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CORP: In vivo muscle strength-perspectives on the design and interpretation of preclinical animal studies. 体内肌肉力量-临床前动物研究的设计和解释的观点。
IF 2.3 3区 医学 Q3 PHYSIOLOGY Pub Date : 2025-11-01 Epub Date: 2025-10-03 DOI: 10.1152/ajpregu.00187.2025
Jarrod A Call, Sarah M Greising, Cory W Baumann

Accurate and reproducible tools to evaluate skeletal muscle contractility help to advance the field of physiology by defining skeletal muscle function in the context of skeletal muscle development, disease, aging, and injury recovery. The biomechanical assessment of muscle strength can be accomplished by measuring in vivo muscle torque, specifically, the muscle force generated at a moment arm around a joint. This approach to assess skeletal muscle contractility in preclinical animal studies primarily measures muscle torque in anesthetized animals using noninvasive electrophysiological stimulation. This method is advantageous because skeletal muscle contractions are evoked in a controlled, quantifiable manner that is independent of subject motivation, allowing for maximal functional data and reproducible research outcomes. The purpose of this Cores of Reproducibility in Physiology (CORP) review is to discuss the underlying physiology of the in vivo method, to highlight common outcomes and their physiological importance, and to provide considerations for technical reproducibility and data interpretation. The hope is this CORP will provide skeletal muscle researchers with the foundational and practical knowledge to better incorporate the in vivo technique in their future studies.

通过在骨骼肌发育、疾病、衰老和损伤恢复的背景下定义骨骼肌功能,准确和可重复的评估骨骼肌收缩力的工具有助于推动生理学领域的发展。肌肉力量的生物力学评估可以通过测量体内肌肉扭矩来完成,具体来说,是在关节周围的力矩臂上产生的肌肉力。在临床前动物研究中,这种评估骨骼肌收缩力的方法主要是使用无创电生理刺激测量麻醉动物的肌肉扭矩。这种方法是有利的,因为骨骼肌收缩以一种受控的、可量化的方式被唤起,这种方式独立于受试者动机,允许最大的功能数据和可重复的研究结果。本综述的目的是讨论体内方法的潜在生理学,强调常见结果及其生理学重要性,并为技术可重复性和数据解释提供考虑因素。希望该公司将为骨骼肌研究人员提供基础和实用知识,以便在未来的研究中更好地结合体内技术。
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引用次数: 0
The influence of dynamic cerebral autoregulation efficiency on its directional sensitivity. 动态脑自调节效率对其方向敏感性的影响。
IF 2.3 3区 医学 Q3 PHYSIOLOGY Pub Date : 2025-11-01 Epub Date: 2025-09-22 DOI: 10.1152/ajpregu.00140.2025
Ronney B Panerai, Aaron Davies, Victoria J Haunton, Abdulaziz Alshehri, Emmanouil Katsogridakis, Lucy C Beishon, Thompson G Robinson, Jatinder S Minhas

Dynamic cerebral autoregulation (dCA) demonstrates directional sensitivity (DSCA), depending on increases or reductions in mean arterial blood pressure (MAP). DSCA dependence on the efficiency of dCA has not been reported. A retrospective study of 172 healthy subjects (88 female, age 19-82 yr), with 5-min recordings of MAP, cerebral blood velocity (middle cerebral artery, MCAv), end-tidal CO2, and electrocardiogram, led to estimates of the MCAv step response to changes in MAP. The strength of DSCA was expressed by the difference between the MCAv step responses for the positive derivative component of MAP and the corresponding negative derivative component. The efficiency of dCA was expressed by the original autoregulation index (ARIorig), ranging from 0 to 9, calculated from the original MAP. For the entire population, DSCA strength was not associated with ARIorig or any other parameters. However, when taking biological sex and age into account, markers of DSCA strength showed significant linear regressions with ARIorig, with negative slopes for younger females (P = 0.0037-0.011, late phase of the step responses), no influence in older females (P > 0.69), and positive slopes for both younger and older males (early phase of the step responses, P = 0.003-0.041). This contrasting pattern of the influences of sex and age is in agreement with the known effects of gonadal hormones on the myogenic response and endothelial function of the cerebral circulation. Clinical studies of the diagnostic and/or prognostic value of DSCA parameters need to take into account the influences of sex, age, and the ARIorig.NEW & NOTEWORTHY Dynamic cerebral autoregulation (dCA) is more efficient for increases in mean arterial blood pressure (MAP) compared with reductions in MAP. We found that directional sensitivity of dCA is dependent on its efficiency, with differences depending on sex and age. In older women, strength of directional sensitivity (DSCA) is not affected by dCA efficiency, but in younger women, DSCA decreases with dCA efficiency, whereas in both younger and older men, DSCA strength increases with dCA efficiency.

动态脑自动调节(dCA)表现出方向敏感性(DSCA),取决于平均动脉血压(MAP)的升高或降低。DSCA对dCA效率的依赖尚未见报道。对172名健康受试者(88名女性,年龄19-82岁)进行回顾性研究,记录5分钟的MAP、脑血流速度(大脑中动脉,MCAv)、潮末CO2和心电图,估计MCAv对MAP变化的阶跃反应。DSCA的强度由MAP的正导数分量和相应的负导数分量的MCAv阶跃响应之差来表示。dCA的效率由原始的自调节指数(ARIorig)表示,范围从0到9,由原始MAP计算得出。对于整个群体,DSCA强度与ARIorig或任何其他参数无关。然而,当考虑到生理性别和年龄时,DSCA强度的标记与ARIorig呈显著的线性回归,年轻女性的斜率为负(p=0.0037至0.011,阶梯反应后期),对老年女性没有影响(p= 0.69),年轻和老年男性的斜率均为正(阶梯反应早期,p=0.003至0.041)。这种性别和年龄影响的对比模式与已知的性激素对肌肉生成反应和脑循环内皮功能的影响是一致的。临床研究的诊断和/或预后价值的DSCA参数需要考虑到性别,年龄和性别的影响。
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引用次数: 0
Water deprivation test in children: challenging but still necessary for the differential diagnosis of polyuria-polydipsia syndrome. 儿童缺水试验:对多尿-多渴综合征的鉴别诊断具有挑战性但仍是必要的。
IF 2.3 3区 医学 Q3 PHYSIOLOGY Pub Date : 2025-11-01 Epub Date: 2025-09-10 DOI: 10.1152/ajpregu.00248.2024
Carolina Donaire Sousa, Beatriz Gon Perez Nardoque, Davi Casale Aragon, Ayrton Custódio Moreira, Mariana Teresa Alves Sarti de Paula, Paula Condé Lamparelli Elias, Sonir Roberto Rauber Antonini

The differential diagnosis within polyuria-polydipsia syndrome, especially in the pediatric population, remains challenging. Despite its limited accuracy, the water deprivation test (WDT) is the reference test in pediatrics. We retrospectively analyzed WDT performed in 65 pediatric patients (mean age 8.2 yr; 0-17.9). We evaluated the accuracy and safety of the WDT, investigated possible baseline variables that could predict outcomes, and reevaluated interruption and interpretation criteria. Among the 83 WTDs performed, 47 (56.6%) were conclusive (accuracy = 53%). The simplified 2-h WDT was inconclusive in 47.6% of the sample. A baseline urinary osmolality (uOsm) greater than 279 mosmol/kgH2O excluded arginine vasopressin deficiency (AVP-D) and/or AVP resistance (AVP-R) in all patients (sensitivity = 100%; specificity = 74%; P < 0.01). A uOsm greater than 533 mOsm/kgH2O at the time of WTD discontinuation also excluded the diagnosis of AVP disorders in all subjects (sensitivity = 100%; specificity = 100%; P < 0.01). Therefore, a baseline uOsm > 279 mOsm/kgH2O and a peak uOsm > 533 mOsm/kgH2O excluded AVP disorders. These new cutoffs can improve WDT accuracy and should be validated in prospective studies. No serious adverse effects (SAEs) were observed. The lower limit of 3% weight loss was the criterion for early WDT interruption in nine conclusive tests. The demonstrated safety encourages us to use weight losses greater than 5% as stopping intervals and also tolerate a more extended test duration when necessary. In conclusion, WDT in children and adolescents is safe and still necessary until better diagnostic tools are proven helpful in pediatric patients with polyuria-polydipsia syndrome.NEW & NOTEWORTHY This large pediatric cohort study confirms the safety of the water deprivation test but reveals its limited diagnostic accuracy. Updated diagnostic criteria can improve performance and reduce unnecessary testing. A baseline urinary osmolality (uOsm) > 279 mOsm/kgH2O excluded arginine vasopressin (AVP) disorders with 100% sensitivity and 74% specificity and an interrupt uOsm > 533 mOsm/kgH2O excluded them with 100% sensitivity and specificity. A weight loss >5% was a safe threshold. Prospective, multicenter studies are needed to generalize these findings.

多尿-多饮综合征的鉴别诊断,特别是在儿科人群中,仍然具有挑战性。尽管其准确性有限,但水剥夺试验(WDT)是儿科的参考试验。我们回顾性分析了65例儿童患者(平均年龄8.2岁;0-17.9岁)。我们评估了WDT的准确性和安全性,研究了可能预测结果的基线变量,并重新评估了中断和解释标准。83例WTDs中,47例(56.6%)为结论性,准确率为53%。简化的2小时- wdt在47.6%的样本中是不确定的。基线尿渗透压(uOsm)大于279 mOsm/kg,排除所有患者精氨酸抗利尿素缺乏(AVP- d)和/或AVP耐药(AVP- r)(敏感性= 100%,特异性= 74%,p < 0.01)。WTD停药时的uOsm大于533 mOsm/kg也排除了所有受试者AVP疾病的诊断(敏感性= 100%,特异性= 100%,p< 0.01)。因此,基线uOsm为279mosm /kg,峰值uOsm为533mosm /kg排除了AVP疾病。这些新的截止值可以提高WDT的准确性,应该在前瞻性研究中进行验证。未观察到严重不良反应(SAE)。在9项结论性试验中,体重减轻3%的下限是早期WDT中断的标准。证明的安全性鼓励我们使用大于5%的体重减轻作为停止间隔,并在必要时容忍更长的测试持续时间。总之,儿童和青少年的WDT是安全的,并且仍然是必要的,直到更好的诊断工具被证明对患有多尿-多饮综合征的儿童患者有帮助。
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引用次数: 0
Experience-mediated transcriptional memory correlates with hypoxia resistance in the nervous system of the sea hare Aplysia californica. 经验介导的转录记忆与加利福尼亚海兔神经系统的缺氧抵抗相关。
IF 2.3 3区 医学 Q3 PHYSIOLOGY Pub Date : 2025-11-01 Epub Date: 2025-09-08 DOI: 10.1152/ajpregu.00071.2025
Javier A Rodriguez-Casariego, Phillip Gillette, Michael Schmale, Mark W Miller, Lynne A Fieber

Current therapeutics for hypoxic/ischemic brain damage can benefit from insights resulting from the study of hypoxia/anoxia-resistant organisms. Hypoxia resistance, however, is not a common feature in mammalian models. Being naturally exposed to hypoxic/anoxic conditions, the sea hare Aplysia californica could become a very useful model for the study of hypoxia resistance. Here, we experimentally exposed two cohorts of A. californica, resulting from crosses of adults with different environmental exposure histories, to daily 6 h pulses of hypoxic water conditions (<1.8 mgO2/mL) for six consecutive days. The transcriptional response to hypoxia was evaluated in the abdominal and pleural/pedal ganglia through the exposure, during rapid reoxygenation, and after >12 h of recovery. Resistance to hypoxia was observed in the offspring of wild animals, with no significant changes in growth and reflex performance, compared with unexposed controls of the same cohort. Impairments were observed however in the offspring of lab-reared individuals. Transcriptional response to hypoxia was larger in the abdominal ganglia compared with the pleural/pedal for both cohorts, and significant differences between cohorts were observed for both ganglia. Overall, wild-cross animals displayed a significant reduction in the expression of metabolic genes, and an increased expression of genes involved in stress-response and immune system functions compared with the lab-cross cohort, both under control conditions and during hypoxia exposures. The resistant group displayed similar gene-level regulation as that described to be involved in hypoxia/ischemia preconditioning (HPC/IPC) in mammalian models, including the frontloading of HIF1-a orthologs and other neuroprotective genes like VEGF and HSP70.NEW & NOTEWORTHY Our results indicate that regular exposure to challenging natural conditions activates mechanisms involved in hypoxia resistance in Aplysia californica. This experience is passed to the next generation, fading in the absence of exposure for at least two generations. Gene expression and physiological responses varied significantly between resistant and sensitive sea hares under normoxic and hypoxic conditions, displaying clear evidence of preconditioning in core hypoxia response pathways like HIF.

目前缺氧/缺血性脑损伤的治疗方法可以从缺氧/缺氧抵抗生物的研究中获益。然而,在哺乳动物模型中,抗缺氧性并不是一个常见的特征。由于自然暴露于低氧/缺氧条件下,加利福尼亚海兔可以成为研究耐缺氧性的非常有用的模型。在这里,我们实验暴露了两组加利福尼亚小蠊,由不同环境暴露史的成虫杂交而成,连续6天每天6小时的低氧水条件脉冲(2/ml)。通过暴露、快速复氧和恢复12小时后,评估腹部和胸膜/足神经节对缺氧的转录反应。在野生动物的后代中观察到对缺氧的抵抗,与同一队列未暴露的对照组相比,在生长和反射性能方面没有显着变化。然而,在实验室饲养的个体的后代中观察到损伤。在两个队列中,腹部神经节对缺氧的转录反应比胸膜/踏板更大,并且在两个神经节中观察到队列之间的显着差异。总的来说,无论是在控制条件下还是在缺氧暴露条件下,野生杂交动物的代谢基因表达都显著减少,而与应激反应和免疫系统功能相关的基因表达则增加。耐药组表现出与哺乳动物模型中缺氧/缺血预处理(HPC/IPC)相似的基因水平调控,包括HIF1-a同源基因和其他神经保护基因如VEGF和HSP70的前负荷。
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引用次数: 0
Warming up to a new coat: molting king penguins exhibit hyperthermia and increased peripheral heat loss. 换新衣:换毛的王企鹅表现出体温过高和周围热量损失增加。
IF 2.3 3区 医学 Q3 PHYSIOLOGY Pub Date : 2025-11-01 Epub Date: 2025-10-03 DOI: 10.1152/ajpregu.00078.2025
Juan D Zuluaga, Emmanuel Pretti, Aude Leynaert, Elsa Marçon, Antoine Stier, Agnès Lewden

Penguins are among the most specialized thermoregulators on the planet; however, the same adaptations that maximize heat retention underwater likely hinder heat dissipation on land, possibly creating dangerous thermoregulatory challenges when encountering warming terrestrial habitats. Penguins are subject to strictly terrestrial phases, such as molting, when metabolic heat production, insulation, and energetic constraints are heightened. We assessed thermoregulation in molting captive king penguins (Aptenodytes patagonicus) using simultaneous measurements of core and surface temperatures to test two hypotheses. Under the thermal challenge hypothesis, an initial rise in heat dissipation effort (i.e., increased peripheral vasomotion) followed by a rise in core temperature would indicate failure to prevent hyperthermia. Under the warm-up hypothesis, an initial rise of core temperature concomitant or followed by an increase in peripheral vasomotion would indicate regulated hyperthermia, possibly to accelerate feather development. Core and surface temperatures increased drastically but concomitantly during molt, providing tentative support to the warm-up hypothesis. Molting penguins did not pant, suggesting that peripheral heat dissipation was sufficient to regulate molting-induced hyperthermia. Core and subcutaneous temperatures in wild individuals resembled patterns measured in captivity, despite lower heat load and additional options for behavioral thermoregulation. These results indicate that hyperthermia is prevalent in molting king penguins, and documenting the timing of temperature changes provides novel insights for the molting physiology of penguins. Because molting-induced hyperthermia may contribute to heat load, we caution that molting may increase the susceptibility of wild penguins to heat stress, especially as regions near the poles warm at a disproportionately rapid rate.NEW & NOTEWORTHY Penguins may experience heat stress while molting, which causes increased metabolic heat generation and insulation. We assessed thermoregulation in molting captive king penguins (Aptenodytes patagonicus) using simultaneous measurements of core and surface temperatures. By measuring temperature throughout the entirety of the molt, we found that hyperthermia and increased peripheral heat dissipation are prevalent in molting king penguins. We caution that molting-induced hyperthermia may contribute to the susceptibility of penguins to heat stress in the wild.

企鹅是地球上最专业的温度调节动物之一,然而,在水下最大限度地保持热量的适应性可能会阻碍陆地上的热量散失,当遇到变暖的陆地栖息地时,可能会造成危险的温度调节挑战。企鹅严格地服从于陆地阶段,如换毛,这时代谢产热、绝缘和能量限制被加强。我们评估了换羽的圈养王企鹅(Aptenodytes patagonicus)的体温调节,同时测量了核心和表面温度,以验证两个假设。在热挑战假说下,最初的散热努力增加(即外周血管舒缩增加),随后的核心温度升高,表明未能防止热休克。在热身假说下,最初的核心温度升高伴随或随后的外周血管舒缩增加表明体温调节,可能会加速羽毛的发育。在蜕皮过程中,核心和表面温度急剧升高,但同时升高,这为暖化假说提供了初步的支持。换羽企鹅不会喘气,这表明外围散热足以调节换羽引起的高温。野生个体的核心和皮下温度与圈养个体的测量模式相似,尽管热负荷较低,并且有额外的行为体温调节选择。这些结果表明,热疗在换羽的王企鹅中普遍存在,记录温度变化的时间为企鹅的换羽生理学提供了新的见解。由于换羽引起的高温可能会增加热负荷,我们警告说,换羽可能会增加野生企鹅对热应激的敏感性,特别是在两极附近地区以不成比例的速度变暖。
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引用次数: 0
Sex differences in stress response in the marine copepod, Calanus finmarchicus. 海洋桡足动物卡兰纳斯(Calanus finmarchicus)应激反应的性别差异
IF 2.3 3区 医学 Q3 PHYSIOLOGY Pub Date : 2025-11-01 Epub Date: 2025-10-13 DOI: 10.1152/ajpregu.00120.2025
Sidonie Rousseau, Wassim Ameur, Elise Thiebaut, Tamer Hafez, Dag Altin, Bjørn Henrik Hansen, Kang Nian Yap

As climate change intensifies, marine organisms face multiple environmental stressors that challenge their survival and adaptability. Oxidative stress occurs when environmental conditions deviate far from an organism's optimal range, and responses vary due to diverse molecular and physiological pathways. Stress responses can differ by sex and be influenced by multiple stressors, yet the underlying mechanisms remain poorly understood. This study examined sex differences in stress response in copepods Calanus finmarchicus, one of the most ecologically important animals in the marine ecosystem. Adult males and females were exposed to paraquat, an oxidative stress inducer, to assess survival, metabolic rate, and expression of antioxidant genes and chaperones. In addition, females were subjected to combined heat and paraquat stress to explore interactive effects on stress tolerance. Males exhibited greater upregulation of antioxidant enzymes but had lower survival than females in response to paraquat exposure. Despite similar metabolic rates between sexes, females were larger and had greater lipid sac volume than males, which may contribute to their higher resilience and survival under paraquat exposure. In females, combined paraquat and heat stress had a synergistic detrimental effect on survival but only heat stress impacted metabolic rate. In addition, heat stress modulated female's gene expression, antagonizing glutathione-S-transferase III and enhancing superoxide dismutase expression. A potential threshold for superoxide dismutase and catalase fold change was identified in paraquat-exposed females. Understanding the variability in stress responses is crucial for predicting species resilience to climate change and environmental disturbances, ultimately informing conservation and ecosystem management strategies.NEW & NOTEWORTHY This individual-based study reveals sex-specific differences in stress responses of the copepod Calanus finmarchicus to oxidative stress, with males showing higher sensitivity but no significant different metabolic strategies compared with females. It also identifies the antagonistic and synergistic effects of heat and paraquat-induced oxidative stress on antioxidant gene expression, and a potential maximum threshold for superoxide dismutase and catalase fold change in females.

随着气候变化的加剧,海洋生物面临着多种环境压力,挑战着它们的生存和适应能力。当环境条件远远偏离生物体的最佳范围时,氧化应激就会发生,并且由于不同的分子和生理途径而产生不同的反应。应激反应可能因性别而异,并受到多种应激源的影响,但其潜在机制尚不清楚。本研究考察了海洋生态系统中最重要的生态动物之一——鳍足类(Calanus finmarchicus)应激反应的性别差异。成年雄性和雌性暴露于百草枯(一种氧化应激诱诱剂),以评估其存活率、代谢率以及抗氧化基因和伴侣蛋白的表达。此外,雌性在高温和百草枯联合胁迫下,探讨了相互作用对胁迫耐受性的影响。雄性对百草枯暴露表现出更大的抗氧化酶上调,但存活率低于雌性。尽管两性之间的代谢率相似,但雌性比雄性体型更大,脂囊体积更大,这可能有助于它们在百草枯暴露下的更高的恢复力和存活率。在雌性中,百草枯和热应激联合对存活有协同不利影响,但只有热应激影响代谢率。此外,热应激调节雌性基因表达,拮抗谷胱甘肽-s-转移酶III,增强超氧化物歧化酶表达。在暴露于百草枯的女性中确定了超氧化物歧化酶和过氧化氢酶折叠变化的潜在阈值。了解胁迫反应的变异性对于预测物种对气候变化和环境干扰的恢复能力至关重要,最终为保护和生态系统管理策略提供信息。
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引用次数: 0
Praeruptorin A alleviates DSS-induced acute ulcerative colitis in mice via the STAT-1/-3 pathway. proprotorin A通过STAT-1/-3通路缓解dss诱导的小鼠急性溃疡性结肠炎。
IF 2.3 3区 医学 Q3 PHYSIOLOGY Pub Date : 2025-11-01 Epub Date: 2025-09-09 DOI: 10.1152/ajpregu.00064.2025
Junshen Xiao, Shichao Wei, Yue Wang, Xuan Zhang, Hangxue Cao, Zhaoyang Hu

Ulcerative colitis (UC) is a serious inflammatory bowel disease with a significantly increasing incidence globally. Current treatment options often exhibit unstable efficacy and notable side effects, making the exploration of alternative therapies particularly important. Peucedanum praeruptorum Dunn, a traditional Chinese medicine, contains various bioactive compounds, among which praeruptorin A (PA) has garnered attention for its anti-inflammatory potential. This study aimed to investigate the anti-UC effects of PA in a dextran sulfate sodium (DSS)-induced colitis mouse model and in Caco-2 cells and its underlying mechanisms. Preliminary results indicate that PA alleviates symptoms of DSS-induced ulcerative colitis, significantly reduces the expression of inflammatory factors, decreases colonic apoptosis, and repairs damaged intestinal barrier function in mice. PA also had protective effects on DSS-induced barrier dysfunction and inflammation in Caco-2 cells. Further research demonstrated that PA inhibits the phosphorylation of the STAT-1 and STAT-3 proteins, whereas AG490, an inhibitor of STAT-1 and STAT-3, effectively mimics the intestinal protective effects of PA. In addition, network pharmacology and molecular docking analyses were conducted to further elucidate the molecular targets and mechanisms of PA. These analyses revealed key pathways and potential interactions, supporting the hypothesis that PA exerts its protective effects through the modulation of inflammatory and apoptotic pathways. In summary, these findings support the protective role of PA in ulcerative colitis in vivo and in vitro and suggest its potential as an intervention for the prevention and treatment of this condition.NEW & NOTEWORTHY This study revealed that praeruptorin A (PA) alleviates symptoms of ulcerative colitis in a DSS-induced mouse model, reduces inflammatory factors levels, and promotes intestinal barrier repair in both DSS-induced colitis model mice and Caco-2 cells. The effects of PA are linked to STAT-1 and STAT-3 inhibition, highlighting its potential as a therapeutic intervention.

溃疡性结肠炎(UC)是一种严重的炎症性肠病,全球发病率显著增加。目前的治疗方案往往表现出不稳定的疗效和显著的副作用,使得探索替代疗法尤为重要。原胡芦巴是一种中药,含有多种生物活性化合物,其中原胡芦巴苷a (PA)因具有抗炎作用而备受关注。本研究旨在探讨PA在葡聚糖硫酸钠(DSS)诱导的结肠炎小鼠模型和Caco-2细胞中的抗uc作用及其机制。初步结果表明,PA可减轻dss诱导的小鼠溃疡性结肠炎的症状,显著降低炎症因子的表达,减少结肠细胞凋亡,修复受损的肠道屏障功能。PA对dss诱导的Caco-2细胞屏障功能障碍和炎症也有保护作用。进一步研究表明,PA可抑制STAT-1和STAT-3蛋白的磷酸化,而STAT-1和STAT-3的抑制剂AG490可有效模拟PA的肠道保护作用。此外,通过网络药理学和分子对接分析,进一步阐明PA的分子靶点和作用机制。这些分析揭示了关键通路和潜在的相互作用,支持了PA通过调节炎症和凋亡通路发挥其保护作用的假设。总之,这些研究结果支持PA在体内和体外对溃疡性结肠炎的保护作用,并提示其作为预防和治疗溃疡性结肠炎的干预措施的潜力。
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引用次数: 0
Hypoxia-induced impairments in fasting glucose are associated with acute mountain sickness severity during 4 days of residence at 4,300 m. 缺氧引起的空腹血糖损伤与在海拔4300米处居住4天的急性高山病严重程度有关。
IF 2.3 3区 医学 Q3 PHYSIOLOGY Pub Date : 2025-11-01 Epub Date: 2025-09-10 DOI: 10.1152/ajpregu.00130.2025
Sean P Langan, Emily C Tagesen, Steven D Landspurg, Peter S Figueiredo, Quint N Berkemeier, Melissa D McInnis, Robert L Alunday, Aaron J Reilly, Trevor J Mayschak, Erik R Swenson, Pierre A Fabries, Jon K Femling, Beth A Beidleman

Insulin resistance has been associated with acute mountain sickness (AMS) risk, but the influence of active ascent is unclear. Thirty-two unacclimatized soldiers (23 ± 4 yr; 80 ± 14 kg) were tested at baseline residence (BLR), hiked ∼5 km (n = 16) or were driven (n = 16) to 4,300 m, and stayed for 4 days (∼66 h). Venous blood was taken each morning at BLR and during high altitude (HA) exposure days 2-4 (HA2-4) and the evening on day 1 at HA (HA1). Metabolites and hormones were measured, and insulin resistance (HOMA-IR) was calculated. AMS cerebral factor score (AMS-C) was measured daily and peak scores were calculated. Active ascenders had higher energy expenditure (1,265 ± 351 vs. 408 ± 208 kcal) and lower oxygen saturation ([Formula: see text]) (75 ± 3 vs. 82 ± 3%) during ascent. Norepinephrine and lactate were higher (P < 0.007) in active ascenders on HA1. All other data were combined due to lack of group differences. Glucose, insulin, and HOMA-IR were elevated (P < 0.05) on HA2 (105.9 ± 12.3 mg/dL; 12.1 ± 6.8 µIU/mL; 3.2 ± 2.1 au) and HA3 (101.8 ± 11.2 mg/dL; 10.2 ± 5.5 µIU/mL; 2.2 ± 1.4 au) vs. baseline and returned to normal on HA4. Epinephrine (P < 0.001) and cortisol (P = 0.004) were elevated on HA1 and HA2 vs. baseline, respectively. GLP-1 was higher on HA1 vs. HA2 and HA3 (P < 0.021). Glucose (rrm = 0.42; P = 0.001), insulin (rrm = 0.29; P = 0.001), HOMA-IR (rrm = 0.27; P = 0.002), epinephrine (rrm = 0.34; P < 0.001), and norepinephrine (rrm = 0.20; P = 0.027) were significantly correlated with AMS-C. Transient perturbations to glucose metabolism during 4 days of HA exposure influences AMS severity without further impact from active ascent.NEW & NOTEWORTHY We demonstrate insulin resistance during 4 days of exposure at 4,300 m is positively correlated with acute mountain sickness (AMS) severity. This builds on previous data showing insulin sensitivity and carbohydrate metabolism at sea-level predict AMS. The blood glucose excursions appear at least partly mediated by cortisol and nocturnal hypoxemia.

胰岛素抵抗与急性高原病(AMS)风险有关,但积极攀登的影响尚不清楚。方法:对32名未适应环境的士兵(23±4岁,80±14 kg)进行基线居住地(BLR)测试,徒步(n=16)或驱车(n=16)至4300 m,停留4 d (~66 h)。每天早上在BLR和高海拔暴露第2-4天(HA2-4)和第1天晚上在高海拔暴露(HA1)时取静脉血。测量代谢产物和激素,计算胰岛素抵抗(HOMA-IR)。每日测定AMS脑因子评分(AMS- c)并计算峰值评分。结果:主动爬坡者在爬坡过程中能量消耗较高(1265±351 kcal vs. 408±208 kcal),血氧饱和度较低(75±3 kcal vs. 82±3%)。去甲肾上腺素和乳酸水平分别高于基线水平(PPPP=0.004)。GLP-1对HA1的影响高于HA2和HA3 (Prm=0.42, P=0.001),胰岛素(rrm=0.29, P=0.001)、HOMA-IR (rrm=0.27, P=0.002)、肾上腺素(rrm=0.34, Prm=0.20, P=0.027)与AMS-C显著相关。结论:暴露于HA的4天内,葡萄糖代谢的短暂扰动会影响AMS的严重程度,而不受主动上升的进一步影响。
{"title":"Hypoxia-induced impairments in fasting glucose are associated with acute mountain sickness severity during 4 days of residence at 4,300 m.","authors":"Sean P Langan, Emily C Tagesen, Steven D Landspurg, Peter S Figueiredo, Quint N Berkemeier, Melissa D McInnis, Robert L Alunday, Aaron J Reilly, Trevor J Mayschak, Erik R Swenson, Pierre A Fabries, Jon K Femling, Beth A Beidleman","doi":"10.1152/ajpregu.00130.2025","DOIUrl":"10.1152/ajpregu.00130.2025","url":null,"abstract":"<p><p>Insulin resistance has been associated with acute mountain sickness (AMS) risk, but the influence of active ascent is unclear. Thirty-two unacclimatized soldiers (23 ± 4 yr; 80 ± 14 kg) were tested at baseline residence (BLR), hiked ∼5 km (<i>n</i> = 16) or were driven (<i>n</i> = 16) to 4,300 m, and stayed for 4 days (∼66 h). Venous blood was taken each morning at BLR and during high altitude (HA) exposure <i>days 2</i>-<i>4</i> (HA2-4) and the evening on <i>day 1</i> at HA (HA1). Metabolites and hormones were measured, and insulin resistance (HOMA-IR) was calculated. AMS cerebral factor score (AMS-C) was measured daily and peak scores were calculated. Active ascenders had higher energy expenditure (1,265 ± 351 vs. 408 ± 208 kcal) and lower oxygen saturation ([Formula: see text]) (75 ± 3 vs. 82 ± 3%) during ascent. Norepinephrine and lactate were higher (<i>P</i> < 0.007) in active ascenders on HA1. All other data were combined due to lack of group differences. Glucose, insulin, and HOMA-IR were elevated (<i>P</i> < 0.05) on HA2 (105.9 ± 12.3 mg/dL; 12.1 ± 6.8 µIU/mL; 3.2 ± 2.1 au) and HA3 (101.8 ± 11.2 mg/dL; 10.2 ± 5.5 µIU/mL; 2.2 ± 1.4 au) vs. baseline and returned to normal on HA4. Epinephrine (<i>P</i> < 0.001) and cortisol (<i>P</i> = 0.004) were elevated on HA1 and HA2 vs. baseline, respectively. GLP-1 was higher on HA1 vs. HA2 and HA3 (<i>P</i> < 0.021). Glucose (<i>r</i><sub>rm</sub> = 0.42; <i>P</i> = 0.001), insulin (<i>r</i><sub>rm</sub> = 0.29; <i>P</i> = 0.001), HOMA-IR (<i>r</i><sub>rm</sub> = 0.27; <i>P</i> = 0.002), epinephrine (<i>r</i><sub>rm</sub> = 0.34; <i>P</i> < 0.001), and norepinephrine (<i>r</i><sub>rm</sub> = 0.20; <i>P</i> = 0.027) were significantly correlated with AMS-C. Transient perturbations to glucose metabolism during 4 days of HA exposure influences AMS severity without further impact from active ascent.<b>NEW & NOTEWORTHY</b> We demonstrate insulin resistance during 4 days of exposure at 4,300 m is positively correlated with acute mountain sickness (AMS) severity. This builds on previous data showing insulin sensitivity and carbohydrate metabolism at sea-level predict AMS. The blood glucose excursions appear at least partly mediated by cortisol and nocturnal hypoxemia.</p>","PeriodicalId":7630,"journal":{"name":"American journal of physiology. Regulatory, integrative and comparative physiology","volume":" ","pages":"R599-R609"},"PeriodicalIF":2.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145032662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Moderate intermittent hypoxic conditioning to enhance cerebrovascular function in the elderly: a randomized controlled trial. 中度间歇缺氧条件增强老年人脑血管功能:一项随机对照试验。
IF 2.3 3区 医学 Q3 PHYSIOLOGY Pub Date : 2025-11-01 Epub Date: 2025-10-21 DOI: 10.1152/ajpregu.00160.2025
Hugo Randy, Titouan Paul Perrin, Abdallah Ghaith, Dario Kohlbrenner, Patrice Flore, Benoit Champigneulle, Michel Francois Guinot, Stéphane Doutreleau, Samuel Verges, Julien V Brugniaux, Mathieu Marillier

Aging is associated with cerebrovascular impairment, increasing the risk for neurovascular and degenerative diseases. Intermittent hypoxic conditioning (IHC) has been proposed as a valuable strategy to enhance vascular health. However, its effects in cerebrovascular territories remain unclear, particularly in older adults. Eighteen elderly individuals (62-79 yr, 11 males) were randomly assigned to either an IHC (n = 8) or a control group (CTL, n = 10). Both groups underwent 24 sessions (3 sessions/wk) of passive moderate exposure to either intermittent hypoxia (targeted oxygen saturation by pulse oximetry = 75%-80%) or sham hypoxia. Middle cerebral artery (MCA) reactivity to hypo- (hyperventilation task) and hypercapnia (carbon dioxide ramp administration) was assessed using transcranial Doppler ultrasound. Cerebrovascular reactivity to carbon dioxide (CVRCO2) was evaluated in both absolute and relative changes in MCA blood velocities (MCAv), before (Pre), 3-4 days after (post 1), and 2 mo after (post 2) intervention cessation. As expected, MCAv decreased during hypocapnia (CTL = -15.7 ± 7.0 cm/s; IHC = -15.9 ± 6.0 cm/s) and increased during hypercapnia (CTL = 20.7 ± 8.4 cm/s; IHC = 18.2 ± 11.1 cm/s) at all time points in both groups. However, compared with CTL, IHC did not significantly improve any CVRCO2 parameters (e.g., relative CVRCO2 to hypercapnia, Pre: CTL = 4.3 ± 1.9, IHC = 3.1 ± 2.0; post 1: CTL = 4.1 ± 1.6, IHC = 3.4 ± 1.6; post 2: CTL = 4.7 ± 2.0, IHC = 3.5 ± 1.7 cm/s/mmHg; P = 0.739). The present work does not support the potential benefits of IHC on cerebrovascular function. However, future studies are required to confirm these preliminary results and may consider a more comprehensive appraisal of the cerebral hemodynamic control.NEW & NOTEWORTHY This study is the first to investigate the effects of IHC on CVRCO2 over the short- and mid-term in elderly individuals. Contrary to our initial hypothesis, 8 wk of moderate IHC did not enhance CVRCO2 at any time point.

背景:衰老与脑血管损伤相关,增加神经血管和退行性疾病的风险。间歇性低氧调节(IHC)已被提出作为一种有价值的策略,以提高血管健康。然而,其在脑血管领域的影响尚不清楚,特别是在老年人中。方法:18例老年人(62-79岁,男性11例)随机分为免疫组组(n=8)和对照组(n= 10)。两组均进行了24次(3次/周)被动中度暴露于间歇性缺氧(脉搏血氧仪测定的目标氧饱和度= 75-80%)或假性缺氧。采用经颅多普勒超声评估大脑中动脉(MCA)对低(过度通气任务)和高碳酸血症(二氧化碳匝道给药)的反应性。脑血管对二氧化碳的反应性(CVRCO2)在停止干预前(前)、干预后3-4天和干预后2个月的MCA血流速度(MCAv)的绝对和相对变化中进行评估。结果:在低碳酸血症(CTL= -15.7±7.0 cm/s; IHC= -15.9±6.0 cm/s)和高碳酸血症(CTL= 20.7±8.4 cm/s; IHC= 18.2±11.1 cm/s)期间,两组的MCAv在所有时间点均有所下降。然而,与CTL相比,IHC没有显著改善CVRCO2参数(例如,CVRCO2相对于高碳酸血症,前:CTL= 4.3±1.9,IHC= 3.1±2.0;后:CTL= 4.1±1.6,IHC= 3.4±1.6;后:CTL= 4.7±2.0,IHC= 3.5±1.7 cm/s/mmHg; p=0.739)。结论:本研究不支持IHC对脑血管功能的潜在益处。然而,未来的研究需要证实这些初步结果,并可能考虑对脑血流动力学控制进行更全面的评估。
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引用次数: 0
Irisin deficiency exacerbates cardiac dysfunction and enhances hemorrhage injury in hemorrhage/resuscitation. 出血/复苏中鸢尾素缺乏可加重心功能障碍,加重出血损伤。
IF 2.3 3区 医学 Q3 PHYSIOLOGY Pub Date : 2025-11-01 Epub Date: 2025-10-15 DOI: 10.1152/ajpregu.00013.2025
Supaporn Kulthinee, Lijiang Wang, John Slate-Romano, LingNa Huang, Thomas Zhao, Patrycja M Dubielecka, Jia-Qiang He, Shougang Zhuang, Ting C Zhao

Irisin contributes critically to modulating metabolism and tissue survival in muscles and adipocytes. Whether deficiency of irisin impacts the hemorrhagic injury and/or whether the effect of irisin deficiency on hemorrhagic injury primarily relies on irisin, which is currently unknown. We use an irisin knockout mouse to eliminate irisin and pharmacological approaches in a mouse hemorrhagic model to determine the function of irisin on hemorrhage and resuscitation (H/R). Hemorrhage was induced by achieving a mean arterial blood pressure of 35-45 mmHg for 60 min, followed by 2 h of resuscitation in mice. Experimental groups were divided as follows (n = 6-8 per group): sham groups I and II: wild-type (WT) mice and irisin-knockout (KO) mice were subjected to femoral catheterization without H/R; groups III and IV: WT mice and irisin-KO mice were subjected to H/R, respectively; groups V and VI: irisin (50 μg/kg, iv) was infused into WT and irisin-KO H/R mice during resuscitation. Mean blood pressure, myocardial function, serum cytokine, inflammatory cell infiltration, terminal deoxynucleotidyl transferase dUTP nick end labeling-positive apoptosis, active caspase 3, components of oxidative phosphorylation, and mitochondrial ATPase activity in muscles were determined. Irisin deficiency exacerbated cardiac dysfunction in H/R in association with increases in interleukin 6, the infiltration of inflammatory cells, active caspase-3, and reduced oxidative phosphorylation and ATPase activities. The effects of irisin deletion on H/R were rescued by irisin. Deletion of irisin exacerbated injury of H/R, which was rescued by infusion of irisin, suggesting a key role of irisin in the regulation of hemorrhage/resuscitation.NEW & NOTEWORTHY Deletion of irisin resulted in a reduction in cardiac function and hemodynamics and exacerbated inflammation and tissue injury in response to hemorrhagic injury. Irisin rescued the hemorrhage-induced cardiac depression and attenuated the inflammatory response induced by irisin deficiency in hemorrhagic injury, suggesting that irisin contributes critically to the protective role in hemorrhage/resuscitation.

背景:鸢尾素对调节肌肉和脂肪细胞的代谢和组织存活起着至关重要的作用。鸢尾素缺乏是否影响出血性损伤和/或鸢尾素缺乏对出血性损伤的影响是否主要依赖于鸢尾素,目前尚不清楚。目的:采用鸢尾素基因敲除小鼠消除鸢尾素和小鼠出血模型的药理学方法,探讨鸢尾素对出血复苏(H/R)的作用。方法:使小鼠平均动脉血压达到35-45 mmHg,持续60分钟,然后复苏2小时,诱导出血。试验组分为各组(n=6-8/组):Sham组I和II:野生型(WT)小鼠和Irisin-KO小鼠行股导管置管,不进行H/R;III组和IV组:WT小鼠和Irisin-KO小鼠分别给予H/R;V、VI组:WT和Irisin- ko H/R小鼠复苏时ig鸢尾素50μg/kg,静脉滴注。测定平均血压、心肌功能、血清细胞因子、炎症细胞浸润、TUNEL阳性细胞凋亡、活性caspase 3、氧化磷酸化成分和线粒体atp酶活性。结果:鸢尾素缺乏加重H/R心功能障碍,与IL-6升高、炎症细胞浸润、caspase-3活性升高、氧化磷酸化OXPHOS和atp酶活性降低有关。鸢尾素缺失对H/R的影响被鸢尾素挽救。结论:鸢尾素的缺失加重了H/R损伤,而灌注鸢尾素可挽救H/R损伤,提示鸢尾素在出血/复苏调控中起关键作用。
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