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Grip force control under sudden change of friction. 摩擦力骤变时的握力控制
IF 4.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-12-14 DOI: 10.1113/JP286486
Laurence Willemet, Felix Roël, David Abbink, Ingvars Birznieks, Michaël Wiertlewski

A task as simple as holding a cup between your fingers generates complex motor commands to finely regulate the forces applied by muscles. These fine force adjustments ensure the stability and integrity of the object by preventing it from slipping out of grip during manipulation and by reacting to perturbations. To do so, our sensorimotor system constantly monitors tactile and proprioceptive information about the force object exerts on fingertips and the friction of the surfaces to determine the optimal grip force. While the literature describes the transient responses, humans can generate to react to perturbations in load force, it is yet to be determined if humans can also react to abrupt changes in friction while already holding an object. Only recently technology using imperceivable ultrasonic vibrations became available to modulate friction in real time to investigate this question. In this study, we used an object with an integrated friction modulation device suspended in a pulley system controlling the load. With this device, we explored the rapid adaptation of the sensorimotor system to changes in friction alone and in combination with changes in load. When load force and friction changed simultaneously, the grip force response was regulated based on the grip safety requirements. Participants increased their grip force in response to decrease in friction. However, they did not adjust their grip force when the friction increased, which is expected based on our biomechanical model of friction sensing mechanisms. KEY POINTS: Simple tasks like pouring water into a glass mobilize intricate interactions between fingertip sensory inputs and motor commands to account for the weight change and friction. It has been investigated how humans react to force perturbations when holding an object, but very little is known about how frictional changes are sensed and acted upon while holding an object, for example, due to sweating or condensation. We engineered a unique experimental object that utilizes imperceivable ultrasonic vibrations to change the frictional properties of the surface in a few milliseconds. This apparatus enabled us to study how human subjects react to change of friction when gripping or holding an object. We showed that humans adjust the strength of their grasp when forces in the direction of gravity either increase or decrease; however, frictional change evokes adjustments only when friction decreases.

像用手指夹住杯子这样简单的任务,会产生复杂的运动指令,以精细地调节肌肉施加的力。这些精细的力调整确保了物体的稳定性和完整性,防止它在操纵过程中滑出抓手,并对扰动作出反应。为此,我们的感觉运动系统不断监测物体对指尖施加的力和表面摩擦的触觉和本体感受信息,以确定最佳的握力。虽然文献描述了瞬态反应,人类可以产生对负载力扰动的反应,但尚未确定人类是否也可以在已经持有物体的情况下对摩擦力的突然变化做出反应。直到最近,人们才利用难以察觉的超声波振动来实时调节摩擦,从而研究这个问题。在本研究中,我们使用了一个带有集成摩擦调节装置的物体,该装置悬挂在滑轮系统中控制负载。通过这个装置,我们探索了感觉运动系统对单独摩擦变化的快速适应,以及与负载变化的结合。当载荷力和摩擦力同时变化时,根据握把安全要求调节握把力响应。由于摩擦减少,参与者握力增加。然而,当摩擦力增加时,他们并没有调整他们的握力,这是基于我们的摩擦传感机制的生物力学模型所期望的。要点:像把水倒进玻璃杯这样简单的任务调动了指尖感官输入和运动指令之间复杂的相互作用,以解释重量变化和摩擦。人们已经研究了人类在拿着一个物体时对力扰动的反应,但很少有人知道当拿着一个物体时,摩擦变化是如何被感知和作用的,例如,由于出汗或凝结。我们设计了一个独特的实验对象,它利用难以察觉的超声波振动在几毫秒内改变表面的摩擦特性。这个装置使我们能够研究人类受试者在紧握或握住物体时对摩擦变化的反应。我们发现,当重力方向的力增加或减少时,人类会调整抓握的力度;然而,只有当摩擦减少时,摩擦变化才会引起调整。
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引用次数: 0
Influence of pericardium on ventricular mechanical interdependence in an isolated biventricular working pig heart model. 心包对离体猪双心室工作心脏模型心室机械相互依赖的影响。
IF 4.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-12-26 DOI: 10.1113/JP286259
Fanny Vaillant, Emma Abell, Laura R Bear, Guido Caluori, Charly Belterman, Ruben Coronel, Sylvain Ploux, Pierre Dos Santos

The pericardium plays an important role in mechanical interactions between the right (RV) and left (LV) ventricles, referred to as ventricular interdependence. However, the exact mechanisms of its supportive role remain unknown. The present study aimed to evaluate specifically ventricular interdependence in a model of isolated biventricular working heart of large mammal, which is in absence of neurohormonal influence or series interactions, and to evaluate the impacts of intact pericardium on this phenomenon. Pig hearts were excised with the pericardium intact and connected to a biventricular working mode setup. Low and high ventricular preloads and afterloads were imposed on the hearts by changing independently the left (LA) and right (RA) atrial pressures, or the aortic (Ao) and pulmonary artery (PA) pressures, respectively, in the presence or absence of an intact pericardium. In the presence of the pericardium, increasing atrial pressures mainly impacted the ipsilateral ventricular haemodynamics, including an increase in ventricular outflow and end-diastolic pressures, independent of the contralateral atrial pressure. LV haemodynamics were also mainly altered by the increase in the ipsilateral afterload (Ao pressure). By contrast, RV haemodynamics, including the PA flow, were not only affected by increasing its ipsilateral (PA pressure), but also by its contralateral (Ao pressure) ventricular afterload. The preload but not afterload-dependent effects were abolished after removing the pericardium. Our work indicates that RV haemodynamics are highly impacted by the pericardiectomy. This highlights the requirement of keeping the pericardium intact to explore accurately cardiac haemodynamics, particularly in the RV. KEY POINTS: Pericardium has an important role in maintaining mechanical interventricular interaction, even if it is not essential for life. We used an ex vivo biventricular working pig heart model to explore intrinsic ventricular responses to independent variations of left and right preload and afterload, in the presence and absence of the pericardium. We show that, in the presence of the pericardium, the right ventricular haemodynamics is impacted by the ipsilateral preload as well as the ipsi- and contralateral afterloads, whereas the left ventricular haemodynamics is only impacted by its ipsilateral pre- and afterload. The preload but not afterload-dependent effects are abolished after removing the pericardium. These results demonstrate a critical function of the pericardium in maintaining RV haemodynamics, as well as preload-dependent ventricular interactions.

心包在右心室(RV)和左心室(LV)之间的机械相互作用中起重要作用,称为心室相互依赖。然而,其支持作用的确切机制尚不清楚。本研究旨在评估大型哺乳动物离体双心室工作心脏模型在缺乏神经激素影响或系列相互作用的情况下的心室相互依赖,并评估完整心包对这种现象的影响。猪心脏在心包完整的情况下切除,并连接到双心室工作模式设置。在完整心包存在或不存在的情况下,分别通过独立改变左(LA)和右(RA)心房压力,或主动脉(Ao)和肺动脉(PA)压力,对心脏施加低和高心室前负荷和后负荷。在心包存在的情况下,心房压力的增加主要影响同侧心室血流动力学,包括心室流出量和舒张末期压力的增加,而不依赖于对侧心房压力。左室血流动力学也主要因同侧后负荷(Ao压)的增加而改变。相比之下,右心室血流动力学(包括左室血流)不仅受到其同侧(左室压)增加的影响,而且受到其对侧(左室压)心室后负荷的影响。去除心包后,前负荷依赖性而非后负荷依赖性效应被消除。我们的工作表明右心室血流动力学受到心包切除术的高度影响。这强调了保持心包完整的要求,以准确地探索心脏血流动力学,特别是在右心室。心包在维持机械心室间相互作用方面具有重要作用,即使它不是生命所必需的。我们使用离体双心室工作猪心脏模型来探索在心包存在和不存在的情况下,左、右前负荷和后负荷独立变化的内在心室反应。我们发现,在心包存在的情况下,右心室血流动力学受到同侧前负荷以及单侧和对侧后负荷的影响,而左心室血流动力学仅受到同侧前负荷和后负荷的影响。去除心包后,前负荷依赖性而非后负荷依赖性效应被消除。这些结果表明心包在维持右心室血流动力学以及负荷依赖性心室相互作用方面具有重要作用。
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引用次数: 0
Marcinek and Ferrucci response to Lanza et al. Marcinek 和 Ferrucci 对 Lanza 等人的回应
IF 4.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-07-06 DOI: 10.1113/JP286696
David J Marcinek, Luigi Ferrucci
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引用次数: 0
Intermittent hypoxia and motor learning: new information and new questions. 间歇性缺氧与运动学习:新信息与新问题。
IF 4.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-10-29 DOI: 10.1113/JP287594
Gino S Panza, Alexandra E Soltesz, Fei Zhao, Nora E Fritz, Andrew D Delgado, Tommy W Sutor
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引用次数: 0
Feature selectivity and invariance in marsupial primary visual cortex. 有袋动物初级视觉皮层的特征选择性和不变性。
IF 4.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-12-03 DOI: 10.1113/JP285757
Young Jun Jung, Ali Almasi, Shi Sun, Molis Yunzab, Sebastien H Baquier, Marilyn Renfree, Hamish Meffin, Michael R Ibbotson

A fundamental question in sensory neuroscience revolves around how neurons represent complex visual stimuli. In mammalian primary visual cortex (V1), neurons decode intricate visual features to identify objects, with most being selective for edge orientation, but with half of those also developing invariance to edge position within their receptive fields. Position invariance allows cells to continue to code an edge even when it moves around. Combining feature selectivity and invariance is integral to successful object recognition. Considering the marsupial-eutherian divergence 160 million years ago, we explored whether feature selectivity and invariance was similar in marsupials and eutherians. We recovered the spatial filters and non-linear processing characteristics of the receptive fields of neurons in wallaby V1 and compared them with previous results from cat cortex. We stimulated the neurons in V1 with white Gaussian noise and analysed responses using the non-linear input model. Wallabies exhibit the same high percentage of orientation selective neurons as cats. However, in wallabies we observed a notably higher prevalence of neurons with three or more filters compared to cats. We show that having three or more filters substantially increases phase invariance in the V1s of both species, but that wallaby V1 accentuates this feature, suggesting that the species condenses more processing into the earliest cortical stage. These findings suggest that evolution has led to more than one solution to the problem of creating complex visual processing strategies. KEY POINTS: Previous studies have shown that the primary visual cortex (V1) in mammals is essential for processing complex visual stimuli, with neurons displaying selectivity for edge orientation and position. This research explores whether the visual processing mechanisms in marsupials, such as wallabies, are similar to those in eutherian mammals (e.g. cats). The study found that wallabies have a higher prevalence of neurons with multiple spatial filters in V1, indicating more complex visual processing. Using a non-linear input model, we demonstrated that neurons with three or more filters increase phase invariance. These findings suggest that marsupials and eutherian mammals have evolved similar strategies for visual processing, but marsupials have condensed more capacity to build phase invariance into the first step in the cortical pathway.

感觉神经科学的一个基本问题是神经元如何表现复杂的视觉刺激。在哺乳动物初级视觉皮层(V1)中,神经元解码复杂的视觉特征来识别物体,其中大多数是选择性的边缘方向,但其中一半也在其接受野中发展对边缘位置的不变性。位置不变性允许细胞在边缘移动时继续编码。结合特征选择性和不变性是目标识别成功的关键。考虑到1.6亿年前有袋动物和真兽的分化,我们探讨了有袋动物和真兽的特征选择性和不变性是否相似。我们恢复了小袋鼠V1神经元接受野的空间滤波和非线性处理特征,并与猫皮层的结果进行了比较。我们用高斯白噪声刺激V1神经元,并利用非线性输入模型分析响应。小袋鼠表现出和猫一样高比例的定向选择神经元。然而,在小袋鼠中,我们观察到与猫相比,具有三个或更多过滤器的神经元明显更高。我们发现,拥有三个或更多的过滤器大大增加了两种物种V1的相位不变性,但小袋鼠V1突出了这一特征,表明该物种将更多的处理压缩到最早的皮层阶段。这些发现表明,进化导致了创造复杂视觉处理策略问题的不止一种解决方案。先前的研究表明,哺乳动物的初级视觉皮层(V1)对处理复杂的视觉刺激至关重要,神经元对边缘方向和位置具有选择性。本研究探讨了有袋动物(如小袋鼠)的视觉处理机制是否与真兽哺乳动物(如猫)相似。研究发现,小袋鼠V1中具有多个空间过滤器的神经元更普遍,这表明视觉处理更复杂。使用非线性输入模型,我们证明了具有三个或更多滤波器的神经元增加了相位不变性。这些发现表明,有袋动物和真兽哺乳动物进化出了相似的视觉处理策略,但有袋动物在皮层通路的第一步中凝聚了更多的能力来建立相不变性。
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引用次数: 0
An endogenous aryl hydrocarbon receptor ligand induces preeclampsia-like phenotypes in rats. 内源性芳烃受体配体诱导大鼠子痫前期样表型。
IF 4.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-12-09 DOI: 10.1113/JP287503
Ying-Jie Zhao, Chi Zhou, Si-Yan Zhang, Jay S Mishra, Hui-Hui Li, Wei Lei, Kai Wang, Sathish Kumar, Jing Zheng

Preeclampsia (PE) is a hypertensive disorder during human pregnancy. Aryl hydrocarbon receptor (AhR) is a ligand-activated transcription factor. Exogenous and endogenous AhR ligands can induce hypertension in male rats and mice. Herein, using rats as a model, we tested the hypothesis that over-regulation of endogenous AhR ligands during pregnancy impairs vascular functions by disrupting the transcriptome in the placenta, contributing to the development of PE. Pregnant rats were injected daily with an endogenous AhR ligand, 2-(1'H-indole-3'-carbonyl)-thiazole-4-carboxylic acid methyl ester (ITE), from gestational day (GD) 10 to 19. Maternal mean blood pressure was measured on GD16-20. Proteinuria and uteroplacental blood flow were monitored on GD20. Placentas collected on GD20 were used to determine changes in vascular density and transcriptome. Compared with the vehicle control, ITE elevated maternal mean blood pressure by 22% and 16% on GD16 and 17, respectively. ITE increased proteinuria by 50% and decreased uteroplacental blood flow by 26%. ITE reduced the placental vascular density by 18%. RNA sequencing analysis revealed that ITE induced 1316 and 2020 differentially expressed genes (DEGs) in female and male placentas, respectively. These DEGs were enriched in pathways relevant to heart diseases, vascular functions and inflammation. Bioinformatics analysis also predicted that ITE altered immune cell infiltration in placentas depending on fetal sex. These data suggest that over-regulation of endogenous AhR ligands may lead to PE with impaired vascular functions and disrupted fetal sex-specific transcriptomes and immune cell infiltration in placentas. These AhR ligand-induced DEGs and pathways may represent promising therapeutic targets for PE-induced cardiovascular dysfunctions. KEY POINTS: An endogenous AhR ligand (ITE) elevated maternal blood pressure and proteinuria in pregnant rats, and decreased uteroplacental blood flow and fetal and placental growth, all of which are hallmarks of preeclampsia. ITE reduced vascular density and altered immune cell distribution in rat placentas. ITE dysregulated transcriptomes in rat placentas in a fetal sex-specific manner. These ITE-dysregulated genes and pathways are highly relevant to diseases of heart, vascular functions and inflammatory responses.

子痫前期(PE)是一种妊娠期高血压疾病。芳烃受体(AhR)是一种配体激活的转录因子。外源性和内源性AhR配体可诱导雄性大鼠和小鼠高血压。在此,我们以大鼠为模型,验证了怀孕期间内源性AhR配体的过度调节通过破坏胎盘中的转录组来损害血管功能,从而促进PE的发展的假设。妊娠大鼠从妊娠第10 ~ 19天每天注射内源性AhR配体2-(1′h -吲哚-3′-羰基)-噻唑-4-羧酸甲酯(ITE)。测定产妇平均血压GD16-20。GD20监测蛋白尿和子宫胎盘血流。利用GD20收集的胎盘来测定血管密度和转录组的变化。与对照组相比,妊娠期第16和17天,ITE使产妇平均血压分别升高22%和16%。ITE使蛋白尿增加50%,使子宫胎盘血流量减少26%。ITE使胎盘血管密度降低18%。RNA测序分析显示,ITE在女性和男性胎盘中分别诱导了1316个和2020个差异表达基因(DEGs)。这些deg在与心脏病、血管功能和炎症相关的途径中富集。生物信息学分析还预测,ITE会根据胎儿性别改变胎盘中免疫细胞的浸润。这些数据表明,内源性AhR配体的过度调节可能导致PE血管功能受损,胎儿性别特异性转录组和胎盘免疫细胞浸润被破坏。这些AhR配体诱导的deg和途径可能是pe诱导的心血管功能障碍的有希望的治疗靶点。内源性AhR配体(ITE)升高妊娠大鼠孕妇血压和蛋白尿,减少子宫胎盘血流量和胎儿和胎盘生长,这些都是先兆子痫的标志。ITE降低大鼠胎盘血管密度,改变免疫细胞分布。ITE以胎儿性别特异性的方式在大鼠胎盘中失调转录组。这些ite失调的基因和途径与心脏疾病、血管功能和炎症反应高度相关。
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引用次数: 0
Getting excited about leaks: the atypical Na+ channel NALCN is a key determinant of native mouse anterior pituitary endocrine cell physiology. 对泄漏感到兴奋:非典型Na+通道NALCN是原生小鼠垂体前内分泌细胞生理的关键决定因素。
IF 4.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2025-01-02 DOI: 10.1113/JP288021
Michael J Shipston
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引用次数: 0
Reduced oxidative capacity of skeletal muscle mitochondria IS a fundamental consequence of adult ageing. 骨骼肌线粒体氧化能力下降是成人衰老的一个基本后果。
IF 4.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-07-06 DOI: 10.1113/JP285040
David J Marcinek, Luigi Ferrucci
{"title":"Reduced oxidative capacity of skeletal muscle mitochondria IS a fundamental consequence of adult ageing.","authors":"David J Marcinek, Luigi Ferrucci","doi":"10.1113/JP285040","DOIUrl":"10.1113/JP285040","url":null,"abstract":"","PeriodicalId":50088,"journal":{"name":"Journal of Physiology-London","volume":" ","pages":"17-20"},"PeriodicalIF":4.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141545465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Age-related changes of skeletal muscle metabolic response to contraction are also sex-dependent. 骨骼肌对收缩的代谢反应的年龄相关变化也具有性别依赖性。
IF 4.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2023-09-23 DOI: 10.1113/JP285124
Matthew D Campbell, Danijel Djukovic, Daniel Raftery, David J Marcinek

Mitochondria adapt to increased energy demands during muscle contraction by acutely altering metabolite fluxes and substrate oxidation. With age, an impaired mitochondrial metabolic response may contribute to reduced exercise tolerance and decreased skeletal muscle mass, specific force, increased overall fatty depositions in the skeletal muscle, frailty and depressed energy maintenance. We hypothesized that elevated energy stress in mitochondria with age alters the capacity of mitochondria to utilize different substrates following muscle contraction. To test this hypothesis, we used in vivo electrical stimulation to simulate high-intensity intervals (HII) or low intensity steady-state (LISS) exercise in young (5-7 months) and aged (27-29 months) male and female mice to characterize effects of age and sex on mitochondrial substrate utilization in skeletal muscle following contraction. Mitochondrial respiration using glutamate decreased in aged males following HII and glutamate oxidation was inhibited following HII in both the contracted and non-stimulated muscle of aged female muscle. Analyses of the muscle metabolome of female mice indicated that changes in metabolic pathways induced by HII and LISS contractions in young muscle are absent in aged muscle. To test improved mitochondrial function on substrate utilization following HII, we treated aged females with elamipretide (ELAM), a mitochondrially-targeted peptide shown to improve mitochondrial bioenergetics and restore redox status in aged muscle. ELAM removed inhibition of glutamate oxidation and showed increased metabolic pathway changes following HII, suggesting rescuing redox status and improving bioenergetic function in mitochondria from aged muscle increases glutamate utilization and enhances the metabolic response to muscle contraction in aged muscle. KEY POINTS: Acute local contraction of gastrocnemius can systemically alter mitochondrial respiration in non-stimulated muscle. Age-related changes in mitochondrial respiration using glutamate or palmitoyl carnitine following contraction are sex-dependent. Respiration using glutamate after high-intensity contraction is inhibited in aged female muscle. Metabolite level and pathway changes following muscle contraction decrease with age in female mice. Treatment with the mitochondrially-targeted peptide elamipretide can partially rescue metabolite response to muscle contraction.

线粒体通过剧烈改变代谢产物流量和底物氧化来适应肌肉收缩过程中增加的能量需求。随着年龄的增长,线粒体代谢反应受损可能导致运动耐受性降低、骨骼肌质量下降、比力下降、骨骼肌整体脂肪沉积增加、虚弱和能量维持下降。我们假设,随着年龄的增长,线粒体中能量应激的升高会改变线粒体在肌肉收缩后利用不同底物的能力。为了验证这一假设,我们使用体内电刺激来模拟年轻(5-7个月)和老年(27-29个月)雄性和雌性小鼠的高强度间歇期(HII)或低强度稳态(LISS)运动,以表征年龄和性别对收缩后骨骼肌线粒体底物利用的影响。HII后,老年男性使用谷氨酸的线粒体呼吸减少,而HII后老年女性收缩肌和非刺激肌的谷氨酸氧化均受到抑制。对雌性小鼠肌肉代谢组的分析表明,年轻肌肉中HII和LISS收缩诱导的代谢途径的变化在老年肌肉中是不存在的。为了测试HII后线粒体功能对底物利用的改善,我们用依拉米肽(ELAM)治疗老年女性,ELAM是一种线粒体靶向肽,可改善线粒体生物能量,恢复老年肌肉的氧化还原状态。ELAM消除了对谷氨酸氧化的抑制,并显示出HII后代谢途径变化增加,这表明从老年肌肉中拯救氧化还原状态和改善线粒体的生物能量功能增加了谷氨酸的利用,并增强了老年肌肉对肌肉收缩的代谢反应。要点:腓肠肌的急性局部收缩可以系统地改变未刺激肌肉中的线粒体呼吸。收缩后使用谷氨酸或棕榈酰肉碱的线粒体呼吸的年龄相关变化是性别依赖性的。老年女性肌肉在高强度收缩后使用谷氨酸的呼吸受到抑制。雌性小鼠肌肉收缩后的代谢产物水平和途径变化随着年龄的增长而减少。用线粒体靶向肽依拉米普肽治疗可以部分挽救代谢产物对肌肉收缩的反应。
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引用次数: 0
Autonomic modulation with mindfulness-based stress reduction in chronic kidney disease: a randomized controlled trial. 自主调节与正念为基础的压力减轻慢性肾脏疾病:一个随机对照试验。
IF 4.7 2区 医学 Q1 NEUROSCIENCES Pub Date : 2025-01-01 Epub Date: 2024-12-18 DOI: 10.1113/JP287321
Jinhee Jeong, Yingtian Hu, Matias Zanuzzi, Dana DaCosta, Jeann L Sabino-Carvalho, Sabrina Li, Jeanie Park

Chronic kidney disease (CKD) is characterized by overactivation of the sympathetic nervous system (SNS) that leads to increased risk of cardiovascular disease. This study was conducted to evaluate the effects of a Mindfulness-Based Stress Reduction (MBSR) programme on SNS activity in CKD patients. Participants with CKD stages III-IV were randomized to the 8 week MBSR programme or Health Enhancement Program (HEP; a structurally parallel, active control group). Intraneural measures of SNS activity directed to muscle [muscle sympathetic nerve activity (MSNA)] via microneurography was recorded at rest and during stress manoeuvres (mental arithmetic, handgrip exercise and cold pressor test). Data analyses were performed based on the intent-to-treat principle. In total, 29 participants (64 ± 9 years; 86% males) completed the intervention with 17 in the MBSR and 12 in the HEP groups. There was a significant Group (MBSR vs. HEP) by Time (baseline vs. post-intervention) interaction in MSNA reactivity to mental stress (P = 0.029), with a significant reduction in the mean ∆MSNA over 3 min of mental arithmetic at post-intervention (10.3 ± 4.2-5.9 ± 5.6 bursts/min, P < 0.001; Hedges' g = -0.858, 95% confidence interval [-1.578, -0.167]), while no change was observed within the HEP group (P = 0.818). Reduced ∆MSNA during handgrip exercise was also observed, while ∆MSNA during the cold pressor test and resting MSNA remained unchanged in both groups from baseline to post-intervention. In this randomized controlled trial, patients with CKD had a reduction of sympathetic reactivity during mental stress and static handgrip exercise following 8 weeks of MBSR but not after HEP. Our findings demonstrate that mindfulness training is feasible and may have clinically beneficial effects on autonomic function in CKD. KEY POINTS: Question: Does the Mindfulness-Based Stress Reduction (MBSR) programme reduce sympathetic activity in patients with chronic kidney disease (CKD)? Finding: In this randomized controlled trial including 29 patients with CKD, 8 weeks of MBSR decreased sympathetic reactivity to mental stress compared to the control Health Enhancement Program (HEP). Meaning: These finding suggest that mindfulness training may have clinically beneficial effects on autonomic function in CKD.

慢性肾脏疾病(CKD)的特点是交感神经系统(SNS)过度激活,导致心血管疾病的风险增加。本研究旨在评估正念减压(MBSR)方案对CKD患者SNS活动的影响。CKD III-IV期的参与者被随机分配到8周的MBSR计划或健康增强计划(HEP;结构上平行的,活跃的控制组)。在休息和应激训练(心算、握力练习和冷压试验)期间,通过微神经造影记录神经内针对肌肉的SNS活动[肌肉交感神经活动(MSNA)]。根据意向治疗原则进行数据分析。29名受试者(64±9岁;86%的男性)完成了干预,其中17人在MBSR组,12人在HEP组。MBSR组与HEP组(基线组与干预后组)对心理应激反应的交互作用显著(P = 0.029),干预后3 min心算平均∆MSNA显著降低(10.3±4.2-5.9±5.6次/min, P = 0.029)
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