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On the significance of estimating cardiorespiratory coupling strength in sports medicine. 运动医学中估算心肺耦合强度的意义。
Pub Date : 2023-01-04 eCollection Date: 2022-01-01 DOI: 10.3389/fnetp.2022.1114733
Raphael Martins de Abreu, Beatrice Cairo, Alberto Porta

The estimation of cardiorespiratory coupling (CRC) is attracting interest in sports physiology as an important tool to characterize cardiac neural regulation genuinely driven by respiration. When applied in sports medicine, cardiorespiratory coupling measurements can provide information on the effects of training, pre-competition stress, as well as cardiovascular adjustments during stressful stimuli. Furthermore, since the cardiorespiratory coupling is strongly affected by physical activity, the study of the cardiorespiratory coupling can guide the application of specific training methods to optimize the coupling between autonomic activity and heart with possible effects on performance. However, a consensus about the physiological mechanisms, as well as methodological gold standard methods to quantify the cardiorespiratory coupling, has not been reached yet, thus limiting its application in experimental settings. This review supports the relevance of assessing cardiorespiratory coupling in the sports medicine, examines the possible physiological mechanisms involved, and lists a series of methodological approaches. cardiorespiratory coupling strength seems to be increased in athletes when compared to sedentary subjects, in addition to being associated with positive physiological outcomes, such as a possible better interaction of neural subsystems to cope with stressful stimuli. Moreover, cardiorespiratory coupling seems to be influenced by specific training modalities, such as inspiratory muscle training. However, the impact of cardiorespiratory coupling on sports performance still needs to be better explored through ad hoc physical exercise tests and protocols. In addition, this review stresses that several bivariate and multivariate methods have been proposed to assess cardiorespiratory coupling, thus opening new possibilities in estimating cardiorespiratory interactions in athletes.

心肺耦合(CRC)作为描述真正由呼吸驱动的心脏神经调节的重要工具,正在引起运动生理学的兴趣。应用于运动医学时,心肺耦合测量可提供有关训练效果、赛前压力以及压力刺激时心血管调节的信息。此外,由于心肺耦合受体力活动的影响很大,对心肺耦合的研究可以指导应用特定的训练方法,优化自律神经活动与心脏之间的耦合,从而对运动表现产生可能的影响。然而,人们尚未就心肺耦合的生理机制以及量化心肺耦合的金标准方法达成共识,因此限制了心肺耦合在实验环境中的应用。这篇综述支持在运动医学中评估心肺耦合的相关性,研究了其中可能涉及的生理机制,并列出了一系列方法学方法。与久坐不动的受试者相比,运动员的心肺耦合强度似乎有所提高,此外,心肺耦合还与积极的生理结果有关,如神经子系统可能更好地相互作用,以应对压力刺激。此外,心肺耦合似乎会受到特定训练模式的影响,如吸气肌训练。然而,心肺耦合对运动表现的影响仍需通过专门的体育锻炼测试和方案进行更好的探索。此外,本综述还强调,已经提出了几种双变量和多变量方法来评估心肺耦合,从而为估计运动员的心肺相互作用提供了新的可能性。
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引用次数: 0
Editorial: The effect of heterogeneity of the network of alveolar wall tissue on airflow, interstitial flow and lung biology. 肺泡壁组织网络的异质性对气流、间质流动和肺生物学的影响。
Pub Date : 2023-01-01 DOI: 10.3389/fnetp.2023.1272172
Akira Tsuda, Frank S Henry
Over inhalation, oxygen-rich air is drawn into the alveolar cavity by the expansion of the alveolar volume. The volume expansion results in an increase in the alveolar surface area. Because septal tissue is essentially incompressible, stretching of the alveolar surface area results in a thinning of the alveolar wall thickness. The reverse process happens over exhalation; that is, the surface area decreases and the wall thickness increases. The cyclic motion of the alveolar walls plays an important role in influencing the motion of fluid in the interstitial space (i.e., the space between the alveolar epithelium and vascular endothelium). The capillary network surrounding the alveoli is extensive but it does not provide a continuous, uniform, layer. Hence, the thickness and mechanical properties of the alveolar walls are not uniform. On the thin side (Figure 1), the epithelium and endothelium share one common basal lamina. This structural arrangement maximizes gas diffusion, and helps prevent fluid accumulation. On the thick side (Figure 1), extracellular matrix structurally stabilizes the septa, contributing to the mechanical properties of the alveolar walls. Dickie et al. (2007), Dickie et al. (2009) and Tsuda et al. (2019) showed that the structure of the alveolar wall changes over time. Specifically, they found that the alveolar barrier of developing lungs is more easily compromised and susceptible to foreign material influx than that of adult lungs. Interstitial fluid delivers nutrients and oxygen to cells and transports organic wastes, damaged cells, and foreign invaders (nano particles, bacteria, viruses, etc.) from the interstitial space (Choi et al., 2010). Fluid enters the interstitium from the capillaries at the arterial end of the capillary bed and leaves at the venous end. The pressure gradient driving this flow varies along the interstitium, and is a combination of hydrostatic and plasma oncotic pressure between the capillaries and the interstitium. Albumin is responsible for the majority the plasma oncotic pressure (Waddell, 2009). The variation of flow along the interstitium provides another element to the heterogeneity in the alveolar wall. Another source of heterogeneity in the alveolar wall is that the alveolar epithelium is composed of flat and thin Type I pneumocytes, and cuboidal Type II pneumocytes (Figure 1). The former covers most of the alveolar surface and is ideal for gas exchange and the latter plays a crucial role in producing and secreting pulmonary surfactant, which OPEN ACCESS
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引用次数: 0
DFA as a window into postural dynamics supporting task performance: does choice of step size matter? DFA作为支持任务表现的姿势动力学的窗口:步长选择重要吗?
Pub Date : 2023-01-01 DOI: 10.3389/fnetp.2023.1233894
Patric C Nordbeck, Valéria Andrade, Paula L Silva, Nikita A Kuznetsov

Introduction: Detrended Fluctuation Analysis (DFA) has been used to investigate self-similarity in center of pressure (CoP) time series. For fractional gaussian noise (fGn) signals, the analysis returns a scaling exponent, DFA-α, whose value characterizes the temporal correlations as persistent, random, or anti-persistent. In the study of postural control, DFA has revealed two time scaling regions, one at the short-term and one at the long-term scaling regions in the diffusion plots, suggesting different types of postural dynamics. Much attention has been given to the selection of minimum and maximum scales, but the choice of spacing (step size) between the window sizes at which the fluctuation function is evaluated may also affect the estimates of scaling exponents. The aim of this study is twofold. First, to determine whether DFA can reveal postural adjustments supporting performance of an upper limb task under variable demands. Second, to compare evenly-spaced DFA with two different step sizes, 0.5 and 1.0 in log2 units, applied to CoP time series. Methods: We analyzed time series of anterior-posterior (AP) and medial-lateral (ML) CoP displacement from healthy participants performing a sequential upper limb task under variable demand. Results: DFA diffusion plots revealed two scaling regions in the AP and ML CoP time series. The short-term scaling region generally showed hyper-diffusive dynamics and long-term scaling revealed mildly persistent dynamics in the ML direction and random-like dynamics in the AP direction. There was a systematic tendency for higher estimates of DFA-α and lower estimates for crossover points for the 0.5-unit step size vs. 1.0-unit size. Discussion: Results provide evidence that DFA-α captures task-related differences between postural adjustments in the AP and ML directions. Results also showed that DFA-α estimates and crossover points are sensitive to step size. A step size of 0.5 led to less variable DFA-α for the long-term scaling region, higher estimation for the short-term scaling region, lower estimate for crossover points, and revealed anomalous estimates at the very short range that had implications for choice of minimum window size. We, therefore, recommend the use of 0.5 step size in evenly spaced DFAs for CoP time series similar to ours.

摘要采用去趋势波动分析(DFA)对压力中心(CoP)时间序列的自相似性进行了研究。对于分数高斯噪声(fGn)信号,分析返回缩放指数DFA-α,其值表征时间相关性为持久、随机或反持久。在姿势控制的研究中,DFA在扩散图中显示了两个时间标度区域,一个在短期标度区域,一个在长期标度区域,表明不同类型的姿势动力学。对于最小和最大尺度的选择已经给予了大量的关注,但是在评估波动函数的窗口大小之间的间隔(步长)的选择也可能影响缩放指数的估计。这项研究的目的是双重的。首先,确定DFA是否可以揭示在可变需求下上肢任务的姿势调整支持性能。其次,比较两种不同步长(log2单位为0.5和1.0)的均匀间隔DFA应用于CoP时间序列。方法:我们分析了健康参与者在可变需求下执行顺序上肢任务的前后(AP)和中外侧(ML) CoP位移的时间序列。结果:DFA扩散图显示AP和ML CoP时间序列有两个标度区。短期标度区普遍表现为超弥漫性动态,长期标度区表现为轻度持续的ML方向动态和随机的AP方向动态。与1.0单位步长相比,0.5单位步长有较高的DFA-α估计值和较低的交叉点估计值的系统趋势。讨论:结果提供了证据,DFA-α捕获了AP和ML方向的姿势调整之间的任务相关差异。结果还表明,DFA-α估计和交叉点对步长很敏感。步长为0.5导致长期标度区域的DFA-α变量较小,短期标度区域的估计值较高,交叉点的估计值较低,并且在非常短的范围内揭示了异常估计值,这对最小窗口大小的选择有影响。因此,我们建议在类似于我们的CoP时间序列的等间隔dfa中使用0.5步长。
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引用次数: 0
Assessing cardiorespiratory interactions via lagged joint symbolic dynamics during spontaneous and controlled breathing. 通过滞后关节符号动力学评估自主呼吸和控制呼吸期间的心肺相互作用。
Pub Date : 2023-01-01 DOI: 10.3389/fnetp.2023.1211848
Beatrice Cairo, Vlasta Bari, Francesca Gelpi, Beatrice De Maria, Alberto Porta

Introduction: Joint symbolic analysis (JSA) can be utilized to describe interactions between time series while accounting for time scales and nonlinear features. JSA is based on the computation of the rate of occurrence of joint patterns built after symbolization. Lagged JSA (LJSA) is obtained from the more classical JSA by introducing a delay/lead between patterns built over the two series and combined to form the joint scheme, thus monitoring coordinated patterns at different lags. Methods: In the present study, we applied LJSA for the assessment of cardiorespiratory coupling (CRC) from heart period (HP) variability and respiratory activity (R) in 19 healthy subjects (age: 27-35 years; 8 males, 11 females) during spontaneous breathing (SB) and controlled breathing (CB). The R rate of CB was selected to be indistinguishable from that of SB, namely, 15 breaths·minute-1 (CB15), or slower than SB, namely, 10 breaths·minute-1 (CB10), but in both cases, very rapid interactions between heart rate and R were known to be present. The ability of the LJSA approach to follow variations of the coupling strength was tested over a unidirectionally or bidirectionally coupled stochastic process and using surrogate data to test the null hypothesis of uncoupling. Results: We found that: i) the analysis of surrogate data proved that HP and R were significantly coupled in any experimental condition, and coupling was not more likely to occur at a specific time lag; ii) CB10 reduced CRC strength at the fastest time scales while increasing that at intermediate time scales, thus leaving the overall CRC strength unvaried; iii) despite exhibiting similar R rates and respiratory sinus arrhythmia, SB and CB15 induced different cardiorespiratory interactions; iv) no dominant temporal scheme was observed with relevant contributions of HP patterns either leading or lagging R. Discussion: LJSA is a useful methodology to explore HP-R dynamic interactions while accounting for time shifts and scales.

联合符号分析(JSA)可以用来描述时间序列之间的相互作用,同时考虑时间尺度和非线性特征。JSA是基于符号化后建立的关节模式出现率的计算。滞后JSA (LJSA)是从更经典的JSA中获得的,通过在两个系列上构建的模式之间引入延迟/超前,并组合成联合方案,从而在不同滞后的情况下监视协调模式。方法:在本研究中,我们应用LJSA从心期(HP)变异性和呼吸活动(R)评估19名健康受试者(年龄:27-35岁;自发呼吸(SB)和控制呼吸(CB)时,男性8例,女性11例。选择CB的R率与SB的R率难以区分,即15次呼吸·分钟-1 (CB15),或比SB慢,即10次呼吸·分钟-1 (CB10),但在这两种情况下,心率和R之间都存在非常快速的相互作用。LJSA方法跟踪耦合强度变化的能力在单向或双向耦合随机过程中进行了测试,并使用替代数据来检验不耦合的零假设。结果:我们发现:i)对替代数据的分析证明HP和R在任何实验条件下都是显著耦合的,并且在特定的时间滞后下不会更容易发生耦合;ii) CB10在最快时间尺度上降低了CRC强度,而在中间时间尺度上增加了CRC强度,从而使CRC整体强度保持不变;iii)尽管表现出相似的R率和呼吸性窦性心律失常,但SB和CB15诱导的心肺相互作用不同;讨论:LJSA是一种有用的方法,可以在考虑时移和尺度的情况下,探索HP- r动态相互作用。
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引用次数: 0
Slow ion concentration oscillations and multiple states in neuron-glia interaction-insights gained from reduced mathematical models. 慢离子浓度振荡和神经元-胶质细胞相互作用的多种状态-从简化的数学模型中获得的见解。
Pub Date : 2023-01-01 DOI: 10.3389/fnetp.2023.1189118
Leiv Øyehaug

When potassium in the extracellular space separating neurons and glia reaches sufficient levels, neurons may fire spontaneous action potentials or even become inactivated due to membrane depolarisation, which, in turn, may lead to increased extracellular potassium levels. Under certain circumstances, this chain of events may trigger periodic bursts of neuronal activity. In the present study, reduced neuron-glia models are applied to explore the relationship between bursting behaviour and ion concentration dynamics. These reduced models are built based on a previously developed neuron-glia model, in which channel-mediated neuronal sodium and potassium currents are replaced by a function of neuronal sodium and extracellular potassium concentrations. Simulated dynamics of the resulting two reduced models display features that are qualitatively similar to those of the existing neuron-glia model. Bifurcation analyses of the reduced models show rich and interesting dynamics that include the existence of Hopf bifurcations between which the models exhibit slow ion concentration oscillations for a wide range of parameter values. The study demonstrates that even very simple models can provide insights of possible relevance to complex phenomena.

当分离神经元和神经胶质的细胞外空间中的钾达到足够的水平时,神经元可能会产生自发动作电位,甚至因膜去极化而失活,这反过来又可能导致细胞外钾水平升高。在某些情况下,这一连串的事件可能会引发周期性的神经元活动爆发。在本研究中,采用简化的神经元-胶质细胞模型来探索破裂行为与离子浓度动力学之间的关系。这些简化的模型建立在先前开发的神经元-胶质细胞模型的基础上,其中通道介导的神经元钠和钾电流被神经元钠和细胞外钾浓度的函数所取代。所得到的两个简化模型的模拟动力学显示的特征在质量上与现有的神经元-胶质细胞模型相似。简化模型的分岔分析显示了丰富而有趣的动力学,其中包括Hopf分岔的存在,在Hopf分岔之间,模型在很宽的参数值范围内表现出缓慢的离子浓度振荡。这项研究表明,即使是非常简单的模型也可以提供与复杂现象可能相关的见解。
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引用次数: 0
Probing microdomain Ca2+ activity and synaptic transmission with a node-based tripartite synapse model. 探测微域Ca2+活性和突触传递与基于节点的三方突触模型。
Pub Date : 2023-01-01 DOI: 10.3389/fnetp.2023.1111306
Langzhou Liu, Huayi Gao, Jinyu Li, Shangbin Chen

Astrocytic fine processes are the most minor structures of astrocytes but host much of the Ca2+ activity. These localized Ca2+ signals spatially restricted to microdomains are crucial for information processing and synaptic transmission. However, the mechanistic link between astrocytic nanoscale processes and microdomain Ca2+ activity remains hazily understood because of the technical difficulties in accessing this structurally unresolved region. In this study, we used computational models to disentangle the intricate relations of morphology and local Ca2+ dynamics involved in astrocytic fine processes. We aimed to answer: 1) how nano-morphology affects local Ca2+ activity and synaptic transmission, 2) and how fine processes affect Ca2+ activity of large process they connect. To address these issues, we undertook the following two computational modeling: 1) we integrated the in vivo astrocyte morphological data from a recent study performed with super-resolution microscopy that discriminates sub-compartments of various shapes, referred to as nodes and shafts to a classic IP3R-mediated Ca2+ signaling framework describing the intracellular Ca2+ dynamics, 2) we proposed a node-based tripartite synapse model linking with astrocytic morphology to predict the effect of structural deficits of astrocytes on synaptic transmission. Extensive simulations provided us with several biological insights: 1) the width of nodes and shafts could strongly influence the spatiotemporal variability of Ca2+ signals properties but what indeed determined the Ca2+ activity was the width ratio between nodes and shafts, 2) the connectivity of nodes to larger processes markedly shaped the Ca2+ signal of the parent process rather than nodes morphology itself, 3) the morphological changes of astrocytic part might potentially induce the abnormality of synaptic transmission by affecting the level of glutamate at tripartite synapses. Taken together, this comprehensive model which integrated theoretical computation and in vivo morphological data highlights the role of the nanomorphology of astrocytes in signal transmission and its possible mechanisms related to pathological conditions.

星形胶质细胞细突是星形胶质细胞中最微小的结构,但承载了大量的Ca2+活性。这些局限于微域的局部Ca2+信号对信息处理和突触传递至关重要。然而,星形细胞纳米级过程和微域Ca2+活性之间的机制联系仍然是模糊的,因为在进入这个结构未解决的区域的技术困难。在这项研究中,我们使用计算模型来解开星形细胞精细过程中涉及的形态学和局部Ca2+动力学的复杂关系。我们的目的是回答:1)纳米形态如何影响局部Ca2+活性和突触传递,2)以及精细过程如何影响它们连接的大过程的Ca2+活性。为了解决这些问题,我们进行了以下两个计算建模:1)我们整合了最近用超分辨率显微镜进行的体内星形胶质细胞形态学数据,该研究区分了各种形状的子室,称为节点和轴,并将其整合到描述细胞内Ca2+动力学的经典ip3r介导的Ca2+信号框架中;2)我们提出了一个基于节点的与星形胶质细胞形态学相关的三边突触模型,以预测星形胶质细胞结构缺陷对突触传递的影响。大量的模拟为我们提供了一些生物学上的见解:1)节点和轴的宽度可以强烈影响Ca2+信号特性的时空变异性,但真正决定Ca2+活性的是节点和轴之间的宽度比;2)节点与更大过程的连通性显著地塑造了父过程的Ca2+信号,而不是节点形态本身。3)星形细胞部分的形态学改变可能通过影响三方突触谷氨酸水平而诱发突触传递异常。综上所述,这个综合理论计算和体内形态学数据的综合模型突出了星形胶质细胞的纳米形态在信号传递中的作用及其与病理状况相关的可能机制。
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引用次数: 3
Exploring the use of Granger causality for the identification of chemical exposure based on physiological data. 探索使用格兰杰因果关系识别基于生理数据的化学暴露。
Pub Date : 2023-01-01 DOI: 10.3389/fnetp.2023.1106650
S Difrancesco, J U van Baardewijk, A S Cornelissen, C Varon, R C Hendriks, A M Brouwer

Wearable sensors offer new opportunities for the early detection and identification of toxic chemicals in situations where medical evaluation is not immediately possible. We previously found that continuously recorded physiology in guinea pigs can be used for early detection of exposure to an opioid (fentanyl) or a nerve agent (VX), as well as for differentiating between the two. Here, we investigated how exposure to these different chemicals affects the interactions between ECG and respiration parameters as determined by Granger causality (GC). Features reflecting such interactions may provide additional information and improve models differentiating between chemical agents. Traditional respiration and ECG features, as well as GC features, were extracted from data of 120 guinea pigs exposed to VX (n = 61) or fentanyl (n = 59). Data were divided in a training set (n = 99) and a test set (n = 21). Minimum Redundancy Maximum Relevance (mRMR) and Support Vector Machine (SVM) algorithms were used to, respectively, perform feature selection and train a model to discriminate between the two chemicals. We found that ECG and respiration parameters are Granger-related under healthy conditions, and that exposure to fentanyl and VX affected these relationships in different ways. SVM models discriminated between chemicals with accuracy of 95% or higher on the test set. GC features did not improve the classification compared to traditional features. Respiration features (i.e., peak inspiratory and expiratory flow) were the most important to discriminate between different chemical's exposure. Our results indicate that it may be feasible to discriminate between chemical exposure when using traditional physiological respiration features from wearable sensors. Future research will examine whether GC features can contribute to robust detection and differentiation between chemicals when considering other factors, such as generalizing results across species.

在无法立即进行医疗评估的情况下,可穿戴传感器为早期发现和识别有毒化学品提供了新的机会。我们之前发现,连续记录豚鼠的生理学可用于早期检测阿片类药物(芬太尼)或神经毒剂(VX)的暴露,以及区分两者。在这里,我们研究了暴露于这些不同的化学物质如何影响由格兰杰因果关系(GC)确定的ECG和呼吸参数之间的相互作用。反映这种相互作用的特征可以提供额外的信息并改进区分化学剂的模型。从暴露于VX (n = 61)或芬太尼(n = 59)的120只豚鼠的数据中提取传统的呼吸和ECG特征以及GC特征。数据分为训练集(n = 99)和测试集(n = 21)。最小冗余最大相关性(mRMR)和支持向量机(SVM)算法分别用于进行特征选择和训练模型来区分两种化学物质。我们发现,在健康条件下,心电图和呼吸参数与格兰杰相关,芬太尼和VX暴露以不同的方式影响了这些关系。SVM模型在测试集上区分化学物质的准确率为95%或更高。与传统特征相比,GC特征并没有改善分类。呼吸特征(即吸气和呼气峰值流量)是区分不同化学物质暴露的最重要因素。我们的研究结果表明,当使用可穿戴传感器的传统生理呼吸特征时,区分化学暴露是可行的。未来的研究将在考虑其他因素(如跨物种的推广结果)时,研究GC特征是否有助于化学物质之间的强大检测和区分。
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引用次数: 0
Low-density lipoprotein receptor-related protein-1 (LRP1) in the glial lineage modulates neuronal excitability. 神经胶质谱系中的低密度脂蛋白受体相关蛋白-1 (LRP1)调节神经元兴奋性。
Pub Date : 2023-01-01 DOI: 10.3389/fnetp.2023.1190240
Andreas Faissner

The low-density lipoprotein related protein receptor 1 (LRP1), also known as CD91 or α-Macroglobulin-receptor, is a transmembrane receptor that interacts with more than 40 known ligands. It plays an important biological role as receptor of morphogens, extracellular matrix molecules, cytokines, proteases, protease inhibitors and pathogens. In the CNS, it has primarily been studied as a receptor and clearance agent of pathogenic factors such as Aβ-peptide and, lately, Tau protein that is relevant for tissue homeostasis and protection against neurodegenerative processes. Recently, it was found that LRP1 expresses the Lewis-X (Lex) carbohydrate motif and is expressed in the neural stem cell compartment. The removal of Lrp1 from the cortical radial glia compartment generates a strong phenotype with severe motor deficits, seizures and a reduced life span. The present review discusses approaches that have been taken to address the neurodevelopmental significance of LRP1 by creating novel, lineage-specific constitutive or conditional knockout mouse lines. Deficits in the stem cell compartment may be at the root of severe CNS pathologies.

低密度脂蛋白相关蛋白受体1 (LRP1),也称为CD91或α-巨球蛋白受体,是一种跨膜受体,可与40多种已知配体相互作用。它作为形态因子、细胞外基质分子、细胞因子、蛋白酶、蛋白酶抑制剂和病原体的受体发挥着重要的生物学作用。在中枢神经系统中,它主要被研究为致病因子的受体和清除剂,如a β-肽和最近的Tau蛋白,它们与组织稳态和保护神经退行性过程有关。最近,研究发现LRP1表达Lewis-X (Lex)碳水化合物基序,并在神经干细胞隔室中表达。从皮质放射状胶质细胞室中去除Lrp1会产生强烈的表型,导致严重的运动缺陷、癫痫发作和寿命缩短。本综述讨论了通过创建新颖的、谱系特异性的构成或条件敲除小鼠系来解决LRP1神经发育意义的方法。干细胞区室的缺陷可能是严重中枢神经系统病变的根源。
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引用次数: 0
Modifying functional brain networks in focal epilepsy by manual visceral-osteopathic stimulation of the vagus nerve at the abdomen. 通过手动内脏-骨刺激腹部迷走神经来改变局灶性癫痫的功能性脑网络。
Pub Date : 2023-01-01 DOI: 10.3389/fnetp.2023.1205476
Hendrik Lehnertz, Timo Broehl, Thorsten Rings, Randi von Wrede, Klaus Lehnertz

Non-invasive transcutaneous vagus nerve stimulation elicits similar therapeutic effects as invasive vagus nerve stimulation, offering a potential treatment alternative for a wide range of diseases, including epilepsy. Here, we present a novel, non-invasive stimulation of the vagus nerve, which is performed manually viscero-osteopathically on the abdomen (voVNS). We explore the impact of short-term voVNS on various local and global characteristics of EEG-derived, large-scale evolving functional brain networks from a group of 20 subjects with and without epilepsy. We observe differential voVNS-mediated alterations of these characteristics that can be interpreted as a reconfiguration and modification of networks and their stability and robustness properties. Clearly, future studies are necessary to assess the impact of such a non-pharmaceutical intervention on clinical decision-making in the treatment of epilepsy. However, our findings may add to the current discussion on the importance of the gut-brain axis in health and disease. Clinical Trial Registration: https://drks.de/search/en/trial/DRKS00029914, identifier DRKS00029914.

非侵入性经皮迷走神经刺激产生与侵入性迷走神经刺激相似的治疗效果,为包括癫痫在内的多种疾病提供了潜在的治疗选择。在这里,我们提出了一种新的、非侵入性的迷走神经刺激方法,该方法是在腹部(voVNS)上进行手动内脏-整骨术。我们从20名癫痫患者和非癫痫患者中探讨了短期voVNS对脑电图衍生的大规模进化功能脑网络的各种局部和全局特征的影响。我们观察到vovns介导的这些特征的差异改变,可以解释为网络及其稳定性和鲁棒性的重新配置和修改。显然,未来的研究需要评估这种非药物干预对癫痫治疗临床决策的影响。然而,我们的发现可能会增加目前关于肠脑轴在健康和疾病中的重要性的讨论。临床试验注册:https://drks.de/search/en/trial/DRKS00029914,标识符DRKS00029914。
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引用次数: 0
The impact of heterogeneity of the air-blood barrier on control of lung extravascular water and alveolar gas exchange. 气-血屏障异质性对肺血管外水和肺泡气体交换控制的影响。
Pub Date : 2023-01-01 DOI: 10.3389/fnetp.2023.1142245
Giuseppe Miserocchi

The architecture of the air-blood barrier is effective in optimizing the gas exchange as long as it retains its specific feature of extreme thinness reflecting, in turn, a strict control on the extravascular water to be kept at minimum. Edemagenic conditions may perturb this equilibrium by increasing microvascular filtration; this characteristically occurs when cardiac output increases to balance the oxygen uptake with the oxygen requirement such as in exercise and hypoxia (either due to low ambient pressure or reflecting a pathological condition). In general, the lung is well equipped to counteract an increase in microvascular filtration rate. The loss of control on fluid balance is the consequence of disruption of the integrity of the macromolecular structure of lung tissue. This review, merging data from experimental approaches and evidence in humans, will explore how the heterogeneity in morphology, mechanical features and perfusion of the terminal respiratory units might impact on lung fluid balance and its control. Evidence is also provided that heterogeneities may be inborn and they could actually get worse as a consequence of a developing pathological process. Further, data are presented how in humans inter-individual heterogeneities in morphology of the terminal respiratory hinder the control of fluid balance and, in turn, hamper the efficiency of the oxygen diffusion-transport function.

气-血屏障的结构在优化气体交换方面是有效的,只要它保持其极薄的特定特征,反过来,严格控制血管外水保持在最低限度。水肿条件可通过增加微血管滤过而扰乱这种平衡;这种情况通常发生在心输出量增加以平衡摄氧量和需氧量时,例如在运动和缺氧时(由于低环境压力或反映病理状况)。一般来说,肺有很好的装备来抵消微血管滤过率的增加。失去对液体平衡的控制是肺组织大分子结构完整性破坏的结果。这篇综述,结合实验方法的数据和人类的证据,将探讨末梢呼吸单位的形态学、力学特征和灌注的异质性如何影响肺液平衡及其控制。也有证据表明,异质性可能是天生的,它们实际上可能会随着病理过程的发展而变得更糟。此外,数据显示,人类终末呼吸形态的个体间异质性如何阻碍流体平衡的控制,进而阻碍氧气扩散-运输功能的效率。
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Frontiers in network physiology
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