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Statin suppresses the development of excessive intimal proliferation in a Kawasaki disease mouse model. 他汀类药物可抑制川崎病小鼠模型内膜过度增殖的发展。
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70096
Yusuke Motoji, Ryuji Fukazawa, Ryosuke Matsui, Makoto Watanabe, Yoshiaki Hashimoto, Noriko Nagi-Miura, Tadashi Kitamura, Kagami Miyaji

Kawasaki disease (KD) causes vascular injury and lifelong remodeling. Excessive intimal proliferation has been observed, resulting in coronary artery lesions (CALs). However, the mechanisms underlying vascular remodeling in CAL and statin treatment have not been comprehensively elucidated. This study aimed to investigate the effects of statins on vascular remodeling using a KD mouse model. Candida albicans water-soluble substance (CAWS) was intraperitoneally injected in 5-week-old male apolipoprotein-E-deficient mice. They were categorized as follows (n = 4): control, CAWS, CAWS+statin, and late-statin groups. The mice were euthanized at 6 or 10 weeks after injection. Statins (atorvastatin) were initiated after CAWS injection, except for the late-statin group, for which statins were internally administered 6 weeks after injection. Elastica van Gieson staining and immunostaining were performed for evaluation. Statins substantially suppressed the marked neointimal hyperplasia induced by CAWS. Additionally, CAWS induced TGFβ receptor II and MAC-2 expression around the coronary arteries, which was suppressed by the statins. KD-like vasculitis might promote the formation of aneurysm by destroying elastic laminae and inducing vascular stenosis by neointimal proliferation. The anti-inflammatory effects of statins might inhibit neointimal proliferation. Therefore, statin therapy might be effective in adult patients with KD with CAL by inhibiting vascular remodeling.

川崎病(KD)会导致血管损伤和终身重塑。已观察到血管内膜过度增生,导致冠状动脉病变(CAL)。然而,CAL血管重塑和他汀类药物治疗的内在机制尚未得到全面阐明。本研究旨在利用 KD 小鼠模型研究他汀类药物对血管重塑的影响。将白色念珠菌水溶性物质(CAWS)腹腔注射给 5 周大的雄性载脂蛋白-E 缺乏小鼠。小鼠分为以下几组(n = 4):对照组、CAWS 组、CAWS+司他汀组和晚司他汀组。小鼠在注射后 6 或 10 周安乐死。他汀类药物(阿托伐他汀)在注射 CAWS 后开始使用,晚期他汀类药物组除外,该组在注射后 6 周开始内服他汀类药物。进行了 Elastica van Gieson 染色和免疫染色评估。他汀类药物大大抑制了 CAWS 诱导的明显的新内膜增生。此外,CAWS还诱导冠状动脉周围TGFβ受体II和MAC-2的表达,而他汀类药物抑制了这种表达。KD样血管炎可能会通过破坏弹性层和诱导血管内膜增生而导致血管狭窄,从而促进动脉瘤的形成。他汀类药物的抗炎作用可能会抑制新内膜增生。因此,他汀类药物可抑制血管重塑,从而对伴有CAL的KD成年患者有效。
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引用次数: 0
Going with the flow: New insights regarding flow induced K+ secretion in the distal nephron. 顺其自然:关于远端肾小球流量诱导 K+ 分泌的新见解。
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70087
Samia Lasaad, Andrew J Nickerson, Gilles Crambert, Lisa M Satlin, Thomas R Kleyman

K+ secretion in the distal nephron has a critical role in K+ homeostasis and is the primary route by which K+ is lost from the body. Renal K+ secretion is enhanced by increases in dietary K+ intake and by increases in tubular flow rate in the distal nephron. This review addresses new and important insights regarding the mechanisms underlying flow-induced K+ secretion (FIKS). While basal K+ secretion in the distal nephron is mediated by renal outer medullary K+ (ROMK) channels in principal cells (PCs), FIKS is mediated by large conductance, Ca2+/stretch activated K+ (BK) channels in intercalated cells (ICs), a distinct cell type. BK channel activation requires an increase in intracellular Ca2+ concentration ([Ca2+]i), and both PCs and ICs exhibit increases in [Ca2+]i in response to increases in tubular fluid flow rate, associated with an increase in tubular diameter. PIEZO1, a mechanosensitive, nonselective cation channel, is expressed in the basolateral membranes of PCs and ICs, where it functions as a mechanosensor. The loss of flow-induced [Ca2+]i transients in ICs and BK channel-mediated FIKS in microperfused collecting ducts isolated from mice with IC-specific deletion of Piezo1 in the CCD underscores the importance of PIEZO1 in the renal regulation of K+ transport.

远端肾小管的 K+ 分泌在 K+ 平衡中起着关键作用,也是 K+ 从体内流失的主要途径。饮食中 K+ 摄入量的增加和远端肾小管流速的增加会促进肾脏 K+ 的分泌。这篇综述探讨了有关血流诱导 K+ 分泌(FIKS)机制的重要新见解。远端肾小管的基础 K+ 分泌是由主细胞(PC)中的肾外髓质 K+ (ROMK) 通道介导的,而 FIKS 则是由不同细胞类型的闰细胞(IC)中的大电导、Ca2+/拉伸激活 K+ (BK) 通道介导的。BK 通道的激活需要细胞内 Ca2+ 浓度([Ca2+]i)的增加,PC 和 IC 在肾小管液体流速增加时都会表现出[Ca2+]i 的增加,这与肾小管直径的增加有关。PIEZO1 是一种对机械敏感的非选择性阳离子通道,表达于 PCs 和 ICs 的基底侧膜上,在那里发挥着机械传感器的作用。从CCD中IC特异性缺失Piezo1的小鼠体内分离出的微灌注集合管中,IC中血流诱导的[Ca2+]i瞬态和BK通道介导的FIKS均消失,这强调了PIEZO1在肾脏调节K+转运中的重要性。
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引用次数: 0
Cardiovascular responses to heat and cold exposure are altered by preterm birth in guinea pigs. 豚鼠对冷热暴露的心血管反应会因早产而改变。
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70098
Ryan Phillip Sixtus, Clint Gray, Heather Barnes, Emily Sarah Jane Paterson, Mary Judith Berry, Rebecca Maree Dyson

Adversity early in life can modify the trajectory for disease risk extending decades beyond the event. Preterm birth produces persistent cardiovascular alterations that may appear maladaptive in adulthood. We have previously hypothesized that those born preterm may exhibit cardiovascular vulnerability in the climate change context. Further, this vulnerability may be present as early as childhood. We aimed to identify the early signs of cardiovascular dysfunction at childhood-equivalent age using our animal model of preterm birth. Using a whole-body thermal stress test, guinea pigs aged 35-d and 38-d (equivalent to 8-10-year-old children) and born at term or preterm gestations were exposed to progressive hyper- (TC = 41.5°C) and hypo-thermia (TC = 34°C; normothermia TC = 39°C). Comprehensive cardiovascular monitoring included ECG, blood pressure, microvascular perfusion, blood gas, and catecholamine profile, as well as skin and core body temperature. Preterm-born animals exhibited attenuated vascular responses to hyperthermic stress, and a significant elevation in systolic blood pressure in response to hypothermic stress. Such responses are similar to those observed in elderly populations and indicate the presence of cardiovascular dysfunction. This is the first study to demonstrate the impact of preterm birth on the cardiovascular response to both heat and cold stress. Further, this dysfunction has been observed at an earlier age than that achievable using traditional stress testing techniques. The present findings warrant further investigation.

生命早期的不利因素会改变疾病风险的轨迹,并延续几十年。早产会产生持续的心血管改变,成年后可能会出现适应不良。我们之前曾假设,早产儿在气候变化背景下可能表现出心血管脆弱性。此外,这种脆弱性可能早在儿童时期就已存在。我们的目的是利用早产儿动物模型来确定与儿童年龄相当的心血管功能障碍的早期迹象。通过全身热应激试验,将年龄分别为 35 天和 38 天(相当于 8-10 岁的儿童)、足月或早产的豚鼠置于渐进的高热(TC = 41.5°C)和低热(TC = 34°C;常温 TC = 39°C)环境中。全面的心血管监测包括心电图、血压、微血管灌注、血气、儿茶酚胺谱以及皮肤和核心体温。早产动物对高热应激的血管反应减弱,对低温应激的收缩压显著升高。这种反应与在老年人群中观察到的反应相似,表明存在心血管功能障碍。这是第一项证明早产对心血管对冷热应激反应的影响的研究。此外,与传统压力测试技术相比,这种功能障碍的观察年龄更早。本研究结果值得进一步研究。
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引用次数: 0
Decreased mitochondrial-related gene expression in adipose tissue after acute sprint exercise in humans: A pilot study. 人体急性短跑运动后脂肪组织中线粒体相关基因表达减少:一项试点研究。
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70088
Mona Esbjörnsson, Håkan C Rundqvist, Barbara Norman, Ted Österlund, Eric Rullman, Jens Bülow, Eva Jansson

The aim was to examine the acute effects of sprint exercise (SIT) on global gene expression in subcutaneous adipose tissue (AT) in healthy subjects, to enhance understanding of how SIT influences body weight regulation. The hypothesis was that SIT upregulates genes involved in mitochondrial function and fat metabolism. A total of 15 subjects performed three 30-s all-out sprints (SIT). Samples were collected from AT, skeletal muscle (SM) and blood (brachial artery and a subcutaneous AT vein) up to 15 min after the last sprint. Results showed that markers of oxidative stress, such as the purines hypoxanthine, xanthine and uric acid, increased markedly by SIT in both the artery and the AT vein. Purines also increased in AT and SM tissue. Differential gene expression analysis indicated a decrease in signaling for mitochondrial-related pathways, including oxidative phosphorylation, electron transport, ATP synthesis, and heat production by uncoupling proteins, as well as mitochondrial fatty acid beta oxidation. This downregulation of genes related to oxidative metabolism suggests an early-stage inhibition of the mitochondria, potentially as a protective mechanism against SIT-induced oxidative stress.

目的是研究短跑运动(SIT)对健康受试者皮下脂肪组织(AT)整体基因表达的急性影响,以加深对短跑运动如何影响体重调节的理解。假设是短跑锻炼会上调涉及线粒体功能和脂肪代谢的基因。共有 15 名受试者进行了三次 30 秒的全力冲刺(SIT)。在最后一次短跑后的 15 分钟内,采集了运动器官、骨骼肌(SM)和血液(肱动脉和运动器官皮下静脉)样本。结果显示,嘌呤次黄嘌呤、黄嘌呤和尿酸等氧化应激标记物在肱动脉和肱动脉血管中都因短跑而明显增加。AT和SM组织中的嘌呤含量也有所增加。差异基因表达分析表明,与线粒体相关的途径信号减少,包括氧化磷酸化、电子传递、ATP 合成、解偶联蛋白产热以及线粒体脂肪酸 beta 氧化。与氧化代谢相关的基因下调表明线粒体受到早期抑制,这可能是对 SIT 诱导的氧化应激的一种保护机制。
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引用次数: 0
A new approach to modeling transdermal ethanol kinetics. 建立透皮乙醇动力学模型的新方法。
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70070
Joseph C Anderson

Measurement of ethanol above the skin surface (supradermal) is used to monitor blood alcohol concentrations (BAC) in both legal and consumer settings. Previously, the relationship between supradermal alcohol concentration (SAC) and BAC was described using partial and ordinary differential equations (PDE model: J. Appl. Physiol. 100: 649-55, 2006). Using a range of BAC profiles by varying absorption times and peak concentrations, the PDE model accurately predicted experimental measures of SAC. Recently, other mathematical models have relied on the PDE model. This paper proposes a new approach to modeling transdermal ethanol kinetics using a mass transfer coefficient and only ordinary differential equations (ODE model). Using a range of BAC profiles, the ODE model performed very similarly to the PDE model. The ODE model had slightly slower washout rates and slightly slower times to peak SAC and to zero SAC. Similar to the PDE model, a sensitivity analysis on the ODE model showed changes in solubility and diffusivity within the stratum corneum, stratum corneum thickness, and the volume of gas above the skin affected model performance. This new model will streamline integration into larger physiologic models, reduce computation time, and decrease the time to transform skin alcohol measurements to blood alcohol concentrations.

测量皮肤表面(皮上)的乙醇可用于监测合法和消费者血液中的酒精浓度(BAC)。以前,人们使用偏微分方程和常微分方程(PDE 模型:J. Appl. Physiol.利用一系列不同吸收时间和峰值浓度的 BAC 曲线,偏微分方程模型准确预测了 SAC 的实验测量值。最近,其他数学模型也依赖于 PDE 模型。本文提出了一种利用传质系数和常微分方程(ODE 模型)建立透皮乙醇动力学模型的新方法。在使用一系列 BAC 曲线时,ODE 模型的表现与 PDE 模型非常相似。ODE 模型的冲洗率稍慢,达到 SAC 峰值和 SAC 为零的时间稍慢。与 PDE 模型类似,对 ODE 模型的敏感性分析表明,角质层内的溶解度和扩散性、角质层厚度以及皮肤上方的气体体积的变化都会影响模型的性能。这一新模型将简化与大型生理模型的集成,减少计算时间,并缩短将皮肤酒精测量值转换为血液酒精浓度的时间。
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引用次数: 0
Systemic neurophysiological entrainment to behaviorally relevant rhythmic stimuli. 与行为相关的节律性刺激的系统神经生理学诱导。
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70079
Manuel Muñoz-Caracuel, Vanesa Muñoz, Francisco J Ruiz-Martínez, Antonio J Vázquez Morejón, Carlos M Gómez

Physiological oscillations, such as those involved in brain activity, heartbeat, and respiration, display inherent rhythmicity across various timescales. However, adaptive behavior arises from the interaction between these intrinsic rhythms and external environmental cues. In this study, we used multimodal neurophysiological recordings, simultaneously capturing signals from the central and autonomic nervous systems (CNS and ANS), to explore the dynamics of brain and body rhythms in response to rhythmic auditory stimulation across three conditions: baseline (no auditory stimulation), passive auditory processing, and active auditory processing (discrimination task). Our findings demonstrate that active engagement with auditory stimulation synchronizes both CNS and ANS rhythms with the external rhythm, unlike passive and baseline conditions, as evidenced by power spectral density (PSD) and coherence analyses. Importantly, phase angle analysis revealed a consistent alignment across participants between their physiological oscillatory phases at stimulus or response onsets. This alignment was associated with reaction times, suggesting that certain phases of physiological oscillations are spontaneously prioritized across individuals due to their adaptive role in sensorimotor behavior. These results highlight the intricate interplay between CNS and ANS rhythms in optimizing sensorimotor responses to environmental demands, suggesting a potential mechanism of embodied predictive processing.

生理振荡,如大脑活动、心跳和呼吸中的振荡,在不同的时间尺度上显示出固有的节律性。然而,适应行为产生于这些内在节律与外部环境线索之间的相互作用。在这项研究中,我们利用多模态神经生理学记录,同时捕捉中枢神经系统和自律神经系统(CNS 和 ANS)的信号,探讨了大脑和身体节律在三种条件下对有节奏的听觉刺激的动态响应:基线(无听觉刺激)、被动听觉处理和主动听觉处理(辨别任务)。我们的研究结果表明,与被动和基线条件不同,主动参与听觉刺激能使中枢神经系统和自律神经系统的节奏与外部节奏同步,这一点在功率谱密度(PSD)和相干性分析中得到了证明。重要的是,相位角分析显示,不同参与者在刺激或反应开始时的生理振荡相位一致。这种一致性与反应时间相关,表明生理振荡的某些相位由于其在感觉运动行为中的适应性作用而在不同个体中自发地被优先考虑。这些结果突显了中枢神经系统和自律神经系统节律在优化对环境需求的感觉运动反应方面错综复杂的相互作用,表明了一种潜在的具身预测处理机制。
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引用次数: 0
Olfactory cilia, regulation and control of olfaction. 嗅觉纤毛、嗅觉的调节和控制。
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70057
Hiroko Takeuchi

The sense of smell is still considered a fuzzy sensation. Softly wafting aromas can stimulate the appetite and trigger memories; however, there are many unexplored aspects of its underlying mechanisms, and not all of these have been elucidated. Although the final sense of smell takes place in the brain, it is greatly affected during the preliminary stage, when odorants are converted into electrical signals. After signal conversion through ion channels in olfactory cilia, action potentials are generated through other types of ion channels located in the cell body. Spike trains through axons transmit this information as digital signals to the brain, however, before odorants are converted into digital electric signals, such as an action potential, modification of the transduction signal has already occurred. This review focuses on the early stages of olfactory signaling. Modification of signal transduction mechanisms and their effect on the human sense of smell through three characteristics (signal amplification, olfactory adaptation, and olfactory masking) produced by olfactory cilia, which is the site of signal transduction are being addressed in this review.

嗅觉仍然被认为是一种模糊的感觉。轻柔飘散的香气可以刺激食欲,触发记忆;然而,嗅觉的内在机制还有许多未被探索的方面,而且并非所有这些方面都已阐明。虽然最终的嗅觉是在大脑中产生的,但在气味物质转化为电信号的初级阶段,嗅觉会受到很大影响。信号通过嗅觉纤毛中的离子通道转换后,通过位于细胞体内的其他类型离子通道产生动作电位。然而,在气味转化为数字电信号(如动作电位)之前,传导信号已经发生了改变。这篇综述的重点是嗅觉信号传递的早期阶段。信号转导机制的改变及其通过嗅觉纤毛(信号转导的场所)产生的三个特征(信号放大、嗅觉适应和嗅觉遮蔽)对人类嗅觉的影响将在本综述中讨论。
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引用次数: 0
Genetically conditioned interaction among microRNA-155, alpha-klotho, and intra-renal RAS in male rats: Link to CKD progression. 雄性大鼠体内microRNA-155、α-klotho和肾内RAS之间的遗传条件相互作用:与慢性肾功能衰竭进展的联系
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.16172
L M Harrison-Bernard, L Raij, R X Tian, E A Jaimes

Incident chronic kidney disease (CKD) varies in populations with hypertension of similar severity. Proteinuria promotes CKD progression in part due to activation of plasminogen to plasmin in the podocytes, resulting in oxidative stress-mediated injury. Additional mechanisms include deficiency of renal alpha-klotho, that inhibits Wnt/beta-catenin, an up regulator of intra-renal renin angiotensin system (RAS) genes. Alpha-klotho deficiency therefore results in upregulation of the intra-renal RAS via Wnt/beta-catenin. In hypertensive, Dahl salt sensitive (DS) and spontaneously hypertensive rats (SHR), we investigated renal and vascular injury, miR-155, AT1R, alpha-klotho, and TNF-α. Hypertensive high salt DS (DS-HS), but not SHR developed proteinuria, plasminuria, and glomerulosclerosis. Compared to DS low salt (DS-LS), in hypertensive DS-HS alpha-klotho decreased 5-fold in serum and 2.6-fold in kidney, whereas serum mir-155 decreased 3.3-fold and AT1R increased 52% in kidney and 77% in aorta. AT1R, alpha-klotho, and miR-155 remained unchanged in prehypertensive and hypertensive SHR. TNF-α increased by 3-fold in serum and urine of DS-HS rats. These studies unveiled in salt sensitive DS-HS, but not in SHR, a genetically conditioned dysfunction of the intermolecular network integrated by alpha-klotho, RAS, miR-155, and TNF-α that is at the helm of their end-organ susceptibility while plasminuria may participate as a second hit.

在高血压严重程度相似的人群中,慢性肾脏病(CKD)的发病率各不相同。蛋白尿会促进 CKD 的发展,部分原因是荚膜细胞中的纤溶酶原被活化为纤溶酶,导致氧化应激介导的损伤。其他机制还包括缺乏肾脏α-klotho,它能抑制肾内肾素血管紧张素系统(RAS)基因的上调因子 Wnt/β-catenin。因此,缺乏α-klotho 会导致肾内 RAS 基因通过 Wnt/beta-catenin 上调。在高血压、达尔盐敏感大鼠(DS)和自发性高血压大鼠(SHR)中,我们研究了肾脏和血管损伤、miR-155、AT1R、α-klotho 和 TNF-α。高血压高盐大鼠(DS-HS)会出现蛋白尿、浆蛋白尿和肾小球硬化,而 SHR 不会。与DS低盐(DS-LS)相比,高血压DS-HS血清中的α-klotho减少了5倍,肾脏中减少了2.6倍,而血清中的mir-155减少了3.3倍,肾脏中的AT1R增加了52%,主动脉中增加了77%。在高血压前期和高血压 SHR 中,AT1R、α-klotho 和 miR-155 保持不变。DS-HS 大鼠血清和尿液中的 TNF-α 增加了 3 倍。这些研究揭示了盐敏感 DS-HS 而非 SHR 分子间网络(由 alpha-klotho、RAS、miR-155 和 TNF-α 整合而成)的基因条件性功能障碍,这是导致其终末器官易感性的主要原因,而血浆蛋白尿可能是其次要原因。
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引用次数: 0
Fructose-1,6-bisphosphate reverses hypotensive effect caused by L-kynurenine in Wistar male rats. 1,6-二磷酸果糖可逆转 L-犬尿氨酸对 Wistar 雄性大鼠的降压作用。
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70033
Anderson Velasque Catarina, Gisele Branchini, Rafael Andrade Caceres, Renata Streck Fernandes, Bruna Pasqualotto Costa, Kleiton Lima De Godoy Machado, Tiago Becker, Luis Fernando Ferreira, Katya Rigatto, Jarbas Rodrigues de Oliveira, Fernanda Bordignon Nunes

Hypotension is one of the main characteristics of the systemic inflammation, basically caused by endothelial dysfunction. Studies have shown that the amino acid L-kynurenine (KYN) causes vasodilation in mammals, leading to hypotensive shock. In hypotensive shock, when activated by the KYN, the voltage-gated potassium channel encoded by the family KCNQ (Kv7) gene can cause vasodilation. Fructose-1,6-bisphosphate (FBP) it is being considered in studies an anti-inflammatory, antioxidant, immunomodulator, and a modulator of some ion channels (Ca2+, Na+, and K+). We analyzed the effects of KYN and FBP on mean blood pressure (MBP), systolic and diastolic (DBP) blood pressure, and heart rate variability (HRV) in Wistar rats. Results demonstrated that the administration of KYN significant decreased MBP, DBP, and increased HRV. Importantly, the FBP treatment reversed the KYN effects on MBP, DBP, and HRV. Molecular Docking Simulations suggested that KYN and FBP present a very close estimated free energy of binding and the same position into structure of KCNQ4. Our results did demonstrate that FBP blunted the decrease in BP, provoked by KYN. Results raise new hypotheses for future and studies in the treatment of hypotension resulting from inflammation.

低血压是全身性炎症的主要特征之一,基本上是由内皮功能障碍引起的。研究表明,氨基酸 L-犬尿氨酸(KYN)会引起哺乳动物血管扩张,导致低血压休克。在低血压休克中,当 KYN 激活时,KCNQ(Kv7)家族基因编码的电压门控钾通道可导致血管扩张。研究认为,1,6-二磷酸果糖(FBP)具有抗炎、抗氧化、免疫调节和调节某些离子通道(Ca2+、Na+ 和 K+)的作用。我们分析了 KYN 和 FBP 对 Wistar 大鼠平均血压(MBP)、收缩压和舒张压(DBP)以及心率变异性(HRV)的影响。结果表明,服用 KYN 能显著降低 MBP、DBP,并增加心率变异性。重要的是,FBP 治疗逆转了 KYN 对 MBP、DBP 和 HRV 的影响。分子对接模拟表明,KYN 和 FBP 的估计结合自由能非常接近,在 KCNQ4 结构中的位置也相同。我们的研究结果表明,FBP 能抑制 KYN 引起的血压下降。研究结果为今后治疗炎症引起的低血压提出了新的假设。
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引用次数: 0
Influence of kilohertz frequency, burst duty cycle and burst duration on evoked torque, discomfort and muscle efficiency: A randomized crossover trial. 千赫兹频率、脉冲串占空比和脉冲串持续时间对诱发扭矩、不适感和肌肉效率的影响:随机交叉试验
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70039
Karenina Arrais Guida Modesto, Priscila Karen Silva Raposo, Isabella da Silva Almeida, Marco Aurélio Vaz, João Luiz Quagliotti Durigan

Kilohertz-frequency alternating currents (KFACs) have been indicated to minimize muscle atrophy and weakness. However, the optimal stimulation parameters still need to be determined.

Objective: This study aimed to investigate the effects of different KFACs on evoked torque, current efficiency, and perceived discomfort.

Design: KFACs with frequencies of 1 kHz (Aussie current) and 2.5 kHz (Russian current), along with two duty cycles (10% and 20%), were randomly applied to the triceps surae muscle of healthy participants using a crossover design. The NMES intensity, NMES-evoked torque, NMES efficiency, and NMES discomfort were measured in maximal and submaximal conditions. Statistical analyses were conducted using a two-way mixed-model ANOVA with repeated measures. Forty-four participants were included.

Results: Aussie currents produced higher evoked torque and efficiency in maximal and submaximal efforts, with higher perceived discomfort in maximal effort. Although the Australian current may cause greater discomfort at maximal efforts, it matches the Russian current in perceived discomfort at submaximal levels. The 20% duty cycle produced the highest efficiency in submaximal efforts.

Conclusion: In both maximal and submaximal efforts, the Aussie current demonstrated superior NMES efficiency, yielding higher torque with lower amplitude than the Russian current. Clinicians should take these findings into consideration when prescribing KFACs to optimize clinical outcomes.

千赫兹频率交变电流(KFACs)可最大程度地减少肌肉萎缩和肌肉无力。然而,最佳刺激参数仍有待确定:本研究旨在调查不同 KFAC 对诱发扭矩、电流效率和感觉不适的影响:设计:采用交叉设计,将频率为 1 kHz(澳式电流)和 2.5 kHz(俄式电流)的 KFAC 以及两种占空比(10% 和 20%)随机应用于健康参与者的肱三头肌。在最大和次最大条件下测量了 NMES 强度、NMES 诱发扭矩、NMES 效率和 NMES 不舒适感。统计分析采用重复测量的双向混合方差分析。共有 44 名参与者参与了研究:结果:澳式电流在最大和次最大努力中产生了更高的诱发扭矩和效率,而在最大努力中产生了更高的不适感。虽然澳大利亚电流在最大努力时可能会引起更大的不适感,但它在次最大努力时的不适感与俄罗斯电流不相上下。20% 的占空比在次最大负荷时效率最高:在最大和次最大负荷时,澳式电流的 NMES 效率均优于俄式电流,能以较低的振幅产生较高的扭矩。临床医生在处方 KFAC 时应考虑到这些发现,以优化临床效果。
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引用次数: 0
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