximiliano Espinosa-Ramírez
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引用次数: 0
Circadian adaptations to regular treadmill exercise alter temporal changes in dopamine and serotonin activity in brain areas. 对定期跑步机运动的生理适应改变了大脑区域多巴胺和血清素活动的时间变化。
IF 2.9 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-30 DOI: 10.1007/s00424-025-03128-x
Frederico Sander Mansur Machado, Nayara Abreu Coelho Horta, Quezia Teixeira Rodrigues, Thais Santana Rocha Cardoso, Nayara Soares Sena Aquino, Raphael Escorsim Szawka, Maristela Oliveira Poletini, Cândido Celso Coimbra

The beneficial effects of regular exercise may be mediated through its regulatory influence on circadian rhythm. Here, we investigated how regular exercise training affects spontaneous locomotor activity (SLA) and body temperature (T-body) rhythms and its influence on temporal changes in brain dopaminergic and serotonergic activity, corticosterone levels, and muscle Per1 and Bmal1 gene expression. The aerobic exercise schedule consisted of five days of training in the light phase (Zeitgeber time = ZT4 to ZT6, with light on at 7:00 h) followed by a two-day recovery period. After 8 weeks, brain, blood, and muscle samples were collected from adult male rats. Dopamine (DA) and serotonin (5-HT) and their respective metabolites, DOPAC and 5-HIAA, were measured in microdissections of the caudate putamen (CP), preoptic area (POA), and the paraventricular nucleus of the hypothalamus (PVN). Exercise increased the SLA at the end of the night, delayed the acrophase, and increased the mesor of the SLA rhythm. No alterations were found in the T-body rhythm and corticosterone blood levels, although hyperthermia was observed after exercise sessions. Exercise increased muscle Per1 expression at ZT0, leading to a non-rhythmic profile in exercised animals. There were no changes in the CP dopaminergic and serotonergic activity, but there was a decrease in POA at ZT6 and an increase in PVN serotonergic activity at ZT0, resulting in a non-rhythmic profile in exercised animals. Thus, regular physical exercise during the light phase with alterations in SLA promotes adjustments in the daily oscillation in monoaminergic activity in areas directly involved in regulating daily T-body and SLA.

规律运动的有益作用可能通过其对昼夜节律的调节作用来介导。在这里,我们研究了定期运动训练如何影响自发运动活动(SLA)和体温(t体)节律,以及它对大脑多巴胺能和血清素能活性、皮质酮水平和肌肉Per1和Bmal1基因表达的时间变化的影响。有氧运动计划包括在光照阶段(Zeitgeber时间= ZT4至ZT6,光照时间为7:00)进行为期五天的训练,然后进行为期两天的恢复期。8周后,采集成年雄性大鼠的脑、血和肌肉样本。显微解剖下丘脑尾状壳核(CP)、视前区(POA)和室旁核(PVN),测定多巴胺(DA)和5-羟色胺(5-HT)及其代谢产物DOPAC和5-HIAA。运动增加了夜间结束时的SLA,延迟了肢端期,增加了SLA节律的中程。在t体节律和皮质酮血液水平没有发现变化,尽管在运动后观察到高热。运动增加了ZT0时肌肉Per1的表达,导致运动动物的非节律性特征。CP多巴胺能和5 -羟色胺能活性没有变化,但POA在ZT6时降低,PVN 5 -羟色胺能活性在ZT0时增加,导致运动动物无节律性特征。因此,在轻度阶段有规律的体育锻炼与SLA的改变促进了直接参与调节日常t体和SLA的区域的单胺能活性的每日振荡的调整。
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引用次数: 0
Role of ANO1 Ca2+-activated Cl- channels in the generation of propagating spontaneous Ca2+ transients of mouse bladder suburothelial pericytes. ANO1 Ca2+激活的Cl-通道在小鼠膀胱上皮下周细胞增殖自发Ca2+瞬态的产生中的作用。
IF 2.9 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-13 DOI: 10.1007/s00424-025-03121-4
Ayu Sugiura, Retsu Mitsui, Kyoko Miwa-Nishimura, Hikaru Hashitani

Pericytes in microvasculature of the bladder suburothelium develop spontaneous Ca2+ transients that propagate within the pericyte network. Here, the expression of ANO1 Ca2+-activated Cl- channels that serve as smooth muscle pacemaker channels was investigated in mural cells of the mouse bladder microvasculature. The involvement of ANO1 in the generation of propagating spontaneous Ca2+ transients or vasocontractions was also examined. Fluorescence immunohistochemistry was utilised to visualise ANO1 expression in different microvascular segments. Intercellular Ca2+ dynamics in pericytes of capillaries or pre-capillary arterioles (PCAs) were visualised using NG2-GCaMP6 mice, while Ca2+ signals in venular pericytes were detected using Cal-520 fluorescence. Spontaneous or electrical field stimulation (EFS)-induced vascular diameter changes were measured using a video-tracking system. ANO1 expression was greatest in capillary pericytes, followed by pericytes in PCAs or post-capillary venules, while arteriolar smooth muscle cells (SMCs) or venular pericytes exhibited lower ANO1 immunoreactivity. In capillaries where pericytes developed nifedipine-resistant propagating spontaneous Ca2+ transients, Ani9 (3 µM), the specific ANO1 inhibitor, disrupted the intercellular synchrony of Ca2+ transients. In venules, Ani9 disrupted the synchrony of spontaneous Ca2+ transients amongst venular pericytes and prevented the generation of spontaneous phasic constrictions (SPCs). Ani9 also diminished EFS-evoked, α-adrenergic venular constrictions. In contrast, Ani9 failed to attenuate EFS-induced, predominantly α-adrenergic constrictions in arterioles where SPCs were absent. Thus, ANO1 appears to play a fundamental role in the generation of propagating spontaneous Ca2+ transients in capillary, PCA and venular pericytes. Lack of spontaneous Ca2+ transients/SPCs in arterioles may be partly attributable to the low ANO1 expression in arteriolar SMCs.

膀胱上皮下微血管周细胞产生自发的Ca2+瞬变,并在周细胞网络内传播。在这里,ANO1 Ca2+激活的Cl-通道作为平滑肌起搏器通道在小鼠膀胱微血管壁细胞的表达进行了研究。ANO1的参与在繁殖自发Ca2+瞬态或血管收缩的产生也进行了检查。荧光免疫组化观察ANO1在不同微血管节段的表达。使用NG2-GCaMP6小鼠观察毛细血管周细胞或毛细血管前小动脉(PCAs)细胞间Ca2+动态,使用Cal-520荧光检测静脉周细胞中的Ca2+信号。使用视频跟踪系统测量自发或电场刺激(EFS)引起的血管直径变化。ANO1在毛细血管周细胞中表达最多,其次是PCAs或毛细血管后小静脉的周细胞,而小动脉平滑肌细胞(SMCs)或小静脉周细胞的ANO1免疫反应性较低。在毛细血管中,周细胞产生抗硝苯地平繁殖的自发Ca2+瞬态,Ani9(3µM),特异性ANO1抑制剂,破坏Ca2+瞬态的细胞间同步。在小静脉中,Ani9破坏了小静脉周细胞间自发Ca2+瞬态的同步性,并阻止了自发相位收缩(SPCs)的产生。Ani9还能减少efs引起的α-肾上腺素能性静脉收缩。相反,Ani9不能减弱efs诱导的,主要是在SPCs缺失的小动脉中α-肾上腺素能收缩。因此,ANO1似乎在毛细血管、PCA和静脉周细胞中增殖自发Ca2+瞬态的产生中发挥了基本作用。小动脉中缺乏自发Ca2+瞬态/SPCs可能部分归因于小动脉SMCs中ANO1的低表达。
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引用次数: 0
Evaluation of the relationship between intercostal muscle oxygenation measured by near-infrared spectroscopy and exercise capacity in group E COPD patients. 近红外光谱测量E组COPD患者肋间肌氧合与运动能力关系的评价。
IF 2.9 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-13 DOI: 10.1007/s00424-025-03129-w
Buğra Kerget
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引用次数: 0
Mitochondrial ATP synthase 8 single-nucleotide polymorphism affects oxidative stress and survival of mice. 线粒体ATP合酶8单核苷酸多态性影响小鼠氧化应激和存活。
IF 2.9 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-09-20 DOI: 10.1007/s00424-025-03123-2
Gesine Reichart, Johannes Mayer, Tursonjan Tokay, Timo Kirschstein, Falko Lange, Rüdiger Köhling

Single-nucleotide polymorphisms in mitochondrial DNA (mtDNA) encoded genes of respiratory chain complexes are known to be associated with severe diseases and life-threatening syndromes. In the assembly of the ATP synthase, the enzyme that in the final steps of oxidative phosphorylation generates ATP from ADP and inorganic phosphate, two subunits (ATP6 and ATP8) are mtDNA-encoded. In our study, we investigated the impact of a single-nucleotide polymorphism in MT-ATP8 with respect to memory function in a preclinical model. Here, we have employed two conplastic mouse strains. The mouse strain C57BL/6 J-mtAKR/J served as a control with wild-type sequence in MT-ATP8, while C57BL/6 J-mtFVB/NJ exhibited an m.7778G > T transversion. Using two age groups (3 months and 24 months), levels of reactive oxygen species (ROS), spatial learning in the Morris-Water-Maze, and long-term potentiation were assessed. Immunohistologically, the expressions of NeuN and GFAP were quantified. Additionally, the lifespan of both strains was registered. In comparison to young C57BL/6 J-mtFVB/NJ mice, aged animals had higher ROS levels in the hippocampus. A decreased NeuN/GFAP level was found in C57BL/6 J-mtFVB/NJ mice as well as in old animals of the control strain. Aged animals performed worse in the swimming trials, but no significant differences between both strains were detected. The long-term potentiation recordings revealed reduced synaptic plasticity in young C57BL/6 J-mtFVB/NJ mice. Interestingly, C57BL/6 J-mtFVB/NJ mice presented an extended lifespan compared to animals of the control strain. Together, our data suggest a minor impact of a single-nucleotide polymorphism in MT-ATP8 on spatial learning and oxidative stress depending on the neuronal tissue. In line with the concept of mitohormesis, our findings may be linked to the longevity of mice harbouring single-nucleotide polymorphisms.

已知呼吸链复合物的线粒体DNA (mtDNA)编码基因的单核苷酸多态性与严重疾病和危及生命的综合征有关。ATP合酶在氧化磷酸化的最后阶段由ADP和无机磷酸盐生成ATP,在ATP合酶的组装过程中,两个亚基(ATP6和ATP8)是由mtdna编码的。在我们的研究中,我们在临床前模型中研究了MT-ATP8单核苷酸多态性对记忆功能的影响。在这里,我们采用了两种杂交小鼠品系。小鼠品系C57BL/6 J- mtakr /J在MT-ATP8中具有野生型序列,而C57BL/6 J- mtfvb /NJ在MT-ATP8中具有m.7778G > T的翻转。采用3个月大和24个月大两个年龄组,对小鼠的活性氧(ROS)水平、morris -水迷宫的空间学习能力和长期增强能力进行评估。免疫组织学上量化NeuN和GFAP的表达。此外,还记录了两种菌株的寿命。与年轻的C57BL/6 J-mtFVB/NJ小鼠相比,老年小鼠海马中的ROS水平更高。C57BL/6 J-mtFVB/NJ小鼠及对照品系老龄动物NeuN/GFAP水平均降低。年龄较大的动物在游泳试验中表现较差,但两种品系之间没有显著差异。长时程增强记录显示年轻C57BL/6 J-mtFVB/NJ小鼠突触可塑性降低。有趣的是,与对照菌株相比,C57BL/6 J-mtFVB/NJ小鼠的寿命更长。总之,我们的数据表明,MT-ATP8的单核苷酸多态性对依赖于神经元组织的空间学习和氧化应激的影响很小。根据有丝分裂的概念,我们的发现可能与携带单核苷酸多态性的小鼠的寿命有关。
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引用次数: 0
Impact of combined exercise training in peripheral and diaphragm muscles and in mortality in a preclinical model of pulmonary arterial hypertension. 肺动脉高压临床前模型中外周肌和膈肌联合运动训练对死亡率的影响
IF 2.9 4区 医学 Q2 PHYSIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-09-18 DOI: 10.1007/s00424-025-03118-z
Thais C Freire, Antônio V Nascimento-Filho, Marília S Ferreira, Danielle da Silva Dias, Victor Miranda, Marina Dutra, Larissa Seibt, Andrey Serra, Denielli da Silva Gonçalves Bos, Maria Cláudia Irigoyen, Marcelle Paula-Ribeiro, Kátia De Angelis

Pulmonary arterial hypertension (PAH) is a progressive disease characterised by systemic oxidative stress and inflammation that extends beyond the pulmonary vasculature to the musculoskeletal system. Combined exercise training (ET), incorporating aerobic and resistance components, is a promising non-pharmacological intervention, but its effects on musculoskeletal oxidative stress and inflammation remain unclear. To evaluate the effects of combined ET on musculoskeletal oxidative stress and inflammation, muscle wasting, and survival in a monocrotaline (MCT)-induced PAH. Male Wistar rats were assigned to MCT-treated sedentary (MCT-SED) or ET (MCT-ET) groups (n = 12/group), or saline-treated sedentary (SAL-SED) or ET (SAL-ET) controls (n = 8/group). PAH was induced via MCT injection (MCT, 40 mg/kg). The ET consisted of moderate-intensity interval aerobic (3x/week) and resistance (2x/week) training for four weeks. Muscle mass, oxidative stress and inflammation markers (IL-6, IL-10, TNF-α) were assessed in gastrocnemius and diaphragm muscles. PAH increased oxidative damage, reduced antioxidant defences, and elevated inflammatory markers in both muscles, contributing to muscle loss. Combined ET enhanced gastrocnemius antioxidant capacity (FRAP, SOD), reduced pro-oxidants (hydrogen peroxide, nitrite), and attenuated oxidative damage (TBARS, carbonyls) in both muscles. Combined ET decreased pro-inflammatory markers (IL-6, TNF-α), prevented diaphragm atrophy, and improved survival (MCT-SED vs. MCT-ET, p = 0.03; hazard ratio, 4.3; 95% CI, 1.2-15.1). Combined interval ET improved redox balance and inflammatory profiles in both peripheral and respiratory muscles. These adaptations were linked to reduced diaphragm muscle wasting and enhanced survival in MCT-induced PAH. Our findings support combined ET as a non-pharmacological strategy for managing systemic complications of PAH.

肺动脉高压(PAH)是一种进行性疾病,其特征是全身氧化应激和炎症,并从肺血管延伸到肌肉骨骼系统。结合有氧和阻力成分的联合运动训练(ET)是一种很有前途的非药物干预方法,但其对肌肉骨骼氧化应激和炎症的影响尚不清楚。评估联合ET对单可可碱(MCT)诱导的多环芳烃(PAH)中肌肉骨骼氧化应激和炎症、肌肉萎缩和存活的影响。雄性Wistar大鼠被分配到mct治疗的久坐(MCT-SED)或ET (MCT-ET)组(n = 12/组),或盐治疗的久坐(SAL-SED)或ET (SAL-ET)对照组(n = 8/组)。注射MCT (MCT, 40 mg/kg)诱导PAH。ET包括中等强度间歇有氧训练(3次/周)和阻力训练(2次/周),持续4周。测定腓肠肌和膈肌的肌肉质量、氧化应激和炎症标志物(IL-6、IL-10、TNF-α)。多环芳烃增加了两块肌肉的氧化损伤,降低了抗氧化防御能力,炎症标志物升高,导致肌肉损失。联合ET增强了腓肠肌的抗氧化能力(FRAP, SOD),减少了促氧化剂(过氧化氢,亚硝酸盐),并减轻了两块肌肉的氧化损伤(TBARS,羰基)。联合ET降低促炎标志物(IL-6、TNF-α),防止膈肌萎缩,提高生存率(MCT-SED vs MCT-ET, p = 0.03;风险比,4.3;95% CI, 1.2-15.1)。联合间歇ET改善了外周肌和呼吸肌的氧化还原平衡和炎症谱。这些适应与mct诱导的多环芳烃中膈肌萎缩减少和生存率提高有关。我们的研究结果支持联合ET作为管理PAH系统性并发症的非药物策略。
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引用次数: 0
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Pflugers Archiv : European journal of physiology
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