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Physiology in Perspective. 透视生理学。
IF 8.4 2区 医学 Q1 PHYSIOLOGY Pub Date : 2023-07-01 DOI: 10.1152/physiol.00014.2023
Christopher England

This issue of Physiology features four excellent review articles that highlight current research and discuss untapped areas for future work across a range of topics in physiology. First, we explore the impact that the loss of the Y chromosome in white blood cells has on men's health. Next, we discuss the pathophysiological roles of the cyclic GMP-AMP synthase (cGAS)-stimulator of interferon genes (STING) in chronic inflammation. Third, we discuss how certain animals remain hydrated in seawater. Finally, we present on the systemic reprogramming of endothelial cell signaling in metastasis and cachexia.

本期《生理学》刊载了四篇优秀的综述文章,这些文章突出了当前的研究,并讨论了生理学一系列主题中尚未开发的领域。首先,我们探讨了白细胞中Y染色体的缺失对男性健康的影响。接下来,我们讨论环GMP-AMP合成酶(cGAS)-干扰素基因刺激因子(STING)在慢性炎症中的病理生理作用。第三,我们讨论某些动物如何在海水中保持水分。最后,我们介绍了内皮细胞信号在转移和恶病质中的系统性重编程。
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引用次数: 0
Staying Hydrated in Seawater. 在海水中保持水分。
IF 8.4 2区 医学 Q1 PHYSIOLOGY Pub Date : 2023-07-01 DOI: 10.1152/physiol.00005.2023
Martin Grosell, Amanda M Oehlert

Reduction of intestinal lumen osmotic pressure by the formation of Ca(Mg)CO3, "ichthyocarbonate," is essential for osmoregulation by the only vertebrate group, ray-finned fishes, widely capable of hydrating by ingesting seawater. Ichthyocarbonate formation and excretion are under elaborate physiological control and play an important, yet still poorly defined, role in the oceanic carbon cycle.

通过形成Ca(Mg)CO3(“鱼碳酸盐”)来降低肠腔渗透压,对于唯一的脊椎动物群体——鳍状鱼类的渗透调节至关重要,鳍状鱼类广泛地能够通过摄取海水来补水。鱼类碳酸盐的形成和排泄受到复杂的生理控制,在海洋碳循环中起着重要的作用,但仍然没有明确的定义。
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引用次数: 2
Pathophysiological Roles of the cGAS-STING Inflammatory Pathway. cGAS-STING炎症通路的病理生理作用。
IF 8.4 2区 医学 Q1 PHYSIOLOGY Pub Date : 2023-07-01 DOI: 10.1152/physiol.00031.2022
Hiroshi Maekawa, Margaret Elizabeth Fain, Koichiro Wasano

The cyclic GMP-AMP synthase (cGAS)-stimulator of interferon genes (STING) inflammatory pathway is a component of the innate immune system that recognizes cytosolic nucleic acids. The pathway has been implicated in several processes including aging, autoinflammatory conditions, cancer, and metabolic diseases. The cGAS-STING pathway represents a promising therapeutic target in a variety of chronic inflammatory diseases.

环GMP-AMP合成酶(cGAS)-干扰素基因刺激因子(STING)炎症通路是先天免疫系统识别胞质核酸的一个组成部分。该途径与衰老、自身炎症、癌症和代谢性疾病等过程有关。cGAS-STING通路在多种慢性炎症性疾病中是一个有希望的治疗靶点。
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引用次数: 2
Corrigendum for Lee CE, volume 36, 2021, p. 335–349 Lee CE的勘误表,第36卷,2021年,335-349页
IF 8.4 2区 医学 Q1 PHYSIOLOGY Pub Date : 2023-07-01 DOI: 10.1152/physiol.0009.2021_COR
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引用次数: 0
Mosaic Loss of Y Chromosome in White Blood Cells: Its Impact on Men's Health. 白细胞中 Y 染色体的马赛克缺失:对男性健康的影响
IF 5.3 2区 医学 Q1 PHYSIOLOGY Pub Date : 2023-07-01 Epub Date: 2023-03-28 DOI: 10.1152/physiol.00008.2023
Soichi Sano, Mark C Thel, Kenneth Walsh

We present a brief introduction of loss of Y chromosome (LOY) in blood and describe the known risk factors for this condition. We then overview the associations between LOY and age-related disease traits. Finally, we discuss murine models and the potential mechanisms by which LOY contributes to disease.

我们简要介绍了血液中的 Y 染色体缺失(LOY),并描述了这种情况的已知风险因素。然后,我们概述了 LOY 与年龄相关疾病特征之间的关联。最后,我们讨论了小鼠模型和 LOY 导致疾病的潜在机制。
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引用次数: 0
Systemic Reprogramming of Endothelial Cell Signaling in Metastasis and Cachexia. 内皮细胞信号在转移和恶病质中的系统性重编程。
IF 8.4 2区 医学 Q1 PHYSIOLOGY Pub Date : 2023-07-01 DOI: 10.1152/physiol.00001.2023
Stephanie F Preuss, Denise Grieshober, Hellmut G Augustin

Proliferating cancer cells secrete a multitude of factors impacting metabolism, interorgan communication, and tumor progression. The distribution of tumor-derived factors to distant organs occurs via the circulation, which provides an extensive reactive surface lined by endothelial cells. Primary tumor-derived proteins impact cancer progression by modulating endothelial cell activation at the (pre-)metastatic niche, which affects tumor cell dissemination as well as the outgrowth of seeded metastatic cells into overt tumors. In addition, new insight indicates that endothelial cell signaling contributes to metabolic symptoms of cancer, including cancer-associated cachexia, opening a new field of vascular metabolism research. This review addresses how tumor-derived factors systemically affect endothelial cell signaling and activation and impact distant organs as well as tumor progression.

增殖的癌细胞分泌多种影响代谢、器官间通讯和肿瘤进展的因子。肿瘤源性因子通过循环向远处器官分布,循环提供了内皮细胞衬里的广泛反应表面。原发肿瘤衍生蛋白通过调节(前)转移位内皮细胞的激活来影响癌症的进展,从而影响肿瘤细胞的播散以及种子转移细胞向显性肿瘤的生长。此外,新的发现表明内皮细胞信号参与癌症代谢症状,包括癌症相关恶病质,开辟了血管代谢研究的新领域。本文综述了肿瘤源性因子如何系统性地影响内皮细胞信号传导和激活,影响远端器官以及肿瘤进展。
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引用次数: 3
Exertional heart stroke causes long-term obesity and cardiac hypertrophy in mice 心力衰竭导致小鼠长期肥胖和心脏肥厚
IF 8.4 2区 医学 Q1 PHYSIOLOGY Pub Date : 2023-05-01 DOI: 10.1152/physiol.2023.38.s1.5733420
Jamal M. Alzahrani, Bryce J Gambino, C. Delgado, Michael T. Rua, Iris Young, Kevin J. Cusack, T. Clanton
Exertional heat stroke (EHS) is a life-threatening illness that can lead to short- and long-term adverse health outcomes. Several human epidemiology studies have shown that heat stroke exposure is highly associated with the development of cardiovascular disease later in life. However, whether EHS causes heart disease or individuals with predispositions to heart disease are more susceptible to EHS is unknown. Previously, our laboratory demonstrated metabolic abnormalities in the myocardium of mice, two weeks after EHS, characterized by lipid accumulation. In this study, we hypothesized that EHS exposure in mice leads to long-term susceptibilities to cardiovascular disease that is accelerated by co-exposure to a Western diet. METHODS: Sixty-four male (n=32) and female (n=32) C57BL/6 mice were exposed to either EHS (forced wheel running in 34.5°C for males and 37.5°C for females) or sham exercise controls (EXC, forced wheel running in ~22.5°C). Fourteen days later, mice were placed on either a Western diet (WD) or a standard diet (SD) and then followed for 9 additional weeks. At week 12, post interventions (EHS or EXC), animals were euthanized and samples collected for analysis. RESULTS: Male mice exposed to EHS with either WD ( P = 0.0001) or SD ( P = 0.0001) gained more body mass over the 9-week diet period compared to diet matched EXC controls. Also, regardless of diet, male mice exposed to EHS consumed more food compared to matched EXC (WD: P < 0.005 and SD: P < 0.04). However, only female mice exposed to EHS with WD gained more body mass compared to female EXC mice with WD ( P < 0.04). At the end of the study, and regardless of diet, male mice exposed to EHS showed enlarged hearts in terms of absolute mass (WD: P=0.0241, SD: P=0.0069) and relative mass/tibia length (WD: P=0.013, SD P=0.03). On the other hand, EHS female mice exposed to WD showed enlarged heart mass compared to EHS on SD ( P=0.0005). CONCLUSIONS: These results demonstrate that EHS exposure in mice leads to a long-term metabolic disorder characterized by greatly accelerated weight gain, greater appetite and cardiac hypertrophy. Effects were more evident and consistent in males. Such a response is typical of early stages of metabolic syndrome and would likely contribute to eventual cardiac disease. Therefore, the data is consistent with EHS exposure being a risk factor for long term heart disease. U.S. Army Grant BA180078 and from King Saud University, Saudi Arabia This is the full abstract presented at the American Physiology Summit 2023 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.
劳累性中暑(EHS)是一种危及生命的疾病,可导致短期和长期的不良健康结果。几项人类流行病学研究表明,中暑暴露与生命后期心血管疾病的发展高度相关。然而,究竟是EHS导致心脏病,还是有心脏病易感性的人更容易患EHS,目前尚不清楚。在此之前,我们的实验室证实了EHS后两周小鼠心肌代谢异常,其特征是脂质积累。在这项研究中,我们假设小鼠暴露于EHS会导致心血管疾病的长期易感性,这一易感性会因共同暴露于西方饮食而加速。方法:64只雄性(n=32)和雌性(n=32) C57BL/6小鼠暴露于EHS(雄性34.5°C,雌性37.5°C)或假运动对照组(EXC, ~22.5°C)。14天后,小鼠分别饲喂西式饮食(WD)和标准饮食(SD),然后再进行9周的随访。干预后第12周(EHS或EXC),对动物实施安乐死并收集样本进行分析。结果:与饮食匹配的EXC对照组相比,暴露于EHS伴WD (P = 0.0001)或SD (P = 0.0001)的雄性小鼠在9周的饮食期间增加了更多的体重。此外,无论饮食如何,暴露于EHS的雄性小鼠比匹配的EXC消耗更多的食物(WD: P < 0.005, SD: P < 0.04)。然而,只有暴露于EHS合并WD的雌性小鼠比暴露于WD的雌性EXC小鼠体重增加(P < 0.04)。在研究结束时,无论饮食如何,暴露于EHS的雄性小鼠在绝对质量(WD: P=0.0241, SD: P=0.0069)和相对质量/胫骨长度(WD: P=0.013, SD P=0.03)方面均表现出心脏增大。另一方面,与SD组EHS相比,WD组EHS雌性小鼠心脏质量增大(P=0.0005)。结论:这些结果表明,EHS暴露会导致小鼠长期代谢紊乱,其特征是体重急剧增加、食欲增加和心脏肥厚。对男性的影响更为明显和一致。这种反应是代谢综合征早期阶段的典型反应,很可能导致最终的心脏病。因此,这些数据与EHS暴露是长期心脏病的危险因素相一致。这是在2023年美国生理学峰会上发表的完整摘要,仅以HTML格式提供。此摘要没有附加版本或附加内容。生理学没有参与同行评议过程。
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引用次数: 0
Improved workflow for analysis of smooth muscle calcium signals from intact arterial preparations 改进了从完整动脉制剂中分析平滑肌钙信号的工作流程
IF 8.4 2区 医学 Q1 PHYSIOLOGY Pub Date : 2023-05-01 DOI: 10.1152/physiol.2023.38.s1.5732992
Madison Boskind, Nikitha Nelapudi, Grace Williamson, Rucha Juarez, Bobby Mendez, Lubo Zhang, A. Blood, Christopher Wilson, S. Wilson
Intracellular Ca2+ signals are well regarded for their regulation of cellular processes ranging from myocyte contraction, hormonal secretion, neural transmission, cellular metabolism, transcriptional regulation, and cell proliferation. Measurement of cellular Ca2+ is routinely performed using fluorescent microscopy techniques with biological indicators. Analysis of deterministic signals is relatively straightforward as relevant data can be discriminated based on the timing of cellular responses. However, analysis of stochastic events in complex tissues takes considerable time and effort that often includes visual analysis by trained investigators. The purpose of the current study was to determine if the image analysis workflow could be automated without introducing errors. This evaluation was addressed by re-analyzing a published “gold standard” dataset through visual analysis of Ca2+ signals from recordings made in pulmonary arterial myocytes of en face arterial preparations. We applied a combination of data-driven and statistical approaches with comparisons to our published data to assess the fidelity of the various approaches. Regions of interest with Ca2+ oscillations were detected automatically post-hoc using the LC Pro plug-in for ImageJ. Oscillatory signals were separated based on event durations between 4 and 40 seconds. These data were filtered based on cutoffs obtained from multiple methods and compared to the published manually curated “gold standard” dataset. After filtering, the number of true positives, false positives, and false negatives were calculated through comparisons to the gold standard dataset. Positive predictive value, sensitivity and false discovery rates were calculated. There were very few significant differences between the quality of the events and no systematic biases based on the data curation or filtering techniques. The lack of difference between manual data curation and statistically derived critical cutoff techniques leads us to question the importance of manually curating stochastic Ca2+ event datasets using labor-intensive visual observation techniques. NIH R01HL155295, R01HL149608 This is the full abstract presented at the American Physiology Summit 2023 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.
细胞内Ca2+信号因其对细胞过程的调节而受到广泛关注,这些细胞过程包括肌细胞收缩、激素分泌、神经传递、细胞代谢、转录调节和细胞增殖。细胞Ca2+的测量是常规使用荧光显微镜技术与生物指标进行。确定性信号的分析相对简单,因为相关数据可以根据细胞反应的时间进行区分。然而,分析复杂组织中的随机事件需要大量的时间和精力,通常包括由训练有素的调查人员进行视觉分析。当前研究的目的是确定图像分析工作流程是否可以在不引入错误的情况下自动化。这一评估是通过重新分析已发表的“金标准”数据集来解决的,该数据集通过对正面动脉制备的肺动脉肌细胞中记录的Ca2+信号进行视觉分析。我们将数据驱动和统计方法相结合,并与已发表的数据进行比较,以评估各种方法的保真度。使用LC Pro插件自动检测具有Ca2+振荡的感兴趣区域。振荡信号根据事件持续时间在4到40秒之间进行分离。这些数据是根据从多种方法获得的截止值进行过滤的,并与已发布的人工管理的“黄金标准”数据集进行比较。过滤后,通过与金标准数据集的比较计算真阳性、假阳性和假阴性的数量。计算阳性预测值、敏感性和错误发现率。事件质量之间几乎没有显著差异,也没有基于数据管理或过滤技术的系统性偏差。手工数据管理和统计导出的临界截止技术之间缺乏差异,这使我们质疑使用劳动密集型视觉观察技术手动管理随机Ca2+事件数据集的重要性。这是在美国生理学峰会2023会议上发表的全文摘要,仅以HTML格式提供。此摘要没有附加版本或附加内容。生理学没有参与同行评议过程。
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引用次数: 0
Cell-free hemoglobin-mediated oxidation of low-density lipoprotein (oxLDL) contributes to lung microvascular endothelial dysfunction during sepsis 无细胞血红蛋白介导的低密度脂蛋白(oxLDL)氧化有助于败血症期间肺微血管内皮功能障碍
IF 8.4 2区 医学 Q1 PHYSIOLOGY Pub Date : 2023-05-01 DOI: 10.1152/physiol.2023.38.s1.5728289
J. Meegan, L. Ware, J. Bastarache
Introduction: Disruption of the microvascular endothelial barrier is a critical pathological feature of sepsis-induced acute lung injury. Plasma cell-free hemoglobin (CFH) is elevated in approximately 80% of patients with sepsis and is independently associated with development of acute respiratory distress syndrome (ARDS) and mortality. Oxidized CFH (ferric, 3+) can oxidize low-density lipoprotein (oxLDL), which signals through its major endothelial receptor, the lectin-like oxidized LDL receptor 1 (LOX-1), to cause endothelial dysfunction through several pro-inflammatory pathways including activation of mitogen-activated protein kinases (MAPKs). However, little is known regarding whether LOX-1 receptor signaling leads to microvascular endothelial hyperpermeability or acute lung injury, especially in the context of sepsis. We hypothesized that oxidation of LDL by CFH contributes to lung microvascular endothelial barrier dysfunction and worse outcomes during sepsis through LOX-1 and downstream p38 MAPK. Methods: To test whether generation of oxLDL by CFH is associated with endothelial injury in clinical sepsis, circulating levels of CFH, oxLDL, and vascular injury marker sVE-cadherin were measured in 24 sepsis patients via ELISA and tested for association with development of ARDS. LDL was oxidized by combining LDL with CFH in a test tube overnight at 37°C and oxLDL was quantified by TBARS assay. In primary human lung microvascular endothelial cells (HLMVEC) transendothelial electrical resistance (TER), a measure of barrier dysfunction, was assessed by Electric Cell-substrate Impedance Sensing (ECIS). LOX-1 receptor was blocked using BI-0115 (Boehringer Ingelheim, 20 μM) and p38 MAPK was inhibited using NiPp (100 μM). Results: In sepsis patients, plasma oxLDL levels correlated with CFH (r=0.686, p=0.016) and sVE-cadherin (r=0.603, p=0.012), and tended to be higher in those who developed ARDS (38 U/L [IQR 27, 45] vs. 27 U/L [IQR 19, 35], p=0.1). Oxidation of LDL by CFH exacerbated HLMVEC barrier dysfunction compared to control, LDL, or CFH. Barrier dysfunction induced by CFH or oxLDL was attenuated by blocking the LOX-1 receptor or p38 MAPK. Conclusions: Increased plasma CFH and oxLDL are associated with vascular injury during clinical sepsis; one mechanism by which CFH may cause vascular hyperpermeability and sepsis-mediated lung injury is through oxidation of LDL which can drive signaling through the endothelial LOX-1 receptor and activation of p38 MAPK. NIH R35HL150783, R21GM144915, R01HL158906, R01HL164937, T32HL094296; Parker B. Francis Fellowship This is the full abstract presented at the American Physiology Summit 2023 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.
微血管内皮屏障的破坏是脓毒症引起的急性肺损伤的一个重要病理特征。大约80%的脓毒症患者血浆无细胞血红蛋白(CFH)升高,并且与急性呼吸窘迫综合征(ARDS)的发展和死亡率独立相关。氧化CFH(铁,3+)可以氧化低密度脂蛋白(oxLDL), oxLDL通过其主要内皮受体,凝集素样氧化LDL受体1 (LOX-1)发出信号,通过几种促炎途径,包括激活丝裂原活化蛋白激酶(MAPKs),导致内皮功能障碍。然而,对于LOX-1受体信号传导是否导致微血管内皮高通透性或急性肺损伤,特别是在脓毒症的背景下,知之甚少。我们假设CFH氧化LDL通过LOX-1和下游p38 MAPK导致败血症期间肺微血管内皮屏障功能障碍和更糟糕的结果。方法:为检测CFH生成oxLDL是否与临床败血症中内皮损伤相关,采用ELISA法检测24例败血症患者循环CFH、oxLDL和血管损伤标志物sve -钙粘蛋白水平,并检测其与ARDS发生的相关性。LDL与CFH在37°C的试管中结合过夜氧化,oxLDL用TBARS法定量。在原代人肺微血管内皮细胞(HLMVEC)中,跨内皮电阻(TER)是一种屏障功能障碍的测量方法,采用细胞-基质阻抗感应(ECIS)进行评估。使用BI-0115(勃林格殷格翰,20 μM)阻断LOX-1受体,使用NiPp (100 μM)抑制p38 MAPK。结果:脓毒症患者血浆oxLDL水平与CFH (r=0.686, p=0.016)和sVE-cadherin (r=0.603, p=0.012)相关,并发ARDS患者血浆oxLDL水平更高(38 U/L [IQR 27,45] vs. 27 U/L [IQR 19,35], p=0.1)。与对照组、低密度脂蛋白或CFH相比,CFH氧化LDL加重了HLMVEC屏障功能障碍。CFH或oxLDL诱导的屏障功能障碍可通过阻断LOX-1受体或p38 MAPK来减弱。结论:临床败血症时血浆CFH和oxLDL升高与血管损伤有关;CFH可能导致血管高通透性和败血症介导的肺损伤的一种机制是通过LDL的氧化,其可以通过内皮LOX-1受体驱动信号传导和p38 MAPK的激活。Nih r35hl150783, r21gm144915, r01hl158906, r01hl164937, t32hl094296;这是2023年美国生理学峰会上发表的完整摘要,仅以HTML格式提供。此摘要没有附加版本或附加内容。生理学没有参与同行评议过程。
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引用次数: 0
Arterial and Intracranial Hypotension During and Following Exercise 运动中和运动后动脉和颅内低血压
IF 8.4 2区 医学 Q1 PHYSIOLOGY Pub Date : 2023-05-01 DOI: 10.1152/physiol.2023.38.s1.5793685
L. Petersen
Exercise induced arterial hypertension and post-exercise arterial hypotension (PEH) are well-described phenomena with direct impact on cerebral blood flow. Cerebral perfusion pressure is given by the difference between mean arterial pressure at brain-level (MAPbrain) and intracranial pressure (ICP), however, little is known about effects of moderate aerobic exercise on ICP. We hypothesize that moderate exercise does not increase ICP thereby facilitating the augmented cerebral blood flow and that a post-exercise decrease in ICP is a contributing mechanism to maintained cerebral blood flow during PEH.Non-invasive (N=14) and invasive (N=3) ICP recordings and cardiovascular parameters were measured upright and supine before, during, and after 30 minutes of seated moderate aerobic bicycle exercise. Exercise elevated MAPbrain from 68±4 to 82±7 mmHg (mean±SEM, P<0.05) without elevating ICP, thus increasing CPP (72±3 to 87±6 mmHg, P<0.05). Compared to before exercise, we found significant PEH with a decrease in MAPbrain of 5±3% (5 mmHg; P<0.05), predominantly driven by a 26±5% (P<0.0001) decrease in total peripheral resistance (TPR). Because post-exercise ICP decreased concomitantly by 58±20% (P<0.0001) CPP remained unchanged. Recovery of ICP towards baseline was similarly correlated to TPR-recovery (R2=0.92, P<0.001), all variables returned to baseline within one hour.Here, we show for the first time ICP during and following aerobic exercise and consequences for cerebral perfusion. Periodic PEH is cardio-vascular protective and has long-term benefits for hypertensive patients, here we suggest that post-exercise decreases in ICP could similarly be cerebo-protective and in part explain the long-term beneficial effects of exercise for cerebral health and cognition. This work was supported by NASA grant no 80NSSC19K0020 and the Novo Nordic Foundation grant no NNF15OC0019196 This is the full abstract presented at the American Physiology Summit 2023 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.
运动引起的动脉性高血压和运动后动脉性低血压(PEH)是对脑血流量有直接影响的现象。脑灌注压是由脑水平平均动脉压(MAPbrain)和颅内压(ICP)之差给出的,然而,关于适度有氧运动对颅内压的影响知之甚少。我们假设适度运动不会增加ICP从而促进脑血流量的增加,运动后ICP的降低是PEH期间维持脑血流量的一种促进机制。非侵入性(N=14)和侵入性(N=3)的颅内压(ICP)记录和心血管参数分别在坐姿适度有氧自行车运动前、中、后30分钟进行测量。运动使MAPbrain从68±4 mmHg升高到82±7 mmHg(平均值±SEM, P<0.05),而ICP未升高,因此CPP升高(72±3至87±6 mmHg, P<0.05)。与运动前相比,我们发现显著的PEH, MAPbrain下降了5±3% (5 mmHg;P<0.05),主要是由于总外周电阻(TPR)下降了26±5% (P<0.0001)。由于运动后颅内压同时下降了58±20% (P<0.0001), CPP保持不变。ICP向基线恢复与tpr恢复相似(R2=0.92, P<0.001),所有变量在1小时内恢复到基线。在这里,我们首次展示了有氧运动期间和之后的ICP及其对脑灌注的影响。周期性PEH对高血压患者具有心血管保护作用,并具有长期益处。我们认为,运动后ICP的降低可能同样具有大脑保护作用,这部分解释了运动对大脑健康和认知的长期有益影响。这项工作得到了NASA资助号80NSSC19K0020和Novo Nordic Foundation资助号NNF15OC0019196的支持。这是2023年美国生理学峰会上发表的全文摘要,仅以HTML格式提供。此摘要没有附加版本或附加内容。生理学没有参与同行评议过程。
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