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Biophysical modulation and robustness of itinerant complexity in neuronal networks. 神经元网络中巡回复杂性的生物物理调节和稳健性。
Pub Date : 2024-03-07 eCollection Date: 2024-01-01 DOI: 10.3389/fnetp.2024.1302499
Siva Venkadesh, Asmir Shaikh, Heman Shakeri, Ernest Barreto, John Darrell Van Horn

Transient synchronization of bursting activity in neuronal networks, which occurs in patterns of metastable itinerant phase relationships between neurons, is a notable feature of network dynamics observed in vivo. However, the mechanisms that contribute to this dynamical complexity in neuronal circuits are not well understood. Local circuits in cortical regions consist of populations of neurons with diverse intrinsic oscillatory features. In this study, we numerically show that the phenomenon of transient synchronization, also referred to as metastability, can emerge in an inhibitory neuronal population when the neurons' intrinsic fast-spiking dynamics are appropriately modulated by slower inputs from an excitatory neuronal population. Using a compact model of a mesoscopic-scale network consisting of excitatory pyramidal and inhibitory fast-spiking neurons, our work demonstrates a relationship between the frequency of pyramidal population oscillations and the features of emergent metastability in the inhibitory population. In addition, we introduce a method to characterize collective transitions in metastable networks. Finally, we discuss potential applications of this study in mechanistically understanding cortical network dynamics.

神经元网络中爆发活动的瞬时同步是体内观察到的网络动力学的一个显著特点,它以神经元之间可移动的巡回相位关系模式出现。然而,神经元网络中这种动态复杂性的形成机制还不甚明了。大脑皮层区域的局部回路由具有不同内在振荡特征的神经元群组成。在这项研究中,我们用数值方法证明,当抑制性神经元群的固有快速尖峰动态受到来自兴奋性神经元群的较慢输入的适当调节时,抑制性神经元群中就会出现瞬时同步现象,这种现象也被称为可迁移性。我们的研究使用了一个由兴奋性锥体神经元和抑制性快速尖峰神经元组成的介观尺度网络的紧凑模型,证明了锥体神经元群振荡频率与抑制性神经元群中出现的可迁移性特征之间的关系。此外,我们还介绍了一种表征可代谢网络中集体转换的方法。最后,我们讨论了这项研究在从机理上理解皮层网络动力学方面的潜在应用。
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引用次数: 0
Tissue lipidomic profiling supports a mechanistic role of the prostaglandin E2 pathway for albuminuria development in glomerular hyperfiltration 组织脂质体分析支持前列腺素 E2 通路在肾小球高滤过性白蛋白尿形成中的机理作用
Pub Date : 2023-12-22 DOI: 10.3389/fnetp.2023.1271042
Debora Kaiser-Graf, Angela Schulz, Eva Mangelsen, Michael Rothe, Juliane Bolbrinker, Reinhold Kreutz
Background: Glomerular hyperfiltration (GH) is an important mechanism in the development of albuminuria in hypertension. The Munich Wistar Frömter (MWF) rat is a non-diabetic model of chronic kidney disease (CKD) with GH due to inherited low nephron number resulting in spontaneous albuminuria and podocyte injury. In MWF rats, we identified prostaglandin (PG) E2 (PGE2) signaling as a potential causative mechanism of albuminuria in GH.Method: For evaluation of the renal PGE2 metabolic pathway, time-course lipidomic analysis of PGE2 and its downstream metabolites 15-keto-PGE2 and 13-14-dihydro-15-keto-PGE2 was conducted in urine, plasma and kidney tissues of MWF rats and albuminuria-resistant spontaneously hypertensive rats (SHR) by liquid chromatography electrospray ionization tandem mass spectrometry (LC/ESI-MS/MS).Results: Lipidomic analysis revealed no dysregulation of plasma PGs over the time course of albuminuria development, while glomerular levels of PGE2 and 15-keto-PGE2 were significantly elevated in MWF compared to albuminuria-resistant SHR. Overall, averaged PGE2 levels in glomeruli were up to ×150 higher than the corresponding 15-keto-PGE2 levels. Glomerular metabolic ratios of 15-hydroxyprostaglandin dehydrogenase (15-PGDH) were significantly lower, while metabolic ratios of prostaglandin reductases (PTGRs) were significantly higher in MWF rats with manifested albuminuria compared to SHR, respectively.Conclusion: Our data reveal glomerular dysregulation of the PGE2 metabolism in the development of albuminuria in GH, resulting at least partly from reduced PGE2 degradation. This study provides first insights into dynamic changes of the PGE2 pathway that support a role of glomerular PGE2 metabolism and signaling for early albuminuria manifestation in GH.
背景:肾小球高滤过(GH)是高血压患者白蛋白尿发生的重要机制。慕尼黑Wistar Frömter(MWF)大鼠是一种非糖尿病慢性肾病(CKD)模型,由于遗传性肾小球数量少导致自发性白蛋白尿和荚膜细胞损伤,因而患有GH。在 MWF 大鼠中,我们发现前列腺素(PG)E2(PGE2)信号传导是 GH 白蛋白尿的潜在致病机制:为了评估肾脏 PGE2 代谢途径,我们采用液相色谱电喷雾串联质谱法(LC/ESI-MS/MS)对 MWF 大鼠和白蛋白尿耐药自发性高血压大鼠(SHR)的尿液、血浆和肾组织中的 PGE2 及其下游代谢产物 15-酮-PGE2 和 13-14 二氢-15-酮-PGE2 进行了时程脂质体分析:结果:脂质组分析表明,血浆 PGs 在白蛋白尿发展过程中未出现失调,而与白蛋白尿耐药 SHR 相比,MWF 肾小球中的 PGE2 和 15-keto-PGE2 水平显著升高。总体而言,肾小球中PGE2的平均水平比相应的15-酮-PGE2水平高出150倍。与 SHR 相比,表现出白蛋白尿的 MWF 大鼠肾小球中 15-羟基前列腺素脱氢酶(15-PGDH)的代谢比率明显较低,而前列腺素还原酶(PTGRs)的代谢比率则明显较高:我们的数据揭示了在 GH 白蛋白尿的发生过程中肾小球 PGE2 代谢失调,至少部分原因是 PGE2 降解减少。这项研究首次揭示了 PGE2 通路的动态变化,支持肾小球 PGE2 代谢和信号在 GH 早期白蛋白尿表现中的作用。
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引用次数: 0
Reaction of the endogenous regulatory mechanisms to early weekday wakeups: a review of its popular explanations in light of model-based simulations 内源性调节机制对工作日早起的反应:根据模型模拟回顾其流行解释
Pub Date : 2023-12-15 DOI: 10.3389/fnetp.2023.1285658
Arcady A. Putilov
Introduction: Several widely held explanations of the mechanisms underlying the responses of endogenous sleep–wake-regulating processes to early weekday wakeups have been proposed. Here, they were briefly reviewed and validated against simulations based on the rhythmostatic version of a two-process model of sleep–wake regulation.Methods: Simulated sleep times on weekdays and weekends were compared with the times averaged over 1,048 samples with either earlier or later weekday risetimes. In total, 74 paired samples were collected before and during lockdown, and 93 paired samples were collected during early and later school start times.Results: The counterintuitive predictions of the simulations included the following: 1) only one night of ad lib sleep is sufficient to restore the endogenously determined sleep times after 1 day/5 days of larger/smaller reduction/extension of the sleep/wake phase of the circadian sleep–wake cycle; 2) sleep loss on weekdays is irrecoverable; 3) irrespective of the amount of such deadweight loss, sleep on weekends is not prolonged; and 4) the control of the circadian clocks over the sleep–wake cyclicity is not disrupted throughout the week.Discussion: The following popular explanations of the gaps between weekends and weekdays in sleep timing and duration were not supported by these simulations: 1) early weekday wakeups cause “social jetlag,” viewed as the weekend and weekday (back and forth) shifts of the sleep phase relative to the unchanged phase of the circadian clocks, and 2) early weekday wakeups cause an accumulation of “sleep debt paid back” on weekends, or, in other terms, people can “catch-up” or “compensate” sleep on weekends.
导言:对于内源性睡眠-觉醒调节过程对工作日早醒的反应机制,人们提出了几种广为流传的解释。在此,我们对这些解释进行了简要回顾,并根据睡眠-觉醒调节双过程模型的节律性版本进行了模拟验证:方法:将工作日和周末的模拟睡眠时间与 1,048 个样本中工作日早起或晚起的平均时间进行比较。共收集了 74 个在停课前和停课期间的配对样本,以及 93 个在较早和较晚开学时间的配对样本:模拟的反直觉预测包括以下几点:1)在昼夜节律睡眠-觉醒周期的睡眠-觉醒阶段经过 1 天/5 天较大幅度/较小幅度的减少/延长之后,只有一个晚上的自由睡眠才足以恢复内生决定的睡眠时间;2)工作日的睡眠损失是不可恢复的;3)无论这种自重损失有多少,周末的睡眠时间都不会延长;4)昼夜节律钟对睡眠-觉醒周期性的控制在整个一周内都不会中断:以下关于周末与工作日在睡眠时间和持续时间上的差距的流行解释并没有得到这些模拟的支持:1)工作日早醒会导致 "社会时差",即周末和工作日(前后)睡眠阶段相对于昼夜节律钟不变阶段的移动;2)工作日早醒会导致周末 "睡眠债务偿还 "的积累,或者换句话说,人们可以在周末 "补觉 "或 "补偿 "睡眠。
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引用次数: 0
Altered dynamical integration/segregation balance during anesthesia-induced loss of consciousness. 麻醉导致意识丧失时动态整合/分离平衡的改变
Pub Date : 2023-12-05 eCollection Date: 2023-01-01 DOI: 10.3389/fnetp.2023.1279646
Louis-David Lord, Timoteo Carletti, Henrique Fernandes, Federico E Turkheimer, Paul Expert

In recent years, brain imaging studies have begun to shed light on the neural correlates of physiologically-reversible altered states of consciousness such as deep sleep, anesthesia, and psychedelic experiences. The emerging consensus is that normal waking consciousness requires the exploration of a dynamical repertoire enabling both global integration i.e., long-distance interactions between brain regions, and segregation, i.e., local processing in functionally specialized clusters. Altered states of consciousness have notably been characterized by a tipping of the integration/segregation balance away from this equilibrium. Historically, functional MRI (fMRI) has been the modality of choice for such investigations. However, fMRI does not enable characterization of the integration/segregation balance at sub-second temporal resolution. Here, we investigated global brain spatiotemporal patterns in electrocorticography (ECoG) data of a monkey (Macaca fuscata) under either ketamine or propofol general anesthesia. We first studied the effects of these anesthetics from the perspective of band-specific synchronization across the entire ECoG array, treating individual channels as oscillators. We further aimed to determine whether synchrony within spatially localized clusters of oscillators was differently affected by the drugs in comparison to synchronization over spatially distributed subsets of ECoG channels, thereby quantifying changes in integration/segregation balance on physiologically-relevant time scales. The findings reflect global brain dynamics characterized by a loss of long-range integration in multiple frequency bands under both ketamine and propofol anesthesia, most pronounced in the beta (13-30 Hz) and low-gamma bands (30-80 Hz), and with strongly preserved local synchrony in all bands.

近年来,脑成像研究开始揭示生理上可逆的意识改变状态(如深度睡眠、麻醉和迷幻体验)的神经相关性。正在形成的共识是,正常的清醒意识需要探索一种动态曲目,这种曲目既能实现全局整合,即大脑区域之间的远距离互动,也能实现分离,即在功能特化的集群中进行局部处理。意识状态的改变主要表现为整合/分离的平衡偏离了这一平衡。功能磁共振成像(fMRI)一直是此类研究的首选模式。然而,fMRI 无法以亚秒级的时间分辨率描述整合/分离平衡的特征。在这里,我们研究了在氯胺酮或异丙酚全身麻醉下,猴子(猕猴)的大脑皮层电图(ECoG)数据中的全局脑时空模式。我们首先从整个心电图阵列的特定频带同步角度研究了这些麻醉剂的影响,将单个通道视为振荡器。我们进一步旨在确定,与空间分布的心电图通道子集的同步相比,药物是否会对空间局部振荡器簇内的同步产生不同影响,从而量化生理相关时间尺度上整合/分离平衡的变化。研究结果反映了在氯胺酮和异丙酚麻醉下多个频段的长程整合丧失的全局脑动力学特征,其中以β(13-30 Hz)和低γ频段(30-80 Hz)最为明显,而所有频段的局部同步性都得到了很好的保留。
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引用次数: 0
Physiological and pathological neuronal connectivity in the living human brain based on intracranial EEG signals: the current state of research. 基于颅内脑电图信号的活体人脑生理性和病理性神经元连接:研究现状。
Pub Date : 2023-11-30 eCollection Date: 2023-01-01 DOI: 10.3389/fnetp.2023.1297345
Yulia Novitskaya, Matthias Dümpelmann, Andreas Schulze-Bonhage

Over the past decades, studies of human brain networks have received growing attention as the assessment and modelling of connectivity in the brain is a topic of high impact with potential application in the understanding of human brain organization under both physiological as well as various pathological conditions. Under specific diagnostic settings, human neuronal signal can be obtained from intracranial EEG (iEEG) recording in epilepsy patients that allows gaining insight into the functional organisation of living human brain. There are two approaches to assess brain connectivity in the iEEG-based signal: evaluation of spontaneous neuronal oscillations during ongoing physiological and pathological brain activity, and analysis of the electrophysiological cortico-cortical neuronal responses, evoked by single pulse electrical stimulation (SPES). Both methods have their own advantages and limitations. The paper outlines available methodological approaches and provides an overview of current findings in studies of physiological and pathological human brain networks, based on intracranial EEG recordings.

在过去的几十年里,人脑网络研究受到越来越多的关注,因为对大脑连接性的评估和建模是一个极具影响力的课题,在了解人脑在生理和各种病理条件下的组织结构方面具有潜在的应用价值。在特定的诊断环境下,可以从癫痫患者的颅内脑电图(iEEG)记录中获得人类神经元信号,从而深入了解活体人脑的功能组织。评估基于 iEEG 信号的大脑连接性有两种方法:评估正在进行的生理和病理大脑活动期间的自发神经元振荡,以及分析单脉冲电刺激(SPES)诱发的电生理皮质-皮质神经元反应。这两种方法各有其优势和局限性。本文概述了现有的方法论途径,并概述了目前基于颅内脑电图记录对生理和病理人脑网络进行研究的结果。
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引用次数: 0
Inferring connectivity of an oscillatory network via the phase dynamics reconstruction. 通过相位动力学重构推断振荡网络的连通性
Pub Date : 2023-11-23 eCollection Date: 2023-01-01 DOI: 10.3389/fnetp.2023.1298228
Michael Rosenblum, Arkady Pikovsky

We review an approach for reconstructing oscillatory networks' undirected and directed connectivity from data. The technique relies on inferring the phase dynamics model. The central assumption is that we observe the outputs of all network nodes. We distinguish between two cases. In the first one, the observed signals represent smooth oscillations, while in the second one, the data are pulse-like and can be viewed as point processes. For the first case, we discuss estimating the true phase from a scalar signal, exploiting the protophase-to-phase transformation. With the phases at hand, pairwise and triplet synchronization indices can characterize the undirected connectivity. Next, we demonstrate how to infer the general form of the coupling functions for two or three oscillators and how to use these functions to quantify the directional links. We proceed with a different treatment of networks with more than three nodes. We discuss the difference between the structural and effective phase connectivity that emerges due to high-order terms in the coupling functions. For the second case of point-process data, we use the instants of spikes to infer the phase dynamics model in the Winfree form directly. This way, we obtain the network's coupling matrix in the first approximation in the coupling strength.

我们回顾了一种从数据中重建振荡网络无向和有向连通性的方法。该技术依赖于推断相位动力学模型。核心假设是我们观察到了所有网络节点的输出。我们将其分为两种情况。在第一种情况下,观察到的信号代表平滑振荡,而在第二种情况下,数据是脉冲式的,可视为点过程。对于第一种情况,我们将讨论利用原相到相位变换,从标量信号中估算出真实相位。有了相位,成对和三重同步指数就可以描述无向连接的特征。接下来,我们将演示如何推断两个或三个振荡器耦合函数的一般形式,以及如何使用这些函数量化定向连接。接下来,我们将对具有三个以上节点的网络进行不同的处理。我们将讨论由于耦合函数中的高阶项而产生的结构连接性和有效相位连接性之间的差异。对于点过程数据的第二种情况,我们利用尖峰时刻直接推断 Winfree 形式的相位动力学模型。这样,我们就可以得到网络耦合矩阵的耦合强度第一近似值。
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引用次数: 0
Changes to balance dynamics following a high-intensity run are associated with future injury occurrence in recreational runners. 高强度跑步后的平衡动态变化与休闲跑步者未来受伤有关。
Pub Date : 2023-11-21 eCollection Date: 2023-01-01 DOI: 10.3389/fnetp.2023.1227861
Mariana R C Aquino, Joshua J Liddy, C Dane Napoli, Sérgio T Fonseca, Richard E A van Emmerik, Michael A Busa

Background: Fatigue is associated with increased injury risk along with changes in balance control and task performance. Musculoskeletal injury rates in runners are high and often result from an inability to adapt to the demands of exercise and a breakdown in the interaction among different biological systems. This study aimed to investigate whether changes in balance dynamics during a single-leg squat task following a high-intensity run could distinguish groups of recreational runners who did and did not sustain a running-related injury within 6 months. Methods: Thirty-one healthy recreational runners completed 60 s of single-leg squat before and after a high-intensity run. Six months after the assessment, this cohort was separated into two groups of 13 matched individuals with one group reporting injury within this period and the other not. Task performance was assessed by the number of repetitions, cycle time, amplitude, and speed. To evaluate balance dynamics, the regularity and temporal correlation structure of the center of mass (CoM) displacements in the transverse plane was analyzed. The interaction between groups (injury, non-injured) and time (pre, post) was assessed through a two-way ANOVA. Additionally, a one-way ANOVA investigated the percent change difference of each group across time. Results: The injured group presented more regular (reduced entropy; 15.6%) and diffusive (increased short-term persistence correlation; 5.6%) CoM displacements after a high-intensity run. No changes were observed in the non-injured group. The within-subject percent change was more sensitive in demonstrating the effects of fatigue and distinguishing the groups, compared to group absolute values. No differences were observed in task performance. Discussion: Runners who were injured in the future demonstrate changes in balance dynamics compared to runners who remain injury-free after fatigue. The single-leg squat test adopted appears to be a potential screening protocol that provides valuable information about balance dynamics for identifying a diminished ability to respond to training and exercise.

背景:疲劳与受伤风险增加以及平衡控制和任务表现的变化有关。跑步者的肌肉骨骼损伤率很高,这通常是由于他们无法适应运动的要求,以及不同生物系统之间的相互作用失调所致。本研究旨在探讨在高强度跑步后进行单腿深蹲任务时,平衡动态的变化是否能区分在 6 个月内发生和未发生与跑步有关的损伤的休闲跑步者群体。研究方法31 名健康的休闲跑步者在高强度跑步前后各完成 60 秒的单腿深蹲。评估结束 6 个月后,这批人被分成两组,每组 13 人,其中一组在此期间受伤,另一组未受伤。任务表现通过重复次数、周期时间、振幅和速度进行评估。为了评估平衡动态,分析了横向平面上质心(CoM)位移的规律性和时间相关结构。通过双向方差分析评估了组别(受伤、未受伤)和时间(受伤前、受伤后)之间的交互作用。此外,单因素方差分析还研究了各组在不同时间段的百分比变化差异。结果显示受伤组在高强度跑步后出现了更多规则性(熵减小;15.6%)和弥散性(短期持续相关性增加;5.6%)CoM位移。未受伤组未观察到任何变化。与组间绝对值相比,组内百分比变化在显示疲劳影响和区分组别方面更为敏感。在任务表现方面没有观察到差异。讨论与疲劳后仍未受伤的跑步者相比,未来受伤的跑步者在平衡动态方面会发生变化。所采用的单腿深蹲测试似乎是一种潜在的筛查方案,可提供有关平衡动态的宝贵信息,用于识别对训练和运动反应能力减弱的情况。
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引用次数: 0
Heteroclinic networks for brain dynamics 脑动力学的异诊所网络
Pub Date : 2023-11-08 DOI: 10.3389/fnetp.2023.1276401
Hildegard Meyer-Ortmanns
Heteroclinic networks are a mathematical concept in dynamic systems theory that is suited to describe metastable states and switching events in brain dynamics. The framework is sensitive to external input and, at the same time, reproducible and robust against perturbations. Solutions of the corresponding differential equations are spatiotemporal patterns that are supposed to encode information both in space and time coordinates. We focus on the concept of winnerless competition as realized in generalized Lotka–Volterra equations and report on results for binding and chunking dynamics, synchronization on spatial grids, and entrainment to heteroclinic motion. We summarize proposals of how to design heteroclinic networks as desired in view of reproducing experimental observations from neuronal networks and discuss the subtle role of noise. The review is on a phenomenological level with possible applications to brain dynamics, while we refer to the literature for a rigorous mathematical treatment. We conclude with promising perspectives for future research.
异诊所网络是动态系统理论中的一个数学概念,适用于描述脑动力学中的亚稳态和开关事件。该框架对外部输入敏感,同时对扰动具有可重复性和鲁棒性。相应的微分方程的解是时空模式,应该在空间和时间坐标中编码信息。我们专注于在广义Lotka-Volterra方程中实现的无赢家竞争概念,并报告了绑定和分块动力学,空间网格上的同步以及对异斜运动的纠缠的结果。我们总结了如何根据需要设计异诊所网络的建议,以再现神经网络的实验观察,并讨论了噪声的微妙作用。这篇综述是在现象学层面上的,可能应用于大脑动力学,同时我们参考文献进行严格的数学处理。最后,我们展望了未来研究的前景。
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引用次数: 0
Editorial: Network of pain signaling: from ion channels to brain. 社论:痛觉信号网络:从离子通道到大脑。
Pub Date : 2023-11-07 eCollection Date: 2023-01-01 DOI: 10.3389/fnetp.2023.1297536
Ekaterina Kutafina, Susanne Becker, Barbara Namer
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引用次数: 0
Full-lung simulations of mechanically ventilated lungs incorporating recruitment/derecruitment dynamics 机械通气肺的全肺模拟,包括招募/退出招募动力学
Pub Date : 2023-11-02 DOI: 10.3389/fnetp.2023.1257710
Haoran Ma, Hideki Fujioka, David Halpern, Jason H. T. Bates, Donald P. Gaver
This study developed and investigated a comprehensive multiscale computational model of a mechanically ventilated ARDS lung to elucidate the underlying mechanisms contributing to the development or prevention of VILI. This model is built upon a healthy lung model that incorporates realistic airway and alveolar geometry, tissue distensibility, and surfactant dynamics. Key features of the ARDS model include recruitment and derecruitment (RD) dynamics, alveolar tissue viscoelasticity, and surfactant deficiency. This model successfully reproduces realistic pressure-volume (PV) behavior, dynamic surface tension, and time-dependent descriptions of RD events as a function of the ventilation scenario. Simulations of Time-Controlled Adaptive Ventilation (TCAV) modes, with short and long durations of exhalation ( T Low - and T Low + , respectively), reveal a higher incidence of RD for T Low + despite reduced surface tensions due to interfacial compression. This finding aligns with experimental evidence emphasizing the critical role of timing in protective ventilation strategies. Quantitative analysis of energy dissipation indicates that while alveolar recruitment contributes only a small fraction of total energy dissipation, its spatial concentration and brief duration may significantly contribute to VILI progression due to its focal nature and higher intensity. Leveraging the computational framework, the model may be extended to facilitate the development of personalized protective ventilation strategies to enhance patient outcomes. As such, this computational modeling approach offers valuable insights into the complex dynamics of VILI that may guide the optimization of ventilation strategies in ARDS management.
本研究开发并研究了机械通气ARDS肺的综合多尺度计算模型,以阐明促进VILI发展或预防的潜在机制。这个模型是建立在一个健康的肺模型,结合现实的气道和肺泡几何形状,组织扩张性和表面活性剂动力学。ARDS模型的主要特征包括再招募和再招募(RD)动力学、肺泡组织粘弹性和表面活性剂缺乏。该模型成功地再现了真实的压力-体积(PV)行为、动态表面张力和随时间变化的RD事件描述,作为通风场景的函数。时间控制自适应通气(TCAV)模式的模拟显示,在短时间和长时间呼气(分别为T Low -和T Low +)的情况下,尽管由于界面压缩导致表面张力降低,但T Low +的RD发生率更高。这一发现与强调时间在保护性通气策略中的关键作用的实验证据相一致。能量耗散的定量分析表明,虽然肺泡补充只占总能量耗散的一小部分,但由于其聚焦性和较高的强度,其空间集中和持续时间短可能显著促进VILI的进展。利用计算框架,该模型可以扩展,以促进个性化保护性通气策略的发展,以提高患者的预后。因此,这种计算建模方法为VILI的复杂动力学提供了有价值的见解,可以指导ARDS管理中通气策略的优化。
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引用次数: 0
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Frontiers in network physiology
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