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One minute of stair climbing and descending reduces postprandial insulin and glucose with three-minutes improving insulin resistance following a mixed meal in young adults: A Randomized Controlled Trial 爬楼梯和下楼梯一分钟可降低餐后胰岛素和血糖,三分钟可改善年轻人混合餐后的胰岛素抵抗:随机对照试验
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.999
Jeffrey R. Moore, Jochen Kressler
Glycemic markers, including postprandial glucose, insulin, and insulin sensitivity, are strong predictors of morbidity and mortality in individuals with and without diabetes. Stair-climbing and -descending (SCD) at a comfortable pace for as little as 1 to 3 minutes after a sugary beverage (300 kilocalories; 100% carbohydrate) improves glucose and insulin, with insulin sensitivity improving with as little as 10 minutes. Objective: To determine if benefits to glucose, insulin, and insulin sensitivity are seen with SCD following consumption of a meal with mixed macronutrients. Hypothesis: SCD will improve to glucose, insulin, and insulin sensitivity in a dose response manner following a mixed meal. Methods: In a randomized, controlled, crossover trial, young adults (N=31) in apparent good health performed SCD for 0, 1, 3, and 10 minutes after a mixed meal (650 kilocalories; 53% carbohydrates, 33% fat, and 14% protein). Differences in glucose, insulin, and insulin sensitivity (ISI) from baseline to 30 minutes were analyzed using a mixed-effects ANOVA. Results: A significant fixed-effect was found for change in glucose [F(2.551,67.17)=4.724, p=.0071)], insulin [F(2.692,74.49)=11.28, p<.0001)], and ISI [F(2.127,56.00)=5.848, p=.0042)]. Compared to control, changes in glucose (mean (95%CI)) were significantly lower after 1 min (-14 (-7 to -21) mg/dL, p=.0006), 3 min (-18 (-9 to -28) mg/dL, p=.0007), and 10 min (-10.0 (-1 to -20) mg/dL, p=.0387); changes in insulin were significantly lower after 1 min (-1.8 (-0.8 to -2.8) μIU/mL, p=.0011), 3 min (-2.8 (-1.7 to -4.0) μIU/mL, p<.0001), and 10 min (-1.1 (-0.1 to -2.0) μIU/mL, p=.0329); and changes in ISI were significantly higher after 3 min (2.4 (1.2 to 3.6), p=.0003) and 10 min (1.3 (0.3 to 2.4), p=.0143) but not 1 min (1.2 (0.0 to 2.5), p=.0587). Conclusion: Postprandial glucose and insulin were improved with as little as 1 minute, and insulin resistance improved with as little as 3 minutes, of SCD at a self-selected, comfortable pace, after consumption of a mixed meal in apparently healthy young adults. None. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.
血糖指标,包括餐后血糖、胰岛素和胰岛素敏感性,是预测糖尿病患者和非糖尿病患者发病率和死亡率的重要指标。在饮用含糖饮料(300 千卡热量;100% 碳水化合物)后,以舒适的速度爬楼梯和下楼梯(SCD)1 至 3 分钟就能改善血糖和胰岛素,胰岛素敏感性在 10 分钟内就能得到改善。目的:确定在进食含有混合宏量营养素的膳食后进行 SCD 是否会对血糖、胰岛素和胰岛素敏感性产生益处。假设:混合膳食后,SCD 将以剂量反应的方式改善血糖、胰岛素和胰岛素敏感性。研究方法在一项随机对照交叉试验中,健康状况明显良好的年轻成年人(31 人)在混合餐(650 千卡热量;53% 碳水化合物、33% 脂肪和 14% 蛋白质)后 0、1、3 和 10 分钟进行 SCD。采用混合效应方差分析法分析了血糖、胰岛素和胰岛素敏感性(ISI)从基线到 30 分钟的差异。结果:葡萄糖[F(2.551,67.17)=4.724, p=.0071)]、胰岛素[F(2.692,74.49)=11.28, p<.0001)]和 ISI [F(2.127,56.00)=5.848, p=.0042)]的变化存在明显的固定效应。与对照组相比,血糖变化(平均值(95%CI))在 1 分钟(-14(-7 至-21)毫克/分升,p=.0006)、3 分钟(-18(-9 至-28)毫克/分升,p=.0007)和 10 分钟(-10.0(-1 至-20)毫克/分升,p=.0387)后显著降低;胰岛素变化在 1 分钟(-1.8(-0.8 至-2.8)μIU/mL,p=.0011)、3 分钟(-2.8(-1.7 至-4.0)μIU/mL,p<.0001)和 10 分钟(-1.1(-0.1 至-2.0)μIU/mL,p=.0329);ISI 的变化在 3 分钟(2.4(1.2 至 3.6),p=.0003)和 10 分钟(1.3(0.3 至 2.4),p=.0143)后明显升高,但在 1 分钟(1.2(0.0 至 2.5),p=.0587)后没有明显升高。结论表面上健康的年轻人在进食混合餐后,以自选、舒适的速度进行 SCD,只要 1 分钟就能改善餐后血糖和胰岛素,只要 3 分钟就能改善胰岛素抵抗。无。本文是在 2024 年美国生理学峰会上发表的摘要全文,仅提供 HTML 格式。本摘要没有附加版本或附加内容。生理学》未参与同行评审过程。
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引用次数: 0
Nitrate-rich beetroot juice supplementation in midlife and older adults with renal dysfunction increases vascular endothelial function and changes the circulating milieu to improve endothelial cell nitric oxide production and oxidative stress 肾功能不全的中老年人补充富含硝酸盐的甜菜根汁可增强血管内皮功能,改变循环环境,从而改善内皮细胞一氧化氮的生成和氧化应激反应
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.389
Sanna Darvish, Katelyn R. Ludwig, Akpevwe P Ikoba, Morgan Berryman-Maciel, Mckinley Coppock, K. Murray, Michel B Chonchol
BACKGROUND: Midlife and older (ML/O) adults with mild-to-moderate renal dysfunction (MRD) are at increased risk for cardiovascular disease (CVD). A key antecedent to CVD in ML/O adults with MRD is vascular endothelial dysfunction, mediated by declines in nitric oxide (NO) bioavailability due to excess reactive oxygen species (ROS)-related oxidative stress. We have shown that targeting the nitrate-nitrite-NO pathway with sodium nitrite in heathy ML/O adults improves endothelial function and changes the circulating milieu to lower endothelial cell (EC) ROS bioactivity. However, if nitrate-rich beetroot juice (N-BRJ) is effective for improving endothelial function in ML/O men and women with MRD is unknown. HYPOTHESES: We tested the hypotheses that chronic N-BRJ in ML/O men and women with MRD would: 1) improve endothelial function and 2) induce changes to the circulating milieu to increase EC NO production and lower EC ROS bioactivity. We also assessed possible sex differences in the effcacy of N-BRJ for improving endothelial function. METHODS: Twenty-six ML/O men and women with MRD (estimated glomerular filtration rate [eGFR; CKD-EPI]: 40-89 mL/min/1.73m2) underwent three months of supplementation with N-BRJ (70 mL with 6.45 mmol nitrate/day) (n=13, 7 women; age: 65±2 years; eGFR: 69.2±3.3 mL/min/1.73m2) or nitrate-depleted BRJ (placebo, PBO) (n=13, 7 women; age: 68±2 years; eGFR: 79.8±3.1 mL/min/1.73m2) in a randomized, placebo-controlled, parallel-group design clinical trial. Endothelial function was assessed by brachial artery flow-mediated dilation (FMDBA). Smooth muscle sensitivity to NO was assessed by brachial artery dilation to sublingual nitroglycerin. Human aortic ECs (HAECs) in culture were exposed to 10% subject serum (n=10[6-7 women]/group) collected before and after N-BRJ and PBO supplementation. Acetylcholine-stimulated NO production (DAR-4M-AM) and whole-cell ROS bioactivity (CellROX) were assessed in HAECs using immunofluorescence. Results: N-BRJ supplementation increased FMDBA by 28% (pre: 4.6±0.7%, post: 5.9±0.8%; p=0.03). FMDBA did not change with PBO (pre: 4.6±0.9%, post: 4.7±0.8%; p>0.05). Traditional CVD risk factors (i.e., blood pressure, cholesterol) and smooth muscle sensitivity to NO were unchanged in both groups (p>0.05). Preliminary assessments suggest greater improvements in endothelial function with N-BRJ in women (Δ=post-pre intervention; ΔFMDBA=1.6±0.4) compared to men (ΔFMDBA=0.9±1.0). Compared to pre-intervention, NO production was (trending) 7% higher (p=0.05) and ROS bioactivity was 25% lower (p=0.02) in HAECs exposed to serum collected post N-BRJ. Serum from PBO had no effects (p>0.05). CONCLUSION: N-BRJ supplementation in ML/O adults with MRD holds promise for improving endothelial function, in part by inducing changes to the circulating milieu that increase NO production and decrease oxidative stress in ECs. The effects on endothelial function may be greater in women compared to men. Targeting the nitrate-nitr
背景:患有轻度至中度肾功能障碍(MRD)的中年及老年人(ML/O)罹患心血管疾病(CVD)的风险增加。患有轻度至中度肾功能不全(MRD)的中老年人罹患心血管疾病(CVD)的一个关键诱因是血管内皮功能障碍,其介导因素是活性氧(ROS)相关氧化应激导致的一氧化氮(NO)生物利用率下降。我们已经证明,在健康的 ML/O 成人中使用亚硝酸钠靶向硝酸盐-亚硝酸盐-一氧化氮途径可改善内皮功能,并改变循环环境以降低内皮细胞(EC)的 ROS 生物活性。然而,富含硝酸盐的甜菜根汁(N-BRJ)是否能有效改善患有 MRD 的 ML/O 男女患者的内皮功能尚不清楚。假设我们测试了以下假设:患有 MRD 的 ML/O 族男性和女性长期饮用 N-BRJ 将:1)改善内皮功能:1)改善血管内皮功能;2)促使循环环境发生变化,从而增加血管内皮细胞 NO 的产生,降低血管内皮细胞 ROS 的生物活性。我们还评估了 N-BRJ 在改善内皮功能方面可能存在的性别差异。方法:26 名患有 MRD 的 ML/O 男女患者(估计肾小球滤过率 [eGFR;CKD-EPI]:40-89 mL/min/1.73m2)接受了为期三个月的 N-BRJ(70 mL,6.45 mmol nitrate/天)补充治疗(n=13,7 名女性;年龄:65±2 岁;eGFR:69.在一项随机、安慰剂对照、平行组设计的临床试验中,研究人员选择了N-BRJ(70 mL,硝酸盐含量为6.45 mmol/天)(n=13,7 名女性;年龄:65±2 岁;eGFR:69.8±3.1 mL/min/1.73m2)或脱硝BRJ(安慰剂,PBO)(n=13,7 名女性;年龄:68±2 岁;eGFR:79.8±3.1 mL/min/1.73m2)。内皮功能通过肱动脉血流介导的扩张(FMDBA)进行评估。通过肱动脉对舌下含服硝酸甘油的扩张来评估平滑肌对 NO 的敏感性。将培养的人主动脉 EC(HAEC)暴露于 N-BRJ 和 PBO 补充前后收集的 10% 受试者血清(n=10[6-7 名女性]/组)中。使用免疫荧光评估乙酰胆碱刺激的 NO 生成(DAR-4M-AM)和全细胞 ROS 生物活性(CellROX)。结果补充 N-BRJ 可使 FMDBA 增加 28%(前:4.6±0.7%,后:5.9±0.8%;P=0.03)。补充 PBO 后,FMDBA 没有变化(前:4.6±0.9%,后:4.7±0.8%;P>0.05)。两组的传统心血管疾病风险因素(即血压、胆固醇)和平滑肌对 NO 的敏感性均无变化(p>0.05)。初步评估表明,与男性(ΔFMDBA=0.9±1.0)相比,女性(Δ=干预后-干预前;ΔFMDBA=1.6±0.4)在使用 N-BRJ 后内皮功能得到了更大的改善。与干预前相比,暴露于 N-BRJ 后收集的血清中的 HAEC 的 NO 生成量(趋势)增加了 7%(p=0.05),ROS 生物活性降低了 25%(p=0.02)。来自 PBO 的血清没有影响(p>0.05)。结论:在患有 MRD 的 ML/O 成人中补充 N-BRJ,有望改善内皮功能,部分原因是通过诱导循环环境的变化来增加 NO 的产生和减少 EC 中的氧化应激。与男性相比,女性对内皮功能的影响可能更大。用 N-BRJ 靶向硝酸盐-亚硝酸盐-NO 通路可能是改善患有肾功能障碍的 ML/O 成人内皮功能的有效策略,从而可能降低心血管疾病风险。K01DK115524 (MJR);R01AG013038 (DRS);F32HL167552 (KOM);NIH/NCAT TSA ul1tr002535。这是在 2024 年美国生理学峰会上发表的摘要全文,只有 HTML 格式。本摘要没有附加版本或附加内容。生理学》未参与同行评审过程。
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引用次数: 0
Modulation of WNT signalling by inflammatory factor TWEAK, and its consequences on fibroblast-epithelial communication 炎症因子 TWEAK 对 WNT 信号的调节及其对成纤维细胞-上皮细胞通讯的影响
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.462
Bella Raphael, Carlos Matellan, Mario Manresa
BACKGROUND AND AIMS: A single layer of epithelial cells that are supported by resident mucosal fibroblasts, provides an intestinal barrier against pathogens. In Inflammatory Bowel Disease (IBD), this barrier is disrupted by mechanisms which are poorly understood. Intestinal fibroblasts produce WNT, BMP and Notch mediators that contribute to epithelial homeostasis and an impairment on these signals results in the loss of barrier integrity which has been observed in IBD. In fact, fibroblasts producing these signals may be lost during inflammation. Yet the mediators and mechanism that drive this loss of homeostatic stromal-derived signals are unknown. TWEAK is a member of the tumour necrosis factor superfamily (TNFSF) that was found to be upregulated in IBD biopsies and dysregulated tissue repair and promote chronic inflammation in in vivo murine models. However, whether TWEAK exerts its effects on fibroblasts and how these may contribute to barrier breakdown remains unknown. My central hypothesis is that TWEAK dysregulates the crosstalk between fibroblasts and epithelial cells in the intestinal tract by impairing a homeostatic signalling network. METHODS: To assess the effect of TWEAK on WNT signalling and wound healing in fibroblasts and epithelial cells, the expression of WNT ligands and receptors were assessed. Primary human colonic fibroblasts and human colonic epithelial cells were stimulated with TWEAK at various time points and analysed by qPCR, Western blot and Flow cytometry and scratch wound assay. RESULTS: Both Fibroblasts and epithelial cells displayed abundant Fn14 surface receptor, although epithelial cells at a level lower than that found on colonic fibroblasts. Transcriptional signatures at gene RSPO2 (0.5-fold ± decrease, *p<0.05, n=4), WNT5A (1 fold ± decrease, **p<0.01, n=4) and BMP6 (1 fold ± decrease, ***p<0.001, n=4) and protein level RSPO2 (50% ± decrease respectively, n=5) showed a TWEAK-mediated suppression after prolonged exposure (24-48h), but not in epithelial cells. Moreover, TWEAK delayed fibroblast healing capacity after 24h (50% ± decrease in wound closure, n=4) in a wound-scratch assay. CONCLUSION: TWEAK represses the expression of homeostatic factors in colonic fibroblasts but not on epithelial cells, suggesting this mechanism could be specific to the intestinal stroma. The effect that this impairment of WNT signals in stromal cells may have on their differentiation and communication with the epithelium will be subject for further study. UCD Ad Astra PhD Scholarship. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.
背景和目的:由常驻粘膜成纤维细胞支撑的单层上皮细胞为肠道提供了抵御病原体的屏障。在炎症性肠病(IBD)中,这一屏障被破坏的机制尚不清楚。肠成纤维细胞产生的 WNT、BMP 和 Notch 介质有助于上皮细胞的稳态,这些信号受损会导致屏障完整性丧失,这在 IBD 中已被观察到。事实上,产生这些信号的成纤维细胞可能会在炎症期间消失。然而,驱动这种同源基质信号损失的介质和机制尚不清楚。TWEAK 是肿瘤坏死因子超家族(TNFSF)的一个成员,研究发现它在 IBD 活检组织中上调,并在体内小鼠模型中调节组织修复和促进慢性炎症。然而,TWEAK 是否对成纤维细胞产生影响以及这些影响如何导致屏障破坏仍是未知数。我的核心假设是,TWEAK 通过损害平衡信号网络,使成纤维细胞和肠道上皮细胞之间的串联失调。方法:为了评估 TWEAK 对成纤维细胞和上皮细胞中 WNT 信号传导和伤口愈合的影响,对 WNT 配体和受体的表达进行了评估。在不同时间点用 TWEAK 刺激原代人结肠成纤维细胞和人结肠上皮细胞,并通过 qPCR、Western 印迹、流式细胞术和划痕伤口试验进行分析。结果:成纤维细胞和上皮细胞都显示出丰富的 Fn14 表面受体,但上皮细胞的水平低于结肠成纤维细胞。基因 RSPO2(下降 0.5 倍±,*p<0.05,n=4)、WNT5A(下降 1 倍±,**p<0.01,n=4)和 BMP6(下降 1 倍±,***p<0.001,n=4)的转录特征和蛋白水平 RSPO2(分别下降 50%±,n=5)在长时间暴露(24-48 小时)后显示出 TWEAK 介导的抑制作用,但在上皮细胞中没有。此外,在伤口划痕试验中,TWEAK 在 24 小时后延迟了成纤维细胞的愈合能力(伤口闭合率下降 50%±,n=4)。结论:TWEAK 可抑制结肠成纤维细胞中平衡因子的表达,但不能抑制上皮细胞中平衡因子的表达,这表明这种机制可能是肠道基质特有的。这种WNT信号在基质细胞中的受损可能会对它们的分化以及与上皮细胞的交流产生影响,这将是进一步研究的主题。UCD Ad Astra 博士奖学金。这是在 2024 年美国生理学峰会上发表的摘要全文,只有 HTML 格式。本摘要没有附加版本或附加内容。生理学》未参与同行评审过程。
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引用次数: 0
Bone Mechanical Loading Reduces Heart Rate and Increases Heart Rate Variability via the Autonomic Nervous System in Anesthetized Mice 骨机械加载可降低麻醉小鼠的心率并通过自主神经系统增加心率变异性
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.248
Jackson Klump, Julian Vallejo, Mark Gray, Mark Dallas, Mark Johnson, Michael J. Wacker
Mechanical loading of bone creates interstitial fluid flow and shear stress within the bone lacunocanalicular system, leading to alterations of bone size and mass. Bone plays an important role as an endocrine organ, releasing endocrine signaling molecules that impact systemic physiology. Further, the central and peripheral nervous systems regulate bone mass in response to strain through alterations in autonomic tone. This suggests the potential for interplay between bone and other organs via endocrine signaling and autonomic innervation. In this study, our group investigated this potential interplay by focusing on bone and heart. We hypothesized that mechanical bone loading of mice in vivo would result in altered cardiac function. To test this hypothesis, we performed acute in vivo mechanical loading on right leg tibias of anesthetized TOPGAL and CD-1 mice. Tibias underwent compressive cyclic loading (a sine wave) that modulates between -0.3N and -9.0N for 300 cycles at 2 Hz. Cardiac function was monitored with lead II electrocardiogram (ECG) data, heart rate (HR), and heart rate variability (HRV). Immediate, transient reduction in resting HR (0.93 ± 0.013 fold change from baseline, n=6-7, p<0.01 compared to control) was achieved during tibial loading in 6-month-old male and female mice, with concurrent increase in HRV (1.24 ± 0.11 fold change from baseline, n=6-7, p<0.01). Both HR and HRV returned to baseline levels upon completion of the loading process. ECG measurements, QRS and corrected QT (QTc), were not found to be altered (p>0.05) during loading and 30 minutes following loading. In further studies, 1N-2N did not produce a decrease in HR, while 3N (0.92 ± 0.077 fold change from baseline, n=12, p<0.05) and 9N (0.93 ± 0.061 fold change from baseline, n=13, p<0.05) decreased HR. There was decreased magnitude and responsiveness with aging to 11 months old at 3N and 9N (p>0.05), suggesting the response may weaken with age. The immediate, transient nature of the changes to resting HR and HRV suggest a neural mechanism for this response. To test this mechanism, we inhibited local neuronal afferent activity by injecting lidocaine (2.5mg/kg) near the tibia prior to loading. In doing so, the decrease in HR during loading was significantly diminished (vehicle 0.90 ± 0.060 vs. lidocaine 0.97 ± 0.042 fold change from baseline, n=7-8, p<0.05). To test the efferent arm of the response, mice were injected with the parasympathetic, muscarinic acetylcholine receptor antagonist atropine (2mg/kg), or the sympathetic, β1/β2 receptor antagonist propranolol (10mg/kg). Propranolol significantly inhibited the HR decrease during loading (vehicle 0.88 ± 0.095 vs. propranolol 0.98 ± 0.026 fold change from baseline, n=7-8, p<0.05), while atropine did not (n=8-11, p>0.05). These findings suggest that reductions in sympathetic tone on the heart during bone loading led to the decrease in HR. In conclusion, this study uncovered a reflexive neural connection between bone a
骨的机械负荷会在骨腔隙系统内产生间隙流和剪切应力,从而导致骨的大小和质量发生变化。骨骼作为内分泌器官发挥着重要作用,释放出影响全身生理的内分泌信号分子。此外,中枢神经系统和外周神经系统通过改变自律神经张力来调节骨量以应对应变。这表明骨骼和其他器官之间可能通过内分泌信号和自律神经相互影响。在本研究中,我们小组通过关注骨骼和心脏来研究这种潜在的相互作用。我们假设小鼠体内的机械骨骼负荷会导致心脏功能的改变。为了验证这一假设,我们对麻醉的 TOPGAL 和 CD-1 小鼠的右腿胫骨进行了急性体内机械加载。胫骨接受压缩循环负荷(正弦波),负荷在 -0.3N 和 -9.0N 之间调节,以 2 Hz 的频率循环 300 次。通过 II 导联心电图(ECG)数据、心率(HR)和心率变异性(HRV)监测心脏功能。在负荷期间和负荷后 30 分钟内,静息心率立即出现短暂下降(与基线相比变化了 0.93 ± 0.013 倍,n=6-7,p0.05)。在进一步的研究中,1N-2N 不会导致心率下降,而 3N 则会导致心率下降(与基线相比,0.92 ± 0.077 倍变化,n=12,p0.05),这表明这种反应可能会随着年龄的增长而减弱。静息心率和心率变异变化的即时性和短暂性表明,这种反应是一种神经机制。为了测试这一机制,我们在加载前在胫骨附近注射利多卡因(2.5 毫克/千克)抑制局部神经元传入活动。在此过程中,负荷期间心率下降的幅度明显减小(车辆 0.90 ± 0.060 vs. 利多卡因 0.97 ± 0.042 倍基线变化,n=7-8,p0.05)。这些研究结果表明,骨负荷期间心脏交感神经张力的降低导致了心率的下降。总之,这项研究发现了骨与心脏之间的反射性神经联系,这种联系受年龄影响,由胫骨中的传入神经元和传出心脏的交感神经张力的改变介导。这些发现为当前的骨重塑及其调控科学提供了新的知识。本研究由美国卫生部医学生教育基金 T99HP39202 和美国国立卫生研究院 P01AG039355 资助。本文是在 2024 年美国生理学峰会上发表的摘要全文,仅提供 HTML 格式。本摘要没有附加版本或附加内容。生理学》未参与同行评审过程。
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引用次数: 0
Motor function is not impaired in all components of the oral phase of feeding in a rat rotenone model of Parkinson’s disease 在帕金森病大鼠鱼藤酮模型中,口服阶段的所有进食成分都不会损害运动功能
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.1117
Francois Gould, Ireneusz D. Wojtas, Nicole Charles
Parkinson’s disease results in pathological swallowing, or dysphagia, in up to 90% of cases. Severity and extent of functional impairment of feeding is highly variable in this disease. Feeding is a multi step neuromuscular process of tightly coordinated orofacial behaviors -transport, food reduction, pharyngeal swallowing- involving multiple musculoskeletal systems — tongue, jaw muscles, hyolaryngeal muscles — innervated by multiple cranial and cervical spinal nerves. The type of food being ingested further affects this sequence. The pesticide rotenone, a type II mitochondrial inhibitor, has been epidemiologically linked to Parkinson’s disease. The goal of this project is to identify how parkinsonian neurodegeneration affects this sequence in an animal model. We hypothesize that not all elements of the sequence will be equally affected. Twelve young adult male Lewis rats received daily intraperitoneal injections of either 2.75 mg/kg of rotenone or vehicle control for 8 days. The rats were trained to eat breakfast cereal and drink water mixed with barium in front of a high speed (200 fps) videofluoroscope. From the high speed video recording duration of intraoral transport and chewing of solid food as well as lick duration for liquid drinking were measured for multiple swallows per individual on day 0 (before injection), day 1, day 4, and day 7. On day 8 animals were perfused and brains harvested, sliced, stained with immunofluorescent markers for striatal tyrosine hydroxylase to confirm effectiveness of the model. Mixed model ANOVA was used to test the hypothesis that duration of the phases varied over the course of treatment. Duration of intra oral transport changed in neither control nor rotenone treated animals (p=0.1136), but duration of chewing increased in rotenone treated rats only by day 4 (p<0.001). Duration of licks increased in liquid drinking rats from day 0. Different components of the oral feeding process vary in degree and timing of impairment in the rat rotenone model of Parkinson’s disease, with coordinated rhythmic tongue and jaw movements (licking and chewing) being most sensitive. The neurological basis for this differential sensitivity remains unclear. Internal Rowan funds to Dr. Gould supported this work. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.
高达 90% 的帕金森病患者会出现病理性吞咽或吞咽困难。在这种疾病中,进食功能障碍的严重程度和范围差异很大。进食是一个多步骤的神经肌肉过程,其中包括紧密协调的口面部行为--运输、减少食物、咽部吞咽--涉及多个肌肉骨骼系统--舌、下颌肌、舌咽肌,由多个颅神经和颈脊神经支配。摄入食物的种类会进一步影响这一顺序。杀虫剂鱼藤酮是一种线粒体抑制剂,从流行病学角度看,它与帕金森病有关。本项目的目标是确定帕金森病神经变性如何影响动物模型中的这一序列。我们假设,并非该序列的所有元素都会受到同样的影响。12 只年轻的成年雄性 Lewis 大鼠每天腹腔注射 2.75 毫克/千克鱼藤酮或药物对照,共注射 8 天。训练大鼠在高速(200 帧/秒)视频荧光屏前吃早餐谷物和喝混有钡的水。通过高速视频记录,测量每个个体在第 0 天(注射前)、第 1 天、第 4 天和第 7 天多次吞咽固体食物的口腔内运输和咀嚼持续时间,以及舔饮液体的持续时间。第 8 天对动物进行脑灌注,收获大脑并切片,用纹状体酪氨酸羟化酶免疫荧光标记物染色,以确认模型的有效性。混合模型方差分析用于检验阶段持续时间随治疗过程而变化的假设。对照组和经鱼藤酮处理的动物的口腔内运输持续时间均无变化(p=0.1136),但经鱼藤酮处理的大鼠的咀嚼持续时间仅在第 4 天时有所增加(p<0.001)。饮液大鼠的舔食持续时间从第 0 天开始增加。在帕金森病大鼠的鱼藤酮模型中,口腔进食过程的不同组成部分在受损程度和时间上各不相同,其中舌头和下颌的协调节律运动(舔食和咀嚼)最为敏感。这种不同敏感性的神经学基础尚不清楚。古尔德博士的罗文内部基金支持了这项工作。本文是在 2024 年美国生理学峰会(American Physiology Summit 2024)上发表的摘要全文,只有 HTML 格式。本摘要没有附加版本或附加内容。生理学》未参与同行评审过程。
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引用次数: 0
Adrenal circadian clock protein BMAL1 regulates aldosterone and renal excretory function in a sex- and time-dependent manner 肾上腺昼夜节律时钟蛋白 BMAL1 以性别和时间依赖的方式调节醛固酮和肾脏排泄功能
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.639
Hannah Costello, G. Crislip, K. Cheng, Annalisse R. Mckee, Victor M. Mendez, Lauren A. Douma, M. Gumz
BMAL1 is a core circadian clock protein that is important for circadian rhythms of physiological function, as well as maintaining physiological homeostasis, including aspects of kidney function. Global Bmal1 knockout (KO) male mice exhibit loss of diurnal rhythm of renal sodium (Na) excretion in response to a normal or high salt diet. However, renal Na excretion rhythm remained intact in kidney-specific Bmal1 KO male mice. The adrenal gland synthesizes hormones, such as aldosterone, which influence renal electrolyte handling. The role of adrenal BMAL1 in the regulation of renal function remains unknown. The study objective was to test the hypothesis that adrenal BMAL1 is required for normal rhythms of aldosterone and renal Na handling. Male and female adrenal-specific aldosterone synthase Cre positive (AS) Bmal1 KO and littermate Cre negative, floxed control mice ( n=5-9/genotype) were acclimated to metabolic cages for 3 days then samples were collected for three days with mice on a normal salt diet followed by 7 days on a low salt diet to challenge the mice to stimulate aldosterone production. Twelve-hour food intake was measured, and urine samples were collected to measure night/day patterns in renal Na balance. Urinary aldosterone excretion was measured by ELISA. Both day and night urinary aldosterone excretion were increased following a low salt diet in control and KO male mice (ANOVA main effect of diet, p<0.05). Male AS Bmal1 KO mice displayed a significant increase in day urinary aldosterone excretion following a normal and low salt diet (ANOVA main effect of genotype, p=0.0230), with a trend for an increase in night urinary aldosterone excretion ( p=0.0571). Interestingly, these genotype effects were not seen in female AS Bmal1 KO mice. Urinary aldosterone was increased following a low salt diet in female mice, but only during the nighttime in control and KO mice ( p=0.0205). Sex differences were also observed in renal Na balance, where Na balance was more positive during the day in male, but not female, AS Bmal1 KO vs. control mice (ANOVA main effect of genotype, p=0.0282). Together, these data suggest adrenal BMAL1 is required for normal rhythms of aldosterone and renal Na balance in a sex-dependent manner. Future work will investigate whether the changes in aldosterone contribute to changes in renal Na balance. This work was supported by the American Heart Association (Postdoctoral FellowshipP0240441 to H.C.; Established Investigator Award 19EIA34660135 to M.G), theRobert and Mary Cade Professorship in Physiology (to M.G.) and the NIH(F32DK121424 to G.R.C.). This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.
BMAL1是一种核心昼夜节律钟蛋白,对生理功能的昼夜节律以及维持生理平衡(包括肾功能的各个方面)非常重要。全球 Bmal1 基因敲除(KO)雄性小鼠在正常或高盐饮食条件下,肾脏钠(Na)排泄的昼夜节律消失。然而,肾脏特异性 Bmal1 KO 雄性小鼠的肾脏钠排泄节律保持不变。肾上腺合成的激素(如醛固酮)会影响肾电解质的处理。肾上腺 BMAL1 在肾功能调节中的作用尚不清楚。本研究的目的是验证肾上腺 BMAL1 是醛固酮和肾钠处理正常节律所必需的这一假设。将雄性和雌性肾上腺特异性醛固酮合成酶 Cre 阳性(AS)Bmal1 KO 小鼠和同窝 Cre 阴性、Floxed 对照小鼠(n=5-9/基因型)在代谢笼中驯化 3 天,然后在小鼠摄入正常盐饮食的 3 天内采集样本,随后摄入低盐饮食 7 天,以刺激小鼠产生醛固酮。对小鼠 12 小时的食物摄入量进行测量,并收集尿样以测量肾脏钠平衡的日夜模式。尿液中醛固酮的排泄量是通过酶联免疫吸附法测定的。对照组和 KO 雄性小鼠在低盐饮食后,昼夜尿醛固酮排泄量均增加(饮食的方差分析主效应,P<0.05)。雄性 AS Bmal1 KO 小鼠在正常和低盐饮食后,日尿醛固酮排泄量显著增加(方差分析基因型的主效应,p=0.0230),夜尿醛固酮排泄量也有增加趋势(p=0.0571)。有趣的是,这些基因型效应在雌性 AS Bmal1 KO 小鼠中未见。雌性小鼠在低盐饮食后尿醛固酮增加,但对照组和 KO 小鼠仅在夜间增加(p=0.0205)。在肾脏 Na 平衡方面也观察到了性别差异,雄性 AS Bmal1 KO 小鼠与对照组相比,在白天 Na 平衡更积极,而雌性则不然(基因型的方差分析主效应,p=0.0282)。总之,这些数据表明肾上腺 BMAL1 是醛固酮和肾钠平衡正常节律所必需的,且具有性别依赖性。未来的工作将研究醛固酮的变化是否会导致肾脏 Na 平衡的变化。这项工作得到了美国心脏协会(H.C.获博士后奖学金P0240441;M.G.获19EIA34660135设立的研究者奖)、罗伯特和玛丽-凯德生理学教授职位(M.G.)以及美国国立卫生研究院(G.R.C.获F32DK121424)的支持。这是在 2024 年美国生理学峰会上发表的摘要全文,只有 HTML 格式。本摘要没有附加版本或附加内容。生理学》未参与同行评审过程。
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引用次数: 0
Studies on Membrane Potential and Ca2+ Oscillations in Rat Carotid Body Type I Cells 大鼠颈动脉体 I 型细胞的膜电位和 Ca2+ 振荡研究
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.1445
Donghee Kim, Carl White
Carotid body (CB) glomus cells sense changes in arterial O2 pressure (PO2) and pH, and adjust the secretory and carotid sinus nerve activity and ventilation to help maintain normal levels of blood PO2 and pH. Our recent studies showed that isolated CB cell clusters perfused with physiological buffer solution generate spontaneous Ca2+ oscillations at low frequency in normoxia. Mild and moderate levels of hypoxia (2-5%O2) and acidosis (pHo7.2-7.3) increased the frequency and amplitude of Ca2+ oscillations. Inhibitors of voltage-dependent Ca2+ channels and removal of external Ca2+ abolished Ca2+ oscillations, indicating that Ca2+ influx was critical for generating Ca2+ oscillations. To better understand the phenomenon of Ca2+oscillations in glomus cells, we examined the potential role of oscillations in cell membrane potential (Em) in CB cells in triggering Ca2+ influx and Ca2+ oscillations. Using the cell-attached patch configuration, we assessed cell Em by recording TASK single channels, because a linear relationship exists between TASK amplitude and cell Em. Recording of TASK in CB cells in normoxia showed that many CB cells exhibit oscillations in TASK amplitude, indicating the presence of spontaneous oscillations in cell Em. The oscillation frequency of cell Em was similar to that of Ca2+ oscillations. Oscillations in TASK single channel amplitude were blocked by nifedipine (Ca2+ channel antagonist), by removal of extracellular Ca2+, and by 2-APB (an inhibitor of ER Ca2+ channel and store-operated Ca2+ entry). Mild hypoxia increased the frequency of oscillations of TASK amplitude, indicating that mild hypoxia increased the frequency of cell Em oscillations. These findings suggest that cell Em oscillations (that open voltage-dependent Ca2+ channels and increase Ca2+ influx) are an integral component of the cellular signaling mechanism by which Ca2+ oscillations are produced in CB cells. This work was funded by National Institutes of Health (NIH) grants to D.K. (HL111497) and C.W. (HL142906), and an award from Rosalind Franklin University of Medicine and Science. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.
颈动脉体(CB)神经胶质细胞能感知动脉血氧压力(PO2)和 pH 值的变化,并调节分泌神经和颈动脉窦神经的活动和通气,以帮助维持正常的血液 PO2 和 pH 值。我们最近的研究表明,用生理缓冲溶液灌注的离体 CB 细胞簇在常氧状态下会产生低频率的自发 Ca2+ 振荡。轻度和中度缺氧(2-5%O2)和酸中毒(pHo7.2-7.3)会增加 Ca2+ 振荡的频率和振幅。电压依赖性 Ca2+ 通道抑制剂和去除外部 Ca2+ 可消除 Ca2+ 振荡,这表明 Ca2+ 流入是产生 Ca2+ 振荡的关键。为了更好地理解胶团细胞中的 Ca2+ 振荡现象,我们研究了 CB 细胞中细胞膜电位(Em)的振荡在触发 Ca2+ 流入和 Ca2+ 振荡中的潜在作用。由于 TASK 振幅与细胞 Em 之间存在线性关系,因此我们使用细胞连接贴片配置,通过记录 TASK 单通道来评估细胞 Em。在常氧状态下记录 CB 细胞的 TASK 显示,许多 CB 细胞的 TASK 振幅呈现振荡,这表明细胞 Em 存在自发振荡。细胞Em的振荡频率与Ca2+振荡频率相似。硝苯地平(Ca2+通道拮抗剂)、去除细胞外Ca2+和2-APB(ER Ca2+通道和储存操作的Ca2+进入抑制剂)均可阻断TASK单通道振幅的振荡。轻度缺氧增加了TASK振幅的振荡频率,表明轻度缺氧增加了细胞Em振荡的频率。这些发现表明,细胞Em振荡(打开电压依赖性Ca2+通道并增加Ca2+流入)是CB细胞产生Ca2+振荡的细胞信号机制的一个组成部分。这项工作得到了美国国立卫生研究院(NIH)对 D.K. (HL111497) 和 C.W. (HL142906) 的资助,以及罗莎琳德-富兰克林医科大学(Rosalind Franklin University of Medicine and Science)的奖励。本文是在 2024 年美国生理学峰会上发表的摘要全文,只有 HTML 格式。本摘要没有附加版本或附加内容。生理学》未参与同行评审过程。
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引用次数: 0
Theta Phase Precession and the Dynamics of Spatiotemporal Asymmetry in Hippocampal Place Fields 海马区场的θ相位前移和时空不对称的动态变化
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.1132
Yu Qin, Ben Zhao, Sarah Lovett, Cristina Besosa, J. Kennedy, Sara Burke, Andrew P. Maurer
A consistently observed characteristic of hippocampal place fields is the shifting of the field's center of mass and the subsequent development of asymmetry. This is evidenced by the expansion of the place field in an asymmetric manner over repeated traversals, wherein a rat's initial entry into the field prompts a low firing rate that substantially increases as it exits. Our study delves deeper into these spatiotemporal asymmetries of place field spiking, specifically examining their relationship with theta oscillations and disentangling the effects from environmental factors. Analysis of neuronal data from a T-maze alternation task revealed a distinct non-uniform firing pattern of place cells. This pattern was markedly skewed in relation to the phases of theta cycles, indicating a phase precession effect. We found that as the rat navigates through the place field, there is a systematic advancement of spike timing, with action potentials tending to cluster in the early phases of theta during the exit phase of the field. Such temporal coordination of spikes suggests that the timing of neural activity within theta cycles is as integral as spatial location, influencing the dynamics of place field expansion and potentially affecting the hippocampal local field potential. This discovery underscores the role of theta phase precession in spatial encoding, proposing a novel temporal component that could underpin the cognitive map within the hippocampus. R01 MH126236 R01 AG055544. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.
海马位置场的一个持续观察到的特征是场的质心移动以及随后的不对称发展。这表现为位置场在反复穿越过程中以不对称的方式扩大,大鼠最初进入位置场时的点燃率较低,而当它离开时点燃率大幅上升。我们的研究深入探讨了位置场尖峰的这些时空不对称现象,特别是研究了它们与θ振荡的关系,并将其与环境因素的影响区分开来。通过分析T迷宫交替任务的神经元数据,发现了位置细胞明显的非均匀点燃模式。这种模式与θ周期的相位明显偏斜,表明存在相位前冲效应。我们发现,当大鼠穿过位置场时,尖峰时间会有系统性的提前,动作电位倾向于聚集在位置场出口阶段的θ早期阶段。尖峰的这种时间协调表明,θ周期内神经活动的时间与空间位置一样不可或缺,它影响着位置场的扩展动态,并可能影响海马局部场电位。这一发现强调了θ相位前冲在空间编码中的作用,提出了一种可能支撑海马认知图谱的新的时间成分。R01 MH126236 R01 AG055544。这是在 2024 年美国生理学峰会上发表的摘要全文,只有 HTML 格式。本摘要没有附加版本或附加内容。生理学》未参与同行评审过程。
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引用次数: 0
Comparison of the Time-Course and Magnitude of Cardiorespiratory Responses to Superimposed Surgical Masks or N95 Respirators during 20-min Treadmill Walking 在 20 分钟跑步机行走过程中,比较叠加手术面罩或 N95 呼吸器的心肺反应时间过程和幅度
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.1717
Angela Galeos, Rodion Isakovich, Valerie C Cates, Anthony Marullo, Nicholas Strzalkowski, Trevor Day
Wearing medical barriers has recently expanded from healthcare to public settings, and could increase dead space and facilitate rebreathing of expired air resulting in heat accumulation, hypercapnia, and hypoxia, particularly during physical activity. We recently showed that participants wearing surgical masks (SM) and N95 respirators (N95) over 60-min during seated rest had mild and immediately reversible (a) increases face microclimate temperature, (b) increases in the pressure of end-tidal (PET)CO2, (c) decreases in PETO2, but (d) no differences in peripheral oxygen saturation (SpO2). Previous publications showed conflicting results of superimposed barrier wearing during physical activity, and there are limited studies that assessed face microclimate temperature and end-tidal gases, particularly comparing superimposed SM and N95. We hypothesized that participants wearing SM and N95 will experience mild face microclimate hyperthermia, hypoxia, and hypercapnia during 3mph treadmill walking. Participants (n=18; 8F) randomly wore (a) no barrier (NB), (b) SM or (c) N95 during a 10-min standing baseline, 20-min treadmill walking (3 mph), and a 10-min standing recovery. We continuously measured face microclimate temperature (thermistor), end tidal gases (PETCO2, PETO2; oro-nasal cannula), SpO2 (peripheral pulse oximeter). Average 20-min PETCO2 (higher; p<0.0001, P=0.0001) and PETO2 (lower; P=0.0003, P=0.0178) were significantly from baseline for both SM and N95, respectively. The delta between the 20-min average compared to the baseline data was not statistically significant for PETCO2 or PETO2 in all three conditions, except for ΔPETCO2 NB vs. N95 (higher; P=0.0344). Additionally, there was no difference in SpO2 across all barrier conditions during exercise. These mild physiological effects may account for qualitative reports of shortness of breath and increased perceived exertion while wearing barriers during physical activity. However, these effect-magnitudes are not physiologically-meaningful, and are immediately reversed upon cessation of exercise and/or barrier removal. NSERC. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no additional versions or additional content available for this abstract. Physiology was not involved in the peer review process.
佩戴医疗屏障最近已从医疗机构扩展到公共场所,可能会增加死腔,促进呼出气体的再吸入,导致热量积聚、高碳酸血症和缺氧,尤其是在体育活动期间。我们最近的研究表明,在坐着休息时佩戴外科口罩(SM)和 N95 呼吸器(N95)超过 60 分钟的参与者会出现轻微且可立即逆转的以下情况:(a) 面部微气候温度升高;(b) 潮气末二氧化碳(PET)压力升高;(c) PETO2 降低;但 (d) 周围血氧饱和度(SpO2)无差异。以前的出版物显示,在体育活动中佩戴叠加屏障的结果相互矛盾,评估面部微气候温度和潮气末气体的研究有限,特别是比较叠加 SM 和 N95 的研究。我们假设,佩戴 SM 和 N95 的参与者在每小时 3 英里的跑步机行走过程中会出现轻微的面部微气候高热、缺氧和高碳酸血症。参与者(n=18;8F)在 10 分钟站立基线、20 分钟跑步机行走(3 英里/小时)和 10 分钟站立恢复期间随机佩戴(a)无屏障(NB)、(b)SM 或(c)N95。我们连续测量面部微气候温度(温度计)、潮气末(PETCO2、PETO2;口鼻插管)、SpO2(外周脉搏血氧计)。20 分钟平均 PETCO2(较高;P<0.0001,P=0.0001)和 PETO2(较低;P=0.0003,P=0.0178)分别与 SM 和 N95 的基线相比有显著差异。除 ΔPETCO2 NB 与 N95(较高;P=0.0344)外,在所有三种情况下,20 分钟平均值与基线数据相比,PETCO2 或 PETO2 的三角差均无统计学意义。此外,在运动过程中,所有屏障条件下的 SpO2 均无差异。这些轻微的生理影响可能是在体育活动中佩戴屏障时出现呼吸急促和体力消耗增加的定性报告的原因。不过,这些影响的程度在生理上没有意义,而且在停止运动和/或移除屏障后会立即逆转。国家科学研究中心。这是在 2024 年美国生理学峰会上发表的摘要全文,仅以 HTML 格式提供。本摘要没有附加版本或附加内容。生理学》未参与同行评审过程。
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引用次数: 0
Estrogen Signaling Modulation Prevents and Even Reverses Skeletal Muscle Fibrosis 雌激素信号调节可预防甚至逆转骨骼肌纤维化
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.736
Tanvi Potluri, Tianming You, Ping Yin, Jonah Stulberg, Yang Dai, David Escobar, Hong Zhao
Background: Skeletal muscle fibrosis represents accumulation of extracellular matrix (ECM), often leading to muscle weakness and atrophy. Notably, lower abdominal muscle (LAM) fibrosis and atrophy cause inguinal herniation—a prevalent condition lacking pharmacological treatment. We developed a herniation mouse model, Aromhum, characterized by spontaneous scrotal hernias due to local estradiol (E2) production within LAM as well as hernia-associated fibroblasts (HAFs) that express platelet-derived growth factor alpha (PDGFRA) and estrogen receptor alpha (ESR1). Objectives & Hypothesis: Our objective was to investigate the mechanism of ESR1 signaling on LAM HAFs and subsequent development of hernias. Methods: We manipulated estrogen signaling in two ways: first, we generated fibroblast-specific estrogen receptor alpha knockout mice (fEsr1−/−-Aromhum) capable of local E2 production but incapable of signaling through ESR1 (n = 5-10 mice/group). Second, we blocked E2 signaling pharmacologically using the potent ESR1 antagonist fulvestrant (0.15mg/kg, 90 days, n=10-15 mice/group). We conducted in vitro experiments on primary LAM HAFs exposed to 10nM E2 ± 100nM Fulvestrant (24-48h). These cells underwent analysis via ESR1 ChIP, ATAC, and RNA-seq in 3 technical replicates (3-5 mice each). Additionally, to demonstrate clinical relevance, we probed human herniated LAM tissues from patients (n=25 samples, 21-76 years). Results: All Aromhum mice develop scrotal hernias by 6 weeks. However, fEsr1−/−-Aromhum mice did not develop hernias, while littermate controls exhibited hernias. Thus, HAF ESR1 depletion mitigated LAM fibrosis and atrophy. Similarly, administering fulvestrant prior to hernia onset prevented hernia development. Remarkably, fulvestrant treatment in mice that had developed large scrotal hernias (>200mm2) led to complete hernia regression with reversed muscle fibrosis and fiber atrophy (collagen levels comparable to wild-type mice). In vitro HAF culturing and subsequent multiomic analyses unveiled a core set of 58 genes directly influenced by E2/ESR1, including crucial ECM genes like fibulins ( Fbln5, Fbln7), metalloproteases ( Adamts3, Adamts6), and signaling molecules ( Ltbp1, Ncam1, Piezo2). Pathways such as TGFβ, WNT, and N-Glycan biosynthesis were significantly upregulated by E2. Human herniated LAM tissues exhibited substantial fibrosis, along with stromal HAF markers PDGFRA and ESR1. We also validated expression of the core E2-modulated genes in human LAM tissues ( NCAM1, LTBP1, ADAMTS6, PIEZO2). Collectively, these findings provide compelling evidence of ESR1 pathway activation and downstream gene involvement in both Aromhum scrotal hernias and human inguinal hernias. Conclusion: Our research underscores the central role of E2 in skeletal muscle fibrosis. Notably, we demonstrated that fibrosis can be entirely reversed by modulation of ESR1 signaling. Our study offers valuable insights into downstream genes and pathways that may serve as t
背景:骨骼肌纤维化是细胞外基质(ECM)的堆积,通常会导致肌肉无力和萎缩。值得注意的是,下腹部肌肉(LAM)纤维化和萎缩会导致腹股沟斜疝--这是一种缺乏药物治疗的普遍病症。我们开发了一种腹股沟疝小鼠模型 Aromhum,其特点是由于 LAM 内局部雌二醇(E2)的产生以及表达血小板衍生生长因子α(PDGFRA)和雌激素受体α(ESR1)的疝相关成纤维细胞(HAFs)导致自发性阴囊疝。目标与假设:我们的目的是研究 ESR1 信号传导 LAM HAFs 及疝气后续发展的机制。方法:我们通过两种方法操纵了雌激素信号转导:首先,我们产生了成纤维细胞特异性雌激素受体α基因敲除小鼠(fEsr1-/--Aromhum),这些小鼠能够产生局部E2,但无法通过ESR1发出信号(n = 5-10只小鼠/组)。其次,我们使用强效ESR1拮抗剂氟维司群(0.15mg/kg,90天,n=10-15只小鼠/组)从药理学角度阻断了E2信号传导。我们对暴露于 10nM E2 ± 100nM 氟维司群(24-48 小时)的原代 LAM HAFs 进行了体外实验。这些细胞通过 ESR1 ChIP、ATAC 和 RNA-seq 进行了分析,共有 3 个技术重复(每组 3-5 只小鼠)。此外,为了证明临床相关性,我们还检测了来自患者的人类疝性 LAM 组织(n=25 个样本,21-76 岁)。结果所有 Aromhum 小鼠在 6 周前都会出现阴囊疝。然而,fEsr1-/--Aromhum小鼠不会出现疝气,而同窝对照组则会出现疝气。因此,HAF ESR1耗竭减轻了LAM纤维化和萎缩。同样,在疝气发病前服用氟维司群也能防止疝气的发生。值得注意的是,氟维司群治疗已出现巨大阴囊疝(>200平方毫米)的小鼠可导致疝完全消退,肌肉纤维化和纤维萎缩逆转(胶原蛋白水平与野生型小鼠相当)。体外 HAF 培养和随后的多组学分析揭示了一组 58 个直接受 E2/ESR1 影响的核心基因,包括纤维蛋白(Fbln5、Fbln7)、金属蛋白酶(Adamts3、Adamts6)和信号分子(Ltbp1、Ncam1、Piezo2)等关键的 ECM 基因。TGFβ、WNT 和 N-糖生物合成等途径在 E2 的作用下明显上调。人体疝出的 LAM 组织表现出严重的纤维化,基质 HAF 标志物 PDGFRA 和 ESR1 也出现了纤维化。我们还验证了 E2 调控的核心基因(NCAM1、LTBP1、ADAMTS6、PIEZO2)在人类 LAM 组织中的表达。总之,这些发现提供了令人信服的证据,证明 ESR1 通路激活和下游基因参与了 Aromhum 阴囊疝和人类腹股沟疝的发病。结论我们的研究强调了 E2 在骨骼肌纤维化中的核心作用。值得注意的是,我们证明了通过调节 ESR1 信号可以完全逆转纤维化。我们的研究为下游基因和通路提供了宝贵的见解,这些基因和通路可作为腹股沟疝和其他纤维化疾病的治疗靶点。资助:美国国立卫生研究院:R01DK121529, Department of Veterans Affairs Research Career Scientist Award:IK6 RX003351。本文是在 2024 年美国生理学峰会上发表的摘要全文,仅提供 HTML 格式。本摘要没有附加版本或附加内容。生理学》未参与同行评审过程。
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