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Neurophysiological mechanisms of exertional dyspnea in advanced pregnancy: A case study 妊娠晚期用力性呼吸困难的神经生理机制:一个案例研究
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2025-07-01 Epub Date: 2025-04-18 DOI: 10.1016/j.resp.2025.104434
Devin B. Phillips , Christine A. Darko , Matthew D. James , Sandra G. Vincent , Alexandra M. McCartney , Lara K. Sreibers , Nicolle J. Domnik , J. Alberto Neder , Denis E. O’Donnell
The neurophysiological mechanisms of exertional dyspnea in advanced pregnancy remain incompletely understood. This short case report describes the neurophysiological and sensory responses during standardized cardiopulmonary exercise testing (CPET) in one healthy adult female at three timepoints: a) 3 months pre-pregnancy, b) 35 weeks pregnant (third trimester [T3]), and, c) 1 year post-partum. At rest and during exercise, detailed measurements of neurophysiological, gas-exchange and sensory parameters were completed. Compared to both pre-pregnancy and post-partum, ventilatory requirements, electrical activation of the diaphragm (EMGdi, index of inspiratory neural drive) and esophageal pressure swings were higher in T3 throughout exercise. Moreover, at a given work rate, perceived dyspnea was greater in T3 compared with pre-pregnancy and post-partum and increased in close association with heightened EMGdi throughout exercise. At peak exercise in T3, dyspnea/ventilation and EMGdi/ventilation ratios were greater, compared with pre-pregnancy and post-partum. Compared with pre-pregnancy, EMGdi and perceived dyspnea were greater post-partum near the limits of exercise tolerance, secondary to earlier onset of respiratory compensation-mediated increases in ventilation. In the current case, advanced pregnancy was associated with markedly elevated ratings of dyspnea and lower exercise capacity during a standardized clinical CPET. At submaximal intensities, the heightened dyspnea reflected the awareness of pregnancy-induced increases in ventilatory requirements, inspiratory neural drive, and respiratory muscle effort. At the limits of tolerance, heightened dyspnea and inspiratory neural drive reflected a complex combination of increase ventilatory requirements and mechanical constraints on tidal volume expansion. Compared with pre-pregnancy, residual activity-related dyspnea 1-year post-partum appears to reflect physical deconditioning.
妊娠晚期劳力性呼吸困难的神经生理机制尚不完全清楚。这篇简短的病例报告描述了一名健康成年女性在三个时间点进行标准化心肺运动试验(CPET)时的神经生理和感觉反应:a)孕前3个月,b)怀孕35周(妊娠晚期[T3]), c)产后1年。在休息和运动时,完成神经生理、气体交换和感觉参数的详细测量。与孕前和产后相比,在整个运动过程中,T3的通气需求、膈肌电激活(EMGdi,吸气神经驱动指数)和食管压力波动都更高。此外,在给定的工作速率下,与孕前和产后相比,T3期的呼吸困难更大,并且与运动过程中EMGdi的升高密切相关。在T3运动高峰时,与孕前和产后相比,呼吸困难/通气和EMGdi/通气比更大。与孕前相比,产后EMGdi和呼吸困难更大,接近运动耐量的极限,继发于早期呼吸代偿介导的通气增加。在本病例中,在标准化临床CPET中,妊娠晚期与呼吸困难评分明显升高和运动能力降低相关。在次极大强度下,呼吸困难加重反映了妊娠引起的通气需求、吸气神经驱动和呼吸肌用力增加的意识。在耐受极限下,呼吸困难加剧和吸气神经驱动反映了通气需求增加和潮汐容量扩张的机械约束的复杂组合。与孕前相比,产后1年的残余活动相关呼吸困难似乎反映了身体状况的改善。
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引用次数: 0
Measurement of gas exchange surface area from DLNO and DLCO DLNO和DLCO气体交换表面积的测量。
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2025-07-01 Epub Date: 2025-02-13 DOI: 10.1016/j.resp.2025.104403
Colin Borland
The estimated diffusion coefficients for nitric oxide and carbon monoxide in human plasma and red cells can be inserted into the equations for Fick’s 1st and 2nd laws. The surface area of the alveolar membrane and exposed red cells can then be calculated from DLNO and DLCO (in hyperoxia). This yields a value of 18.7 m2 for alveolar capillary membrane via DLNO, 19.6 m2 for red cell surface area via DLCO in a seated human at rest and = 2.03m2 for a membrane oxygenator. The values for a seated human are substantially less than morphometric values. This is likely due to a considerable functional reserve in the lung.
估计的一氧化氮和一氧化碳在人血浆和红细胞中的扩散系数可以代入菲克第一定律和第二定律的方程中。肺泡膜的表面积和暴露的红细胞可以通过DLNO和DLCO(在高氧条件下)计算。通过DLNO,肺泡毛细血管膜表面积为2.2 m2,坐着休息时通过DLCO,红细胞表面积为19.6m2,膜氧合器为2.03m2。对于一个坐着的人来说,这个值基本上小于形态测量值。这可能是由于肺中有相当大的功能储备。
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引用次数: 0
Phrenic motor output following acute hyperbaric oxygen exposure 急性高压氧暴露后膈肌运动输出。
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2025-07-01 Epub Date: 2025-02-05 DOI: 10.1016/j.resp.2025.104399
Prajwal P. Thakre , Kyle M. Deegan , David D. Fuller
We studied adult male rats to determine if phrenic motor output is altered following acute hyperbaric oxygen (HBO) pretreatment. Rats were treated with 1-h of 100 % O2 at 2 atmospheres (HBO, n = 12) or 21 % O2 at 1 atmosphere (normoxia, n = 12) and then anesthetized and ventilated to enable phrenic nerve recordings. Baseline phrenic output and blood pressure were similar between groups. Sixty minutes after exposure to acute intermittent hypoxia (AIH), inspiratory phrenic burst amplitude was +66 ± 47 (HBO) and +43 ± 13 % baseline (normoxia). Thus, both groups expressed phrenic long-term facilitation, pLTF (time effect, P = 0.008). The pLTF magnitude had a larger coefficient of variation after HBO (71 %) vs. normoxia (30 %). This resulted from a bimodal data distribution, with 4 of 12 HBO rats showing pLTF > +70 % baseline (vs. 0 of 12 normoxia). We conclude that acute HBO does not impact baseline phrenic output in this preparation, but further study of HBO and phrenic neuroplasticity is warranted.
我们研究了成年雄性大鼠,以确定急性高压氧(HBO)预处理后膈肌运动输出是否发生改变。大鼠给予2个大气压下100% O2 (HBO, n=12)或1个大气压下21% O2(常氧,n=12)治疗1小时,然后麻醉和通气,以便膈神经记录。两组间基线膈气量和血压相似。暴露于急性间歇缺氧(AIH) 60分钟后,吸气性膈破裂幅度为+66±47 (HBO)和+43±13%基线(常氧)。两组均表达膈长期促进,pLTF(时间效应,P=0.008)。高压氧治疗后pLTF大小的变异系数(71%)大于常氧治疗后(30%)。这是由双峰数据分布导致的,12只HBO大鼠中有4只显示pLTF bb0 +70%基线(12只正常缺氧大鼠中0只)。我们得出结论,急性高压氧不影响基线膈输出,但进一步研究高压氧和膈神经可塑性是有必要的。
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引用次数: 0
Breathing pattern and ventilatory response to exercise in patients with Chronic Obstructive Pulmonary Disease 慢性阻塞性肺疾病患者运动后的呼吸模式和通气反应。
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2025-07-01 Epub Date: 2025-02-17 DOI: 10.1016/j.resp.2025.104413
Rocco Accogli , Annalisa Frizzelli , Olha Bondarenko , Panagiota Tzani , Luigino Calzetta , Alessandra Marchese , Roberta Pisi , Gaetano Caramori , Alfredo Chetta , Marina Aiello

Background

Patients with Chronic Obstructive Pulmonary Disease (COPD) show ventilatory limitation to exercise due to dynamic hyperinflation (DH). Breathing pattern can be expressed by TI/TTOT (inspiratory time/total time) and VT/TI (tidal volume/inspiratory time). Both parameters significantly increase during exertional hyperpnea in healthy subjects, but they have never been studied in COPD. In a large cohort of COPD patients, we analysed TI/TTOT and VT/TI at rest and during maximal exercise.

Methods

We enrolled clinically stable COPD patients with wide degree of airflow obstruction. All participants underwent spirometry and cardiopulmonary exercise testing (CPET) on a cycle ergometer.

Results

In 234 COPD patients (75 females; age range 41–89 years), TI/TTOT and VT/TI values significantly increased during exercise, from 0.259 ± 0.040–0.304 ± 0.038 and from 854.1 ± 229,6 ml/s to 2100 ± 622.5 ml/s respectively (p < 0.05). TI/TTOT peak and VT/TI peak were positively related (p < 0.05) with VO2peak (ml/min/kg), maximal workload (Watt). TI/TTOT peak, but not VT/TI peak values showed a positive correlation (p < 0.05) with the peak-rest difference of inspiratory capacity (ΔIC, in ml). When related to minute ventilation TI/TTOT and VT/TI rest values in patients with DH (ΔIC ≥150 ml), compared with those without DH, did not differ between the two groups, though TI/TTOT, but not VT/TI values, significantly increased during exercise in patients without DH

Conclusions

TI/TTOT and VT/TI values significantly increase during maximal exercise in COPD. TI/TTOT values were significantly correlated with dynamic hyperinflation. Our results suggest that TI/TTOT and VT/TI assessment may provide further information on exercise ventilatory limitation in COPD.
背景:慢性阻塞性肺疾病(COPD)患者表现为动态恶性通货膨胀(DH)导致的通气限制。呼吸模式可以用TI/TTOT(吸气时间/总时间)和VT/TI(潮气量/吸气时间)来表示。在健康受试者中,这两个参数在运动性呼吸急促期间显著增加,但从未在COPD中进行过研究。在大型COPD患者队列中,我们分析了休息和最大运动时的TI/TTOT和VT/TI。方法:我们招募了临床稳定且气流阻塞程度较大的COPD患者。所有的参与者都进行了肺活量测定和心肺运动测试(CPET)。结果:234例COPD患者(女性75例;年龄范围41 ~ 89岁),运动时TI/ ttt和VT/TI值分别从0.259±0.040增加到0.304±0.038,从854.1±229,6ml/s增加到2100±622.5ml/s (pI/ ttt峰值与VT/TI峰值呈正相关(p2peak (ml/min/kg),最大负荷(Watt))。TI/ ttt峰值与VT/TI峰值呈正相关(DH患者(ΔIC≥150ml)的pI/ ttt和VT/TI静息值与无DH患者相比,两组间无差异,但无DH患者运动时TI/ ttt显著升高,而VT/TI值无显著升高。结论:COPD患者最大运动时TI/ ttt和VT/TI值显著升高。TI/TTOT值与动态恶性通货膨胀显著相关。我们的研究结果表明,TI/TTOT和VT/TI评估可能为COPD的运动通气限制提供进一步的信息。
{"title":"Breathing pattern and ventilatory response to exercise in patients with Chronic Obstructive Pulmonary Disease","authors":"Rocco Accogli ,&nbsp;Annalisa Frizzelli ,&nbsp;Olha Bondarenko ,&nbsp;Panagiota Tzani ,&nbsp;Luigino Calzetta ,&nbsp;Alessandra Marchese ,&nbsp;Roberta Pisi ,&nbsp;Gaetano Caramori ,&nbsp;Alfredo Chetta ,&nbsp;Marina Aiello","doi":"10.1016/j.resp.2025.104413","DOIUrl":"10.1016/j.resp.2025.104413","url":null,"abstract":"<div><h3>Background</h3><div>Patients with Chronic Obstructive Pulmonary Disease (COPD) show ventilatory limitation to exercise due to dynamic hyperinflation (DH). Breathing pattern can be expressed by T<sub>I</sub>/T<sub>TOT</sub> (inspiratory time/total time) and V<sub>T</sub>/T<sub>I</sub> (tidal volume/inspiratory time). Both parameters significantly increase during exertional hyperpnea in healthy subjects, but they have never been studied in COPD. In a large cohort of COPD patients, we analysed T<sub>I</sub>/T<sub>TOT</sub> and V<sub>T</sub>/T<sub>I</sub> at rest and during maximal exercise.</div></div><div><h3>Methods</h3><div>We enrolled clinically stable COPD patients with wide degree of airflow obstruction. All participants underwent spirometry and cardiopulmonary exercise testing (CPET) on a cycle ergometer.</div></div><div><h3>Results</h3><div>In 234 COPD patients (75 females; age range 41–89 years), T<sub>I</sub>/T<sub>TOT</sub> and V<sub>T</sub>/T<sub>I</sub> values significantly increased during exercise, from 0.259 ± 0.040–0.304 ± 0.038 and from 854.1 ± 229,6 ml/s to 2100 ± 622.5 ml/s respectively (p &lt; 0.05). T<sub>I</sub>/T<sub>TOT peak</sub> and V<sub>T</sub>/T<sub>I peak</sub> were positively related (p &lt; 0.05) with VO<sub>2peak</sub> (ml/min/kg), maximal workload (Watt). T<sub>I</sub>/T<sub>TOT peak</sub>, but not V<sub>T</sub>/T<sub>I peak</sub> values showed a positive correlation (p &lt; 0.05) with the peak-rest difference of inspiratory capacity (ΔIC, in ml). When related to minute ventilation T<sub>I</sub>/T<sub>TOT</sub> and V<sub>T</sub>/T<sub>I</sub> rest values in patients with DH (ΔIC ≥150 ml), compared with those without DH, did not differ between the two groups, though T<sub>I</sub>/T<sub>TOT</sub>, but not V<sub>T</sub>/T<sub>I</sub> values, significantly increased during exercise in patients without DH</div></div><div><h3>Conclusions</h3><div>T<sub>I</sub>/T<sub>TOT</sub> and V<sub>T</sub>/T<sub>I</sub> values significantly increase during maximal exercise in COPD. T<sub>I</sub>/T<sub>TOT</sub> values were significantly correlated with dynamic hyperinflation. Our results suggest that T<sub>I</sub>/T<sub>TOT</sub> and V<sub>T</sub>/T<sub>I</sub> assessment may provide further information on exercise ventilatory limitation in COPD.</div></div>","PeriodicalId":20961,"journal":{"name":"Respiratory Physiology & Neurobiology","volume":"335 ","pages":"Article 104413"},"PeriodicalIF":1.9,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458969","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: 0
Effect of ambient temperature on dexmedetomidine-induced metabolic and cardiorespiratory suppression in spontaneously breathing newborn rats 环境温度对自主呼吸新生大鼠右美托咪定诱导的代谢和心肺抑制的影响。
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2025-07-01 Epub Date: 2025-02-03 DOI: 10.1016/j.resp.2025.104401
Eishi Nakamura, Nana Sato Hashizume, Hinata Kubota, Ryoji Ide, Chikako Saiki
Newborn animals are known to increase the ventilation–metabolism ratios in hypoxia, particularly at cold environment by decreasing the thermogenesis. We examined whether ambient temperatures and thermoregulatory suppression due to dexmedetomidine, an α2 adrenoceptor agonist, affect the coupling between ventilation and metabolism in neonatal rats. Wistar rats (3–7 days old) were measured for metabolic and cardiorespiratory indices. Control recordings were made at 34 °C ambient temperature (Ta) and Ta was either kept at 34 °C (Medium), reduced to 27 °C (Low) or increased to 39 °C (High). Once at the desired Ta, the rats were administered normal saline or dexmedetomidine (50 μg∙kg−1) and the indices were again recorded. Control values were comparable between the normal saline and dexmedetomidine groups. Using values relative to the control values in each group, body temperature (Low or High vs. Medium Ta) and heart rate (Low vs. High Ta) were significantly different among the three Ta. At each Ta, the dexmedetomidine group showed significantly lower metabolic rates, minute ventilation, respiratory rate and heart rate, compared to the normal saline group. Despite these changes, the ventilationmetabolism ratios in the dexmedetomidine group were comparable at the Medium and Low Ta, and significantly lower at the High Ta, compared to the normal saline group. Dexmedetomidine plus atipamezole (5 mg∙kg−1, an α2 adrenoceptor antagonist) did not affect the ventilation–metabolism ratios at the Low and High Ta. Although dexmedetomidine suppresses thermoregulatory responses, the coupling of ventilation and metabolic rates can be preserved through α2 adrenoceptor activation at cold, but not at hot, ambient temperature. Our results suggest that α2 adrenoceptor activation impairs control of ventilation at heating or rewarming in newborn rats.
已知新生动物在缺氧条件下,特别是在寒冷环境下,通过减少产热来增加通气代谢比。我们研究了环境温度和α2肾上腺素能受体激动剂右美托咪定引起的体温调节抑制是否影响新生大鼠通气和代谢之间的耦合。测定3 ~ 7日龄Wistar大鼠的代谢和心肺指标。对照记录在34°C环境温度(Ta)下进行,Ta保持在34°C(中),降低到27°C(低)或增加到39°C(高)。到达所需Ta后,给予生理盐水或右美托咪定(50μg∙kg-1),再次记录各项指标。生理盐水组和右美托咪定组之间的控制值具有可比性。使用相对于各组控制值的值,体温(低或高Ta vs.中Ta)和心率(低Ta vs.高Ta)在三Ta之间有显著差异。在每个Ta时,右美托咪定组的代谢率、分钟通气量、呼吸率和心率均明显低于生理盐水组。尽管有这些变化,但与生理盐水组相比,右美托咪定组在中Ta和低Ta时的通气代谢比率相当,在高Ta时显著降低。右美托咪定加阿替帕唑(5mg∙kg-1, α2肾上腺素受体拮抗剂)在低Ta和高Ta时不影响通气代谢比。虽然右美托咪定抑制热调节反应,但α2肾上腺素能感受器在低温而非高温环境下的激活可以维持通气和代谢率的耦合。我们的研究结果表明α2肾上腺素受体的激活损害了新生大鼠在加热或再加热时的通气控制。
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引用次数: 0
Modulating respiratory mechanics and inflammation in hepatopulmonary syndrome: Aerobic exercise as a therapeutic strategy 调节呼吸机制和肝肺综合征的炎症:有氧运动作为一种治疗策略
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2025-07-01 Epub Date: 2025-02-11 DOI: 10.1016/j.resp.2025.104410
César Augusto Melo-Silva , Walter Moreno Campos Nunes , Eloisa Sanches Pereira Nascimento , Eduardo Marques Guerra , Marcello Rodrigues Roza , Suellen Silva-Costa , Wilcelly Machado-Silva , Gleiciane Gontijo Avelar , Otávio Toledo Nóbrega , Veronica Moreira Amado

Introduction

Aerobic exercise training positively modulates the immune system and improves lung function; however, its effects on respiratory system’s elastic, resistive properties and interleukin-10 (IL-10) concentration in hepatopulmonary syndrome (HPS) remains unexplored. This study aimed to assess whether moderate-intensity aerobic (AE) training altered exercise capacity, respiratory mechanics and lung inflammation.

Material and methods

Wistar rats were randomly assigned to SHAM, HPS, HPS + AE4, and HPS + EA8 groups. The EA4 group represents AE training for 4 weeks starting 7 days after HPS induction, whereas EA8 accounts for AE training for 4 weeks before and after HPS induction, both protocols practiced 3 times weekly. Exercise capacity, respiratory mechanics, lung and systemic inflammation, and lung morphology were assessed.

Results

Moderate aerobic exercise significantly increased the maximal running capacity of the HPS animals. The training decreased tissue elastance by 19 % (p = 0.01 compared to SHAM) and reduced frequency-dependent respiratory reactance at 0.5 Hz, 0.75 Hz, and 1.25 Hz frequencies compared to HPS animals (p < 0.05 for all). For the HPS + EA4 and HPS + EA8 groups IL-10 plasma concentration increased by 23 % and 31 % compared to SHAM (p < 0.001 both) and by 38 % and 47 % compared to HPS (p < 0.01 both). Nonetheless, AE did not alleviate lung tissue remodeling induced by HPS.

Conclusions

Moderate-intensity aerobic training improved maximum running capacity, reduced HPS-induced respiratory mechanics derangements at the lung regional level, and increased systemic IL-10 concentration, although it did not ameliorate lung tissue remodeling.
有氧运动训练积极调节免疫系统,改善肺功能;然而,其对肝肺综合征(HPS)患者呼吸系统弹性、抵抗性和白细胞介素-10 (IL-10)浓度的影响尚不清楚。本研究旨在评估中等强度有氧(AE)训练是否会改变运动能力、呼吸力学和肺部炎症。材料与方法将swistar大鼠随机分为SHAM组、HPS组、HPS + AE4组和HPS + EA8组。EA4组为HPS诱导后第7天开始的4周AE训练,EA8组为HPS诱导前后4周AE训练,两组均为每周3次。评估运动能力、呼吸力学、肺部和全身炎症以及肺部形态。结果适度有氧运动可显著提高HPS大鼠的最大跑能力。与SHAM相比,训练使组织弹性降低了19% % (p = 0.01),并且与HPS动物相比,在0.5 Hz, 0.75 Hz和1.25 Hz频率下,训练降低了频率依赖性呼吸电抗(p <; 0.05)。为HPS + EA4和HPS + EA8组il - 10血浆浓度增加了23 31 %和%比虚假的(p & lt; 0.001)和由38 %和47 % HPS相比(p & lt; 0.01)。然而,AE并没有减轻HPS引起的肺组织重构。结论中等强度有氧训练可提高最大运动能力,降低hps引起的肺区域呼吸力学紊乱,增加全身IL-10浓度,但不能改善肺组织重塑。
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引用次数: 0
Muscle oxygenation and local blood volume difference between intercostal and deltoid during dry static apnea in breath-hold divers 屏气潜水员在准备和最大干静态呼吸暂停期间呼吸肌和骨骼肌的肌肉氧合和局部血容量差异。
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2025-07-01 Epub Date: 2025-02-06 DOI: 10.1016/j.resp.2025.104402
Dario Vrdoljak , Željko Dujić , Colin D. Hubbard , Geoff B. Coombs , Andrew T. Lovering , Ivan Drvis , Nikola Foretic , Joseph W. Duke
During either a static or dynamic apnea, oxygen is delivered to vital organs, i.e., the brain and heart, and there is a compensatory reduction of oxygen consumption in peripheral tissues. Additionally, maximal apnea is characterised by the initial easy-going phase and subsequent struggle phase in which involuntary breathing movements appear. The aim of this study was to compare the oxygenation and local blood volume of one active (external intercostal) and one non-active (deltoid) muscle during maximal dry static apneas in breath-hold divers while supine. Thirteen breath-hold divers performed 3 preparatory apneas followed by 3 maximal apneas with 5 min of supine rest between each apnea. During all apneas (duration, 115–323 s; IBM, 7–35) muscle oxygenation and muscle blood volume change were measured via NIRS. The variables quantified were muscle oxygen saturation (SmO2) and total hemoglobin (tHb). We found that the decline in oxygen saturation was similar in external intercostals and deltoids, even though their physiological role during a breath-hold is different. However, the external intercostals re-saturated at a significantly higher rate following a maximal apnea than the deltoid muscle (p = 0.02). Also, during the apneas, there was a significantly different response between muscles, where external intercostals had an increase and deltoid a decrease in tHb (p = 0.01). These findings indicate that despite respiratory muscle activity resulting from IBMs during breath-holds external intercostal muscle re-oxygenation occurs faster than peripheral muscles which may allow for a faster return to normal breathing.
在静态或动态呼吸暂停期间,氧气被输送到重要器官,即大脑和心脏,并且周围组织的耗氧量代偿性减少。此外,最大呼吸暂停的特点是最初的轻松阶段和随后的不自主呼吸运动出现的挣扎阶段。本研究的目的是比较屏气潜水员仰卧时最大干静态呼吸时一块活跃肌肉(外肋间肌)和一块非活跃肌肉(三角肌)的氧合和局部血容量。13名屏气潜水员分别进行3次预备呼吸,然后3次最大呼吸,每次呼吸之间仰卧休息5分钟。在所有呼吸暂停(持续时间,115 - 323秒;通过近红外光谱(NIRS)测量肌肉氧合和肌肉血容量变化。定量变量为肌氧饱和度(SmO2)和总血红蛋白(tHb)。我们发现外肋间肌和三角肌的氧饱和度下降是相似的,尽管它们在屏气时的生理作用是不同的。然而,在最大呼吸暂停后,外肋间肌的再饱和率明显高于三角肌(p=0.02)。此外,在呼吸暂停期间,肌肉之间的反应也有显著差异,其中外肋间肌tHb增加,三角肌tHb减少(p=0.01)。这些发现表明,尽管呼吸暂停期间IBMs导致呼吸肌活动,但肋间肌外再氧合比周围肌肉发生得更快,这可能允许更快地恢复正常呼吸。
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引用次数: 0
Cockroach allergen exposure alters redox homeostasis and mediates airway inflammation 蟑螂过敏原暴露改变氧化还原稳态和介导气道炎症
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2025-07-01 Epub Date: 2025-04-23 DOI: 10.1016/j.resp.2025.104438
Swati Sharma , Ekta Nagar , Naveen Arora
Allergic diseases are orchestrated by complex interplay of allergens with components of immune system as well as structural cells. As airway epithelium lies at the interface of environment and host immune responses, therefore we sought to study role of cockroach allergen exposure in context of oxidative stress in epithelia and its functional role in allergic pathophysiology. In vitro studies on Beas2B cells indicated elevation of intracellular ROS levels upon cockroach allergen (CE) exposure and transcriptional regulation of epithelial activation markers (CXCL-8 and IL-1 α) and endogenous antioxidant SOD-2. To corroborate ROS induction in vivo, mice model of cockroach hypersensitivity was generated and cytosolic and mitochondrial superoxide levels in lung of mice were estimated along with markers of allergic inflammation (cellular infiltration and epithelial activation cytokines (IL-33, TSLP and IL-25), proinflammatory (Th2 cytokines) and antioxidant pathways. Antioxidant supplementation with NAC, GSH and mitochondria specific ROS scavenger Mito-Tempo significantly reduced allergic inflammation. To discern the role of antioxidant pathways, we examined Nrf2 and SOD2 levels in mice lungs. Our results indicate that cockroach allergen exposure offsets the redox balance in lung with reduced glutathione peroxidase and catalase levels, however antioxidant treatment was able to restore redox equilibrium in lung by upregulating the expression of major regulator of antioxidant signalling, Nrf2 and enzymatic antioxidant SOD2. Our studies indicate crucial role of cockroach allergen induced ROS in allergic pathophysiology and targeting allergen induced oxidative stress may be utilised as an adjunct therapy for allergic diseases.
变应性疾病是由过敏原与免疫系统成分以及结构细胞的复杂相互作用精心策划的。由于气道上皮处于环境和宿主免疫反应的界面,因此我们试图研究蟑螂过敏原暴露在上皮氧化应激背景下的作用及其在过敏病理生理中的功能作用。Beas2B细胞的体外研究表明,蟑螂过敏原暴露后细胞内ROS水平升高,上皮活化标志物(CXCL-8和IL-1 α)和内源性抗氧化剂SOD-2的转录调节。为了证实ROS在体内的诱导作用,我们建立了蟑螂超敏小鼠模型,测定了小鼠肺细胞浆和线粒体超氧化物水平以及变应性炎症(细胞浸润和上皮活化细胞因子(IL-33、TSLP和IL-25)、促炎(Th2细胞因子)和抗氧化途径的标志物。添加NAC、GSH和线粒体特异性ROS清除剂Mito-Tempo的抗氧化剂可显著减轻过敏性炎症。为了辨别抗氧化途径的作用,我们检测了小鼠肺中Nrf2和SOD2的水平。我们的研究结果表明,暴露于蟑螂过敏原会通过降低谷胱甘肽过氧化物酶和过氧化氢酶水平来抵消肺中的氧化还原平衡,而抗氧化处理能够通过上调抗氧化信号的主要调节因子Nrf2和酶促抗氧化剂SOD2的表达来恢复肺中的氧化还原平衡。我们的研究表明,蟑螂过敏原诱导的ROS在过敏病理生理中起着至关重要的作用,靶向过敏原诱导的氧化应激可作为过敏性疾病的辅助治疗方法。
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引用次数: 0
Biological sex differences in the perception of CO2-induced air hunger 感知二氧化碳引起的空气饥饿的生物性别差异
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2025-07-01 Epub Date: 2025-04-22 DOI: 10.1016/j.resp.2025.104436
Louis M. Hall, Graham R. Sharpe, Neil C. Williams, Michael A. Johnson

Introduction

Biological sex may mediate ‘dyspnoea’ during submaximal exercise, but whether it mediates air hunger (AH), a highly unpleasant form of dyspnoea, remains unclear.

Method

Forty healthy adults (twenty females) completed 6-min of quiet breathing (rest) followed by a hyperoxic CO2 rebreathing task to evoke AH. AH intensity (AH-I) and unpleasantness (AH-U) were measured every 30-s. The Multidimensional Dyspnoea Profile (MDP) was administered after CO2 rebreathing.

Results

Compared to males, AH-I and AH-U thresholds occurred at lower PETCO2 in females (AH-I: 44.15 ± 2.81 vs 48.90 ± 4.47 mmHg, P < 0.001; AH-U: 43.86 ± 2.57 vs 47.59 ± 2.75 mmHg, P < 0.001) and after a smaller increase in PETCO2 above resting PETCO2 (AH-I: 7.04 ± 2.63 vs 10.08 ± 5.28 mmHg, P = 0.027; AH-U: 6.75 ± 2.22 vs 8.77 ± 2.99 mmHg, P = 0.020). AH-I and AH-U were higher in females than males at standardised absolute V̇E of 25, 30 and 35 L/min (P < 0.05). AH-U, but not AH-I, remained higher (main effect of sex, P = 0.026) in females than males at standardised relative V̇E of 20, 25, and 30 % MVV. More females (n= 9) than males (n= 4) terminated CO2 rebreathing due to maximal AH perception (P = 0.001). Compared to males, females reported greater intensities of ‘mental effort/concentration’ (7 ± 3 vs 4 ± 3), ‘tight/constricted lungs’ (6 ± 3 vs 2 ± 2), and ‘breathing work/effort’ (6 ± 2 vs 4 ± 3) (all P < 0.05) on the MDP.

Conclusion

Our findings suggest that sex differences exist in the perception of AH, which are not entirely accounted for by sex differences in ventilatory capacity.
生物性别可能介导次剧烈运动中的“呼吸困难”,但它是否介导空气饥饿(AH),一种非常令人不快的呼吸困难形式,尚不清楚。方法40名健康成人(20名女性)完成6分钟的安静呼吸(休息),然后进行高氧CO2再呼吸任务以引起AH。每30秒测量一次AH强度(AH- i)和不愉快度(AH- u)。CO2再呼吸后进行多维呼吸困难分析(MDP)。结果与男性相比,女性在PETCO2较低时出现AH-I和AH-U阈值(AH-I: 44.15 ± 2.81 vs 48.90 ± 4.47 mmHg, P <; 0.001; AH-U: 43.86±2.57 vs 47.59  ±2.75  毫米汞柱,P & lt; 0.001)后,增加小PETCO2上面休息PETCO2(呀我:7.04 ±2.63 vs 10.08  ±5.28  毫米汞柱,P = 0.027; AH-U: 6.75±2.22 vs 8.77  ±2.99  毫米汞柱,P = 0.020)。AH-I和AH-U在标准化绝对V (E) 25、30和35 L/min时,女性高于男性(P <; 0.05)。在标准化相对V (E)为20,25,30 % MVV时,女性的AH-U高于男性(P = 0.026),而AH-I则没有(性别的主要影响,P = 0.026)。女性(n = 9)比男性(n= 4)因最大AH知觉而终止CO2再呼吸(P = 0.001)。与男性相比,女性更强度的脑力/浓度(7 ± 3和4 ± 3),“紧/收缩的肺”(6 ± 3和2 ± 2),和“呼吸工作/努力”(6 ± 2和4 ± 3)(所有P & lt; 0.05)MDP。结论我们的研究结果表明,在肺气肿的感知上存在性别差异,这并不能完全由通气量的性别差异来解释。
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引用次数: 0
Complex respiratory effects of nebulised citric acid and capsaicin as tussive agents: A comparative study in conventional and specific pathogen-free guinea pigs 雾化柠檬酸和辣椒素作为咳嗽剂的复杂呼吸效应:在常规和特定无病原体豚鼠中的比较研究
IF 1.9 4区 医学 Q3 PHYSIOLOGY Pub Date : 2025-05-01 Epub Date: 2025-03-24 DOI: 10.1016/j.resp.2025.104417
Tomas Buday , Mariana Brozmanova , Janka Jakusova , Zuzana Biringerova , Lukas Martvon , Jana Plevkova

Background

Citric acid and capsaicin are commonly used in cough research due to their reproducible effects on animal models and humans. However, these extend beyond cough provocation.

Objective

To characterize and describe the respiratory responses to citric acid and capsaicin exposure using whole-body plethysmography in conventional (CON) and specific pathogen-free (SPF) guinea pigs.

Methods

Male and female guinea pigs were exposed to aerosols of saline, citric acid (0.4 M), and capsaicin (25 µM). Cough and respiratory parameters (inspiratory and expiratory time, respiratory rate, tidal volume, enhanced pause and mid-expiratory flow) were recorded.

Results

Both tussive agents induced upper and lower airway responses besides cough, with significant differences in respiratory parameters between CON and SPF animals. Citric acid elicited a stronger upper airway response compared to capsaicin.

Conclusion

Citric acid and capsaicin trigger complex respiratory responses (bronchoconstriction, braking, breathing pattern changes). These findings highlight the need to consider broader respiratory responses in translational cough research.
背景:柠檬酸和辣椒素在咳嗽研究中被广泛使用,因为它们对动物模型和人类具有可重复性的影响。然而,这些不仅仅是咳嗽引起的。目的用全身容积描记法描述常规(CON)和无特异性病原体(SPF)豚鼠对柠檬酸和辣椒素暴露的呼吸反应。方法将雄性和雌性豚鼠分别暴露于生理盐水、柠檬酸(0.4 M)和辣椒素(25 µM)的气溶胶中。记录咳嗽和呼吸参数(吸气和呼气时间、呼吸频率、潮气量、增强暂停和呼气中流量)。结果除咳嗽外,两种吸咳剂均可引起上呼吸道和下呼吸道反应,CON和SPF动物的呼吸参数有显著差异。与辣椒素相比,柠檬酸引起更强的上呼吸道反应。结论柠檬酸和辣椒素可引发复杂的呼吸反应(支气管收缩、制动、呼吸模式改变)。这些发现强调了在转译咳嗽研究中考虑更广泛的呼吸反应的必要性。
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引用次数: 0
期刊
Respiratory Physiology & Neurobiology
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