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Heat stress, gastrointestinal permeability and interleukin-6 signaling — Implications for exercise performance and fatigue 热应激、胃肠通透性和白细胞介素-6信号传导——对运动表现和疲劳的影响
Pub Date : 2016-04-02 DOI: 10.1080/23328940.2016.1179380
N. Vargas, F. Marino
ABSTRACT Exercise in heat stress exacerbates performance decrements compared to normothermic environments. It has been documented that the performance decrements are associated with reduced efferent drive from the central nervous system (CNS), however, specific factors that contribute to the decrements are not completely understood. During exertional heat stress, blood flow is preferentially distributed away from the intestinal area to supply the muscles and brain with oxygen. Consequently, the gastrointestinal barrier becomes increasingly permeable, resulting in the release of lipopolysaccharides (LPS, endotoxin) into the circulation. LPS leakage stimulates an acute-phase inflammatory response, including the release of interleukin (IL)-6 in response to an increasingly endotoxic environment. If LPS translocation is too great, heat shock, neurological dysfunction, or death may ensue. IL-6 acts initially in a pro-inflammatory manner during endotoxemia, but can attenuate the response through signaling the hypothalamic pituitary adrenal (HPA)-axis. Likewise, IL-6 is believed to be a thermoregulatory sensor in the gut during the febrile response, hence highlighting its role in periphery – to – brain communication. Recently, IL-6 has been implicated in signaling the CNS and influencing perceptions of fatigue and performance during exercise. Therefore, due to the cascade of events that occur during exertional heat stress, it is possible that the release of LPS and exacerbated response of IL-6 contributes to CNS modulation during exertional heat stress. The purpose of this review is to evaluate previous literature and discuss the potential role for IL-6 during exertional heat stress to modulate performance in favor of whole body preservation.
与常温环境相比,热应激下的运动加剧了运动能力的下降。已有文献表明,成绩下降与中枢神经系统(CNS)的传出驱动减少有关,然而,导致成绩下降的具体因素尚未完全了解。在运动性热应激时,血流优先远离肠道区域,为肌肉和大脑提供氧气。因此,胃肠道屏障变得越来越渗透性,导致脂多糖(LPS,内毒素)释放到循环中。脂多糖泄漏刺激急性期炎症反应,包括释放白介素(IL)-6,以应对日益内毒素的环境。如果LPS易位过大,可能会导致热休克、神经功能障碍或死亡。在内毒素血症中,IL-6最初以促炎方式起作用,但可以通过下丘脑垂体-肾上腺(HPA)轴信号通路减弱反应。同样,IL-6被认为是发热反应期间肠道中的温度调节传感器,因此突出了其在外周-脑通讯中的作用。最近,IL-6被认为与中枢神经系统的信号传导和运动过程中对疲劳和表现的感知有关。因此,由于在运动性热应激期间发生的一系列事件,LPS的释放和IL-6反应的加剧可能有助于运动性热应激期间中枢神经系统的调节。本综述的目的是评估先前的文献,并讨论IL-6在运动性热应激中调节性能以促进全身保存的潜在作用。
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引用次数: 33
Energy signaling in obese mice delays the impact of fasting on thermoregulation 肥胖小鼠的能量信号传导延迟了禁食对体温调节的影响
Pub Date : 2016-04-02 DOI: 10.1080/23328940.2016.1139961
S. Maloney
I thank the editors of Temperature for the opportunity to provide an editorial comment on the recent article by Solym ar et al. We have known for some time that, when endothermic animals are fasted, their energy expenditure pathways are altered in a way that results in a decrease in core body temperature during the inactive phase of their daily activity cycle. The decrease in body temperature generally is viewed as adaptive, since the closer the animal’s body temperature is to ambient temperature, the less energy is required to defend body temperature. In the laboratory mouse, a few days of fasting takes body temperature to below 31 C, which, according to the definition employed in the paper under discussion, means that the mice enter torpor. There is no change (at least initially) in the core body temperature during the active phase of the daily cycle; that is counterintuitive but seems to be what occurs to the body temperature rhythm whenever mammals run low on energy. Mammals with normal body fat content run low on energy soon after starting to fast, and display heterothermy within a day or two of fast initiation. What happens to obese animals, which have a store of energy in body fat? That is what Solym ar et al. have investigated, for the first time. In the face of a complete fast, mice previously made obese did not enter torpor until their body mass approached that of the normal-mass mice, a process that took several weeks; the obese mice started with a body mass more than double that of the control lean mice Figure. 2 of the paper by Solym ar and colleagues shows, though, that less-dramatic but distinct changes in the temperature rhythm of the obese mice happened long before that, as do cardiovascular changes in fasted obese mice. Indeed, heart rate, blood pressure, and oxygen consumption fell more rapidly during a fast in obese mice than they did in lean mice, albeit from a higher baseline. Thermal physiologists certainly would want to know what signal to the thermoregulatory system differed, during the first days of fasting, between the obese and lean animals. Neither the obese nor the lean mice were eating, and so presumably the gut-derived peptides that have been implicated in the shortterm control of appetite and energy expenditure did not differ. It would be valuable to test that hypothesis by measuring those peptides. A better candidate would be leptin, the adipose-derived cytokine that has been implicated in the hypothermia of fasting. Leptin replacement in underfed and ob/ob mice reduces the incidence of torpor, and mice without dopamine b hydroxylase (an enzyme in the pathway to epinephrine and norepinephrine production) show neither a fall in leptin nor torpor when fasted Though Solym ar and colleagues did not measure leptin concentrations in their mice, it seems quite possible that the obese mice, with surplus energy, had a delayed fall in leptin with fasting. There don’t appear to be any long-term data on leptin concentrations
感谢《温度》杂志的编辑们给我机会对Solym等人最近发表的文章发表评论。我们早就知道,当吸热动物禁食时,它们的能量消耗途径会发生改变,导致它们在日常活动周期的非活动阶段核心体温下降。体温的下降通常被认为是适应性的,因为动物的体温越接近环境温度,保护体温所需的能量就越少。在实验室小鼠中,禁食几天使体温降至31℃以下,根据本文的定义,这意味着小鼠进入了冬眠状态。在每日周期的活跃阶段,核心体温没有变化(至少最初没有变化);这是违反直觉的,但似乎是哺乳动物能量不足时体温节律发生的变化。身体脂肪含量正常的哺乳动物在开始禁食后很快就会消耗掉能量,并在禁食开始的一两天内表现出异温性。肥胖的动物会发生什么,它们的身体脂肪中储存着能量?这是Solym等人第一次进行的调查。在完全禁食的情况下,先前肥胖的老鼠直到它们的体重接近正常体重的老鼠时才会进入昏睡状态,这个过程需要几个星期;然而,索林及其同事的论文图2显示,肥胖老鼠的体重开始时是对照组瘦老鼠的两倍多,肥胖老鼠的体温节律发生了不那么剧烈但明显的变化,在此之前很久就发生了,禁食的肥胖老鼠的心血管变化也是如此。事实上,肥胖老鼠的心率、血压和耗氧量在禁食期间比瘦老鼠下降得更快,尽管基线更高。热生理学家当然想知道,在禁食的头几天,肥胖动物和瘦弱动物向体温调节系统发出的信号有什么不同。肥胖的老鼠和瘦弱的老鼠都没有进食,因此可以推测,与食欲和能量消耗的短期控制有关的肠道衍生肽并没有什么不同。通过测量这些肽来检验这个假设是很有价值的。一个更好的候选者是瘦素,一种脂肪来源的细胞因子,与禁食的低体温有关。在喂养不足的小鼠和ob/ob小鼠中,瘦素替代降低了昏睡的发生率,而缺乏多巴胺b羟化酶(一种肾上腺素和去甲肾上腺素产生途径中的酶)的小鼠在禁食时既没有显示出瘦素的下降,也没有显示出昏睡。尽管solyar和同事没有测量小鼠体内的瘦素浓度,但似乎很有可能是能量过剩的肥胖小鼠在禁食时瘦素的下降延迟了。在先前肥胖的小鼠中,似乎没有任何关于禁食期间瘦素浓度的长期数据,这在文献中是一个令人惊讶的空白,但高脂肪喂养会减缓禁食期间血浆瘦素的下降,至少在最初的48小时内是这样。但是瘦素并不是对禁食产生麻木反应的唯一媒介。其他介质肯定存在,因为ob/ ob小鼠缺乏瘦素,db/db小鼠缺乏瘦素受体,但两者都不是永久迟钝的。进入昏睡状态的另一个信号可能是血糖水平下降。奥弗顿和威廉姆斯总结了这一作用的证据
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引用次数: 0
Potentiation of Ecstasy-induced hyperthermia and FAT/CD36 expression in chronically exercised animals 摇头丸诱导的慢性运动动物热疗和FAT/CD36表达的增强作用
Pub Date : 2016-03-30 DOI: 10.1080/23328940.2016.1166310
S. Hrometz, Jeremy A. Ebert, K. E. Grice, Sara M. Nowinski, E. Mills, B. Myers, J. E. Sprague
ABSTRACT Fatal hyperthermia as a result of 3,4-methylenedioxymethamphetamine (MDMA) use involves non-esterified free fatty acids (NEFA) and the activation of mitochondrial uncoupling proteins (UCP). NEFA gain access into skeletal muscle via specific transport proteins, including fatty acid translocase (FAT/CD36). FAT/CD36 expression is known to increase following chronic exercise. Previous studies have demonstrated the essential role of NEFA and UCP3 in MDMA-induced hyperthermia. The aims of the present study were to use a chronic exercise model (swimming for two consecutive hours per day, five days per wk for six wk) to increase FAT/CD36 expression in order to: 1) determine the contribution of FAT/CD36 in MDMA (20 mg/kg, s.c.)-mediated hyperthermia; and 2) examine the effects of the FAT/CD36 inhibitor, SSO (sulfo-N-succinimidyl oleate), on MDMA-induced hyperthermia in chronic exercise and sedentary control rats. MDMA administration resulted in hyperthermia in both sedentary and chronic exercise animals. However, MDMA-induced hyperthermia was significantly potentiated in the chronic exercise animals compared to sedentary animals. Additionally, chronic exercise significantly reduced body weight, increased FAT/CD36 protein expression levels and reduced plasma NEFA levels. The FAT/CD36 inhibitor, SSO (40 mg/kg, ip), significantly attenuated the hyperthermia mediated by MDMA in chronic exercised but not sedentary animals. Plasma NEFA levels were elevated in sedentary and exercised animals treated with SSO prior to MDMA suggesting attenuation of NEFA uptake into skeletal muscle. Chronic exercise did not alter skeletal muscle UCP3 protein expression levels. In conclusion, chronic exercise potentiates MDMA-mediated hyperthermia in a FAT/CD36 dependent fashion.
使用3,4-亚甲基二氧基甲基苯丙胺(MDMA)导致的致命性高热涉及非酯化游离脂肪酸(NEFA)和线粒体解偶联蛋白(UCP)的激活。NEFA通过特定的转运蛋白,包括脂肪酸转位酶(FAT/CD36)进入骨骼肌。已知脂肪/CD36表达在长期运动后增加。先前的研究已经证实了NEFA和UCP3在mdma诱导的热疗中的重要作用。本研究的目的是使用慢性运动模型(每天连续游泳2小时,每周5天,连续6周)增加FAT/CD36表达,以便:1)确定FAT/CD36在MDMA (20 mg/kg, s.c)介导的热疗中的作用;2)研究FAT/CD36抑制剂SSO(磺基- n -琥珀酰油酸酯)对慢性运动和久坐对照大鼠mdma诱导的高温的影响。在久坐和长期运动的动物中,MDMA均导致高热。然而,与久坐不动的动物相比,mdma诱导的热疗在慢性运动动物中显著增强。此外,慢性运动显著降低体重,增加脂肪/CD36蛋白表达水平,降低血浆NEFA水平。FAT/CD36抑制剂SSO (40 mg/kg, ip)可显著降低MDMA介导的慢性运动而非久坐动物的高热。在MDMA之前,久坐和运动的动物接受SSO治疗,血浆NEFA水平升高,表明骨骼肌对NEFA的吸收减弱。慢性运动不改变骨骼肌UCP3蛋白表达水平。总之,慢性运动以FAT/CD36依赖的方式增强mdma介导的热疗。
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引用次数: 4
Substantive hemodynamic and thermal strain upon completing lower-limb hot-water immersion; comparisons with treadmill running 完成下肢热水浸泡后的实质性血流动力学和热应变;与跑步机的比较
Pub Date : 2016-03-16 DOI: 10.1080/23328940.2016.1156215
K. N. Thomas, A. V. Van rij, S. Lucas, A. R. Gray, J. Cotter
ABSTRACT Exercise induces arterial flow patterns that promote functional and structural adaptations, improving functional capacity and reducing cardiovascular risk. While heat is produced by exercise, local and whole-body passive heating have recently been shown to generate favorable flow profiles and associated vascular adaptations in the upper limb. Flow responses to acute heating in the lower limbs have not yet been assessed, or directly compared to exercise, and other cardiovascular effects of lower-limb heating have not been fully characterized. Lower-limb heating by hot-water immersion (30 min at 42°C, to the waist) was compared to matched-duration treadmill running (65-75% age-predicted heart rate maximum) in 10 healthy, young adult volunteers. Superficial femoral artery shear rate assessed immediately upon completion was increased to a greater extent following immersion (mean ± SD: immersion +252 ± 137% vs. exercise +155 ± 69%, interaction: p = 0.032), while superficial femoral artery flow-mediated dilation was unchanged in either intervention. Immersion increased heart rate to a lower peak than during exercise (immersion +38 ± 3 beats·min-1 vs. exercise +87 ± 3 beats·min-1, interaction: p < 0.001), whereas only immersion reduced mean arterial pressure after exposure (−8 ± 3 mmHg, p = 0.012). Core temperature increased twice as much during immersion as exercise (+1.3 ± 0.4°C vs. +0.6 ± 0.4°C, p < 0.001). These data indicate that acute lower-limb hot-water immersion has potential to induce favorable shear stress patterns and cardiovascular responses within vessels prone to atherosclerosis. Whether repetition of lower-limb heating has long-term beneficial effects in such vasculature remains unexplored.
运动诱导动脉血流模式,促进功能和结构适应,提高功能能力,降低心血管风险。虽然热量是通过运动产生的,但最近的研究表明,局部和全身被动加热可以在上肢产生有利的血流分布和相关的血管适应性。下肢急性加热的血流反应尚未被评估,或与运动直接比较,下肢加热对心血管的其他影响尚未完全表征。将10名健康的年轻成年志愿者的下肢热水浸泡加热(42°C 30分钟,腰部)与匹配持续时间的跑步机跑步(65-75%的年龄预测心率最大值)进行比较。完成后立即评估的股浅动脉剪切率在浸泡后增加到更大程度(平均±SD:浸泡+252±137% vs运动+155±69%,相互作用:p = 0.032),而股浅动脉血流介导的扩张在两种干预中都没有变化。浸泡将心率提高到比运动时更低的峰值(浸泡+38±3次·min-1 vs运动+87±3次·min-1,相互作用:p < 0.001),而只有浸泡降低了暴露后的平均动脉压(- 8±3 mmHg, p = 0.012)。浸泡时的核心温度升高是运动时的两倍(+1.3±0.4°C vs +0.6±0.4°C, p < 0.001)。这些数据表明,急性下肢热水浸泡有可能在容易发生动脉粥样硬化的血管中诱导有利的剪切应力模式和心血管反应。下肢反复加热是否对此类脉管系统有长期的有益影响尚不清楚。
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引用次数: 37
Physiologic and performance effects of sago supplementation before and during cycling in a warm-humid environment 在温湿环境中循环前和循环中补充西米对生理和生产性能的影响
Pub Date : 2016-03-03 DOI: 10.1080/23328940.2016.1159772
M. R. Che Jusoh, S. Stannard, T. Mündel
ABSTRACT The present study determined whether 0.8g/kg bodyweight sago ingested before (Pre-Sago) or during (Dur-Sago) exercise under warm-humid conditions (30 ± 2°C, 78 ± 3 % RH; 20 km·h−1 frontal airflow) conferred a performance and/or physiological benefit compared to a control (Control) condition. Eight trained, male cyclists/triathletes (45 ± 4 y, VO2peak: 65 ± 10 ml·kg−1·min−1, peak aerobic power: 397 ± 71 W) completed 3 15-min time-trials (∼75% VO2peak) pre-loaded with 45 min of steady-state (∼55% VO2peak) cycling following > 24 h standardization of training and diet. Measures of work completed, rectal and mean skin temperatures, heart rate, expiratory gases and venous blood samples were taken. Compared to Control, Pre-Sago resulted in a smaller rise in rectal temperature (0.3 ± 0.5°C) while heart rate increased to a greater extent (6 ± 13 beats·min−1) during exercise (both P < 0.05), however, compared to Control time-trial performance remained unaffected (Pre-Sago: −0.5 ± 4.0%, P > 0.05). During exercise, plasma glucose concentrations were maintained higher for Dur-Sago than Control (P < 0.05), however substrate oxidation rates remained similar (P > 0.05). Dur-Sago also resulted in a higher plasma sodium concentration (2 ± 2 mmol·l1) and lower whole-body sweat loss (544 ± 636 g) and, therefore, reduced plasma volume contraction (all P < 0.05). Heart rate increased to a greater extent (5 ± 13 beats·min−1) during Dur-Sago, yet compared to Control time-trial performance remained unaffected (+0.9 ± 2.3%, P > 0.05). Uniquely, these results indicate that during exercise heat stress feeding sago can result in some ‘beneficial’ physiological responses, however these do not translate to changes in exercise performance when performed in a post-prandial state.
本研究确定在温湿条件下(30±2°C, 78±3% RH)运动前(Pre-Sago)或运动期间(duro - sago)摄入0.8g/kg体重的西米;与控制(control)条件相比,20 km·h−1的锋面气流可获得性能和/或生理上的益处。8名经过训练的男性自行车运动员/铁人三项运动员(45±4岁,VO2peak: 65±10 ml·kg - 1·min - 1,峰值有氧功率:397±71 W)完成了3项15分钟的计时试验(VO2peak: 75%),预加载45分钟的稳态(VO2peak: 55%)骑行,随后进行了> 24小时的标准化训练和饮食。测量完成的工作、直肠和平均皮肤温度、心率、呼气气体和静脉血样本。与对照组相比,Pre-Sago组运动时直肠温度升高幅度较小(0.3±0.5°C),心率升高幅度较大(6±13次·min - 1)(均P < 0.05),但计时赛成绩与对照组相比未受影响(Pre-Sago组:- 0.5±4.0%,P > 0.05)。运动过程中,杜尔西米组血浆葡萄糖浓度高于对照组(P < 0.05),但底物氧化率与对照组基本相同(P > 0.05)。杜尔西米还能提高血浆钠浓度(2±2 mmol·l1),降低全身失汗量(544±636 g),从而减少血浆体积收缩(P < 0.05)。在duro - sago期间,心率增加了更大程度(5±13次·min - 1),但与对照组相比,计时赛表现未受影响(+0.9±2.3%,P > 0.05)。独特的是,这些结果表明,在运动热应激时,喂食西米可以导致一些“有益”的生理反应,但这些反应并不能转化为餐后状态下运动表现的变化。
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引用次数: 4
The thermal probe test: A novel behavioral assay to quantify thermal paw withdrawal thresholds in mice 热探针测试:一种量化小鼠热爪退出阈值的新型行为分析
Pub Date : 2016-02-26 DOI: 10.1080/23328940.2016.1157668
J. Deuis, I. Vetter
ABSTRACT Rodent models are frequently used to improve our understanding of the molecular mechanisms of pain and to develop novel analgesics. Robust behavioral assays that quantify nociceptive responses to different sensory modalities, such has heat, are therefore needed. Here, we describe a novel behavioral assay to quantify thermal paw withdrawal thresholds in mice, called the thermal probe test, and compared it with other methods commonly used to measure heat thresholds, namely the Hargreaves test and the dynamic and conventional hot plate tests. In the thermal probe test, a slightly rounded 2.5 mm diameter metal probe that heats on contact at a rate of 2.5°C/sec, is applied to the plantar surface of the hind paw in mice at a starting temperature of ∼37°C, and the temperature at which a withdrawal response occurs, designated as the paw withdrawal temperature, is automatically recorded. The thermal probe test is effective at quantifying thermal allodynia in carrageenan-induced inflammation (paw withdrawal temperature 3 h: contralateral, 50.3 ± 0.6°C; ipsilateral, 43.1 ± 1.0°C), burns injury (paw withdrawal temperature 3 d: contralateral, 50.8 ± 0.5°C; ipsilateral, 43.2 ± 0.6°C) and after topical capsaicin (paw withdrawal temperature: vehicle control, 49.7 ± 0.6°C; capsaicin, 44.8 ± 1.2°C), giving comparable results to the Hargreaves test. In addition, the thermal probe test can detect opioid mediated analgesia in carrageenan-induced inflammation. Therefore the thermal probe test is a novel behavioral assay effective for quantifying thermal allodynia and analgesia in mouse models of pain.
啮齿类动物模型经常用于提高我们对疼痛分子机制的理解和开发新型镇痛药。因此,需要强有力的行为分析来量化对不同感觉模式(如热)的伤害性反应。在这里,我们描述了一种新的行为实验来量化小鼠的热爪退出阈值,称为热探针测试,并将其与其他常用的测量热阈值的方法进行了比较,即哈格里夫斯测试和动态和传统的热板测试。在热探针测试中,将一个直径为2.5 mm的微圆金属探针,在接触时以2.5℃/秒的速度加热,在~ 37℃的起始温度下,应用于小鼠后爪的足底表面,并自动记录发生退缩反应的温度,称为爪子退缩温度。热探针测试可有效量化角叉胶诱导炎症的热异常性疼痛(拔爪温度3 h:对侧,50.3±0.6°C;同侧,43.1±1.0℃),烧伤(拔爪温度3 d:对侧,50.8±0.5℃;同侧,43.2±0.6°C)和外用辣椒素后(拔爪温度:对照,49.7±0.6°C;辣椒素,44.8±1.2°C),得出与Hargreaves试验相当的结果。此外,热探针实验可以检测阿片介导的卡拉胶性炎症的镇痛作用。因此,热探针实验是一种新的行为学方法,可以有效地量化小鼠疼痛模型的热异常性疼痛和镇痛。
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引用次数: 48
Head temperature modulates thermal behavior in the cold in humans. 头部温度调节人类在寒冷环境中的热行为。
Pub Date : 2016-02-26 eCollection Date: 2016-04-01 DOI: 10.1080/23328940.2016.1156214
Toby Mündel, Aaron Raman, Zachary J Schlader

We tested the hypothesis that skin temperature, specifically of the head, is capable of modulating thermal behavior during exercise in the cold. Following familiarization 8 young, healthy, recreationally active males completed 3 trials, each consisting of 30 minutes of self-paced cycle ergometry in 6°C. Participants were instructed to control their exercise work rate to achieve and maintain thermal comfort. On one occasion participants wore only shorts and shoes (Control) and on the 2 other occasions their head was either warmed (Warming) or cooled (Cooling). Work rate, rate of metabolic heat production, thermal perceptions, rectal, mean weighted skin and head temperatures were measured. Exercise work rate was reduced during Warming and augmented during Cooling after the first and second minutes of exercise, respectively (P ≤ 0.04), with the rate of metabolic heat production mirroring work rate. At this early stage of exercise (≤5 min) the changes over time for rectal temperature were negligible and similar (0.1 ± 0.1°C, P = 0.51), while the decrease in mean skin temperature was not different between all trials (1.7 ± 0.6°C, P = 0.13). Mean head temperature was either decreased (Control: 1.5 ± 1.1°C, Cooling: 2.9 ± 0.8°C, both P < 0.01) or increased (Warming: 1.7 ± 0.9°C, P < 0.01). Head thermal perception was warmer and more comfortable in Warming and cooler and less comfortable in Cooling (P < 0.01). Participants achieved thermal comfort similarly in all trials (P > 0.09) after 10 ± 7 min and this was maintained until the end of exercise. These results indicate that peripheral temperatures modulate thermal behavior in the cold.

我们测试了一个假设,即皮肤温度(尤其是头部皮肤温度)能够调节寒冷环境下运动时的热行为。经过熟悉后,8 名年轻、健康、喜欢娱乐的男性完成了 3 次试验,每次试验包括在 6°C 温度下进行 30 分钟的自定节奏自行车测力。参与者被要求控制运动速度,以达到并保持热舒适度。在一次试验中,参与者只穿短裤和鞋子(对照组),而在另外两次试验中,他们的头部要么被加温(升温),要么被降温(降温)。对工作率、代谢产热率、热感知、直肠温度、平均加权皮肤温度和头部温度进行了测量。在运动的第一分钟和第二分钟后,"热身 "和 "降温 "时的运动功耗分别降低和增加(P ≤ 0.04),代谢产热率反映了功耗。在运动的早期阶段(≤5 分钟),直肠温度随时间的变化可忽略不计且相似(0.1 ± 0.1°C,P = 0.51),而平均皮肤温度的下降在所有试验中没有差异(1.7 ± 0.6°C,P = 0.13)。头部平均温度要么降低(对照组:1.5 ± 1.1°C;冷却组:2.9 ± 0.8°C,P 均 < 0.01),要么升高(升温组:1.7 ± 0.9°C,P < 0.01)。在 "升温 "模式下,头部的热感觉更温暖、更舒适,而在 "降温 "模式下,头部的热感觉更凉爽、更不舒适(P < 0.01)。在所有试验中,参与者在 10 ± 7 分钟后都达到了类似的热舒适度(P > 0.09),这种舒适度一直保持到运动结束。这些结果表明,外周温度会调节寒冷时的热行为。
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引用次数: 0
Heat strain during military training activities: The dilemma of balancing force protection and operational capability 军事训练活动中的热应变:部队保护与作战能力平衡的困境
Pub Date : 2016-02-26 DOI: 10.1080/23328940.2016.1156801
A. Hunt, D. Billing, M. J. Patterson, Joanne N. Caldwell
ABSTRACT Military activities in hot environments pose 2 competing demands: the requirement to perform realistic training to develop operational capability with the necessity to protect armed forces personnel against heat-related illness. To ascertain whether work duration limits for protection against heat-related illness restrict military activities, this study examined the heat strain and risks of heat-related illness when conducting a military activity above the prescribed work duration limits. Thirty-seven soldiers conducted a march (10 km; ∼5.5 km h−1) carrying 41.8 ± 3.6 kg of equipment in 23.1 ± 1.8°C wet-bulb globe temperature. Body core temperature was recorded throughout and upon completion, or withdrawal, participants rated their severity of heat-related symptoms. Twenty-three soldiers completed the march in 107 ± 6.4 min (Completers); 9 were symptomatic for heat exhaustion, withdrawing after 71.6 ± 10.1 min (Symptomatic); and five were removed for body core temperature above 39.0°C (Hyperthermic) after 58.4 ± 4.5 min. Body core temperature was significantly higher in the Hyperthermic (39.03 ± 0.26°C), than Symptomatic (38.34 ± 0.44°C; P = 0.007) and Completers (37.94 ± 0.37°C; P<0.001) after 50 min. Heat-related symptom severity was significantly higher among Symptomatic (28.4 ± 11.8) compared to Completers (15.0 ± 9.8, P = 0.006) and Hyperthermic (13.0 ± 9.6, P = 0.029). The force protection provided by work duration limits may be preventing the majority of personnel from conducting activities in hot environments, thereby constraining a commander's mandate to develop an optimised military force. The dissociation between heat-related symptoms and body core temperature elevation suggests that the physiological mechanisms underpinning exhaustion during exertional heat stress should be re-examined to determine the most appropriate physiological criteria for prescribing work duration limits.
高温环境下的军事活动提出了两种相互竞争的需求:一是进行现实训练以发展作战能力,二是保护武装部队人员免受高温相关疾病的侵害。为了确定防止与热有关的疾病的工作时间限制是否限制军事活动,本研究审查了在超过规定的工作时间限制进行军事活动时的热疲劳和与热有关的疾病的风险。37名士兵进行了一次行军(10公里;~ 5.5 km h−1)在23.1±1.8°C湿球温度下携带41.8±3.6 kg设备。在整个过程中以及完成或停药后,记录了核心体温,参与者评估了他们与热相关症状的严重程度。23名士兵在107±6.4分钟内完成行军(完成者);有中暑症状者9例,术后71.6±10.1 min(有症状)解除;58.4±4.5 min后,体核温度高于39.0°C (Hyperthermic)者取出5例。体核温度在Hyperthermic组(39.03±0.26°C)显著高于对症组(38.34±0.44°C);P = 0.007)和完成者(37.94±0.37°C;症状组的热相关症状严重程度(28.4±11.8)明显高于完全者(15.0±9.8,P = 0.006)和高温者(13.0±9.6,P = 0.029)。工作期限限制所提供的部队保护可能妨碍大多数人员在炎热环境中进行活动,从而限制了指挥官发展最佳军事力量的任务。热相关症状与身体核心温度升高之间的分离表明,应重新检查运动性热应激期间导致疲劳的生理机制,以确定规定工作时间限制的最合适的生理标准。
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引用次数: 45
Spinal cord thermosensitivity: An afferent phenomenon? 脊髓热敏性:传入现象?
Pub Date : 2016-02-26 DOI: 10.1080/23328940.2016.1157665
J. Brock, R. McAllen
ABSTRACT We review the evidence for thermoregulatory temperature sensors in the mammalian spinal cord and reach the following conclusions. 1) Spinal cord temperature contributes physiologically to temperature regulation. 2) Parallel anterolateral ascending pathways transmit signals from spinal cooling and spinal warming: they overlap with the respective axon pathways of the dorsal horn neurons that are driven by peripheral cold- and warm-sensitive afferents. 3) We hypothesize that these ‘cold’ and ‘warm’ ascending pathways transmit all extracranial thermosensory information to the brain. 4) Cutaneous cold afferents can be activated not only by cooling the skin but also by cooling sites along their axons: we consider that this is functionally insignificant in vivo. 5) By a presynaptic action on their central terminals, local spinal cooling enhances neurotransmission from incoming ‘cold’ afferent action potentials to second order neurons in the dorsal horn; this effect disappears when the spinal cord is warm. 6) Spinal warm sensitivity is due to warm-sensitive miniature vesicular transmitter release from afferent terminals in the dorsal horn: this effect is powerful enough to excite second order neurons in the ‘warm’ pathway independently of any incoming sensory traffic. 7) Distinct but related presynaptic mechanisms at cold- and warm-sensitive afferent terminals can thus account for the thermoregulatory actions of spinal cord temperature.
我们回顾了哺乳动物脊髓中温度调节传感器的证据,得出以下结论。1)脊髓温度在生理上参与温度调节。2)平行的前外侧上行通路传递脊髓降温和脊髓升温信号:它们与背角神经元各自的轴突通路重叠,这些轴突通路由外周冷敏感和热敏感传入神经驱动。3)我们假设这些“冷”和“热”上行通路将所有颅外热感觉信息传递给大脑。4)皮肤冷传入不仅可以通过冷却皮肤来激活,还可以通过冷却轴突上的一些部位来激活:我们认为这在体内的功能上是微不足道的。5)脊髓局部冷却通过中枢末端的突触前作用,增强了从传入的“冷”传入动作电位到背角二级神经元的神经传递;当脊髓处于温暖状态时,这种效应就消失了。6)脊髓温敏是由于背角传入末端的温敏微型囊状递质释放所致:这种效应强大到足以刺激“温暖”通路中的二级神经元,而不依赖于任何传入的感觉交通。7)因此,在冷敏感和热敏感的传入末端,不同但相关的突触前机制可以解释脊髓温度的温度调节作用。
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引用次数: 9
Functional analysis of RYR1 variants linked to malignant hyperthermia 与恶性高热相关的RYR1变异的功能分析
Pub Date : 2016-02-26 DOI: 10.1080/23328940.2016.1153360
J. Stephens, A. Schiemann, C. Roesl, Dorota M. Miller, S. Massey, N. Pollock, T. Bulger, K. Stowell
ABSTRACT Malignant hyperthermia manifests as a rapid and sustained rise in temperature in response to pharmacological triggering agents, e.g. inhalational anesthetics and the muscle relaxant suxamethonium. Other clinical signs include an increase in end-tidal CO2, increased O2 consumption, as well as tachycardia, and if untreated a malignant hyperthermia episode can result in death. The metabolic changes are caused by dysregulation of skeletal muscle Ca2+ homeostasis, resulting from a defective ryanodine receptor Ca2+ channel, which resides in the sarcoplasmic reticulum and controls the flux of Ca2+ ions from intracellular stores to the cytoplasm. Most genetic variants associated with susceptibility to malignant hyperthermia occur in the RYR1 gene encoding the ryanodine receptor type 1. While malignant hyperthermia susceptibility can be diagnosed by in vitro contracture testing of skeletal muscle biopsy tissue, it is advantageous to use DNA testing. Currently only 35 of over 400 potential variants in RYR1 have been classed as functionally causative of malignant hyperthermia and thus can be used for DNA diagnostic tests. Here we describe functional analysis of 2 RYR1 variants (c. 7042_7044delCAG, p.ΔGlu2348 and c.641C>T, p.Thr214Met) that occur in the same malignant hyperthermia susceptible family. The p.Glu2348 deletion, causes hypersensitivity to ryanodine receptor agonists using in vitro analysis of cloned human RYR1 cDNA expressed in HEK293T cells, while the Thr214Met substitution, does not appear to significantly alter sensitivity to agonist in the same system. We suggest that the c. 7042_7044delCAG, p.ΔGlu2348 RYR1 variant could be added to the list of diagnostic mutations for susceptibility to malignant hyperthermia.
恶性高热表现为对药理学触发剂(如吸入麻醉剂和肌肉松弛剂磺胺松)的反应,体温迅速持续升高。其他临床症状包括潮末CO2升高、耗氧量增加以及心动过速,如果不治疗,恶性高热发作可导致死亡。代谢变化是由骨骼肌Ca2+稳态失调引起的,这是由位于肌浆网的ryanodine受体Ca2+通道缺陷引起的,该通道控制Ca2+离子从细胞内储存到细胞质的通量。大多数与恶性高热易感性相关的遗传变异发生在编码ryanodine受体1型的RYR1基因中。虽然恶性高热易感性可以通过骨骼肌活检组织的体外挛缩测试来诊断,但使用DNA测试是有利的。目前,在RYR1的400多种潜在变异中,只有35种被归类为恶性高热的功能性病因,因此可用于DNA诊断测试。在这里,我们描述了2个RYR1变异(c. 7042_7044delCAG, p.ΔGlu2348和c. 641c >T, p.Thr214Met)在同一恶性高热易感家族中的功能分析。通过对HEK293T细胞中表达的克隆人RYR1 cDNA的体外分析,p.Glu2348缺失会导致对ryanodine受体激动剂的超敏反应,而Thr214Met替换似乎不会显著改变同一系统中对激动剂的敏感性。我们建议将c. 7042_7044delCAG, p.ΔGlu2348 RYR1变异添加到恶性高热易感性的诊断突变列表中。
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引用次数: 14
期刊
Temperature: Multidisciplinary Biomedical Journal
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