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Physiological Knowledge Loss in Fourth-Year Nursing Students 护理专业四年级学生生理学知识的缺失
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.2307
Raj Narnaware, Sharlini Purani, M. Neumeier
There is a growing concern that nursing students struggle to retain adequate physiological knowledge throughout their program to meet their entry to practice competencies. However, how much and what knowledge is lost and when this occurs over a four-year undergraduate Bachelor of Science in Nursing program remains to be evaluated. Moreover, physiological knowledge retention has not been studied as extensively as anatomical knowledge retention in health care disciplines, including nursing programs (Narnaware, Y., 2021). Most of these studies are conducted after graduation (Aari et al., 2004) or focused on very limited systems (Pourshanazari et al., 2013). The present study aims to evaluate the level of physiological knowledge loss by nursing students in the fourth year between completing their physiology course in first-year nursing and fourth-year Critical Care nursing course . To evaluate physiological knowledge loss in the fourth year, nursing students were quizzed on ten organ systems using the online quizzing platform- Kahoot. Approximately nine to eleven knowledge and comprehension-level multiple-choice questions were delivered via kahoot. Then, these scores were compared to first-year quiz scores on the same content to determine overall knowledge loss over three years. Using SPSS II, the data was analyzed, and means were compared using 2-sample t-tests. The scores are described for each organ system by reporting the mean and standard deviation (±SD) with statistical significance set at P < 0.05 for all tests. The mean score of questions from all organ systems in year one was 62.89 ± 10.49 (±SD). Comparing that score to matched test items evaluated in the Critical Care course, there is a decrease in the overall mean score from 62.89 ± 10.49 (±SD) to 47.69 ± 8.23 (±SD). This equates to a 15.2% knowledge loss or 84.8% retention rate within three years. Organ-specific knowledge loss was highest for fluid and electrolytes (30.7%), hormones (28.6%), defences (22.5%), and reproductive physiology (22.5%), followed by renal physiology (19.7%). Knowledge loss was comparatively lower for blood (15.9%), inflammation (11.2%), vascular (7.5%) and respiratory physiology (4.7%). However, this loss was lowest for digestive physiology (-3.7%). The results of this study demonstrate a lower level of knowledge loss overall, with variations in loss being system-specific. The level of knowledge loss in the present study was significantly lower than previously reported in medical and allied health students (Pourshanazari et al., 2013) and lowest than anatomical knowledge retention levels in the same population (Narnaware and Neumeier, 2021). However, compared to the third year, knowledge loss in the fourth year is not significantly different (Narnaware et al., 2021). Applied for Teaching Physiology Section- Travel Fellowship Award. This is the full abstract presented at the American Physiology Summit 2024 meeting and is only available in HTML format. There are no
越来越多的人担心,护理专业学生在整个学习过程中很难保留足够的生理知识,以满足他们进入实践的能力要求。然而,在四年的本科护理学学士学位课程中,有多少知识、哪些知识会丢失以及何时丢失仍有待评估。此外,在包括护理课程在内的医疗保健学科中,对生理知识保留的研究并没有解剖学知识保留那么广泛(Narnaware, Y., 2021)。这些研究大多是在学生毕业后进行的(Aari 等人,2004 年),或者集中在非常有限的系统中(Pourshanazari 等人,2013 年)。本研究旨在评估护理专业四年级学生在完成一年级护理生理学课程和四年级重症护理课程之间的生理知识流失程度。为了评估四年级学生的生理学知识流失情况,我们使用在线测验平台 Kahoot 对护理专业学生进行了十个器官系统的测验。通过 Kahoot 提供了约 9 到 11 道知识和理解层面的选择题。然后,将这些分数与一年级学生在相同内容上的测验分数进行比较,以确定三年来知识的总体流失情况。我们使用 SPSS II 对数据进行了分析,并使用 2 样本 t 检验对平均值进行了比较。每个器官系统的得分通过报告平均值和标准偏差(±SD)来描述,所有测试的统计学显著性设定为 P <0.05。第一年所有器官系统问题的平均得分是 62.89 ± 10.49(±SD)。将该分数与重症监护课程中评估的匹配测试项目相比,总平均分数从 62.89 ± 10.49(±SD)降至 47.69 ± 8.23(±SD)。这相当于 15.2% 的知识损失或 84.8% 的三年保留率。特定器官知识流失率最高的是液体和电解质(30.7%)、激素(28.6%)、防御(22.5%)和生殖生理(22.5%),其次是肾脏生理(19.7%)。血液(15.9%)、炎症(11.2%)、血管(7.5%)和呼吸生理(4.7%)的知识损失相对较少。然而,消化生理学的知识损失最低(-3.7%)。本研究的结果表明,总体知识损失水平较低,具体系统的知识损失存在差异。本研究中的知识流失水平明显低于之前报道的医学生和专职医疗学生(Pourshanazari 等人,2013 年),也低于同一人群的解剖学知识保留水平(Narnaware 和 Neumeier,2021 年)。然而,与三年级相比,四年级的知识流失并无显著差异(Narnaware 等人,2021 年)。申请生理学教学组--旅费奖。这是在 2024 年美国生理学峰会上提交的完整摘要,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
The Role of Interleukin-6 in Regulating Glomerular Filtration Rate during Angiotensin II and High Salt Conditions 白细胞介素-6 在血管紧张素 II 和高盐条件下调节肾小球滤过率的作用
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.1923
Mark Hatcher, Rong Duan, Dexter Lee
Previous results demonstrate that interleukin-6 (IL-6) increases mean arterial pressure (MAP) during Angiotensin II (Ang II)-salt hypertension. In addition, albumin excretion was lower in IL-6 knockout mice (KO) when compared to wild-type (WT). This study investigated the role of IL-6 on regulating glomerular filtration rate (GFR), renal plasma flow (RPF) and MAP in WT and IL-6 KO mice treated with a slow pressor dose of Ang II (200 ng/kg/min) +/- 6% high-salt (HS) diet. Male C57BL6 and IL-6 KO mice (12 weeks old) were treated with Ang II +/- 6% HS diet for 12 – 14 days. Mean arterial pressure, RPF and GFR were measured in anesthetized mice. MAP was 130 ± 7 mmHg and 91 ± 4 mmHg in control WT and IL-6 KO mice, respectively. Ang II treatment increased MAP in WT (153 ± 5 mmHg) and no change in IL-6 KO (83 ± 4 mmHg) mice. Ang II + 6% HS increased MAP to 150 ± 11 mmHg in WT and 93 ± 4 mmHg in IL-6 KO mice. Baseline RPF was 1822 ± 229 and 1912 ± 402 ml/min/g in control WT and IL-6 KO mice, respectively. Ang II treatment increased RPF in WT (3156 ± 753 ml/min/g), while lowering RPF in IL-6 KO (1648 ± 422 ml/min/g) mice. RPF during Ang II + 6% HS treatment was decreased in WT (1095 ± 305 ml/min/g) and IL-6 KO (1133 ml/min/g) mice. GFR was 756 ± ml/min/g and 788 ± ml/min/g in control WT and IL-6 KO mice, respectively. Ang II increased GFR in WT (1009 ± 63 ml/min/g) and no change in IL-6 KO (756 ± 23 ml/min/g). Ang II + 6% HS increased GFR in WT (1095 ± 146 ml/min/g) and no change in GFR of IL-6 KO (540 ± 207 ml/min/g) mice. Our results suggest that IL-6 reduces MAP during baseline, Ang II, and Ang II + 6% HS. The absence of IL-6 prevented increases in MAP, RPF and GFR during Ang II treatment. Our data also suggest that IL-6 contributes to increased MAP and GFR during Ang II + 6% HS treatment. K01HL092593-05. 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.
之前的研究结果表明,白细胞介素-6(IL-6)会在血管紧张素II(Ang II)-盐高血压期间增加平均动脉压(MAP)。此外,与野生型(WT)相比,IL-6基因敲除小鼠(KO)的白蛋白排泄量较低。本研究调查了IL-6对WT和IL-6 KO小鼠肾小球滤过率(GFR)、肾血浆流量(RPF)和MAP的调节作用,WT和IL-6 KO小鼠接受缓慢加压剂量的Ang II(200纳克/千克/分钟)+/- 6%高盐(HS)饮食。雄性 C57BL6 和 IL-6 KO 小鼠(12 周大)接受 Ang II +/- 6% HS 饮食治疗 12 - 14 天。在麻醉状态下测量小鼠的平均动脉压、RPF 和 GFR。对照组 WT 小鼠和 IL-6 KO 小鼠的 MAP 分别为 130 ± 7 mmHg 和 91 ± 4 mmHg。Ang II治疗可提高WT小鼠的MAP(153 ± 5 mmHg),而IL-6 KO小鼠的MAP没有变化(83 ± 4 mmHg)。Ang II + 6% HS 可使 WT 小鼠的 MAP 增至 150 ± 11 mmHg,IL-6 KO 小鼠的 MAP 增至 93 ± 4 mmHg。对照组 WT 小鼠和 IL-6 KO 小鼠的基线 RPF 分别为 1822 ± 229 和 1912 ± 402 ml/min/g。Ang II 治疗可增加 WT 小鼠的 RPF(3156 ± 753 毫升/分钟/克),而降低 IL-6 KO 小鼠的 RPF(1648 ± 422 毫升/分钟/克)。WT 小鼠(1095 ± 305 毫升/分钟/克)和 IL-6 KO 小鼠(1133 毫升/分钟/克)在 Ang II + 6% HS 治疗期间的 RPF 均下降。对照组 WT 小鼠和 IL-6 KO 小鼠的 GFR 分别为 756 ± ml/min/g 和 788 ± ml/min/g。Ang II 可增加 WT 小鼠的 GFR(1009 ± 63 ml/min/g),而 IL-6 KO 小鼠的 GFR 无变化(756 ± 23 ml/min/g)。Ang II + 6% HS 可增加 WT 小鼠的 GFR(1095 ± 146 毫升/分钟/克),而 IL-6 KO 小鼠的 GFR(540 ± 207 毫升/分钟/克)无变化。我们的结果表明,IL-6 可降低基线、Ang II 和 Ang II + 6% HS 期间的 MAP。缺失 IL-6 可防止 Ang II 治疗期间 MAP、RPF 和 GFR 的增加。我们的数据还表明,在 Ang II + 6% HS 治疗期间,IL-6 有助于增加 MAP 和 GFR。K01HL092593-05。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
Optimization of pulmonary artery mechanical testing 优化肺动脉机械测试
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.746
Mahin Gadkari, K. Suresh, Lakshmi Santhanam
Pulmonary arterial hypertension (PAH) is an incurable disease with mortality within 3 years in 28-55% of high-risk patients. The progression of PAH has been known to be associated with increased vascular stiffness and vascular remodeling. Recent studies have suggested that increased stiffness may in fact be a driver for some of the metabolic abnormalities observed during PAH. To gain more insights into this relationship, we need to quantify the differences in mechanical properties of healthy and hypertensive pulmonary arteries. The stress-strain relationship is the gold standard for the ex-vivo stiffness measurement of arteries. This is obtained by obtaining force vs. distension data by tensile testing and using sample dimensions, i.e. length, lumen diameter, and wall thickness, to calculate engineering stress and strain. While this approach is well-optimized for large muscular arteries, it has not been used to test pulmonary arteries as their thin walls and low basal tone make it challenging to make precise measurements of sample wall thickness and lumen diameter. Thus, the goals of this study were to: 1) establish a reliable protocol for rat pulmonary artery tensile testing and 2) quantify the differences in stiffness between hypertensive and healthy pulmonary arteries. First, a methodology to improve the fidelity of determining the lumen diameter and wall thickness was developed. Using this approach, we observed that the modulus was negatively correlated with the length of the vessel segment tested. This suggests that vessel length should be standardized to perform reliable comparisons between groups. Next, we performed tensile tensing on both control and hypertensive pulmonary arteries, after standardizing vessel segment lengths. We initially modeled this tensile testing data using a one-term exponential equation and we observed that intact hypertensive arteries were ~2.7 times stiffer than control arteries at low strain (strain = 0.8). Whereas at high strain (strain = 2.8) intact and decellularized hypertensive arteries were 20 and 29 times stiffer than control arteries respectively. To better capture the viscoelastic properties of both, the cellular and ECM components of the vessels we also fit the tensile testing data using a two-term exponential equation. Using this two-term exponential model, we observed that hypertensive vessels were 2.2 times stiffer than the controls at normal hoop stress (20 kPa), and at the hypertensive hoop stress (66 kPa) the diseased vessels showed less variability in stiffness as compared to the controls. These findings and the methods developed in this study will be helpful in conducting and analyzing experiments to investigate the relationship between changes in biomechanical signals and the progression of PAH. R01HL151530 (KS), R01HL126514 (LS). 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 additiona
肺动脉高压(PAH)是一种无法治愈的疾病,28%-55%的高危患者会在 3 年内死亡。众所周知,PAH 的进展与血管僵硬度增加和血管重塑有关。最近的研究表明,血管僵化的增加实际上可能是 PAH 期间观察到的一些代谢异常的驱动因素。为了深入了解这种关系,我们需要量化健康肺动脉和高血压肺动脉机械特性的差异。应力-应变关系是体内外动脉僵硬度测量的黄金标准。其方法是通过拉伸试验获得力与拉伸的关系数据,并使用样本尺寸(即长度、管腔直径和管壁厚度)计算工程应力和应变。虽然这种方法非常适合大型肌肉动脉,但尚未用于测试肺动脉,因为肺动脉壁薄、基底张力低,很难精确测量样本壁厚和管腔直径。因此,本研究的目标是1)建立大鼠肺动脉拉伸测试的可靠方案;2)量化高血压肺动脉和健康肺动脉在硬度方面的差异。首先,我们开发了一种方法来提高确定管腔直径和管壁厚度的准确性。利用这种方法,我们观察到模量与被测血管段的长度呈负相关。这表明血管长度应标准化,以便在组间进行可靠的比较。接下来,在对血管段长度进行标准化后,我们对对照组和高血压肺动脉进行了拉伸试验。我们最初使用单项指数方程对拉伸测试数据进行建模,观察到完整的高血压动脉在低应变(应变 = 0.8)时的硬度是对照组动脉的 ~2.7 倍。而在高应变(应变 = 2.8)时,完整和脱细胞高血压动脉的硬度分别是对照动脉的 20 倍和 29 倍。为了更好地捕捉血管中细胞和 ECM 成分的粘弹性特性,我们还使用了双项指数方程来拟合拉伸测试数据。使用该两期指数模型,我们观察到高血压血管在正常箍应力(20 kPa)下的刚度是对照组的 2.2 倍,而在高血压箍应力(66 kPa)下,病变血管的刚度与对照组相比变化较小。这些发现和本研究开发的方法将有助于开展和分析实验,研究生物力学信号变化与 PAH 进展之间的关系。R01HL151530(KS)、R01HL126514(LS)。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
Breath-by-breath Analysis of a Rat Model of Pompe Disease Exposes Deficits in High-frequency Behaviors 对庞贝氏症大鼠模型的逐次呼吸分析暴露了高频行为的缺陷
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.901
Alyssa Mickle, Sabhya Rana, Ethan S. Benevides, Barry Byrne, David D. Fuller, Erica Dale
Pompe disease (PD) is caused by a loss of function of the enzyme acid-α-glucosidase (GAA) leading to glycogen accumulation, neuromuscular dysfunction, and breathing failure. Here, we characterized longitudinal changes in breathing of GAA null ( Gaa−/−) rats on a breath-by-breath basis using a novel respiratory event detection algorithm. Adult Pompe (n = 5) and Sprague Dawley (n = 5) rats were implanted with chronic diaphragm EMG electrodes. Once a month from 4-10 months of age, full body plethysmography with concurrent EMG was used to record respiratory waveforms under room air and hypoxia. Waveforms were analyzed by the Adjustable Baselines Respiratory Analysis Program (ABRAP) algorithm. An adaptive threshold identified “respiratory events” defined as crossings of a threshold set between the recent maxima and minima of the waveform. After event identification, a range of waveform characteristics are calculated and tagged to that event. Averages of each characteristic were taken for all events and then analyzed based on respiratory rate in breaths/minute (bpm): low (<120 bpm, ‘quiet breathing’), medium (between 120 and 240 bpm) and high (>240 bpm, ‘high frequency sniffng’). In room air, Pompe rats had a lower breathing rate than wildtype rats by month 10 (173 vs 285 bpm, standard error of the difference (SE of diff.) 37, p=0.03). This decrease in frequency was driven by the high rate events as there were no differences in the mean rate of low rate events at month 10 (80 vs 83 bpm, SE of diff. 3) while the frequency of high rate events was significantly lower by 9 months (mo 9: 393 vs 440 bpm, SE of diff. 16, p=0.04, mo 10: 383 vs 440 bpm, SE of diff. 17, p=0.008). Not only was the breathing frequency of high-rate events impaired in Pompe rats, but there was a trend towards decrease in the proportion of events falling in the high rate category indicating less time spent in high rate breathing behaviors (mo 4: 52 vs 59%, SE of diff. 6, mo 10: 25 vs 52%, SE of diff. 9) with a concomitant increase in the proportion of low frequency events. Additionally, there was a main effect of genotype on the latency between diaphragm activation and onset of inspiratory flow during hypoxia with Pompe rats having a longer latency across all months and frequency bands. This difference was most pronounced in the medium (44 vs 29 ms, SE of diff. 4 ms, p=0.003) frequency events. Active expiration was impaired in Pompe animals with peak post-event airflow (maximum positive pressure reached before the next inspiratory effort) blunted across all months. This effect was pronounced in the high frequency events (0.16 mL vs 0.24 mL, SE of diff. 0.01, p=0.0001). These deficits in high frequency events are consistent with progressive neuromuscular diaphragm weakness. We conclude that comprehensive analyses of all respiratory events over extended recording periods enables detection of altered breathing behaviors that may be missed when assessing only short periods of quiet breat
庞贝氏症(PD)是由于酸-α-葡萄糖苷酶(GAA)功能丧失导致糖原累积、神经肌肉功能障碍和呼吸衰竭引起的。在此,我们使用一种新型呼吸事件检测算法,对 GAA 缺失(Gaa-/-)大鼠呼吸的纵向变化进行了逐次描述。成年庞贝大鼠(n = 5)和 Sprague Dawley 大鼠(n = 5)被植入慢性膈肌肌电图电极。在大鼠 4-10 个月大时,每月一次使用全身胸压计和同步肌电图记录大鼠在室内空气和缺氧条件下的呼吸波形。波形由可调基线呼吸分析程序(ABRAP)算法进行分析。自适应阈值可识别 "呼吸事件",即波形最近最大值和最小值之间的阈值交叉。事件识别后,将计算一系列波形特征并标记到该事件上。对所有事件的每个特征取平均值,然后根据呼吸频率(呼吸次数/分钟,bpm)进行分析:低(240 bpm,"高频嗅探")。在室内空气中,到第 10 个月时,庞贝氏大鼠的呼吸频率低于野生型大鼠(173 对 285 bpm,差异标准误差 (SE of diff.) 37,P=0.03)。这种频率的降低是由高频率事件引起的,因为在第 10 个月时,低频事件的平均频率没有差异(80 对 83 bpm,差异的标准差为 3),而在 9 个月时,高频率事件的频率显著降低(第 9 个月:393 对 440 bpm,差异的标准差为 16,P=0.04)。16,P=0.04;第 10 个月:383 vs 440 bpm,SE of diff.17, p=0.008).庞贝大鼠不仅高频率呼吸频率受损,而且属于高频率类别的事件比例呈下降趋势,这表明高频率呼吸行为花费的时间减少(第 4 个月:52 vs 59%,差异均方差 6;第 10 个月:25 vs 52%,差异均方差 9),同时低频事件比例增加。此外,基因型对缺氧时横膈膜激活和吸气流量开始之间的潜伏期有主效应,庞贝大鼠在所有月份和频段的潜伏期都较长。这种差异在中频事件中最为明显(44 毫秒对 29 毫秒,差值为 4 毫秒的 SE,P=0.003)。Pompe 动物的主动呼气功能受损,事件发生后的峰值气流(在下一次吸气努力之前达到的最大正压)在所有月份都减弱。这种影响在高频事件中尤为明显(0.16 mL vs 0.24 mL,差异的 SE 为 0.01,P=0.0001)。高频事件中的这些缺陷与进行性神经肌肉膈肌无力一致。我们的结论是,在较长的记录时间内对所有呼吸事件进行综合分析,可以发现呼吸行为的改变,而如果只评估短时间的安静呼吸,可能会忽略这些改变。反过来,这可能有助于发现庞贝氏症或其他神经肌肉疾病进展的呼吸特征。2R01HD052682-11A1(DDF、BJB)、T32HL134621(AM)、R01HL153102(ED)、SPARC OT2OD023854(ED)、Craig H. Neilsen Pilot Grant(ED)。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
Sex-Dependent Regulation of Mucin Gene Transcription and Goblet Cell Secretion Machinery Following Intra-Airway IL-13 in Mice with Conditional Loss of Club Cell Creb1 条件性丧失俱乐部细胞 Creb1 的小鼠在气道内 IL-13 作用下粘蛋白基因转录和上腺细胞分泌机制的性别依赖性调控
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.2053
Mariana Sponchiado, Amy Fagan, Luz Mata, Angelina L. Bonilla, Pedro Trevizan Bau, Sreekala Prabhakaran, Leah R. Reznikov
IL-13 is an important effector molecule in allergic asthma, converting secretoglobin-positive club cells into mucin-secreting goblet cells and promoting mucin hypersecretion. IL-13-mediated conversion of club cells to goblet cells requires decreased gene expression of forkhead box A2 ( FOXA2) and increased gene expression of SAM pointed domain containing ETS transcription factor ( SPDEF). In addition, IL-13-mediated mucin hypersecretion may include modulation of purinergic and muscarinic receptors that control basal and stimulated mucus secretion, respectively. We recently found that the cAMP response element-binding protein (CREB), a ubiquitous transcription factor, directly binds to FOXA2 and modulates mucus secretion mechanisms in mice. Here we tested the hypothesis that conditional loss of club cell Creb1 in murine airways modulates the pro-mucin effects of IL-13. Loss of club cell Creb1 augmented IL-13-mediated increases in gene expression of the major gel-forming secreted mucins Muc5ac and Muc5b in male murine airways, with no effect on IL-13-mediated increases in Muc5ac and Muc5b in female murine airways. Examination of mucin secretion mechanisms revealed that IL-13 decreased muscarinic 3 receptor ( M3R) mRNA expression in male murine airways, whereas loss of club cell Creb1 prevented this, resulting in a significant treatment by genotype interaction. Interestingly, in female airways, a main effect of genotype was observed, with loss of club cell Creb1 reducing M3R mRNA expression in the airway. Examination of the purinergic receptor P2Y ( P2ry2) mRNA revealed a main treatment effect for IL-13 to increase P2ry2 expression in male murine airways with no impact of loss of club cell Creb1. In the females, IL-13 increased P2ry2 mRNA in both genotypes, with loss of club cell Creb1 significantly blunting the effect of IL-13 on P2ry2 mRNA. Lastly, we examined goblet cell density and mucin secretion mechanisms using Alcian Blue-PAS staining post in vivo stimulation with a muscarinic agent. We found no major effect of treatment or genotype in the density of goblet cells containing acidic mucins in either male or female airways. In contrast, both males and females showed IL-13-mediated increases in the density of goblet cells containing neutral mucins that was not impacted by genotype. Our preliminary findings suggest that loss of club cell Creb1 decreases molecular mucin secretion mechanisms in male and female airways, and increases Muc5ac and Muc5b mRNA in male airways, though a corresponding genotype-dependent increase in goblet cell density post cholinergic stimulation was not observed. Thus, we conclude that loss of club cell Creb1 causes changes to molecules important for IL-13-mediated mucin hypersecretion, without apparent functional benefit or detriment to the murine airway. This work was supported by the National Institutes of Health (OD026582, HL152101), the Cystic Fibrosis Foundation (REZNIKO20I0, REZNIKO19I0), the Katie Rose Foundation
IL-13 是过敏性哮喘的一种重要效应分子,它能将分泌球蛋白阳性的会厌细胞转化为分泌粘蛋白的上睑细胞,并促进粘蛋白的过度分泌。IL-13 介导的俱乐部细胞向腺泡细胞的转化需要叉头盒 A2(FOXA2)基因表达的减少和含 ETS 转录因子的 SAM 尖结构域(SPDEF)基因表达的增加。此外,IL-13 介导的粘液分泌过多可能包括对分别控制基础和刺激性粘液分泌的嘌呤能受体和毒蕈碱受体的调节。我们最近发现,cAMP 反应元件结合蛋白(CREB)是一种无处不在的转录因子,可直接与 FOXA2 结合并调节小鼠的粘液分泌机制。在这里,我们测试了小鼠气道中俱乐部细胞 Creb1 的条件性缺失会调节 IL-13 的促粘液作用这一假设。俱乐部细胞 Creb1 的缺失增强了 IL-13 介导的雄性小鼠气道中主要凝胶形成分泌型粘蛋白 Muc5ac 和 Muc5b 基因表达的增加,而对 IL-13 介导的雌性小鼠气道中 Muc5ac 和 Muc5b 的增加没有影响。对粘蛋白分泌机制的研究表明,IL-13 会降低雄性小鼠气道中毒蕈碱 3 受体(M3R)mRNA 的表达,而会细胞 Creb1 的缺失会阻止这种情况的发生,从而导致治疗与基因型之间的显著交互作用。有趣的是,在雌性气道中观察到了基因型的主要效应,会厌细胞 Creb1 的缺失降低了气道中 M3R mRNA 的表达。对嘌呤能受体 P2Y(P2ry2)mRNA 的检测显示,IL-13 对增加雄性鼠气道中 P2ry2 的表达有主要的处理效应,而俱乐部细胞 Creb1 的缺失则没有影响。在雌性小鼠中,IL-13 会增加两种基因型的 P2ry2 mRNA,而会厌细胞 Creb1 的缺失会显著削弱 IL-13 对 P2ry2 mRNA 的影响。最后,我们在使用毒蕈碱类药物进行体内刺激后,使用 Alcian Blue-PAS 染色法检测了鹅口疮细胞密度和粘蛋白分泌机制。我们发现,在雄性或雌性气道中,治疗或基因型对含有酸性粘蛋白的上睑细胞密度没有重大影响。相反,雄性和雌性气道中含有中性粘蛋白的上睑细胞密度在 IL-13 的介导下均有所增加,而基因型对其没有影响。我们的初步研究结果表明,会厌细胞 Creb1 的缺失会降低男性和女性气道中分子粘蛋白的分泌机制,并增加男性气道中 Muc5ac 和 Muc5b 的 mRNA,但没有观察到胆碱能刺激后小管细胞密度的相应基因型依赖性增加。因此,我们得出结论:会厌细胞 Creb1 的缺失会导致 IL-13 介导的粘蛋白分泌过多的重要分子发生变化,但对小鼠气道没有明显的功能性益处或损害。这项工作得到了美国国立卫生研究院(OD026582、HL152101)、囊性纤维化基金会(REZNIKO20I0、REZNIKO19I0)、凯蒂-罗斯基金会(AWD08203)和佛罗里达大学麦克奈特职业加速器奖的支持。安吉丽娜-博尼利亚获得了美国国立卫生研究院(R25GM115298)的资助。Pedro Trevizan Bau获得佛罗里达大学麦克奈特脑研究所盖特神经学者奖学金。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
Ongoing, Chronic Stress Exposure Is Related to Impaired Vascular Endothelial Function Among Young Adults Irrespective of Subjective Appraisal of Stressor Severity 持续、慢性压力暴露与年轻人血管内皮功能受损有关,与压力严重程度的主观评价无关
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.712
Alyssa S. Carlson, Laura E. Schwager, Sara Diesel, Jenna Adamowicz, Jordan Harris, Mark Flores, E. Thomas
Introduction: Chronic stress is associated with cardiovascular morbidity independently of traditional cardiovascular risk factors. Vascular endothelial function (VEF) is predictive of cardiovascular risk and is reduced in response to transient and chronic psychosocial stress. While dominant stress theories (i.e., differential exposure model) posit that stress exposure explains health disparities, it has also been hypothesized that the subjective experience of these stressors — or stress appraisal — may also influence the effects of stress exposure on health. The purpose of this study was to investigate the associations of ongoing, chronic stress exposure and stress appraisal on VEF in young adults. Our hypothesis was that ongoing, chronic stress exposure, rather than stress appraisal, would be more strongly and inversely associated with VEF. We further conceptualized that stress appraisal would moderate the association between stress exposure and VEF. Methods: In 64, healthy young adults (75% Female; age = 25 ± 5 y), we assessed cumulative, chronic stress exposure with a measure that quantified ongoing exposure to 8 specific stressors over the last 12 months. For each chronic stress exposure reported, participants rated the perceived stressor severity using a 3-point Likert scale ( 1 = not upsetting, 2 = somewhat upsetting, 3 = very upsetting). The number of stressors was used as the indicator of ongoing, chronic stress exposure, while the average stressor severity was used as the indicator of stress appraisal. We assessed VEF using the brachial artery flow mediated dilation (FMD) technique normalized to the shear rate stimulus (%·[s1×10−2]) quantified as shear rate area under the curve. Using partial correlations, we examined relations among ongoing, chronic stress exposure and stress appraisal versus VEF, independently of sex. We then conducted an exploratory moderation analysis to assess whether stress appraisal moderated the effect of ongoing, chronic stress exposure on VEF. Results: Ongoing, chronic stress exposure (r=-0.32, p<0.05), but not stress appraisal (r=-0.13, p=0.34) was related to VEF. Further, stress appraisal did not significantly moderate the association between ongoing, chronic stress exposure and VEF (p=0.69). However, the direct effect of ongoing, chronic stress exposure was statistically significant (β = -0.51; p=0.009), whereas the effect of stress appraisal was not (p=0.79), confirming our initial correlation analyses. Conclusions: Our findings indicate that ongoing, chronic stress exposure, rather than the subjective appraisal of this stress, significantly predicts impaired vascular endothelial function among young adults. Thus, our findings provide initial evidence indicating that stressor exposure is suffcient to increase cardiovascular risk independently of the perceived severity of the stressor(s) among young adults. However, the strength of our moderation analysis is limited by sample size, and future larger-scale st
简介除传统的心血管风险因素外,慢性压力还与心血管发病率有关。血管内皮功能(VEF)可预测心血管风险,并在短暂和慢性社会心理压力下降低。虽然主流压力理论(即差异暴露模型)认为压力暴露可以解释健康差异,但也有人假设这些压力的主观体验或压力评价也可能影响压力暴露对健康的影响。本研究的目的是调查持续、慢性压力暴露和压力评价对青壮年 VEF 的影响。我们的假设是,持续、慢性的压力暴露,而不是压力评价,会与 VEF 产生更强的反向关系。我们还进一步设想,压力评价将缓和压力暴露与 VEF 之间的关系。研究方法我们以 64 名健康的年轻人(75% 为女性;年龄 = 25 ± 5 岁)为对象,通过量化他们在过去 12 个月中持续暴露于 8 种特定压力源的情况,来评估他们的累积慢性压力暴露情况。对于所报告的每一种慢性压力暴露,参与者都会使用 3 点李克特量表(1 = 不令人不安,2 = 有点令人不安,3 = 非常令人不安)对所感知的压力严重程度进行评分。压力源的数量被用作持续、慢性压力暴露的指标,而平均压力源严重程度被用作压力评估的指标。我们使用肱动脉血流介导扩张(FMD)技术对 VEF 进行评估,并将其归一化为剪切率刺激(%-[s1×10-2]),量化为剪切率曲线下面积。我们利用偏相关性研究了持续、慢性压力暴露和压力评价与 VEF 之间的关系,与性别无关。然后,我们进行了一项探索性调节分析,以评估压力评价是否调节了持续、慢性压力暴露对 VEF 的影响。结果显示持续、慢性压力暴露(r=-0.32,p<0.05)而非压力评价(r=-0.13,p=0.34)与VEF有关。此外,压力评价并没有明显缓和持续、慢性压力暴露与 VEF 之间的关系(p=0.69)。然而,持续、慢性压力暴露的直接影响具有统计学意义(β=-0.51;p=0.009),而压力评价的影响则没有(p=0.79),这证实了我们最初的相关分析。结论我们的研究结果表明,持续、慢性的压力暴露,而不是对这种压力的主观评价,可显著预测青壮年血管内皮功能受损的情况。因此,我们的研究结果提供了初步证据,表明压力暴露足以增加年轻人的心血管风险,而不受压力严重程度的影响。然而,我们的调节分析的力度受到样本量的限制,今后可能需要进行更大规模的研究,以充分了解压力评估在多大程度上调节了慢性压力与心血管风险之间的联系。未来的研究还可能试图了解潜在的、重要的、可改变的心理过程是如何影响这种关系的,这些心理过程也可能与压力评估无关。本文由美国疾病预防控制中心伤害预防研究中心(R49 CE003095; NDMJ 和 EBKT)提供资助。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
Mitochondrial function in lungs of rats with different susceptibilities to hyperoxia-induced Acute Respiratory Distress Syndrome (ARDS) 高氧诱发急性呼吸窘迫综合征(ARDS)不同易感性大鼠肺部的线粒体功能
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.969
Pardis Taheri, Ranjan Dash, Devanshi Dave, Anne Clough, E. Jacobs, Said Audi
Objective: Rat exposure to hyperoxia is a well-established model of human ARDS. Adult rats exposed to hyperoxia (100% O2) die from respiratory failure within 60-72 hours. However, rats preconditioned by exposure to >95% O2 for 48 hrs followed by a 24-hr “rest period” in room air (H-T) acquire tolerance of the otherwise lethal effects of exposure to 100% O2. In contrast, rats preconditioned by exposure to 60% O2 for 7 days (H-S) become more susceptible to 100% O2. The objective was to evaluate lung tissue mitochondrial bioenergetics in H-T and H-S rats. Methods: Adult rats were exposed to room air (normoxia), >95% O2 for 48 hrs followed by exposure to room air for 24 hrs (H-T), or 60% O2 for 7 days (H-S). Mitochondria were isolated from lung tissue and used to assess mitochondrial bioenergetics. Expressions of electron transport chain complexes were measured in lung tissue homogenate using western blot. Isolated perfused lungs (IPL) were used to determine pulmonary vascular endothelial filtration coeffcient ( Kf) as a measure of pulmonary vascular permeability, and lung tissue mitochondrial membrane potential (ΔΨm). Results: Western blot shows decreased (38%) complex I expression, but increased (70%) complex V expression in H-T lung tissue homogenate compared to normoxia. Complex I expression decreased (43%) in H-S lung tissue homogenate. State 3 oxidative phosphorylation (OxPhos) capacity (Vmax) and respiratory control ratio decreased in mitochondria isolated from H-S lungs. Vmax increased in mitochondria of H-T lungs. Time for ΔΨm repolarization following ADP-stimulated depolarization increased in mitochondria isolated from H-S lungs. IPL studies revealed that tissue ΔΨm is unchanged in H-S and H-T lungs compared to normoxics. Furthermore, complex I plays the dominant role in ΔΨm in H-T and normoxia lungs with no contribution from complex II, whereas complex II has a larger contribution to ΔΨm in H-S lungs than in H-T or normoxia. Kf increased (+178%) in H-S, but not H-T lungs. Discussion: For H-T lungs, decreased complex I expression is countered by increased complex V expression, which could also account for increased Vmax. This along with high tissue glutathione content protects mitochondria from stress such as exposure to 100% O2. For H-S lungs, the effect of decreased complex I expression on lung tissue ΔΨm is countered by a larger contribution from complex II. However, higher dependency of ΔΨm on complex II could lead to higher mitochondrial oxidant production since complex II is the main source of oxidants in rat lungs. This along with decreased Vmax and increased Kf make H-S rats more susceptible to stress such as exposure to 100% O2. These results are clinically relevant since exposure to hyperoxia is a primary therapy for patients with ARDS, and ventilation with 60% O2 is often required for prolonged periods of time, particularly with COVID-19. This study was funded by NHLBI grant 2R15HL129209-03, Department of Veterans Affairs Merit R
目的:大鼠暴露于高氧环境是人类 ARDS 的一种成熟模型。成年大鼠暴露于高氧(100% O2)环境中 60-72 小时内死于呼吸衰竭。然而,先将大鼠暴露于>95%的氧气中 48 小时,然后在室内空气中 "休息 "24 小时(H-T),大鼠就能耐受暴露于 100% 氧气的致命影响。相反,在 60% 的氧气中暴露 7 天(H-S)的大鼠则更容易受到 100% 氧气的影响。目的是评估 H-T 和 H-S 大鼠肺组织线粒体生物能。方法:成年大鼠暴露于室内空气(常氧)、>95% O2 48 小时后再暴露于室内空气 24 小时(H-T)或 60% O2 7 天(H-S)。从肺组织中分离出线粒体,用于评估线粒体生物能。用 Western 印迹法测定肺组织匀浆中电子传递链复合物的表达。用分离灌注肺(IPL)测定肺血管内皮滤过系数(Kf)(作为肺血管通透性的测量指标)和肺组织线粒体膜电位(ΔΨm)。结果显示Western 印迹显示,与常氧状态相比,H-T 肺组织匀浆中复合体 I 的表达量减少(38%),但复合体 V 的表达量增加(70%)。复合体 I 在 H-S 肺组织匀浆中的表达量减少(43%)。从 H-S 肺中分离出的线粒体中,状态 3 氧化磷酸化(OxPhos)能力(Vmax)和呼吸控制比率均有所下降。H-T 肺线粒体的 Vmax 增加。从 H-S 肺中分离的线粒体在 ADP 刺激去极化后的ΔΨm 再极化时间增加。IPL 研究显示,与正常毒物相比,H-S 和 H-T 肺组织中的ΔΨm 没有变化。此外,复合体 I 在 H-T 和常氧肺的ΔΨm 中起主导作用,而复合体 II 则不起作用,而复合体 II 在 H-S 肺的ΔΨm 中的作用大于 H-T 或常氧肺。Kf在H-S肺中增加(+178%),而在H-T肺中没有增加。讨论:在H-T肺中,复合体I表达的减少被复合体V表达的增加所抵消,这也可能是Vmax增加的原因。这与高组织谷胱甘肽含量一起保护线粒体免受压力(如暴露于 100% 的氧气)。对于 H-S 肺,复合体 I 表达量减少对肺组织ΔΨm 的影响被复合体 II 的更大贡献所抵消。然而,由于复合体 II 是大鼠肺中氧化剂的主要来源,ΔΨm 对复合体 II 的更高依赖性可能会导致线粒体氧化剂产生更多。这与 Vmax 的降低和 Kf 的增加一起,使 H-S 大鼠更容易受到压力(如暴露于 100% 的氧气)的影响。这些结果具有临床意义,因为暴露于高氧环境是 ARDS 患者的主要治疗方法,而 60%O2 的通气通常需要长时间进行,尤其是 COVID-19。这项研究得到了美国国家HLBI 2R15HL129209-03、退伍军人事务部优秀评审奖 BX001681 和国家自然科学基金 DMS 2153387 的资助。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
Intermittent ethanol vapor exposure enhances ferroptosis following repeated mild traumatic brain injury in the frontal lobe of adolescent rats; potential role of mitochondrial dysregulation 间歇性接触乙醇蒸汽会增强青少年大鼠额叶反复轻度脑损伤后的铁蛋白沉积;线粒体失调的潜在作用
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.2038
Xavier Chapa, Sydney Vita, Nick Gilpin, Scott Edwards, Liz Simon, Patricia Molina
Adolescents involved in sports have increased risk of traumatic brain injuries (TBI), and frequently participate in binge alcohol consumption in comparison to non-athletic peers. Recovery from a TBI requires substantial energy, and effcient metabolic activity, which depend on intact mitochondria structure and function. Alcohol impairs mitochondrial function, including mitochondrial dynamics and metabolism); that may ultimately lead to cell death. Among cell death pathways, the iron-dependent programmed cell death known as ferroptosis; which has been shown to be predominant in TBI is especially sensitive to changes in mitochondrial energy production. Whether alcohol affects TBI-associated alterations in mitochondrial function and promotes ferroptosis is not known. The aim of this study was to determine how alcohol contributes to repeated-mild TBI (rmTBI)-induced alterations in mitochondrial function (dynamics & metabolism) and ferroptosis signaling in the prefrontal cortex of adolescent male rats. Adolescent male Wistar rats were randomly assigned to i) Sham + Air (control), ii) Sham + ethanol (EtOH), iii) rmTBI + Air, or iv) rmTBI + EtOH. Starting on postnatal day 45, the animals received 3 days of intermittent EtOH vapor exposure (14 hrs on/10 hrs off). Twenty-four hours after the final EtOH exposure, animals were given an mTBI or sham procedure. This sequence was repeated for four cycles. Seven days after the final rmTBI, animals were euthanized, and brains excised for analysis, specifically the frontal lobe. Our preliminary results demonstrate that mitochondrial fusion protein, OPA1, expression was not altered in the PFC by either rmTBI or by EtOH exposure alone. However, rmTBI+EtOH resulted in a significant increase in OPA1 expression. EtOH exposure produced a significant increase in COX-IV (a subunit of ETC complex IV) expression. However, COX-IV expression was not significantly different between rmTBI or rmTBI + EtOH and controls. Mitochondrial complex I activity was not altered by rmTBI, EtOH, or rmTBI + EtOH. Expression of transferrin receptor (TfR1), a specific marker of ferroptosis was significantly increased by rmTBI and EtOH this effect was further exacerbated in the rmTBI + EtOH group. Overall, our study shows that the combination of rmTBI with EtOH exposure affects OPA1-mediated mitochondrial fusion. Additionally, exposure to EtOH increases complex IV expression. Moreover, both rmTBI and EtOH exposure independently triggered signaling pathways associated with ferroptosis, and this effect was synergistically increased when with rmTBI+ EtOH. These findings underscore the intricate interplay between EtOH exposure and rmTBI, influencing crucial mitochondrial proteins and markers of ferroptosis in the frontal lobe of the adolescent rat brain. Further research is needed to fully comprehend the underlying mechanisms and implications of these observations. This research was supported by NIH/NIAAA R01 AA025792 (PEM, NWG) & T32 AA007577 (PEM)
与不参加体育运动的同龄人相比,参加体育运动的青少年罹患创伤性脑损伤(TBI)的风险更高,而且经常酗酒。创伤性脑损伤后的恢复需要大量的能量和有效的新陈代谢活动,而这取决于线粒体的结构和功能是否完好。酒精会损害线粒体功能,包括线粒体动力学和新陈代谢),最终可能导致细胞死亡。在细胞死亡途径中,铁依赖性程序性细胞死亡(称为铁猝死)已被证明在创伤性脑损伤中占主导地位,它对线粒体能量产生的变化尤其敏感。酒精是否会影响与创伤性脑损伤相关的线粒体功能改变并促进铁细胞凋亡尚不清楚。本研究的目的是确定酒精是如何促进反复轻度创伤性脑损伤(rmTBI)诱导的线粒体功能(动力学和新陈代谢)改变以及青少年雄性大鼠前额叶皮层的铁氧化信号传导的。青春期雄性 Wistar 大鼠被随机分配到 i) Sham + Air(对照组)、ii) Sham + 乙醇(EtOH)、iii) rmTBI + Air 或 iv) rmTBI + EtOH。从出生后第 45 天开始,动物接受为期 3 天的间歇性乙醇蒸汽暴露(开 14 小时/关 10 小时)。最后一次接触乙醇后 24 小时,对动物进行 mTBI 或假手术。如此反复进行四个周期。最后一次 rmTBI 七天后,动物被安乐死,大脑被切除进行分析,特别是额叶。我们的初步研究结果表明,线粒体融合蛋白 OPA1 在前额叶中的表达并未因 rmTBI 或单独接触乙醇而发生改变。然而,rmTBI+EtOH 会导致 OPA1 的表达显著增加。暴露于乙醇会导致 COX-IV(ETC 复合物 IV 的一个亚基)的表达明显增加。然而,COX-IV 的表达在 rmTBI 或 rmTBI + EtOH 与对照组之间没有明显差异。rmTBI、EtOH 或 rmTBI + EtOH 均未改变线粒体复合体 I 的活性。转铁蛋白受体 (TfR1) 的表达是铁变态反应的一个特异性标记,rmTBI 和 EtOH 会显著增加转铁蛋白受体 (TfR1) 的表达。总之,我们的研究表明,rmTBI 和暴露于 EtOH 会影响 OPA1 介导的线粒体融合。此外,暴露于 EtOH 会增加复合体 IV 的表达。此外,rmTBI 和暴露于 EtOH 都会独立触发与铁变态反应相关的信号通路,而当 rmTBI+EtOH 时,这种效应会协同增强。这些发现强调了暴露于EtOH和rmTBI之间错综复杂的相互作用,影响了青少年大鼠大脑额叶中关键的线粒体蛋白和铁变态反应标志物。要充分理解这些观察结果的内在机制和意义,还需要进一步的研究。本研究得到了美国国立卫生研究院/美国国立卫生研究院 R01 AA025792(PEM、NWG)和 T32 AA007577(PEM)的支持。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
Progesterone Supplementation Improves the Maternal Syndrome of Superimposed Preeclampsia in the Dahl Salt Sensitive Rats 补充黄体酮可改善达尔盐敏感大鼠叠加子痫前期的母体综合征
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.1358
Christy Chambers, Michael Franks, Ariel Harrell, N. Campbell, Sarah Safir, T. Turner, Jan M. Williams
Introduction: Preeclampsia (PE) is characterized by new onset of hypertension after 20 weeks of gestation. It affects 5-7% of all pregnancies in the U.S., and is associated with reduced fetal weight, inflammation and hypertension (HTN). Importantly, 30% of HTN disorders in pregnancy are caused by chronic HTN that is present prior to pregnancy which increases the risk of superimposed PE (SIPE). The mechanisms responsible for the pathogenesis of PE and SIPE are unclear and currently the only treatment is early delivery of the fetus. Progesterone is important for the establishment and maintenance of pregnancy. We have previously shown that progesterone supplementation with 17-hydroxyprogesterone caproate (17-OHPC) improves inflammation, fetal weight and blood pressure in the preclinical RUPP rat model of PE, however the mechanism for this in SIPE is still unknown. Hypothesis: This study was designed to test the hypothesis that 17-OHPC reduces inflammation while improving maternal blood pressure in the preclinical pregnant Dahl Salt Sensitive (DS) rat model of SIPE. Methods: 17-OHPC (3.32mg/kg) or vehicle (Saline) was administrated intraperitoneally on gestation day (GD) 15 to normal pregnant (NP) Sprague-Dawley (SD) and pregnant Dahl Salt Sensitive (DS) rats. On GD 18, Uterine Artery Resistance Index (UARI) was measured by Vevo Doppler Ultrasound and carotid catheters were inserted. On GD 19, mean arterial blood pressure (MAP) and samples were collected. All data are expressed as mean ± standard error means (SEM). Results: MAP was 105±5 mmHg in SD+ Saline rats (n=7) and 105±4 mmHg in SD+17-OHPC rats (n=4), 137±3 mmHg in DS + Saline rats (p<0.05, n=11), which improved to 125±4 mmHg in DS+17-OHPC rats (p<0.05, n=7). Pup and Placenta weights were 2.1± 0.1 g, 0.6 ± 0.1 g in SD + saline rats and significantly reduced to 1.4±0.1 g, 0.5±0.1 g in DS+ Saline rats (p<0.05). Neither placental weight nor pup weight was affected by 17-OHPC. UARI was 0.5 ±0.1 in SD+ Saline rats (n=6) and 0.5 ±0.1 in in SD+17-OHPC (n=4), 0.7±0.1 in DS+Saline rats (n=6, p<0.05), which reduced to 0.5±0.1 in DS+17-OHPC (n=7, p<0.05). TNF-alpha levels were 3.0±1.0 pg/mL in SD+ Saline rats, 11.0±1.2 in DS + Saline rats, which reduced to 4.1±1.6 in DS+17-OHPC (n=4, p<0.05). Importantly, circulating and placental CD4+ T cells were 9.3±3.7 % Gate and 6.4± 1.6 % Gate in SD+ Saline rats (n=4), 38.9 ±2.9 % Gate and 33.1±4.3 % Gate in DS + Saline rats (n=6), which significantly reduced to 26.3 ± 0.1 % Gate and 3.4±1.2 % Gate in DS + 17-OHPC. Conclusion: Collectively, our findings demonstrate that 17-OHPC reduces inflammation and hypertension in the Dahl Salt Sensitive rat model of SIPE. Supported by NIH P20GM121334. 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.
导言子痫前期(PE)的特点是妊娠 20 周后新发高血压。在美国,5%-7%的妊娠都会发生子痫前期,并与胎儿体重减轻、炎症和高血压(HTN)有关。重要的是,30% 的妊娠高血压疾病是由妊娠前就存在的慢性高血压引起的,这增加了叠加性妊娠高血压(SIPE)的风险。PE 和 SIPE 的发病机制尚不清楚,目前唯一的治疗方法是尽早分娩胎儿。孕酮对妊娠的建立和维持非常重要。我们以前的研究表明,在 PE 的临床前 RUPP 大鼠模型中,用己酸17-羟孕酮(17-OHPC)补充孕酮可改善炎症、胎儿体重和血压,但这在 SIPE 中的作用机制仍不清楚。假设本研究旨在验证 17-OHPC 在临床前妊娠达氏盐敏感(DS)大鼠 SIPE 模型中减轻炎症反应并改善母体血压的假设。方法:在妊娠第 15 天(GD)给正常妊娠(NP)Sprague-Dawley(SD)大鼠和妊娠 Dahl 盐敏感(DS)大鼠腹腔注射 17-OHPC(3.32 毫克/千克)或载体(生理盐水)。妊娠第 18 天,用 Vevo 多普勒超声测量子宫动脉阻力指数(UARI),并插入颈动脉导管。广东十一选五第 19 天,收集平均动脉血压 (MAP) 和样本。所有数据均以平均值±标准误差(SEM)表示。结果SD+ 盐水大鼠的平均动脉血压为 105±5 mmHg(n=7),SD+17-OHPC 大鼠的平均动脉血压为 105±4 mmHg(n=4),DS+ 盐水大鼠的平均动脉血压为 137±3 mmHg(p<0.05,n=11),DS+17-OHPC 大鼠的平均动脉血压降至 125±4 mmHg(p<0.05,n=7)。SD+ 生理盐水大鼠的幼鼠和胎盘重量分别为 2.1±0.1 g 和 0.6±0.1 g,而 DS+ 生理盐水大鼠的幼鼠和胎盘重量分别为 1.4±0.1 g 和 0.5±0.1 g(p<0.05)。胎盘重量和幼崽重量均不受 17-OHPC 的影响。SD+盐水大鼠的 UARI 为 0.5 ±0.1 (n=6),SD+17-OHPC 为 0.5 ±0.1 (n=4),DS+盐水大鼠为 0.7 ±0.1 (n=6,p<0.05),DS+17-OHPC 降至 0.5 ±0.1 (n=7,p<0.05)。TNF-α 水平在 SD+ 盐水大鼠中为 3.0±1.0 pg/mL,在 DS+ 盐水大鼠中为 11.0±1.2,在 DS+17-OHPC 中降至 4.1±1.6(n=4,p<0.05)。重要的是,循环和胎盘 CD4+ T 细胞在 SD+ 盐水大鼠(n=4)中分别为 9.3±3.7 % Gate 和 6.4±1.6 % Gate,在 DS+ 盐水大鼠(n=6)中分别为 38.9 ±2.9 % Gate 和 33.1±4.3 % Gate,而在 DS+17-OHPC 中则显著降至 26.3 ± 0.1 % Gate 和 3.4±1.2 % Gate。结论总之,我们的研究结果表明,17-OHPC 可减少达氏盐敏感大鼠 SIPE 模型中的炎症和高血压。由美国国立卫生研究院 P20GM121334 赞助。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
Effect of Circulating Extracellular Vesicles from Adults with Spinal Cord Injury on Pulmonary Artery Endothelial Cell Function 脊髓损伤成人的循环细胞外囊泡对肺动脉内皮细胞功能的影响
IF 8.4 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2024-05-01 DOI: 10.1152/physiol.2024.39.s1.1951
Samuel T. Ruzzene, Hannah K. Fandl, Hannah L. Cardenas, Vinicius P. Garcia, Jared James Greiner, A. J. Park, Christopher A. DeSouza
Spinal cord injury (SCI) is associated with an increased risk and prevalence of cardiopulmonary and cerebrovascular disease-related morbidity and mortality. Despite an improved understanding of the neurological and physical consequences associated with SCI, factors that initiate, promote and accelerate cardiopulmonary disease are poorly understood. It has become apparent that the increased incidence of pulmonary disorders in adults with chronic SCI is not solely due to worsening of traditional risk factors, but also involves ill-defined factors. Several studies have implicated circulating endothelial cell-derived microvesicles (EMVs) in the etiology of cardiopulmonary diseases. We have previously reported that circulating EMVs are elevated in adults with chronic SCI and the expression of their microRNA cargo promotes disease. Reduction in pulmonary nitric oxide (NO) bioavailability and increased endothelin (ET)-1 production underly many cardiopulmonary disorders associated with SCI. The experimental aim of this study was to determine the effect of EMVs isolated from adults with chronic tetraplegic SCI on pulmonary endothelial cell NO and ET-1 production. As part of an ongoing study, circulating EMVs (CD144-PE) were isolated (flow cytometry) from 7 non-injured adults (all male; age: 38±4 yr) and 7 motor complete SCI adults with tetraplegic SCI (male; 44±5 yr). All subjects were free of overt cardiometabolic disease. Human pulmonary artery endothelial cells (HPAECs) were cultured and separately treated with EMVs from each subject for 24 hr. Expression of intracellular NO and ET-1 proteins of interest was determined by capillary electrophoresis immunoassay. Circulating EMV concentrations were significantly higher (~200%) in SCI vs non-injured (154±36 vs 54±7 EMV/μL). Expression of p-eNOS (Ser1177), the primary activation site for eNOS, was ~30% lower (96.0±2.3 vs 140.7±8.9 AU; p<0.01) and p-eNOS (Thr495), primary inhibitory site, ~40% higher (40.7±1.7 vs 28.8±3.1 AU; p<0.01) in cells treated with EMVs from SCI vs non-injured. As a result, NO production was ~20% lower (6.5±0.3 vs 8.3±0.7 μmol/L; P=0.03) in HPAECs treated with EMVs from adults with SCI. SCI-associated EMVs also significantly increased (~70%) the expression of Big ET-1 (60.6±3.6 vs 36.1±2.7 AU) resulting in enhanced endothelial ET-1 production (884.0±22.9 vs 778.7±18.0 pg/mL). In conclusion, EMVs harvested from adults with SCI markedly reduced eNOS activation and NO production and increased ET-1 synthesis and release in pulmonary endothelial cells in vitro. Circulating EMVs represent a potential mechanistic factor underlying pulmonary disorders and increased disease risk with SCI. 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.
脊髓损伤(SCI)会增加心肺和脑血管疾病相关的发病率和死亡率。尽管人们对 SCI 相关的神经和身体后果有了更深入的了解,但对引发、促进和加速心肺疾病的因素却知之甚少。很明显,慢性 SCI 成年人肺部疾病发病率的增加并不仅仅是由于传统风险因素的恶化,还涉及一些未明确的因素。多项研究表明,循环内皮细胞衍生的微囊泡(EMV)与心肺疾病的病因有关。我们以前曾报道过,循环中的 EMVs 在患有慢性 SCI 的成人中升高,其 microRNA 货物的表达会促进疾病的发生。肺部一氧化氮(NO)生物利用率的降低和内皮素(ET)-1 生成的增加是许多与 SCI 相关的心肺疾病的基础。本研究的实验目的是确定从患有慢性四肢瘫痪SCI的成年人体内分离出的EMV对肺内皮细胞NO和ET-1生成的影响。作为一项正在进行的研究的一部分,从 7 名未受伤的成年人(均为男性;年龄:38±4 岁)和 7 名运动性完全性 SCI 四肢瘫成年人(男性;44±5 岁)中分离出循环 EMV(CD144-PE)(流式细胞术)。所有受试者均无明显的心脏代谢疾病。用毛细管电泳免疫测定法测定细胞内NO和ET-1蛋白的表达。SCI 与非损伤相比,循环中的 EMV 浓度明显更高(约 200%)(154±36 vs 54±7 EMV/μL)。在用 SCI 与非损伤的 EMV 处理的细胞中,eNOS 的主要激活位点 p-eNOS (Ser1177) 的表达量减少了约 30% (96.0±2.3 vs 140.7±8.9 AU;p<0.01),而主要抑制位点 p-eNOS (Thr495) 的表达量增加了约 40% (40.7±1.7 vs 28.8±3.1 AU;p<0.01)。因此,用来自SCI成人的EMV处理的HPAECs的NO产生量减少了约20%(6.5±0.3 vs 8.3±0.7 μmol/L;P=0.03)。SCI相关EMV还显著增加了(约70%)大ET-1的表达(60.6±3.6 vs 36.1±2.7 AU),导致内皮ET-1生成增加(884.0±22.9 vs 778.7±18.0 pg/mL)。总之,从患有 SCI 的成人身上采集的 EMV 在体外明显降低了 eNOS 的激活和 NO 的产生,增加了肺内皮细胞中 ET-1 的合成和释放。循环中的 EMV 是导致肺功能紊乱和 SCI 疾病风险增加的潜在机理因素。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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