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Nandrolone decanoate-induced hypogonadism in male rats: Dose- and time-dependent effects on pituitary and testicular hormonal functions. 癸酸诺龙诱导雄性大鼠性腺功能减退:剂量和时间对垂体和睾丸激素功能的影响。
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70053
Sholeh Karimi, Negar Kazori, Sayyed Mohammad Hadi Alavi, Sara Alijanpour, Mohammad Alim Atif Siddiqi, Bahman Zeynali

Anabolic-androgenic steroids (AASs) impairment of reproduction has been reported. We investigated dose- and time-dependent effects of Nandrolone decanoate (ND) on reproductive system in comparison with Testosterone enanthate (TE). Male Wistar rats were administrated with 1, 3, and 9 mg/kg/weeks ND or 1 and 3 mg/kg/weeks TE for 8 weeks, and testicular phenotype and reproductive hormones were assessed at 4 and 8 weeks post-treatments. AASs × treatment period interaction was significant for gonadosomatic index (GSI), testosterone (T), 17β-estradiol (E2), and luteinizing hormone (LH). At 4 weeks post-treatment, GSI was decreased in rats treated with 3 mg/kg/weeks ND and T was decreased in all ND-treated groups, while no significant changes in LH levels were observed. At 8 weeks post-treatment, GSI was decreased in rats treated with 1 and 3 mg/kg/weeks ND and with 3 mg/kg/weeks TE, T was decreased in all groups, and E2 and LH were increased and decreased, respectively, in rats treated with 9 mg/kg/weeks ND and with 3 mg/kg/weeks TE. The testes showed histopathological defects in both ND- and TE-treated rats suggesting a delay in seminiferous cycle. This study shows AASs-induced hypogonadism at low-dose that coincided with inhibition of T biosynthesis and disruption of T feedback on pituitary.

有报道称合成代谢雄性类固醇(AASs)会损害生殖系统。与庚酸睾酮(TE)相比,我们研究了癸酸诺龙(ND)对生殖系统的剂量和时间依赖性影响。雄性 Wistar 大鼠连续 8 周服用 1、3 和 9 毫克/千克/周的 ND 或 1 和 3 毫克/千克/周的 TE,并在治疗后 4 周和 8 周评估睾丸表型和生殖激素。在性腺指数(GSI)、睾酮(T)、17β-雌二醇(E2)和黄体生成素(LH)方面,AASs × 治疗期交互作用显著。在治疗后 4 周,接受 3 毫克/千克/周 ND 治疗的大鼠 GSI 下降,所有 ND 治疗组的睾酮均下降,而 LH 水平未观察到显著变化。治疗后 8 周,使用 1 和 3 毫克/千克/周 ND 以及 3 毫克/千克/周 TE 治疗的大鼠 GSI 下降,所有组的 T 下降,使用 9 毫克/千克/周 ND 和 3 毫克/千克/周 TE 治疗的大鼠 E2 和 LH 分别升高和下降。ND和TE处理的大鼠睾丸都出现了组织病理学缺陷,这表明曲细精管周期出现了延迟。这项研究表明,低剂量 AAS 可诱导性腺功能减退,同时抑制 T 的生物合成并破坏 T 对垂体的反馈。
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引用次数: 0
Context-specific anti-inflammatory roles of type III interferon signaling in the lung in nonviral injuries. Ⅲ型干扰素信号传导在非病毒性肺损伤中的抗炎作用具有环境特异性。
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70104
Jingjing Feng, Jooyoung Kim, Victoria D Wang, De Chang, Hongbo Liu, William G Bain, Keven M Robinson, Zhijun Jie, Sergei V Kotenko, Charles S Dela Cruz, Lokesh Sharma

Type III interferons (λ1, λ2, and λ3) are potent antiviral cytokines in the lung. However, their roles in nonviral lung injuries are less well understood. This study investigates the activation of type III interferon signaling in three distinct models of lung injuries caused by diverse stimuli: the bacterial pathogen Pseudomonas aeruginosa, bacterial endotoxin LPS, and the chemotherapeutic agent bleomycin. Our data show that, despite inducing a potent inflammatory response, Pseudomonas and LPS did not increase IFNλ secretion. In contrast, bleomycin instillation increased secretion of IFNλ in the airways at both early and late time points. Consistent with limited secretion, type III interferon signaling had a minimal role in the host response to both Pseudomonas and LPS, as measured by pathogen burden, inflammatory response, and lung injury. Conversely, a deficiency in type III interferon signaling led to increased inflammatory signaling and elevated acute lung injury in the bleomycin model on day 3. This elevated early injury resulted in impaired recovery in IFNLR1 knockout mice, as evidenced by their recovery from bleomycin-induced weight loss. Taken together, these data suggest a context-specific activation of type III interferon signaling, where it plays an anti-inflammatory role in the lung.

III 型干扰素(λ1、λ2 和 λ3)是肺部有效的抗病毒细胞因子。然而,人们对它们在非病毒性肺损伤中的作用却知之甚少。本研究调查了在三种不同的肺损伤模型中 III 型干扰素信号的激活情况,这些肺损伤是由不同的刺激引起的:细菌病原体铜绿假单胞菌、细菌内毒素 LPS 和化疗药物博莱霉素。我们的数据显示,尽管假单胞菌和 LPS 能诱导强烈的炎症反应,但它们并不能增加 IFNλ 的分泌。与此相反,博莱霉素灌注会在早期和晚期增加气道中 IFNλ 的分泌。与有限的分泌相一致,III型干扰素信号传导在宿主对假单胞菌和LPS的反应中作用微乎其微,具体表现为病原体负荷、炎症反应和肺损伤。相反,在博莱霉素模型中,III型干扰素信号的缺乏会导致炎症信号的增加和第3天急性肺损伤的加剧。IFNLR1基因敲除小鼠从博莱霉素诱导的体重减轻中恢复的情况证明,这种早期损伤的加剧导致其恢复能力受损。综上所述,这些数据表明,III型干扰素信号传导在特定环境下会被激活,并在肺部发挥抗炎作用。
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引用次数: 0
Global and national burden of type 2 diabetes mellitus attributable to PM2.5 air pollution: An analysis of the GBD study from 1990 to 2019. 可归因于 PM2.5 空气污染的全球和国家 2 型糖尿病负担:1990-2019年GBD研究分析。
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70074
Manan Raina, Pedro Salerno, Kush Doshi, Jieji Hu, Sanjay Rajagopalan

Epidemiological studies have established a link between air pollution and an elevated risk of type 2 diabetes mellitus (T2DM). This study aims to measure the impact of T2DM related to fine particulate matter (PM2.5) pollution by examining death rates and disability-adjusted life years (DALYs) from 1990 to 2019 in the United States of America. Using data from the Global Burden of Disease (GBD) database, we examined death and DALY rates per 100,000 populations in T2DM patients, specifically focusing on ambient particulate matter pollution (APMP) and household air pollution (HAP). We assessed average annual percentage change (AAPC) across various age and gender groups, states, and socio-demographic index (SDI) categories. Our findings reveal a significant decline in death rates and DALYs in the United States of America over the last 30 years, with more pronounced decreases among females and older adults. Despite national progress, state-level variations indicate complex interactions between environmental regulations, healthcare access, and socio-economic factors. Some states, such as Oregon, Idaho, and Alaska, exhibited increased AAPC. Our study emphasizes the need for targeted policies and interventions to reduce PM2.5 exposure and further address regional disparities, ensuring continued improvement in public health outcomes.

流行病学研究证实,空气污染与 2 型糖尿病(T2DM)风险升高之间存在联系。本研究旨在通过研究 1990 年至 2019 年期间美国的死亡率和残疾调整寿命年数(DALYs),衡量与细颗粒物(PM2.5)污染有关的 T2DM 的影响。利用全球疾病负担(GBD)数据库中的数据,我们研究了每 10 万人中 T2DM 患者的死亡率和残疾调整寿命年数,特别关注环境颗粒物污染(APMP)和家庭空气污染(HAP)。我们评估了不同年龄和性别群体、州和社会人口指数 (SDI) 类别的年均百分比变化 (AAPC)。我们的研究结果表明,在过去 30 年中,美国的死亡率和残疾调整寿命年数大幅下降,其中女性和老年人的下降更为明显。尽管在全国范围内取得了进展,但各州之间的差异表明,环境法规、医疗保健服务和社会经济因素之间存在着复杂的相互作用。一些州,如俄勒冈州、爱达荷州和阿拉斯加州,AAPC 有所上升。我们的研究强调,有必要采取有针对性的政策和干预措施来减少 PM2.5 暴露,并进一步解决地区差异问题,从而确保公共卫生结果的持续改善。
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引用次数: 0
Characterization of a novel variant in KCNJ16, encoding Kir5.1 channel. 编码 Kir5.1 通道的 KCNJ16 新型变体的特征。
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70083
Biyang Xu, Vladislav Levchenko, Ruslan Bohovyk, Ameneh Ahrari, Aron M Geurts, Valerie Sency, Baozhong Xin, Heng Wang, Alexander Staruschenko

The essential role of the inwardly rectifying potassium channel Kir5.1 (KCNJ16) in controlling electrolyte homeostasis and blood pressure has been demonstrated in human and animal studies. Previous studies have identified several bi-allelic mutations of KCNJ16 in humans, causing severe hypokalemia, renal salt wasting, and disturbed acid-base homeostasis. Here, we identified a novel homozygous variant of KCNJ16, I26T, in an Amish patient affected with polydipsia, developmental delay, and chronic metabolic acidosis with low serum bicarbonate concentration. Subsequently, we generated the rat model with I26T mutation using Dahl salt-sensitive rat (I26T rat) to characterize this variant. The male mutant rats displayed similar blood pressure and electrolyte homeostasis under baseline and with a high salt (4% NaCl) challenge. Blood pH, HCO3 - and renal damage also remained similar between WT and I26T rats after high salt challenge. Additionally, single-channel patch clamp analysis revealed similar channel activity in CHO cells overexpressed with WT and I26T mutant Kir4.1/5.1 channels. In summary, this study reported a novel variant in KCNJ16, namely I26T, which is likely a benign variant and not associated with pathologic phenotype in either human or Dahl salt-sensitive rats, indicating that the type/location of variant should be considered when diagnosing and treating patients with KCNJ16 mutations.

内向整流钾通道 Kir5.1 (KCNJ16) 在控制电解质平衡和血压方面的重要作用已在人类和动物研究中得到证实。先前的研究发现了人类 KCNJ16 的几个双等位突变,这些突变会导致严重的低钾血症、肾性盐耗竭和酸碱平衡紊乱。在这里,我们在一名患有多尿症、发育迟缓、慢性代谢性酸中毒和低血清碳酸氢盐浓度的阿米什病人身上发现了一种新的 KCNJ16 同源变异体 I26T。随后,我们利用对达尔盐敏感的大鼠(I26T 大鼠)建立了 I26T 突变大鼠模型,以确定该变异体的特征。雄性突变大鼠在基线和高盐(4% NaCl)挑战下表现出相似的血压和电解质平衡。高盐挑战后,WT 和 I26T 大鼠的血液 pH 值、HCO3 - 和肾损伤也保持相似。此外,单通道膜片钳分析表明,过表达 WT 和 I26T 突变 Kir4.1/5.1 通道的 CHO 细胞具有相似的通道活性。总之,本研究报告了 KCNJ16 的一种新型变异,即 I26T,它很可能是一种良性变异,与人类或 Dahl 盐敏感大鼠的病理表型无关,这表明在诊断和治疗 KCNJ16 突变患者时应考虑变异的类型/位置。
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引用次数: 0
How does the pelvic floor respond to modulations in trunk pressure induced by a variety of voicing tasks? A cross-sectional, observational study. 骨盆底如何应对各种发声任务引起的躯干压力变化?一项横断面观察研究。
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70090
Aliza Rudavsky, Linda McLean

The pelvic floor responds to changes in trunk pressure, elevating during low-pressure exhale and descending during high-pressure exhale. Voicing occurs during exhalation, spanning low-to-high trunk-pressure, yet it is unknown how voicing affects the pelvic floor. The aim of this study was to quantify pelvic floor response to voicing and identify if there are differences for women with stress urinary incontinence. We hypothesized that shouting would cause pelvic floor descent, with greater magnitude for incontinent women. Sixty women (38 incontinent, 22 continent) performed four voicing tasks (counting to "4" in speaking/shouting/low-pitch/high-pitch voice) while transperineal ultrasound measured changes in pelvic floor morphology. ANOVA compared variance of responses to voicing and t-tests compared groups. Bladder neck height shortened, levator plate length increased and levator plate angle decreased more during shouting compared to speaking; consistent with pelvic floor straining. There were no differences for high versus low pitch-voicing and small group differences based on continence status. Voicing causes pelvic floor muscles to strain, with greater strain during shouting. Changing vocal pitch does not affect pelvic floor morphology and incontinent women had slight differences from continent women. Voicing may be a safe way to lengthen the pelvic floor without provoking incontinence.

骨盆底板会对躯干压力的变化做出反应,在低压呼气时会升高,在高压呼气时会降低。发声发生在呼气过程中,跨越了从低到高的躯干压力,但发声如何影响盆底尚不清楚。本研究的目的是量化骨盆底对发声的反应,并确定患有压力性尿失禁的女性在这方面是否存在差异。我们假设喊叫会导致骨盆底下降,尿失禁女性的下降幅度更大。60 名女性(38 名失禁,22 名失禁)在经会阴超声波测量盆底形态变化的同时,完成了四项发声任务(用说话/喊叫/低音调/高音调的声音数到 "4")。方差分析比较了发声反应的差异,t 检验比较了各组的差异。与说话相比,喊叫时膀胱颈高度缩短,外括约肌板长度增加,外括约肌板角度减小;这与盆底紧张一致。高音调与低音调发声没有差异,根据尿失禁状况,组间差异较小。发声会导致盆底肌肉紧张,喊叫时盆底肌肉紧张程度更大。改变发声音调不会影响盆底形态,失禁女性与失禁女性的盆底形态略有不同。发声可能是一种安全的延长盆底肌肉的方法,不会引起尿失禁。
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引用次数: 0
Knockout of Sirtuin 3 in endothelial cells impairs endothelial-dependent relaxation and myogenic response in mice. 在小鼠内皮细胞中敲除 Sirtuin 3 会损害内皮依赖性松弛和肌生成反应。
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70060
Jian-Xiong Chen, Jin Zhang, Yingjie Chen, Heng Zeng

Sirtuin 3 has been shown to regulate endothelial function and coronary flow reserve in mice. Knockout of SIRT3 reduced endothelial nitric oxide synthase expression in the mouse hearts. In this study, we investigate whether endothelial SIRT3 regulates vascular function and myogenic responses in distal intramural branches of the left anterior descending coronary artery (CA) and middle cerebral artery (MCA) of mice. Both male and female endothelial SIRT3 knockout (SIRT3ECKO) mice and control SIRT3LoxP mice were used and CA and MCA were dissected and mounted in a myograph system. The myogenic response was evaluated by measuring changes in inner diameter in response to 20 mmHg stepwise increases in intraluminal pressure in PSS (active diameter) and Ca2+-free PSS (passive diameter). Acetylcholine (Ach)-induced endothelial-dependent relaxation (EDR) and sodium nitroprusside (SNP)-induced endothelial-independent relaxation (EIR) were examined. Our results showed that the myogenic responses were significantly impaired in both the CA and MCA of SIRT3ECKO mice. Furthermore, female mice had worsened myogenic response in MCA. In CA, EDR was abolished in both male and female SIRT3ECKO mice. Intriguingly, EIR was only reduced in the female mice. In MCA, EDR was reduced in male SIRT3ECKO mice, whereas EIR was decreased in both male and female mice. Female SIRT3ECKO mice had profound dysfunction in CA, whereas male mice exhibited more dysfunction in MCA. These data revealed a sex and organ-specific role of endothelial SIRT3 in vascular function and myogenic responses. Our study suggests that endothelial SIRT3 is necessary for maintaining vascular function and blood flow autoregulation.

研究表明,Sirtuin 3 可调节小鼠的内皮功能和冠状动脉血流储备。敲除 SIRT3 会降低小鼠心脏内皮一氧化氮合酶的表达。本研究探讨了内皮 SIRT3 是否调节小鼠左前降支冠状动脉(CA)和大脑中动脉(MCA)远端内膜分支的血管功能和肌源性反应。使用雌雄内皮 SIRT3 基因敲除(SIRT3ECKO)小鼠和对照组 SIRT3LoxP 小鼠,解剖 CA 和 MCA 并将其安装在肌电图系统中。通过测量 PSS(主动直径)和不含 Ca2+ 的 PSS(被动直径)中腔内压逐步增加 20 mmHg 时内径的变化来评估肌源性反应。我们还检测了乙酰胆碱(Ach)诱导的内皮依赖性松弛(EDR)和硝普钠(SNP)诱导的内皮非依赖性松弛(EIR)。结果显示,SIRT3ECKO 小鼠的 CA 和 MCA 肌源性反应均明显受损。此外,雌性小鼠在 MCA 中的生肌反应更差。在 CA 中,雄性和雌性 SIRT3ECKO 小鼠的 EDR 均被取消。耐人寻味的是,只有雌性小鼠的 EIR 减少。在 MCA 中,雄性 SIRT3ECKO 小鼠的 EDR 减少,而雌雄小鼠的 EIR 均减少。雌性 SIRT3ECKO 小鼠在 CA 中表现出严重的功能障碍,而雄性小鼠在 MCA 中表现出更多的功能障碍。这些数据揭示了内皮 SIRT3 在血管功能和肌生成反应中的性别和器官特异性作用。我们的研究表明,内皮 SIRT3 是维持血管功能和血流自动调节的必要条件。
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引用次数: 0
Correction to "PKM2 regulates metabolic flux and oxidative stress in the murine heart". 更正 "PKM2调节小鼠心脏的代谢通量和氧化应激"。
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70100
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引用次数: 0
Minocycline mitigates sepsis-induced neuroinflammation and promotes recovery in male mice: Insights into neuroprotection and inflammatory modulation. 米诺环素可减轻败血症引起的神经炎症并促进雄性小鼠的恢复:对神经保护和炎症调节的启示
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70032
Mahmoud Hosseini, Zahra Bardaghi, Hedyeh Askarpour, Arezoo Rajabian, Maryam Mahmoudabady, Sadegh Shabab, Zahra Samadi-Noshahr, Hossein Salmani

Sepsis is associated with brain injury and acute brain inflammation, which can potentially transition into chronic inflammation, triggering a cascade of inflammatory responses that may lead to neurological disorders. Minocycline, recognized for its potent anti-inflammatory properties, was investigated in this study for its protective effects against sepsis-induced brain injury. Adult male C57 mice pretreated with minocycline (12.5, 25, and 50 mg/kg) 3 days before sepsis induction. An intraperitoneal injection of 5 mg/kg LPS was used to induce sepsis. Spontaneous locomotor activity (SLA) and weight changes were assessed over several days post-sepsis to monitor the recovery of the mice. The expression of inflammatory mediators and oxidative stress markers was assessed 24 h post sepsis. Septic mice exhibited significant weight loss and impaired SLA. Initially, minocycline did not attenuate the severity of weight loss (1 day) or SLA (4 h post-sepsis), but it significantly accelerated the recovery of the mice in later days. Minocycline dose-dependently mitigated sepsis-induced brain inflammation and oxidative stress. Our findings demonstrate that pretreatment with minocycline has the potential to prevent brain tissue damage and accelerate recovery from sepsis in mice, suggesting that minocycline may serve as a promising therapeutic intervention to protect against sepsis-induced neurological complications.

败血症与脑损伤和急性脑部炎症有关,急性脑部炎症有可能转变为慢性炎症,引发一连串的炎症反应,从而导致神经系统疾病。米诺环素被公认为具有强效抗炎特性,本研究对其针对败血症诱发的脑损伤的保护作用进行了研究。成年雄性 C57 小鼠在败血症诱导前 3 天接受米诺环素(12.5、25 和 50 毫克/千克)预处理。腹腔注射 5 毫克/千克 LPS 诱导败血症。败血症后几天内评估小鼠的自发性运动活动(SLA)和体重变化,以监测小鼠的恢复情况。败血症后 24 小时评估炎症介质和氧化应激标记物的表达。败血症小鼠体重明显下降,SLA受损。最初,米诺环素并不能减轻体重下降(1 天)或 SLA(败血症后 4 小时)的严重程度,但它能显著加快小鼠在随后几天的恢复。米诺环素剂量依赖性地减轻了败血症引起的脑部炎症和氧化应激。我们的研究结果表明,米诺环素可预防脑组织损伤并加速小鼠从败血症中恢复。
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引用次数: 0
The protective effect of angiotensin II type I receptor blocker (valsartan) on behavioral impairment, NLRP3, BDNF, and oxidative stress in the brain tissue of ovariectomized female rats. 血管紧张素 II I 型受体阻滞剂(缬沙坦)对卵巢切除雌性大鼠脑组织行为障碍、NLRP3、BDNF 和氧化应激的保护作用。
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70003
Salih Erdem, Hale Sayan Özaçmak, İnci Turan, Meryem Ergenç

Depression and anxiety are common mental health disorders affecting thoughts, behaviors, and emotions. This study aimed to investigate the effect of the angiotensin II type I receptor blocker (AT1RB), valsartan, on menopause-induced depression and anxiety-like behaviors, and to elucidate possible mechanisms of action by measuring levels of nod-like receptor protein 3 (NLRP3), interleukin-1beta (IL-1β), brain-derived neurotrophic factor (BDNF), and oxidative stress in brain tissue. Thirty-two Wistar albino female rats were randomly divided into four groups (n = 8 per group): Control, AT1RB, OVX, and AT1RB + OVX. Following the bilateral ovariectomy (OVX) protocol, physiological saline was used as valsartan solvent, in a maximum volume of 0.4 mL, and valsartan was administered via intragastric gavage at a dose of 40 mg/kg/day. Depression and anxiety-like behaviors were assessed using the forced swimming test and open field test. Levels of oxidative stress markers, NLRP3, IL-1β, BDNF, and CREB were analyzed in the hippocampus and prefrontal cortex tissues. Behavioral tests indicated that depression and anxiety-like behaviors significantly increased in OVX rats (p < 0.01), while AT1RB treatment significantly reduced these behaviors (p < 0.05). In the hippocampus of OVX rats, oxidative stress (p < 0.01), NLRP3 (p < 0.05), and IL-1β (p < 0.01) levels were elevated, whereas BDNF levels were significantly decreased (p < 0.01). AT1RB treatment significantly improved oxidative stress parameters (p < 0.05) and BDNF levels (p < 0.01) but did not significantly affect the increased levels of NLRP3 and IL-1β in OVX rats. In conclusion, AT1RB has a therapeutic effect on menopause-induced depression and anxiety-like behaviors, likely by reducing oxidative stress and increasing BDNF production in the hippocampus.

抑郁和焦虑是影响思想、行为和情绪的常见精神疾病。本研究旨在探讨血管紧张素II I型受体阻滞剂(AT1RB)--缬沙坦对更年期诱发的抑郁和焦虑样行为的影响,并通过测量脑组织中类节点受体蛋白3(NLRP3)、白细胞介素-1β(IL-1β)、脑源性神经营养因子(BDNF)和氧化应激的水平,阐明其可能的作用机制。32 只 Wistar 白化雌性大鼠被随机分为四组(每组 8 只):对照组、AT1RB 组、卵巢切除组和 AT1RB + 卵巢切除组。按照双侧卵巢切除术(OVX)方案,生理盐水用作缬沙坦溶剂,最大容量为 0.4 mL,缬沙坦通过胃内灌胃给药,剂量为 40 mg/kg/天。抑郁和焦虑样行为通过强迫游泳试验和野外开放试验进行评估。分析了海马和前额叶皮层组织中氧化应激标记物、NLRP3、IL-1β、BDNF和CREB的水平。行为测试表明,OVX 大鼠的抑郁和焦虑样行为明显增加(p
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引用次数: 0
Diuretic responses to Ringer's solution and 20% albumin at different arterial pressures. 不同动脉压下林格氏液和 20% 白蛋白的利尿反应。
IF 2.2 Q3 PHYSIOLOGY Pub Date : 2024-10-01 DOI: 10.14814/phy2.70069
Robert G Hahn, Markus Zdolsek, Michaela Gunnström, Emma Hasselgren, Joachim H Zdolsek

Intravenous volume loading is a common treatment when hypovolemia is a potential cause of oliguria. We studied whether the effectiveness of Ringer's solution and 20% albumin in inducing diuresis differs depending on the mean arterial pressure (MAP). For this purpose, volume kinetic analysis was performed based on urine output and hemoglobin-derived plasma dilution obtained during and after 136 infusions of Ringer and 85 infusions of 20% albumin. Covariance analysis quantified the diuretic response at different arterial pressures. The results show that the diuretic response to a known plasma volume expansion was greater for Ringer's solution above a MAP of 70 mmHg, while 20% albumin was significantly more effective at lower pressures (p < 0.03). Simulations of the urinary output in response to infusion of a predefined fluid volume yielded superior efficacy for 20% albumin when the MAP was low, while Ringer's was similarly effective when the MAP averaged 100 mmHg. In conclusion, urine output in response to plasma volume expansion with 20% albumin was similar to, or even stronger, than that of Ringer's solution when the MAP was below 70 mmHg.

当低血容量是导致少尿的潜在原因时,静脉容量负荷是一种常见的治疗方法。我们研究了林格氏溶液和 20% 白蛋白诱导利尿的效果是否因平均动脉压 (MAP) 而异。为此,我们根据 136 次输注林格氏溶液和 85 次输注 20% 白蛋白期间和之后获得的尿量和血红蛋白衍生血浆稀释进行了容量动力学分析。协方差分析量化了不同动脉压下的利尿反应。结果显示,林格溶液对已知血浆容量扩张的利尿反应在 MAP 超过 70 mmHg 时更大,而 20% 的白蛋白在较低压力下明显更有效(p<0.05)。
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