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Experimental effects of acute exercise on forgetting. 急性运动对遗忘的实验影响。
IF 1.4 4区 医学 Q3 PHYSIOLOGY Pub Date : 2020-09-29 Print Date: 2020-10-17 DOI: 10.1556/2060.2020.00033
D C Moore, S Ryu, P D Loprinzi

Objective: Prior research has evaluated the effects of acute exercise on episodic memory function. These studies have, on occasion, demonstrated that acute exercise may enhance both short- and long-term memory. It is uncertain as to whether the acute exercise improvements in long-term memory are a result of acute exercise attenuating declines in long-term memory, or rather, are driven by the enhancement effects of acute exercise on short-term memory. The present empirical study evaluates whether the decline from short- to long-term is influenced by acute exercise. This relationship is plausible as exercise has been shown to activate neurophysiological pathways (e.g., RAC1) that are involved in the mechanisms of forgetting.

Methods: To evaluate the effects of acute exercise on forgetting, we used data from 12 of our laboratory's prior experiments (N = 538). Across these 12 experiments, acute exercise ranged from 10 to 15 mins in duration (moderate-to-vigorous intensity). Episodic memory was assessed from word-list or paragraph-based assessments. Short-term memory was assessed immediately after encoding, with long-term memory assessed approximately 20-min later. Forgetting was calculated as the difference in short- and long-term memory performance.

Results: Acute exercise (vs. seated control) was not associated with an attenuated forgetting effect (d = 0.10; 95% CI: -0.04, 0.25, P = 0.17). We observed no evidence of a significant moderation effect (Q = 6.16, df = 17, P = 0.17, I2 = 0.00) for any of the evaluated parameters, including study design, exercise intensity and delay period.

Conclusion: Across our 12 experimental studies, acute exercise was not associated with an attenuated forgetting effect. We discuss these implications for future research that evaluates the effects of acute exercise on long-term memory function.

目的:已有研究评估了急性运动对情景记忆功能的影响。这些研究偶尔表明,急性运动可以增强短期和长期记忆。急性运动对长期记忆的改善是由于急性运动对长期记忆的减弱,还是由于急性运动对短期记忆的增强,目前还不清楚。本实证研究评估急性运动是否会影响短期到长期的衰退。这种关系是合理的,因为运动已被证明可以激活与遗忘机制有关的神经生理通路(例如,RAC1)。方法:为了评估急性运动对遗忘的影响,我们使用了我们实验室之前12项实验的数据(N = 538)。在这12个实验中,急性运动持续时间从10到15分钟不等(中等到剧烈强度)。情景记忆通过单词表或段落评估进行评估。编码后立即评估短期记忆,大约20分钟后评估长期记忆。遗忘是根据短期和长期记忆表现的差异来计算的。结果:急性运动(与坐着的对照组相比)与减弱的遗忘效应无关(d = 0.10;95% ci: -0.04, 0.25, p = 0.17)。我们没有观察到任何评估参数,包括研究设计、运动强度和延迟期,有显著的调节效应(Q = 6.16, df = 17, P = 0.17, I2 = 0.00)。结论:在我们的12项实验研究中,急性运动与减轻遗忘效应无关。我们讨论了这些对未来评估急性运动对长期记忆功能影响的研究的影响。
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引用次数: 5
Stimulatory effect of insulin on H+-ATPase in the proximal tubule via the Akt/mTORC2 pathway. 胰岛素通过Akt/mTORC2通路对近端小管H+- atp酶的刺激作用
IF 1.4 4区 医学 Q3 PHYSIOLOGY Pub Date : 2020-09-29 Print Date: 2020-10-17 DOI: 10.1556/2060.2020.00030
M Nakamura, N Satoh, H Tsukada, T Mizuno, W Fujii, A Suzuki, S Horita, M Nangaku, M Suzuki

Purpose: Acid-base transport in renal proximal tubules (PTs) is mainly sodium-dependent and conducted in coordination by the apical Na+/H+ exchanger (NHE3), vacuolar H+-adenosine triphosphatase (V-ATPase), and the basolateral Na+/HCO3- cotransporter. V-ATPase on PTs is well-known to play an important role in proton excretion. Recently we reported a stimulatory effect of insulin on these transporters. However, it is unclear whether insulin is involved in acid-base balance in PTs. Thus, we assessed the role of insulin in acid-base balance in PTs.

Methods: V-ATPase activity was evaluated using freshly isolated PTs obtained from mice, and specific inhibitors were then used to assess the signaling pathways involved in the observed effects.

Results: V-ATPase activity in PTs was markedly enhanced by insulin, and its activation was completely inhibited by bafilomycin (a V-ATPase-specific inhibitor), Akt inhibitor VIII, and PP242 (an mTORC1/2 inhibitor), but not by rapamycin (an mTORC1 inhibitor). V-ATPase activity was stimulated by 1 nm insulin by approximately 20% above baseline, which was completely suppressed by Akt1/2 inhibitor VIII. PP242 completely suppressed the insulin-mediated V-ATPase stimulation in mouse PTs, whereas rapamycin failed to influence the effect of insulin. Insulin-induced Akt phosphorylation in the mouse renal cortex was completely suppressed by Akt1/2 inhibitor VIII and PP242, but not by rapamycin.

Conclusion: Our results indicate that stimulation of V-ATPase activity by insulin in PTs is mediated via the Akt2/mTORC2 pathway. These results reveal the mechanism underlying the complex signaling in PT acid-base balance, providing treatment targets for renal disease.

目的:肾近端小管(PTs)的酸碱转运主要依赖钠,并由顶端Na+/H+交换体(NHE3)、空泡H+-腺苷三磷酸酶(V-ATPase)和基底侧Na+/HCO3-共转运体协调进行。众所周知,pt上的v - atp酶在质子排泄中起重要作用。最近我们报道了胰岛素对这些转运蛋白的刺激作用。然而,胰岛素是否参与PTs的酸碱平衡尚不清楚。因此,我们评估了胰岛素在PTs患者酸碱平衡中的作用。方法:使用从小鼠身上获得的新鲜分离的PTs来评估v - atp酶的活性,然后使用特定的抑制剂来评估所观察到的效果所涉及的信号通路。结果:胰岛素显著增强了pt中V-ATPase的活性,并且其活性被巴菲霉素(一种V-ATPase特异性抑制剂)、Akt抑制剂VIII和PP242(一种mTORC1/2抑制剂)完全抑制,而雷帕霉素(一种mTORC1抑制剂)则不被抑制。1 nm胰岛素刺激V-ATPase活性比基线高出约20%,而Akt1/2抑制剂VIII完全抑制V-ATPase活性。PP242完全抑制胰岛素介导的v - atp酶刺激小鼠PTs,而雷帕霉素未能影响胰岛素的作用。胰岛素诱导的小鼠肾皮质Akt磷酸化被Akt1/2 inhibitor VIII和PP242完全抑制,而雷帕霉素则不能。结论:我们的研究结果表明胰岛素刺激pt中v - atp酶活性是通过Akt2/mTORC2途径介导的。这些结果揭示了PT酸碱平衡中复杂信号传导的机制,为肾脏疾病的治疗提供了靶点。
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引用次数: 4
Combined therapies with exercise, ozone and mesenchymal stem cells improve the expression of HIF1 and SOX9 in the cartilage tissue of rats with knee osteoarthritis. 运动、臭氧和间充质干细胞联合治疗可改善膝骨关节炎大鼠软骨组织中HIF1和SOX9的表达。
IF 1.4 4区 医学 Q3 PHYSIOLOGY Pub Date : 2020-07-24 Print Date: 2020-06-01 DOI: 10.1556/2060.2020.00024
Sara Asadi, Parvin Farzanegi, Mohammad Ali Azarbayjani

Purpose: Knee osteoarthritis (OA) is a common type of degenerative joint disease which decreases the quality of life. Sex-determining region Y box 9 (SOX9) and hypoxia-inducible factor-1 (HIF1) are considered as the key regulators of OA. We investigated the effect of combined therapies with mesenchymal stem cells (MSCs), ozone (O3) and exercise training on SOX9 and HIF1 expression in the cartilage of rats with knee OA.

Methods: Knee OA was induced by surgical method. OA rats were divided into model, MSCs, ozone, exercise, MSCs + ozone, MSCs + exercise, ozone + exercise and MSCs + ozone + exercise groups. Rats in the MSCs group received intraarticular injection of 1 × 106 cells/kg. Rats in the ozone group received O3 at the concentration of 20 μg/mL, once weekly for 3 weeks. Rats in the exercise group were trained on rodent treadmill three times per week. 48 hours after the programs, cartilage tissues were isolated and the expression of SOX9 and HIF1 was determined using Real-Time PCR.

Results: Significant differences were found in the expression of SOX9 and HIF1 between groups (P < 0.0001). Although combined therapies with exercise, MSCs and O3 significantly increased the expression of SOX9 and HIF1 in the cartilage tissue of rats with knee OA, combination of exercise with O3 was significantly more effective compared to the other combined therapies (P < 0.001).

Conclusions: Combined therapy with exercise, MSCs and O3 significantly increased the expression of SOX9 and HIF1 genes in the cartilage of rats with knee OA; however, exercise + O3 was significantly more effective.

目的:膝关节骨关节炎(OA)是一种常见的退行性关节疾病,降低了生活质量。性别决定区Y盒9 (SOX9)和缺氧诱导因子-1 (HIF1)被认为是OA的关键调控因子。我们研究了间充质干细胞(MSCs)、臭氧(O3)和运动训练联合治疗对膝关节OA大鼠软骨中SOX9和HIF1表达的影响。方法:采用手术方法诱导膝关节OA。将OA大鼠分为模型组、MSCs组、臭氧组、运动组、MSCs +臭氧组、MSCs +运动组、臭氧+运动组和MSCs +臭氧+运动组。MSCs组大鼠关节内注射1 × 106个细胞/kg。臭氧组大鼠给予浓度为20 μg/mL的O3,每周一次,连用3周。运动组的大鼠每周在啮齿动物跑步机上训练三次。程序完成48小时后,分离软骨组织,采用Real-Time PCR检测SOX9和HIF1的表达。结果:组间SOX9、HIF1表达差异有统计学意义(P < 0.0001)。虽然运动、MSCs和O3联合治疗显著增加了膝关节OA大鼠软骨组织中SOX9和HIF1的表达,但运动与O3联合治疗明显比其他联合治疗更有效(P < 0.001)。结论:MSCs和O3联合运动治疗可显著提高膝关节OA大鼠软骨组织中SOX9和HIF1基因的表达;然而,运动+ O3明显更有效。
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引用次数: 4
Salivary dysfunction caused by medication usage. 药物使用引起的唾液功能障碍。
IF 1.4 4区 医学 Q3 PHYSIOLOGY Pub Date : 2020-07-24 Print Date: 2020-06-01 DOI: 10.1556/2060.2020.00019
O M Einhorn, K Georgiou, A Tompa

A considerable number of patients arriving in dental offices are being treated with ongoing medication for a variety of chronic diseases. As a result, dentists must be familiar with the potential side effects these therapeutic agents may have on the tissues of the oral cavity, and in particular on the salivary gland. Salivary gland function may be altered by a wide range of medications, leading to effects such as xerostomia, hyposalivation, hypersalivation or even swelling of the glands. These disorders can cause a variety of other health complications. This review will focus on the most common groups of drugs responsible for salivary gland dysfunction, including psychoactive drugs, antidepressants, antipsychotics, antihypertensives, and antihistamines.

相当多到牙科诊所就诊的病人正在接受治疗各种慢性疾病的持续药物治疗。因此,牙医必须熟悉这些治疗药物对口腔组织,特别是唾液腺可能产生的潜在副作用。多种药物可改变唾液腺功能,导致口干、低涎、高涎甚至腺体肿胀等症状。这些疾病可引起各种其他健康并发症。本综述将重点介绍导致唾液腺功能障碍的最常见药物,包括精神活性药物、抗抑郁药、抗精神病药、抗高血压药和抗组胺药。
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引用次数: 14
Aspirin protects human coronary artery endothelial cells by inducing autophagy. 阿司匹林通过诱导自噬保护人冠状动脉内皮细胞。
IF 1.4 4区 医学 Q3 PHYSIOLOGY Pub Date : 2020-07-24 Print Date: 2020-06-01 DOI: 10.1556/2060.2020.00029
J Chen, L Wang, W H Liu, J Shi, Y Zhong, S J Liu, S M Liu

Although the use of aspirin has substantially reduced the risks of cardiovascular events and death, its potential mechanisms have not been fully elucidated. In a previous study, we found that aspirin triggers cellular autophagy. In the present study, we aimed to determine the protective effects of aspirin on human coronary artery endothelial cells (HCAECs) and explore its underlying mechanisms. HCAECs were treated with oxidized low-density lipoprotein (ox-LDL), angiotensin II (Ang-II), or high glucose (HG) with or without aspirin stimulation. The expression levels of endothelial nitric oxide (NO) synthase (eNOS), p-eNOS, LC3, p62, phosphor-nuclear factor kappa B (p-NF-κB), p-p38 mitogen-activated protein kinase (p-p38 MAPK), and Beclin-1 were detected via immunoblotting analysis. Concentrations of soluble intercellular adhesion molecule-1 (sICAM-1) and soluble vascular cell adhesion molecule-1 (sVCAM-1) were measured via ELISA. NO levels were determined using the Griess reagent. Autophagic flux was tracked by tandem mRFP-GFP-tagged LC3. Results showed that aspirin increased eNOS level and reduced injury to the endothelial cells (ECs) caused by ox-LDL, Ang-II, and HG treatment in a dose-dependent manner. Aspirin also increased the LC3II/LC3I ratio, decreased p62 expression, and enhanced autophagic flux (autophagosome and autolysosome puncta) in the HCAECs. p-NF-κB and p-p38 mitogen-activated protein kinase inhibition, sVCAM-1 and sICAM-1 secretion, and eNOS activity promotion by aspirin treatment were found to be dependent on Beclin-1. These results suggested that aspirin can protect ECs from ox-LDL-, Ang-II-, and HG-induced injury by activating autophagy in a Beclin-1-dependent manner.

虽然阿司匹林的使用大大降低了心血管事件和死亡的风险,但其潜在机制尚未完全阐明。在之前的一项研究中,我们发现阿司匹林会引发细胞自噬。在本研究中,我们旨在确定阿司匹林对人冠状动脉内皮细胞(HCAECs)的保护作用并探讨其潜在机制。hcaec分别用氧化低密度脂蛋白(ox-LDL)、血管紧张素II (Ang-II)或高糖(HG)治疗,有或没有阿司匹林刺激。免疫印迹法检测内皮一氧化氮(NO)合成酶(eNOS)、p-eNOS、LC3、p62、磷核因子κB (p-NF-κB)、p-p38丝裂原活化蛋白激酶(p-p38 MAPK)、Beclin-1的表达水平。ELISA法测定可溶性细胞间粘附分子-1 (sICAM-1)和可溶性血管细胞粘附分子-1 (sVCAM-1)的浓度。采用Griess试剂测定NO水平。自噬通量由mrfp - gfp标记的LC3串联跟踪。结果表明,阿司匹林增加eNOS水平,减少ox-LDL、Ang-II和HG治疗引起的内皮细胞损伤(ECs),并呈剂量依赖性。阿司匹林还增加了hcaec中LC3II/LC3I比值,降低了p62表达,增强了自噬通量(自噬体和自噬体点)。发现阿司匹林对p-NF-κB和p-p38丝裂原活化蛋白激酶抑制、sVCAM-1和sICAM-1分泌以及eNOS活性的促进均依赖于Beclin-1。这些结果表明阿司匹林可以通过激活beclin -1依赖性的自噬来保护ec免受ox-LDL-、Ang-II-和hg诱导的损伤。
{"title":"Aspirin protects human coronary artery endothelial cells by inducing autophagy.","authors":"J Chen,&nbsp;L Wang,&nbsp;W H Liu,&nbsp;J Shi,&nbsp;Y Zhong,&nbsp;S J Liu,&nbsp;S M Liu","doi":"10.1556/2060.2020.00029","DOIUrl":"https://doi.org/10.1556/2060.2020.00029","url":null,"abstract":"<p><p>Although the use of aspirin has substantially reduced the risks of cardiovascular events and death, its potential mechanisms have not been fully elucidated. In a previous study, we found that aspirin triggers cellular autophagy. In the present study, we aimed to determine the protective effects of aspirin on human coronary artery endothelial cells (HCAECs) and explore its underlying mechanisms. HCAECs were treated with oxidized low-density lipoprotein (ox-LDL), angiotensin II (Ang-II), or high glucose (HG) with or without aspirin stimulation. The expression levels of endothelial nitric oxide (NO) synthase (eNOS), p-eNOS, LC3, p62, phosphor-nuclear factor kappa B (p-NF-κB), p-p38 mitogen-activated protein kinase (p-p38 MAPK), and Beclin-1 were detected via immunoblotting analysis. Concentrations of soluble intercellular adhesion molecule-1 (sICAM-1) and soluble vascular cell adhesion molecule-1 (sVCAM-1) were measured via ELISA. NO levels were determined using the Griess reagent. Autophagic flux was tracked by tandem mRFP-GFP-tagged LC3. Results showed that aspirin increased eNOS level and reduced injury to the endothelial cells (ECs) caused by ox-LDL, Ang-II, and HG treatment in a dose-dependent manner. Aspirin also increased the LC3II/LC3I ratio, decreased p62 expression, and enhanced autophagic flux (autophagosome and autolysosome puncta) in the HCAECs. p-NF-κB and p-p38 mitogen-activated protein kinase inhibition, sVCAM-1 and sICAM-1 secretion, and eNOS activity promotion by aspirin treatment were found to be dependent on Beclin-1. These results suggested that aspirin can protect ECs from ox-LDL-, Ang-II-, and HG-induced injury by activating autophagy in a Beclin-1-dependent manner.</p>","PeriodicalId":20058,"journal":{"name":"Physiology international","volume":"107 2","pages":"294-305"},"PeriodicalIF":1.4,"publicationDate":"2020-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38225405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Prenatal urban traffic noise exposure impairs spatial learning and memory and reduces glucocorticoid receptor expression in the hippocampus of male rat offspring. 产前城市交通噪声暴露损害雄性大鼠后代的空间学习和记忆,降低海马糖皮质激素受体的表达。
IF 1.4 4区 医学 Q3 PHYSIOLOGY Pub Date : 2020-07-24 Print Date: 2020-06-01 DOI: 10.1556/2060.2020.00022
F S Sajjadi, F Aghighi, Z Vahidinia, A Azami-Tameh, M Salami, S A Talaei
IntroductionExposure to noise stress during early life may permanently affect the structure and function of the central nervous system. The aim of this study was to evaluate the effects of prenatal exposure to urban traffic noise on the spatial learning and memory of the rats' offspring and the expression of glucocorticoid receptors (GRs) in their hippocampi.MethodsThree groups of pregnant rats were exposed to recorded urban traffic noise for 1, 2 or 4 h/day during the last week of pregnancy. At the age of 45 days, their male offspring were introduced to the Morris water maze (MWM) for assessment of spatial learning and memory. The corticosterone levels were measured in the offspring's sera by radioimmunoassay, and the relative expression of glucocorticoid and mineralocorticoid receptors (MRs) in their hippocampi was evaluated via RT-PCR.ResultsFacing urban traffic noise for 2 and 4 h/day during the third trimester of pregnancy caused the offspring to spend more time and to travel a larger distance than the controls to find the target platform. Analogously, these two groups were inferior to their control counterparts in the probe test. Also, prenatal noise stress elevated the corticosterone concentration in the sera of the rats' offspring and dose-dependently decreased the relative expression of the mRNA of both GRs and MRs in their hippocampi.ConclusionsUrban traffic noise exposure during the last trimester of pregnancy impairs spatial learning and memory of rat offspring and reduces GRs and MRs gene expression in the hippocampus.
在生命早期暴露于噪音压力下可能会永久性地影响中枢神经系统的结构和功能。本研究旨在探讨产前城市交通噪声暴露对大鼠后代空间学习记忆和海马糖皮质激素受体(gr)表达的影响。方法:将3组妊娠大鼠分别于妊娠最后1周、2周和4 h/d暴露于城市交通噪声环境中。在45日龄时,将雄性幼鼠引入Morris水迷宫(MWM),评估其空间学习和记忆能力。用放射免疫法测定后代血清皮质酮水平,用RT-PCR法测定海马糖皮质激素和矿皮质激素受体(MRs)的相对表达。结果:妊娠晚期每天面对城市交通噪声2和4 h,子代寻找目标平台的时间和距离均高于对照组。同样,这两组在探针测试中的表现也不如对照组。此外,产前噪声应激提高了大鼠后代血清中的皮质酮浓度,并剂量依赖性地降低了海马中GRs和MRs mRNA的相对表达。结论:孕晚期暴露于城市交通噪声会损害子代大鼠的空间学习记忆能力,降低海马中GRs和MRs基因的表达。
{"title":"Prenatal urban traffic noise exposure impairs spatial learning and memory and reduces glucocorticoid receptor expression in the hippocampus of male rat offspring.","authors":"F S Sajjadi,&nbsp;F Aghighi,&nbsp;Z Vahidinia,&nbsp;A Azami-Tameh,&nbsp;M Salami,&nbsp;S A Talaei","doi":"10.1556/2060.2020.00022","DOIUrl":"https://doi.org/10.1556/2060.2020.00022","url":null,"abstract":"Introduction\u0000Exposure to noise stress during early life may permanently affect the structure and function of the central nervous system. The aim of this study was to evaluate the effects of prenatal exposure to urban traffic noise on the spatial learning and memory of the rats' offspring and the expression of glucocorticoid receptors (GRs) in their hippocampi.\u0000\u0000\u0000Methods\u0000Three groups of pregnant rats were exposed to recorded urban traffic noise for 1, 2 or 4 h/day during the last week of pregnancy. At the age of 45 days, their male offspring were introduced to the Morris water maze (MWM) for assessment of spatial learning and memory. The corticosterone levels were measured in the offspring's sera by radioimmunoassay, and the relative expression of glucocorticoid and mineralocorticoid receptors (MRs) in their hippocampi was evaluated via RT-PCR.\u0000\u0000\u0000Results\u0000Facing urban traffic noise for 2 and 4 h/day during the third trimester of pregnancy caused the offspring to spend more time and to travel a larger distance than the controls to find the target platform. Analogously, these two groups were inferior to their control counterparts in the probe test. Also, prenatal noise stress elevated the corticosterone concentration in the sera of the rats' offspring and dose-dependently decreased the relative expression of the mRNA of both GRs and MRs in their hippocampi.\u0000\u0000\u0000Conclusions\u0000Urban traffic noise exposure during the last trimester of pregnancy impairs spatial learning and memory of rat offspring and reduces GRs and MRs gene expression in the hippocampus.","PeriodicalId":20058,"journal":{"name":"Physiology international","volume":"107 2","pages":"209-219"},"PeriodicalIF":1.4,"publicationDate":"2020-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38225403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
The role of age in post-cardiac arrest therapy in an elderly patient population. 年龄在老年患者心脏骤停后治疗中的作用。
IF 1.4 4区 医学 Q3 PHYSIOLOGY Pub Date : 2020-07-20 DOI: 10.1556/2060.2020.00027
E Kovács, D Pilecky, Z Szakál-Tóth, A Fekete-Győr, V A Gyarmathy, L Gellér, B Hauser, J Gál, B Merkely, E Zima

Aim: We investigated the effect of age on post-cardiac arrest treatment outcomes in an elderly population, based on a local database and a systemic review of the literature.

Methods: Data were collected retrospectively from medical charts and reports. Sixty-one comatose patients, cooled to 32-34 °C for 24 h, were categorized into three groups: younger group (≤65 years), older group (66-75 years), and very old group (>75 years). Circumstances of cardiopulmonary resuscitation (CPR), patients' characteristics, post-resuscitation treatment, hemodynamic monitoring, neurologic outcome and survival were compared across age groups. Kruskal-Wallis test, Chi-square test and binary logistic regression (BLR) were applied. In addition, a literature search of PubMed/Medline database was performed to provide a background.

Results: Age was significantly associated with having a cardiac arrest on a monitor and a history of hypertension. No association was found between age and survival or neurologic outcome. Age did not affect hemodynamic parameter changes during target temperature management (TTM), except mean arterial pressure (MAP). Need of catecholamine administration was the highest among very old patients. During the literature review, seven papers were identified. Most studies had a retrospective design and investigated interventions and outcome, but lacked unified age categorization. All studies reported worse survival in the elderly, although old survivors showed a favorable neurologic outcome in most of the cases.

Conclusion: There is no evidence to support the limitation of post-cardiac arrest therapy in the aging population. Furthermore, additional prospective studies are needed to investigate the characteristics and outcome of post-cardiac arrest therapy in this patient group.

目的:基于当地数据库和文献系统回顾,我们研究了年龄对老年人群心脏骤停后治疗结果的影响。方法:回顾性收集病历和报告资料。将61例昏迷患者冷却至32 ~ 34℃24h,分为3组:低龄组(≤65岁)、高龄组(66 ~ 75岁)和高龄组(>75岁)。比较两组患者心肺复苏情况、患者特征、复苏后治疗、血流动力学监测、神经系统预后及生存率。采用Kruskal-Wallis检验、卡方检验和二元logistic回归(BLR)。此外,检索PubMed/Medline数据库的文献以提供背景资料。结果:年龄与心脏骤停监测和高血压史显著相关。没有发现年龄与生存或神经系统预后之间的关联。除平均动脉压(MAP)外,年龄对目标温度管理(TTM)期间血流动力学参数的变化没有影响。高龄患者对儿茶酚胺的需要量最高。在文献综述中,筛选出7篇论文。大多数研究采用回顾性设计,调查干预措施和结果,但缺乏统一的年龄分类。所有的研究都报告了老年人的生存率较差,尽管在大多数情况下,老年幸存者显示出良好的神经系统预后。结论:没有证据支持心脏骤停后治疗在老年人群中的局限性。此外,还需要进一步的前瞻性研究来调查该患者组心脏骤停后治疗的特点和结果。
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引用次数: 5
Growth factors in pulmonary arterial hypertension: Focus on preserving right ventricular function. 生长因子在肺动脉高压中的作用:重点保护右心室功能。
IF 1.4 4区 医学 Q3 PHYSIOLOGY Pub Date : 2020-07-17 DOI: 10.1556/2060.2020.00021
G Csósza, K Karlócai, G Losonczy, V Müller, Z Lázár

Pulmonary arterial hypertension (PAH) is a rare and progressive disease, characterized by increased vascular resistance leading to right ventricle (RV) failure. The extent of right ventricular dysfunction crucially influences disease prognosis; however, currently no therapies have specific cardioprotective effects. Besides discussing the pathophysiology of right ventricular adaptation in PAH, this review focuses on the roles of growth factors (GFs) in disease pathomechanism. We also summarize the involvement of GFs in the preservation of cardiomyocyte function, to evaluate their potential as cardioprotective biomarkers and novel therapeutic targets in PAH.

肺动脉高压(PAH)是一种罕见的进行性疾病,其特征是血管阻力增加导致右心室(RV)衰竭。右心功能障碍程度对疾病预后有重要影响;然而,目前还没有一种治疗方法具有特定的心脏保护作用。本文除了讨论PAH右心室适应的病理生理外,还对生长因子(GFs)在该病病理机制中的作用进行了综述。我们还总结了GFs在心肌细胞功能保护中的作用,以评估它们作为心脏保护生物标志物和PAH新治疗靶点的潜力。
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引用次数: 4
The gastroprotective effect of obestatin on indomethacin-induced acute ulcer is mediated by a vagovagal mechanism. 肥胖抑制素对消炎痛引起的急性溃疡的胃保护作用是通过迷走神经机制介导的。
IF 1.4 4区 医学 Q3 PHYSIOLOGY Pub Date : 2020-07-17 DOI: 10.1556/2060.2020.00025
Leyla Semiha Şen, Zarife Nigar Özdemir Kumral, Gülsün Memi, Feriha Ercan, Berrak C Yeğen, Cumhur Yeğen

In order to investigate the role of the vagus nerve in the possible gastroprotective effect of obestatin on the indomethacin-induced acute oxidative gastric injury, Sprague-Dawley rats of both sexes were injected subcutaneously with indomethacin (25 mg/kg, 5% NaHCO3) followed by obestatin (10, 30 or 100 μg/kg). In other sets of rats, surgical vagotomy (Vx) or selective degeneration of vagal afferent fibers by perivagal capsaicin was performed before the injections of indomethacin or indomethacin + obestatin (30 μg/kg). Gastric serosal blood flow was measured, and 4 h after ulcer induction gastric tissue samples were taken for histological and biochemical assays. Obestatin reduced the severity of indomethacin-induced acute ulcer via the reversal of reactive hyperemia, by inhibiting ulcer-induced neutrophil infiltration and lipid peroxidation along with the replenishment of glutathione (GSH) stores, whereas Vx abolished the inhibitory effect of obestatin on blood flow and lipid peroxidation, and worsened the severity of ulcer. On the other hand, serosal blood flow was even amplified by the selective denervation of the capsaicin-sensitive vagal afferent fibers, but obestatin-induced reduction in ulcer severity was not altered. In conclusion, the gastroprotective effect of obestatin on indomethacin-induced ulcer appears to involve the activation of the vagovagal pathway.

为探讨迷走神经在肥胖抑制素对吲哚美辛急性氧化性胃损伤的保护作用中的作用,本实验采用皮下注射吲哚美辛(25 mg/kg, 5% NaHCO3)后再注射肥胖抑制素(10、30、100 μg/kg)的方法。其他组大鼠在注射吲哚美辛或吲哚美辛+肥胖抑素(30 μg/kg)前行迷走神经手术切除(Vx)或迷走神经传入纤维选择性退行迷走神经周围辣椒素变性。测定胃浆膜血流量,溃疡诱导后4 h取胃组织标本进行组织学和生化分析。肥胖抑素通过逆转反应性充血,抑制溃疡诱导的中性粒细胞浸润和脂质过氧化,同时补充谷胱甘肽(GSH)储存,减轻了消炎痛引起的急性溃疡的严重程度,而Vx则消除了肥胖抑素对血流和脂质过氧化的抑制作用,加重了溃疡的严重程度。另一方面,浆膜血流量甚至被辣椒素敏感的迷走神经传入纤维的选择性去神经支配放大,但肥胖素诱导的溃疡严重程度的降低并没有改变。综上所述,肥胖抑制素对消炎痛引起的溃疡的胃保护作用似乎与迷走神经通路的激活有关。
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引用次数: 2
Cerebral and peripheral muscle oxygenation and perfusion: Course in moderate and late preterm neonates during the first day after birth. 脑和周围肌肉氧合和灌注:中晚期早产儿出生后第一天的病程。
IF 1.4 4区 医学 Q3 PHYSIOLOGY Pub Date : 2020-07-17 DOI: 10.1556/2060.2020.00028
N Hoeller, N Baik-Schneditz, B Schwaberger, L Mileder, B Urlesberger, G Pichler

Aim: To investigate the ratio of cerebral tissue oxygenation index (cTOI) to peripheral muscle tissue oxygenation index (pTOI) measured by near-infrared spectroscopy (NIRS) in cardio-circulatory stable preterm neonates without signs of inflammation/infection on the first day after birth.

Methods: Observational study analysing secondary outcome parameters of the 'Avoiding Hypotension in Preterm Neonates (AHIP)' trial (ClinicalTrials.gov identifier: NCT01910467). Preterm neonates, who had cTOI and pTOI measurements during 24 h after birth, were included. In each neonate the mean of the cTOI/pTOI-ratio, cTOI, pTOI and routine monitoring parameters were calculated for each hour and for the 24-h measuring period. Courses of all measured parameters were analysed.

Results: Eighty-seven stable preterm neonates (33.1 [32.1-34.1] weeks of gestation) were included. The mean value over the 24-h measuring period for the cTOI/pTOI-ratio was 0.96 ± 0.02, for cTOI 70.1 ± 1.4 and for pTOI 73.4 ± 0.9. Routine monitoring parameters were in the normal ranges over 24 h. The courses of the cTOI/pTOI-ratio and cTOI showed significantly lower values from hour 5 to 15 compared to the first hours after birth. Heart rate decreased significantly over time, whereas mean arterial blood pressure increased significantly. pTOI, arterial oxygen saturation and body temperature showed no significant change over time.

Conclusion: We are the first to report on cTOI/pTOI-ratios for cardio-circulatory stable preterm neonates over a 24-h period after birth, showing significantly lower values from hour 5 to 15 compared to the first hours after birth.

目的:探讨无炎症/感染征象的心肺稳定早产儿出生后第1天用近红外光谱(NIRS)测定脑组织氧合指数(cTOI)与外周肌肉组织氧合指数(pTOI)的比值。方法:观察性研究,分析“避免早产儿低血压(AHIP)”试验(ClinicalTrials.gov标识符:NCT01910467)的次要结局参数。在出生后24小时内进行cTOI和pTOI测量的早产儿纳入研究。计算每个新生儿每小时和24小时测量期间cTOI/pTOI比值、cTOI、pTOI和常规监测参数的平均值。分析了所有测量参数的变化过程。结果:87例稳定期早产儿(33.1[32.1-34.1]孕周)入选。24 h内cTOI/ pti比值平均值为0.96±0.02,cTOI为70.1±1.4,pTOI为73.4±0.9。24 h常规监测参数正常,5 ~ 15 h cTOI/ ptoi比值及cTOI病程较出生后1 h明显降低。随着时间的推移,心率显著降低,而平均动脉血压显著升高。pti、动脉血氧饱和度和体温随时间无明显变化。结论:我们首次报道了出生后24小时内心肺稳定早产儿的cTOI/ ptoi比值,与出生后1小时相比,5小时至15小时的值显着降低。
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引用次数: 2
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Physiology international
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