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Cardiovascular response to exercise. 心血管对运动的反应。
Pub Date : 1999-12-01 DOI: 10.1152/advances.1999.277.6.S244
M H Laughlin

This article is intended for instructors who teach cardiovascular physiology. In our physiology course exercise physiology is used as a tool to review and integrate cardiovascular and respiratory physiology. It is assumed that the students already have mastered the fundamentals of cardiovascular and respiratory physiology. Because this paper is part of a cardiovascular refresher course, I have deleted much of the respiratory physiology. The objectives of this presentation are for the student to 1) understand the relationship between maximal oxygen consumption and endurance during sustained exercise and be able to define "maximal oxygen consumption"; 2) understand the determinants of of maximal oxygen consumption; 3) understand the effects of dynamic exercise on the cardiovascular system and mechanisms for these effects; 4) understand the relationships between exercise intensity and major cardiorespiratory parameters, including heart rate, cardiac output, blood flow distribution, left ventricular stroke volume, arterial pressures, total peripheral resistance, and arterial and venous blood oxygen content; 5) be able to compare and contrast the cardiovascular effects of dynamic and isometric exercise in man and the mechanisms responsible for the major differences; and 6) be able to apply knowledge of the cardiovascular effects of exercise to understanding the causes of cardiovascular symptoms in disease and in diagnosis of disease states. This material contains many areas that stimulate discussion with students and allow exploration of concepts that are challenging for the student. This give and take between teachers and student is difficult to summarize in an article of this sort. Therefore, subjects that in my experience often stimulate questions and discussion with the students are indicated in the text.

这篇文章是写给教授心血管生理学的教师的。在我们的生理学课程中,运动生理学被用作回顾和整合心血管和呼吸生理学的工具。假定学生已经掌握了心血管和呼吸生理学的基本知识。因为这篇论文是心血管复习课程的一部分,所以我删除了很多呼吸生理学的内容。本次演讲的目的是让学生了解:1)在持续运动中最大耗氧量与耐力之间的关系,并能够定义“最大耗氧量”;2)了解最大耗氧量的决定因素;3)了解动态运动对心血管系统的影响及其机制;4)了解运动强度与主要心肺参数的关系,包括心率、心输出量、血流分布、左室卒中容积、动脉压、外周总阻力、动、静脉血氧含量;5)能够比较和对比人体动态运动和等长运动对心血管的影响,以及造成主要差异的机制;6)能够运用运动对心血管的影响的知识来了解疾病中心血管症状的原因和疾病状态的诊断。本材料包含许多领域,可以激发与学生的讨论,并允许学生探索具有挑战性的概念。师生之间的这种交流很难用这类文章来概括。因此,在我的经验中,经常激发学生提问和讨论的主题都在文中指出。
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引用次数: 173
Nitric oxide is the predominant mediator of cerebellar hyperemia during somatosensory activation in rats. 一氧化氮是大鼠体感觉激活期间小脑充血的主要介质。
Pub Date : 1999-12-01 DOI: 10.1152/ajpregu.1999.277.6.R1760
G Yang, G Chen, T J Ebner, C Iadecola

Crus II is an area of the cerebellar cortex that receives trigeminal afferents from the perioral region. We investigated the mechanisms of functional hyperemia in cerebellum using activation of crus II by somatosensory stimuli as a model. In particular, we sought to determine whether stimulation of the perioral region increases cerebellar blood flow (BFcrb) in crus II and, if so, whether the response depends on activation of 2-amino-3-hydroxy-5-methylisoxazole-4-propionic acid (AMPA)-kainate receptors and nitric oxide (NO) production. Crus II was exposed in anesthetized rats, and the site was superfused with Ringer. Field potentials were recorded, and BFcrb was measured by laser-Doppler flowmetry. Crus II was activated by electrical stimulation of the perioral region (upper lip). Perioral stimulation evoked the characteristic field potentials in crus II and increased BFcrb (34 +/- 6%; 10 Hz-25 V; n = 6) without changing arterial pressure. The BFcrb increases were associated with a local increase in glucose utilization (74 +/- 8%; P < 0.05; n = 5) and were attenuated by the AMPA-kainate receptor antagonist 2, 3-dihydroxy-6-nitro-7-sulfamoylbenzo-[f]quinoxaline (-71 +/- 3%; 100 microM; P < 0.01; n = 5). The neuronal NO synthase inhibitor 7-nitroindazole (7-NI, 50 mg/kg; n = 5) virtually abolished the increases in BFcrb (-90 +/- 2%; P < 0.01) but did not affect the amplitude of the field potentials. In contrast, 7-NI attenuated the increase in neocortical cerebral blood flow produced by perioral stimulation by 52 +/- 6% (P < 0.05; n = 5). We conclude that crus II activation by somatosensory stimuli produces localized increases in local neural activity and BFcrb that are mediated by activation of glutamate receptors and NO. Unlike in neocortex, in cerebellum the vasodilation depends almost exclusively on NO. The findings underscore the unique role of NO in the mechanisms of synaptic function and blood flow regulation in cerebellum.

二脚是小脑皮层的一个区域,接收来自口周区的三叉神经传入信号。我们研究了小脑功能性充血的机制,以体感刺激激活小腿II为模型。特别是,我们试图确定口周区域的刺激是否会增加小腿II的小脑血流量(BFcrb),如果是这样,这种反应是否取决于2-氨基-3-羟基-5-甲基异唑-4-丙酸(AMPA)-kainate受体的激活和一氧化氮(NO)的产生。麻醉大鼠暴露II足部,并在该部位灌注林格。记录场电位,用激光多普勒血流仪测定BFcrb。通过电刺激口周区(上唇)激活II脚。口周刺激可诱发II小腿特征场电位,增加BFcrb (34 +/- 6%);10hz - 25v;N = 6),未改变动脉压。BFcrb增加与局部葡萄糖利用率增加有关(74 +/- 8%;P < 0.05;n = 5),并被AMPA-kainate受体拮抗剂2,3 -二羟基-6-硝基-7-磺胺酰基苯并[f]喹啉(-71 +/- 3%;100 microM;P < 0.01;n = 5)。神经元NO合成酶抑制剂7-硝基茚唑(7-NI, 50 mg/kg;n = 5)几乎消除了BFcrb的增加(-90 +/- 2%;P < 0.01),但不影响场电位振幅。相比之下,7-NI使口周刺激引起的新皮质脑血流增加减少了52 +/- 6% (P < 0.05;n = 5)。我们得出结论,体感刺激激活crus II会导致局部神经活动和BFcrb的局部增加,这是由谷氨酸受体和NO的激活介导的。与新皮层不同,小脑的血管舒张几乎完全依赖于一氧化氮。这些发现强调了NO在小脑突触功能和血流调节机制中的独特作用。
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引用次数: 93
Two circadian rhythms in the human electroencephalogram during wakefulness. 人清醒时脑电图的两种昼夜节律。
Pub Date : 1999-12-01 DOI: 10.1152/ajpregu.1999.277.6.R1771
D Aeschbach, J R Matthews, T T Postolache, M A Jackson, H A Giesen, T A Wehr

The influence of the circadian pacemaker and of the duration of time awake on the electroencephalogram (EEG) was investigated in 19 humans during approximately 40 h of sustained wakefulness. Two circadian rhythms in spectral power density were educed. The first rhythm was centered in the theta band (4.25-8.0 Hz) and exhibited a minimum approximately 1 h after the onset of melatonin secretion. The second rhythm was centered in the high-frequency alpha band (10.25-13.0 Hz) and exhibited a minimum close to the body temperature minimum. The latter rhythm showed a close temporal association with the rhythms in subjective alertness, plasma melatonin, and body temperature. In addition, increasing time awake was associated with an increase of power density in the 0.25- to 9.0-Hz and 13.25- to 20. 0-Hz ranges. It is concluded that the waking EEG undergoes changes that can be attributed to circadian and homeostatic (i.e., sleep-wake dependent) processes. The distinct circadian variations of EEG activity in the theta band and in the high-frequency alpha band may represent electrophysiological correlates of different aspects of the circadian rhythm in arousal.

研究了19人在大约40小时的持续清醒状态下,昼夜节律起搏器和清醒时间对脑电图(EEG)的影响。导出了谱功率密度的两种昼夜节律。第一次节律集中在θ波段(4.25-8.0 Hz),在褪黑激素分泌开始后约1小时出现。第二个节律以高频α带(10.25 ~ 13.0 Hz)为中心,其最小值接近体温最小值。后一种节律与主观警觉性、血浆褪黑素和体温节律密切相关。此外,增加清醒时间与0.25 ~ 9.0 hz和13.25 ~ 20 hz的功率密度增加有关。0赫兹范围。结论是,清醒时脑电图的变化可归因于昼夜节律和体内平衡(即睡眠-觉醒依赖)过程。脑电图在θ波段和高频α波段活动的不同昼夜节律变化可能代表了觉醒中昼夜节律的不同方面的电生理相关性。
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引用次数: 157
Integrin signaling, free radicals, and tyrosine kinase mediate flow constriction in isolated cerebral arteries. 整合素信号、自由基和酪氨酸激酶介导离体脑动脉的血流收缩。
Pub Date : 1999-12-01 DOI: 10.1152/ajpheart.1999.277.6.H2264
J A Madden, N J Christman

Isolated, cannulated, and pressurized (100 mmHg) middle cerebral arteries from adult cats were perfused intraluminally at rates from 0 to 4 ml/min with heated and gassed physiological saline solution. An electronic system held pressure constant by changing outflow resistance. The arteries constricted 18.1 +/- 0.95% in response to flow and depolarized from -54 +/- 0.51 to -40 +/- 1.26 mV (P < 0.05). Constriction was independent of a functional endothelium but was eliminated by superoxide dismutase or tyrosine kinase inhibitors. Luminal perfusion with a synthetic extracellular matrix Arg-Gly-ASP (RGD) peptide that binds with integrin significantly reduced constriction to flow. Neither reducing intraluminal pressure nor increasing tone or shear stresses altered constriction to flow. Flow-induced constriction did not impede the ability of the arteries to dilate to hypercapnia, and inhibiting flow-induced constriction did not alter contractile responses to other agonists. These data suggest that, in vitro, middle cerebral arteries constrict to flow through a mechanism involving free radicals and tyrosine kinase and that flow shear stresses resulting in constriction are transduced by integrin signaling.

将成年猫分离、插管和加压(100 mmHg)的大脑中动脉以0 ~ 4 ml/min的速率注入加热和充气的生理盐水溶液。一种通过改变流出阻力来保持压力恒定的电子系统。动脉收缩18.1 +/- 0.95%,从-54 +/- 0.51 mV到-40 +/- 1.26 mV去极化(P < 0.05)。收缩独立于功能内皮,但可被超氧化物歧化酶或酪氨酸激酶抑制剂消除。与整合素结合的合成细胞外基质Arg-Gly-ASP (RGD)肽的腔内灌注显著减少了对血流的收缩。无论是降低腔内压力还是增加音调或剪应力都不能改变收缩对流动的影响。血流诱导的收缩不会阻碍动脉扩张到高碳酸血症的能力,抑制血流诱导的收缩不会改变对其他激动剂的收缩反应。这些数据表明,在体外实验中,大脑中动脉通过一种涉及自由基和酪氨酸激酶的机制收缩流动,流动剪切应力导致收缩是由整合素信号转导的。
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引用次数: 55
NADPH and heme redox modulate pulmonary artery relaxation and guanylate cyclase activation by NO. NADPH和血红素氧化还原通过NO调节肺动脉舒张和鸟苷酸环化酶活化。
Pub Date : 1999-12-01 DOI: 10.1152/ajplung.1999.277.6.L1124
S A Gupte, T Rupawalla, D Phillibert, M S Wolin

The hemoprotein oxidant ferricyanide (FeCN) converts the iron of the heme on soluble guanylate cyclase (sGC) from Fe(2+) to Fe(3+), which prevents nitric oxide (NO) from binding the heme and stimulating sGC activity. This study uses FeCN to examine whether modulation of the redox status of the heme on sGC influences the relaxation of endothelium-removed bovine pulmonary arteries (BPA) to NO. Pretreatment of the homogenate of BPA with 50 microM FeCN resulted in a loss of stimulation of sGC activity by the NO donor 10 microM S-nitroso-N-acetylpenicillamine (SNAP). In the FeCN-treated homogenate reconcentrated to the enzyme levels in BPA, 100 microM NADPH restored NO stimulation of sGC, and this effect of NADPH was prevented by an inhibitor of flavoprotein electron transport, 1 microM diphenyliodonium (DPI). In BPA the relaxation to SNAP was not altered by FeCN, inhibitors of NADPH generation by the pentose phosphate pathway [250 microM 6-aminonicotinamide (6-AN) and 100 microM epiandrosterone (Epi)], or 1 microM DPI. However, the combination of FeCN with 6-AN, Epi, or DPI inhibited (P < 0.05) relaxation to SNAP without significantly altering the relaxation of BPA to forskolin. The inhibitory effects of 1 microM 1H-[1,2, 4]oxadiazolo[4,3-a]quinoxalin-1-one (a probe that appears to convert NO-heme of sGC to its Fe(3+)-heme form) on relaxation to SNAP were also enhanced by DPI. These observations suggest that a flavoprotein containing NADPH oxidoreductase may influence cGMP-mediated relaxation of BPA to NO by maintaining the heme of sGC in its Fe(2+) oxidation state.

血红蛋白氧化剂铁氰化物(FeCN)将可溶性鸟苷酸环化酶(sGC)上的血红素中的铁从Fe(2+)转化为Fe(3+),从而阻止一氧化氮(NO)结合血红素并刺激sGC活性。本研究使用FeCN来研究血红素对sGC氧化还原状态的调节是否会影响去内皮牛肺动脉(BPA)对NO的松弛。双酚a匀浆经50微米FeCN预处理后,一氧化氮供体10微米s -亚硝基-n -乙酰青霉胺(SNAP)对sGC活性的刺激丧失。在fecn处理的匀浆中,再浓缩到双酚a酶水平,100微米NADPH恢复了sGC的NO刺激,并且NADPH的这种作用被黄素蛋白电子传递抑制剂1微米二苯硫鎓(DPI)所阻止。在BPA中,FeCN、戊糖磷酸途径产生NADPH的抑制剂[250微米6-氨基烟酰胺(6-AN)和100微米表雄酮(Epi)]或1微米DPI均未改变SNAP的松弛。然而,FeCN与6-AN、Epi或DPI联合使用抑制了BPA对福斯克林的弛豫(P < 0.05),但未显著改变BPA对福斯克林的弛豫。1 μ m 1H-[1,2,4]oxadiazolo[4,3-a]quinoxalin-1-one(一种将sGC的no -血红素转化为Fe(3+)-血红素形式的探针)对SNAP松弛的抑制作用也被DPI增强。这些观察结果表明,含有NADPH氧化还原酶的黄蛋白可能通过维持sGC的铁(2+)氧化状态来影响cgmp介导的BPA到NO的松弛。
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引用次数: 39
Cisplatin induces renal expression of P-glycoprotein and canalicular multispecific organic anion transporter. 顺铂诱导肾p -糖蛋白和小管多特异性有机阴离子转运蛋白的表达。
Pub Date : 1999-12-01 DOI: 10.1152/ajprenal.1999.277.6.F832
M Demeule, M Brossard, R Béliveau

The expression of two members of the ATP-binding cassette family of transport proteins, P-glycoprotein (P-gp) and the canalicular multispecific organic anion transporter (cMOAT or Mrp2), was evaluated in renal brush-border membranes (BBM) and various rat tissues after cisplatin treatment. One administration of cisplatin (5 mg/kg) increased P-gp expression by >200-300% in renal BBM and in crude membranes from liver and intestine. The increase in P-gp expression in the kidney was also detected in photolabeling experiments, suggesting the induction of functional P-gp. cMOAT expression was increased by >10-fold in renal BBM after cisplatin administration, although it had no effect on liver cMOAT expression. The increase in the levels of both proteins was maximal at 2 days after cisplatin treatment and lasted for at least 8 days. These results indicate that a single administration of cisplatin induces overexpression of P-gp and cMOAT in specific tissues. This may be of significant relevance to the design of clinical trials using cisplatin as a single chemotherapeutic agent or in combination with other drugs.

研究了顺铂治疗后肾刷缘膜(BBM)和各大鼠组织中两种atp结合盒式转运蛋白家族成员p -糖蛋白(P-gp)和小管多特异性有机阴离子转运蛋白(cMOAT或Mrp2)的表达。顺铂一次给药(5 mg/kg)可使肾BBM、肝和肠粗膜中P-gp表达增加>200-300%。在光标记实验中也检测到肾中P-gp表达的增加,提示诱导了功能性P-gp。顺铂给药后肾BBM中cMOAT表达增加了10倍以上,但对肝脏cMOAT表达没有影响。两种蛋白水平的升高在顺铂治疗后2天达到最大,并持续至少8天。这些结果表明,单次顺铂可诱导P-gp和cMOAT在特定组织中的过表达。这可能对使用顺铂作为单一化疗药物或与其他药物联合使用的临床试验设计具有重要意义。
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引用次数: 64
Cardiac arrhythmias. 心律失常。
Pub Date : 1999-12-01 DOI: 10.1152/advances.1999.277.6.S214
A M Katz
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引用次数: 0
Teaching critical thinking skills in physiology. 教授生理学中的批判性思维技能。
Pub Date : 1999-12-01 DOI: 10.1152/advances.1999.277.6.S268
A P McNeal, S Mierson

This is a report of a workshop presented at Experimental Biology '99 on April 18, 1999, in Washington, DC.

这是1999年4月18日在华盛顿特区举行的实验生物学研讨会上发表的一份报告。
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引用次数: 3
Teaching about disinhibition. 关于解除抑制的教学。
Pub Date : 1999-12-01 DOI: 10.1152/advances.1999.277.6.S281
R Tannerthies
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引用次数: 10
Role of a negative arterial-portal venous glucose gradient in the postexercise state. 负的动脉-门静脉葡萄糖梯度在运动后状态中的作用。
Pub Date : 1999-12-01 DOI: 10.1152/ajpendo.1999.277.6.E1038
P Galassetti, Y Koyama, R H Coker, D B Lacy, A D Cherrington, D H Wasserman

Unlabelled: Prior exercise stimulates muscle and liver glucose uptake. A negative arterial-portal venous glucose gradient (a-pv grad) stimulates resting net hepatic glucose uptake (NHGU) but reduces muscle glucose uptake. This study investigates the effects of a negative a-pv grad during glucose administration after exercise in dogs.

Experimental protocol: exercise (-180 to -30 min), transition (-30 to -20 min), basal period (-20 to 0 min), and experimental period (0 to 100 min). In the experimental period, 130 mg/dl arterial hyperglycemia was induced via vena cava (Pe, n = 6) or portal vein (Po, n = 6) glucose infusions. Insulin and glucagon were replaced at fourfold basal and basal rates. During the experimental period, the a-pv grad (mg/dl) was 3 +/- 1 in Pe and -10 +/- 2 in Po. Arterial insulin and glucagon were similar in the two groups. In Pe, net hepatic glucose balance (mg x kg(-1) x min(-1), negative = uptake) was 4.2 +/- 0.3 (basal period) and -1.2 +/- 0.3 (glucose infusion); in Po it was 4.1 +/- 0.5 and -3.2 +/- 0.4, respectively (P < 0.005 vs. Pe). Total glucose infusion (mg x kg(-1) x min(-1)) was 11 +/- 1 in Po and 8 +/- 1 in Pe (P < 0.05). Net hindlimb and whole body nonhepatic glucose uptakes were similar.

Conclusions: the portal signal independently stimulates NHGU after exercise. Conversely, prior exercise eliminates the inhibitory effect of the portal signal on glucose uptake by nonhepatic tissues. The portal signal therefore increases whole body glucose disposal after exercise by an amount equal to the increase in NHGU.

未标示:先前的运动刺激肌肉和肝脏葡萄糖摄取。负的动脉-门静脉葡萄糖梯度(A -pv grad)刺激静息净肝葡萄糖摄取(NHGU),但减少肌肉葡萄糖摄取。本研究探讨了a-pv负梯度对狗运动后葡萄糖给药的影响。实验方案:运动(-180 ~ -30分钟)、过渡(-30 ~ -20分钟)、基础期(-20 ~ 0分钟)、实验期(0 ~ 100分钟)。实验期间通过腔静脉(Pe, n = 6)或门静脉(Po, n = 6)输注葡萄糖诱导130 mg/dl动脉性高血糖。胰岛素和胰高血糖素的替换率是基础和基础比率的四倍。在试验期间,Pe的a-pv梯度(mg/dl)为3 +/- 1,Po为-10 +/- 2。两组动脉胰岛素和胰高血糖素相似。在Pe中,净肝脏葡萄糖平衡(mg x kg(-1) x min(-1),阴性=摄取)为4.2 +/- 0.3(基础期)和-1.2 +/- 0.3(葡萄糖输注);Po分别为4.1 +/- 0.5和-3.2 +/- 0.4 (P < 0.005 vs. Pe)。Po组总葡萄糖输注量(mg × kg(-1) × min(-1))为11 +/- 1,Pe组为8 +/- 1 (P < 0.05)。后肢净摄糖量与全身非肝摄糖量相似。结论:运动后门静脉信号独立刺激NHGU。相反,先前的运动消除了门脉信号对非肝组织葡萄糖摄取的抑制作用。因此,门脉信号增加了运动后的全身葡萄糖处理,其量等于NHGU的增加。
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引用次数: 12
期刊
American Journal of Physiology
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