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Climbing Fiber Activation Induced by Footshock in the Cerebellar Vermis Lobule IV/V of Freely Moving Mice. 自由移动小鼠小脑蚓部小叶 IV/V 脚震诱发的爬行纤维激活
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-07-17 DOI: 10.33549/physiolres.935203
R Xue, X Tang, J Tang, S Zhang, X Liao, X Chen, L Li, X Li

Parallel fibers (PFs) in the cerebellar cortex are involved in a series of coordinated responses in the fear conditioning paradigm induced by footshock. However, whether footshock can activate cerebellar climbing fibers (CFs) remains unclear. In this study, we recorded calcium (Ca2+) activity in CFs by optical fiber photometry in the cerebellar vermis lobule IV/V of freely moving mice with footshock stimulation. We found that the activation of CFs in the lobule IV/V was highly correlated with footshock stimulation but not with the sound stimulation used as a control. This result suggests that afferent information from CFs might be associated with the motor initiation of fear-related behaviors or fear emotion itself. Thus, our results suggest that a characteristic CF signal in the cerebellar cortex might be related to fear processing or footshock-related behaviors (such as startle responses or pain sensation).

小脑皮层中的平行纤维(PFs)参与了脚震诱导的恐惧条件反射范例中的一系列协调反应。然而,足震能否激活小脑攀缘纤维(CFs)仍不清楚。在本研究中,我们通过光纤光度计记录了在足震刺激下自由活动的小鼠小脑蚓部IV/V小叶中CFs的钙离子(Ca2+)活动。我们发现,小脑蚓部第四小叶/第五小叶中的钙离子(Ca2+)的活化与足震刺激高度相关,而与作为对照的声音刺激无关。这一结果表明,CFs 的传入信息可能与恐惧相关行为或恐惧情绪本身的运动启动有关。因此,我们的研究结果表明,小脑皮层中的CF特征信号可能与恐惧处理或足震相关行为(如惊吓反应或痛觉)有关。
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引用次数: 0
The Decomposition Method of Surface Electromyographic Signals: A Novel Approach for Motor Unit Activity and Recruitment Description. 表面肌电信号分解法:运动单位活动和招募描述的新方法。
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-07-17 DOI: 10.33549/physiolres.935166
P Šádek, J Otáhal

This review aims to describe a novel method in the field of electromyography (EMG), established and improved upon in the last three decades that is able to observe specific parameters of muscle units (MUs). This concept is called the decomposition method, based on its ability to decompose a surface EMG signal to describe muscle activity on the level of individual muscle units in contrast to the level of the whole muscle, as is customary for regular surface electromyography. We provide a brief overview of its history, constituent parts regarding both hardware and software and possible applications. We also acknowledge the state of the research, regarding the background of the decomposition algorithm, the main software component responsible for identifying individual motor units and their parameters. As a result of the ability to describe the behavior of individual motor units during muscle contractions, key concepts in neuromuscular physiology have been put forward, pertaining to the hierarchy of MUs during their recruitment. Together with the recent application for cyclic contractions and gait, the decomposition method is beginning to open up wider possibilities of enquiry.

本综述旨在描述肌电图(EMG)领域的一种新方法,该方法在过去三十年中得到确立和改进,能够观察肌肉单位(MUs)的特定参数。这一概念被称为分解法,因为它能够分解表面肌电信号,在单个肌肉单位的层面上描述肌肉活动,而不是像常规表面肌电图那样在整个肌肉的层面上描述肌肉活动。我们将简要介绍其历史、硬件和软件的构成部分以及可能的应用。我们还确认了有关分解算法背景的研究现状,分解算法是负责识别单个运动单元及其参数的主要软件组件。由于能够描述单个运动单元在肌肉收缩过程中的行为,神经肌肉生理学中有关运动单元在招募过程中的层次结构的关键概念已被提出。加上最近对周期性收缩和步态的应用,分解法开始为研究开辟了更广阔的前景。
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引用次数: 0
MiR-539-3p Alleviates Apoptosis and Extracellular Matrix Degradation in Chondrocytes of Childhood-Onset Osteoarthritis by Targeting RUNX2. MiR-539-3p 通过靶向 RUNX2 缓解儿童骨关节炎软骨细胞的凋亡和细胞外基质降解
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-07-17 DOI: 10.33549/physiolres.935291
T Jin, H Zheng, X Feng, T Wu, K Yang, Y Huang

Recent research has identified that miR-539-3p impedes chondrogenic differentiation, yet its specific role and underlying mechanisms in childhood-onset osteoarthritis (OA) remain unclear. This study found that miR-539-3p levels were considerably lower in cartilage samples derived from childhood-onset OA patients compared to the control group. Enhancing miR-539-3p expression or suppressing RUNX2 expression notably reduced apoptosis, inflammation, and extracellular matrix (ECM) degradation in OA chondrocytes. In contrast, reducing miR-539-3p or increasing RUNX2 had the opposite effects. RUNX2 was confirmed as a direct target of miR-539-3p. Further experiments demonstrated that miR-539-3p targeting RUNX2 effectively lessened apoptosis, inflammation, and ECM degradation in OA chondrocytes, accompanied by changes in key molecular markers like reduced caspase-3 and matrix etallopeptidase 13 (MMP-13) levels, and increased B-cell lymphoma 2 (Bcl-2) and collagen type X alpha 1 chain (COL2A1). This study underscores the pivotal role of miR-539-3p in alleviating inflammation and ECM degradation in childhood-onset OA through targeting RUNX2, offering new insights for potential therapeutic strategies against this disease.

最近的研究发现,miR-539-3p 会阻碍软骨分化,但它在儿童期骨关节炎(OA)中的具体作用和潜在机制仍不清楚。本研究发现,与对照组相比,儿童期OA患者软骨样本中的miR-539-3p水平明显较低。增强 miR-539-3p 表达或抑制 RUNX2 表达可显著减少 OA 软骨细胞的凋亡、炎症和细胞外基质(ECM)降解。相反,减少 miR-539-3p 或增加 RUNX2 的表达则会产生相反的效果。RUNX2 被证实是 miR-539-3p 的直接靶标。进一步的实验表明,以 RUNX2 为靶点的 miR-539-3p 能有效减轻 OA 软骨细胞的凋亡、炎症和 ECM 降解,并伴随着关键分子标记物的变化,如降低 Caspase-3 和基质等肽酶 13 (MMP-13) 的水平,增加 B 细胞淋巴瘤 2 (Bcl-2) 和胶原 X 型 alpha 1 链 (COL2A1)。这项研究强调了 miR-539-3p 通过靶向 RUNX2 在缓解儿童发病型 OA 中的炎症和 ECM 降解中的关键作用,为针对这种疾病的潜在治疗策略提供了新的见解。
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引用次数: 0
Assessing the Prognostic Utility of the New Mayo Adhesive Probability Score in East Asian Populations and its Correlation with Metabolic-Associated Fatty Liver Disease. 评估新梅奥粘附概率评分在东亚人群中的预后效用及其与代谢相关性脂肪肝的相关性。
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-07-17 DOI: 10.33549/physiolres.935297
Y Yi, Z-C Ma, C-L Lin, F Yu, X-M Dong, Q-Q Chen, T Xiao, J-L Zhang

We assessed the prognostic utility of the new perinephric fat adherence risk score - Mayo Adhesive Probability (MAP), in patients of East Asian ethnicity undergoing either laparoscopic partial nephrectomy (LPN) or laparoscopic radical nephrectomy (LRN). A retrospective analysis of clinical data was carried out on 169 patients who either underwent LPN or LRN surgery. These patients were categorized into two groups, group A (0-2 points) and group B (3-4 points) using the new MAP score. The overall clinical data between these two groups was compared and potential risk factors were investigated using logistic regression analyses. The new MAP score yielded an area under the curve of 0.761 (95 % CI: 0.691-0.831), indicating its effectiveness. Group B had a significantly higher incidence of adherent perirenal fat (APF) during surgery (p<0.001) and had a greater average age (p<0.001). There was an increased prevalence of hypertension (p=0.009), type 2 diabetes mellitus (p<0.001), and MAFLD (p<0.001) in group B. Additionally, there were significant differences in posterior perinephric fat thickness (p<0.05), lateral perinephric fat thickness (p<0.001), and perinephric stranding (p<0.001) between the two groups. The new MAP score holds significance in predicting APF in people of East Asian ethnicity undergoing LPN or LRN, and there is a strong correlation between elevated MAP scores and risk factors such as MAFLD and advanced age.

我们对接受腹腔镜肾部分切除术(LPN)或腹腔镜根治性肾切除术(LRN)的东亚裔患者的新肾周脂肪粘附风险评分--梅奥粘附概率(MAP)的预后效用进行了评估。我们对 169 名接受 LPN 或 LRN 手术的患者的临床数据进行了回顾性分析。根据新的 MAP 评分标准,这些患者被分为两组,A 组(0-2 分)和 B 组(3-4 分)。对两组患者的整体临床数据进行了比较,并使用逻辑回归分析对潜在的风险因素进行了研究。新 MAP 评分的曲线下面积为 0.761(95 % CI:0.691-0.831),表明其有效性。B 组手术中肾周脂肪附着(APF)的发生率明显更高(p
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引用次数: 0
The Effect of Omega-3 Fatty Acid Supplementation and Exercise on Locomotor Activity, Exploratory Activity, and Anxiety-Like Behavior in Adult and Aged Rats. 补充 Omega-3 脂肪酸和运动对成年和老年大鼠运动、探索和焦虑行为的影响
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-07-15 DOI: 10.33549/physiolres.935245
L Gajdošová, B Katrenčíková, V Borbélyová, J Muchová

Aging is an inevitable and complex biological process that is associated with a gradual decline in physiological functions and a higher disease susceptibility. Omega-3 fatty acids, particularly docosahexaenoic acid, play a crucial role in maintaining brain health and their deficiency is linked to age-related cognitive decline. Combining omega-3-rich diets with exercise may enhance cognitive function more effectively, as both share overlapping neurobiological and physiological effects. This study aimed to evaluate the effect of exercise and omega-3 fatty acid (FA) supplementation in two different doses (160 mg/kg and 320 mg/kg) on anxiety-like behavior and cognitive abilities in both adult and aged rats. Male Wistar rats (4-5- and 23-24-month-old) were randomly divided into seven groups: 3-week control supplemented with placebo without exercise, low-dose omega-3 FAs, high-dose omega-3 FAs, 7-week control supplemented with placebo without exercise, exercise-only, low-dose omega-3 FAs with exercise, and high-dose omega-3 FAs with exercise. The administered oil contained omega-3 FAs with DHA:EPA in a ratio of 1.5:1. Our results indicate that aging negatively impacts the locomotor and exploratory activity of rats. In adult rats, a low dose of omega-3 FAs reduces locomotor activity when combined with exercise while high dose of omega-3 FAs reduces anxiety-like behavior and improves recognition memory when combined with exercise. The combination of omega-3 FAs and exercise had varying impacts on behavior, suggesting a need for further research in this area to fully understand their therapeutic efficacy in the context of cognitive changes associated with aging.

衰老是一个不可避免的复杂生物过程,与生理功能逐渐衰退和疾病易感性增高有关。欧米伽-3 脂肪酸,尤其是二十二碳六烯酸,在维持大脑健康方面发挥着至关重要的作用,缺乏欧米伽-3 脂肪酸与年龄相关的认知能力下降有关。将富含欧米伽-3的饮食与运动结合起来可能会更有效地增强认知功能,因为两者在神经生物学和生理学方面的作用是重叠的。本研究旨在评估两种不同剂量(160 毫克/千克和 320 毫克/千克)的运动和欧米伽-3 脂肪酸(FA)补充剂对成年和老年大鼠焦虑样行为和认知能力的影响。雄性 Wistar 大鼠(4-5 个月大和 23-24 个月大)被随机分为 7 组:3 周对照组,补充安慰剂但不运动;低剂量 omega-3 脂肪酸;高剂量 omega-3 脂肪酸;7 周对照组,补充安慰剂但不运动;仅运动;低剂量 omega-3 脂肪酸与运动;高剂量 omega-3 脂肪酸与运动。给药油中含有 DHA:EPA 比例为 1.5:1 的欧米伽-3 脂肪酸。我们的研究结果表明,衰老会对大鼠的运动和探索活动产生负面影响。在成年大鼠中,低剂量的ω-3脂肪酸与运动相结合可降低运动活动,而高剂量的ω-3脂肪酸与运动相结合可减少焦虑行为并改善识别记忆。欧米伽-3脂肪酸与运动的结合对行为的影响各不相同,这表明有必要在这一领域开展进一步研究,以充分了解它们在与衰老相关的认知变化方面的疗效。
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引用次数: 0
Vascular Damage and Repair - Are Small-Diameter Vascular Grafts Still the "Holy Grail" of Tissue Engineering? 血管损伤与修复--小直径血管移植物仍是组织工程学的 "圣杯 "吗?
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-05-31 DOI: 10.33549/physiolres.935294
L Bačáková, J Chlupáč, E Filová, J Musílková, J Tomšů, Yu-Chieh Wu, L Svobodová, Š Pražák, A Brož

Cardiovascular diseases are the most important cause of morbidity and mortality in the civilized world. Stenosis or occlusion of blood vessels leads not only to events that are directly life-threatening, such as myocardial infarction or stroke, but also to a significant reduction in quality of life, for example in lower limb ischemia as a consequence of metabolic diseases. The first synthetic polymeric vascular replacements were used clinically in the early 1950s. However, they proved to be suitable only for larger-diameter vessels, where the blood flow prevents the attachment of platelets, pro-inflammatory cells and smooth muscle cells on their inner surface, whereas in smaller-diameter grafts (6 mm or less), these phenomena lead to stenosis and failure of the graft. Moreover, these polymeric vascular replacements, like biological grafts (decellularized or devitalized), are cell-free, i.e. there are no reconstructed physiological layers of the blood vessel wall, i.e. an inner layer of endothelial cells to prevent thrombosis, a middle layer of smooth muscle cells to perform the contractile function, and an outer layer to provide innervation and vascularization of the vessel wall. Vascular substitutes with these cellular components can be constructed by tissue engineering methods. However, it has to be admitted that even about 70 years after the first polymeric vascular prostheses were implanted into human patients, there are still no functional small-diameter vascular grafts on the market. The damage to small-diameter blood vessels has to be addressed by endovascular approaches or by autologous vascular substitutes, which leads to some skepticism about the potential of tissue engineering. However, new possibilities of this approach lie in the use of modern technologies such as 3D bioprinting and/or electrospinning in combination with stem cells and pre-vascularization of tissue-engineered vascular grafts. In this endeavor, sex-related differences in the removal of degradable biomaterials by the cells and in the behavior of stem cells and pre-differentiated vascular cells need to be taken into account. Key words: Blood vessel prosthesis, Regenerative medicine, Stem cells, Footprint-free iPSCs, sr-RNA, Dynamic bioreactor, Sex-related differences.

心血管疾病是文明世界发病率和死亡率的最主要原因。血管狭窄或闭塞不仅会导致心肌梗塞或中风等直接危及生命的事件,还会显著降低生活质量,例如代谢性疾病导致的下肢缺血。20 世纪 50 年代初,第一批合成聚合物血管替代物被用于临床。但事实证明,它们只适用于直径较大的血管,因为血流会阻止血小板、促炎细胞和平滑肌细胞附着在血管内表面,而对于直径较小(6 毫米或更小)的移植物,这些现象会导致血管狭窄和移植物失效。此外,这些聚合物血管替代物与生物移植物(脱细胞或去细胞)一样,不含细胞,即没有重建血管壁的生理层,即防止血栓形成的内层内皮细胞、发挥收缩功能的中层平滑肌细胞和提供血管壁神经支配和血管化的外层平滑肌细胞。可以通过组织工程学方法构建具有这些细胞成分的血管替代物。然而,不得不承认的是,即使在第一个高分子血管假体植入人体约 70 年后,市场上仍然没有功能性小直径血管移植物。小直径血管的损伤必须通过血管内方法或自体血管替代物来解决,这导致一些人对组织工程的潜力持怀疑态度。然而,这种方法的新可能性在于现代技术的使用,如三维生物打印和/或电纺丝与干细胞的结合,以及组织工程血管移植物的预血管化。在这一过程中,需要考虑到细胞去除可降解生物材料以及干细胞和预分化血管细胞行为方面的性别差异。关键词血管假体 再生医学 干细胞 无足迹 iPSCs sr-RNA 动态生物反应器 性别差异
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引用次数: 0
From the Pineal Gland to the Central Clock in the Brain: Beginning of Studies of the Mammalian Biological Rhythms in the Institute of Physiology of the Czech Academy of Sciences. 从松果体到大脑中央时钟:捷克科学院生理学研究所哺乳动物生物节律研究的开端。
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-05-31 DOI: 10.33549/physiolres.935377
H Illnerová

The Institute of Physiology of the Czech Academy of Sciences (CAS) has been involved in the field of chronobiology, i.e., in research on temporal regulation of physiological processes, since 1970. The review describes the first 35 years of the research mostly on the effect of light and daylength, i.e., photoperiod, on entrainment or resetting of the pineal rhythm in melatonin production and of intrinsic rhythms in the central biological clock. This clock controls pineal and other circadian rhythms and is located in the suprachiasmatic nuclei (SCN) of the hypothalamus. During the early chronobiological research, many original findings have been reported, e.g. on mechanisms of resetting of the pineal rhythm in melatonin production by short light pulses or by long exposures of animals to light at night, on modulation of the nocturnal melatonin production by the photoperiod or on the presence of high affinity melatonin binding sites in the SCN. The first evidence was given that the photoperiod modulates functional properties of the SCN and hence the SCN not only controls the daily programme of the organism but it may serve also as a calendar measuring the time of a year. During all the years, the chronobiological community has started to talk about "the Czech school of chronobiology". At present, the today´s Laboratory of Biological Rhythms of the Institute of Physiology CAS continues in the chronobiological research and the studies have been extended to the entire circadian timekeeping system in mammals with focus on its ontogenesis, entrainment mechanisms and circadian regulation of physiological functions. Key words: Pineal, Melatonin, AA-NAT rhythm, Light entrainment, Photoperiod, SCN clock.

捷克科学院生理学研究所(CAS)自 1970 年以来一直从事时间生物学领域的研究,即生理过程的时间调节研究。本综述介绍了前 35 年的研究情况,主要涉及光照和昼长(即光周期)对松果体分泌褪黑激素节律和中央生物钟内在节律的诱导或重设的影响。这个时钟控制着松果体和其他昼夜节律,位于下丘脑的副上核(SCN)中。在早期的时间生物学研究中,有许多原创性的发现,例如,短脉冲光或动物夜间长时间暴露在光下重置松果体分泌褪黑激素节律的机制,光周期对夜间褪黑激素分泌的调节,或 SCN 中存在高亲和力的褪黑激素结合位点。第一个证据表明,光周期可以调节褪黑激素核的功能特性,因此褪黑激素核不仅可以控制生物体的日常活动,还可以充当测量一年时间的日历。多年来,时间生物学界一直在谈论 "捷克时间生物学学派"。目前,中科院生理学研究所的生物节律实验室仍在继续进行时间生物学研究,研究范围已扩展到哺乳动物的整个昼夜节律计时系统,重点是其本体发生、夹带机制和生理功能的昼夜节律调节。关键词松果体 褪黑素 AA-NAT 节律 光诱导 光周期 SCN 钟
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引用次数: 0
Disease-Associated Variants in GRIN1, GRIN2A and GRIN2B genes: Insights into NMDA Receptor Structure, Function, and Pathophysiology. GRIN1、GRIN2A 和 GRIN2B 基因中的疾病相关变异:洞察 NMDA 受体的结构、功能和病理生理学。
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-05-31 DOI: 10.33549/physiolres.935346
M Korinek, M Candelas Serra, Fes Abdel Rahman, M Dobrovolski, V Kuchtiak, V Abramova, K Fili, E Tomovic, B Hrcka Krausova, J Krusek, J Cerny, L Vyklicky, A Balik, T Smejkalova

N-methyl-D-aspartate receptors (NMDARs) are a subtype of ionotropic glutamate receptors critical for synaptic transmission and plasticity, and for the development of neural circuits. Rare or de-novo variants in GRIN genes encoding NMDAR subunits have been associated with neurodevelopmental disorders characterized by intellectual disability, developmental delay, autism, schizophrenia, or epilepsy. In recent years, some disease-associated variants in GRIN genes have been characterized using recombinant receptors expressed in non-neuronal cells, and a few variants have also been studied in neuronal preparations or animal models. Here we review the current literature on the functional evaluation of human disease-associated variants in GRIN1, GRIN2A and GRIN2B genes at all levels of analysis. Focusing on the impact of different patient variants at the level of receptor function, we discuss effects on receptor agonist and co-agonist affinity, channel open probability, and receptor cell surface expression. We consider how such receptor-level functional information may be used to classify variants as gain-of-function or loss-of-function, and discuss the limitations of this classification at the synaptic, cellular, or system level. Together this work by many laboratories worldwide yields valuable insights into NMDAR structure and function, and represents significant progress in the effort to understand and treat GRIN disorders. Keywords: NMDA receptor , GRIN genes, Genetic variants, Electrophysiology, Synapse, Animal models.

N-甲基-D-天冬氨酸受体(NMDAR)是离子型谷氨酸受体的一种亚型,对突触传递和可塑性以及神经回路的发育至关重要。编码 NMDAR 亚基的 GRIN 基因中的罕见变异或新生变异与以智力障碍、发育迟缓、自闭症、精神分裂症或癫痫为特征的神经发育障碍有关。近年来,利用在非神经元细胞中表达的重组受体对一些与疾病相关的 GRIN 基因变异进行了表征,还在神经元制备或动物模型中对一些变异进行了研究。在此,我们回顾了目前对人类 GRIN1、GRIN2A 和 GRIN2B 基因中与疾病相关的变体进行功能评估的各级分析文献。我们将重点放在不同患者变异在受体功能层面的影响上,讨论其对受体激动剂和共激动剂亲和力、通道开放概率以及受体细胞表面表达的影响。我们考虑了如何利用这些受体水平的功能信息将变异体分为功能增益型和功能缺失型,并讨论了这种分类在突触、细胞或系统水平上的局限性。全球众多实验室的这项工作共同为 NMDAR 的结构和功能提供了宝贵的见解,代表了在理解和治疗 GRIN 疾病方面取得的重大进展。关键词NMDA 受体 GRIN 基因 遗传变异 电生理学 突触 动物模型
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引用次数: 0
Czech Footprints in the Bioenergetics Research. 生物能研究中的捷克足迹。
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2024-05-31 DOI: 10.33549/physiolres.935395
Z Drahota, J Houštěk, A Pecinová

Life manifests as growth, movement or heat production that occurs thanks to the energy accepted from the outside environment. The basis of energy transduction attracted the Czech researchers since the beginning of the 20th century. It further accelerated after World War II, when the new Institute of Physiology was established in 1954. When it was found that energy is stored in the form of adenosine triphosphate (ATP) that can be used by numerous reactions as energy source and is produced in the process called oxidative phosphorylation localized in mitochondria, the investigation focused on this cellular organelle. Although the Czech scientists had to overcome various obstacles including Communist party leadership, driven by curiosity, boldness, and enthusiasm, they characterized broad spectrum of mitochondrial properties in different tissues in (patho)physiological conditions in collaboration with many world-known laboratories. The current review summarizes the contribution of the Czech scientists to the bioenergetic and mitochondrial research in the global context. Keywords: Mitochondria, Bioenergetics, Chemiosmotic coupling.

生命的表现形式是生长、运动或产热,这些都得益于从外界环境中接受的能量。自 20 世纪初以来,能量转换的基础就吸引着捷克的研究人员。第二次世界大战后,1954 年新的生理学研究所成立后,这一研究进一步加速。当人们发现能量以三磷酸腺苷(ATP)的形式储存,可被许多反应用作能量来源,并在线粒体中的氧化磷酸化过程中产生时,研究重点就放在了这一细胞器上。尽管捷克科学家需要克服包括共产党领导在内的各种障碍,但在好奇心、胆识和热情的驱使下,他们与许多世界知名实验室合作,鉴定了不同组织在(病理)生理条件下线粒体的广泛特性。本综述总结了捷克科学家在全球范围内对生物能和线粒体研究的贡献。关键词线粒体 生物能 化学渗透耦合
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引用次数: 0
Cardiorenal Syndromes and Their Role in Water and Sodium Homeostasis. 心肾综合征及其在水和钠平衡中的作用。
IF 2.1 4区 医学 Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-04-30
K Buryskova Salajova, J Malik, A Valerianova

Sodium is the main osmotically active ion in the extracellular fluid and its concentration goes hand in hand with fluid volume. Under physiological conditions, homeostasis of sodium and thus amount of fluid is regulated by neural and humoral interconnection of body tissues and organs. Both heart and kidneys are crucial in maintaining volume status. Proper kidney function is necessary to excrete regulated amount of water and solutes and adequate heart function is inevitable to sustain renal perfusion pressure, oxygen supply etc. As these organs are bidirectionally interconnected, injury of one leads to dysfunction of another. This condition is known as cardiorenal syndrome. It is divided into five subtypes regarding timeframe and pathophysiology of the onset. Hemodynamic effects include congestion, decreased cardiac output, but also production of natriuretic peptides. Renal congestion and hypoperfusion leads to kidney injury and maladaptive activation of renin-angiotensin-aldosterone system and sympathetic nervous system. In cardiorenal syndromes sodium and water excretion is impaired leading to volume overload and far-reaching negative consequences, including higher morbidity and mortality of these patients. Keywords: Cardiorenal syndrome, Renocardiac syndrome, Volume overload, Sodium retention.

钠是细胞外液中主要的渗透活性离子,其浓度与液体容量密切相关。在生理条件下,钠的平衡以及体液量是由身体组织和器官的神经和体液相互联系来调节的。心脏和肾脏对维持体液容量状态至关重要。适当的肾脏功能是排泄调节量的水和溶质所必需的,而充足的心脏功能则是维持肾脏灌注压和氧气供应等所不可或缺的。由于这些器官是双向相互关联的,因此一个器官的损伤会导致另一个器官的功能障碍。这种情况被称为心肾综合征。根据发病时间和病理生理学可将其分为五个亚型。血流动力学效应包括充血、心输出量减少以及钠尿肽的产生。肾脏充血和灌注不足导致肾脏损伤以及肾素-血管紧张素-醛固酮系统和交感神经系统的不适应性激活。心肾综合征患者的钠和水排泄功能受损,导致容量超负荷和深远的负面影响,包括增加这些患者的发病率和死亡率。关键词心肾综合征 心肌综合征 容积超负荷 钠潴留
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