Frontiers in PhysiologyPub Date : 2024-11-07eCollection Date: 2024-01-01DOI: 10.3389/fphys.2024.1495648
Min-Hyeok Jang, Dae-Hwan Kim, Jean-Hee Han, Seok-Ho Kim, Jung-Hyun Kim
{"title":"Impact of ischemic preconditioning combined with aerobic exercise on 24-h ambulatory blood pressure in men with prehypertension and stage 1 hypertension.","authors":"Min-Hyeok Jang, Dae-Hwan Kim, Jean-Hee Han, Seok-Ho Kim, Jung-Hyun Kim","doi":"10.3389/fphys.2024.1495648","DOIUrl":"10.3389/fphys.2024.1495648","url":null,"abstract":"<p><strong>Introduction: </strong>A single bout of aerobic exercise is known to induce a temporary reduction in post-exercise blood pressure termed post-exercise hypotension (PEH). Meanwhile, an ischemic preconditioning (IPC), a series of short ischemia-reperfusion intervention, has also shown antihypertensive effects showing a potential nonpharmacologic intervention for hypertension. While the acute BP reduction effects of aerobic exercise and IPC are individually well-investigated, it remains unclear if combining both interventions has an additive effect on PEH.</p><p><strong>Methods: </strong>A total of twelve pre- or hypertensive men (six prehypertension, six stage 1 hypertension) underwent either 30 min of aerobic exercise at 50% VO<sub>2peak</sub> (CON) or IPC before exercise, in a counterbalanced order. IPC involved inflating cuffs on both thighs to 200 mmHg for 5 min, alternating between right and left thighs for three cycles, totaling 30 min. Brachial BP was measured during exercise and 1-h post-exercise recovery whereas muscle oxygen saturation (SmO<sub>2</sub>) from the rectus femoris was monitored using NIRs during exercise and recovery. Heart rate variability (HRV) and baroreflex sensitivity (BRS) together with a head-up tilt test (at 0 and 50°) were measured at the pre-test, post-test, and 24-h post-test. After the completion of each experiment, 24-h ambulatory blood pressure (ABP) was monitored to assess post-exercise hypotension within a 24-h window.</p><p><strong>Results: </strong>BP and heart rate responses during exercise and 1-h recovery did not differ between conditions while SmO<sub>2</sub> was significantly elevated during exercise in IPC (<i>p</i> = 0.004). There was no difference in HRV and supine BRS. However, significantly reduced titled BRS after exercise was found in CON while IPC preserved BRS similar to pre-exercise value, extending to 24-h post period (<i>p</i> = 0.047). ABP monitoring revealed a significant reduction in systolic BP during sleep in IPC compared to CON (<i>p</i> = 0.046).</p><p><strong>Conclusion: </strong>The present findings suggest that IPC with a single session of aerobic exercise results in a notable decrease in systolic ABP, particularly during sleep, compared to aerobic exercise alone. This supplementary antihypertensive effect was associated with a sustained BRS, persisting up to 24 h in contrast to the significant decrease observed in CON. Future studies are warranted to investigate long-term adaptations to IPC.</p>","PeriodicalId":12477,"journal":{"name":"Frontiers in Physiology","volume":"15 ","pages":"1495648"},"PeriodicalIF":3.2,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mapping spatial memory in teleosts: a new Frontier in neural logging techniques.","authors":"Susumu Takahashi, Fumiya Sawatani, Kaoru Ide, Takaaki K Abe, Takashi Kitagawa, Yuya Makiguchi","doi":"10.3389/fphys.2024.1499058","DOIUrl":"10.3389/fphys.2024.1499058","url":null,"abstract":"<p><p>Recent advancements in microelectromechanical system technology have significantly enhanced our ability to monitor neuronal activity in free-swimming fish without disrupting their natural movement, thereby greatly improving the capabilities of neural logging using \"neurologger\" technology. In this review, we compiled the findings from studies applying neurologgers to teleost fish, emphasizing the discovery of various spatial-cognition cells in regions of the telencephalon analogous to the mammalian hippocampus that are deeply involved in spatial navigation. We detailed how different fish species, such as goldfish and salmonids, correlate their neural activity with environmental boundaries, head direction, speed, and other navigational cues for spatial memory and navigation strategies. We critically analyzed the similarities and differences in these mechanisms to provide insights into the evolutionary aspects of spatial cognition. We also identified gaps in current methodologies and suggest directions for future research, emphasizing the need for further exploration of spatial encoding in aquatic environments. The insights gained herein suggest the existence of a complex and evolutionarily conserved substrate for navigation and memory in vertebrates, highlighting the potential of neurologgers to expand our understanding of spatial cognition.</p>","PeriodicalId":12477,"journal":{"name":"Frontiers in Physiology","volume":"15 ","pages":"1499058"},"PeriodicalIF":3.2,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PhysiologyPub Date : 2024-11-06eCollection Date: 2024-01-01DOI: 10.3389/fphys.2024.1470009
Peter Mann, Jundi Liu, Liang-En Yu, Ross Wolfenden, Yihang Li
{"title":"Utilizing the apical-out enteroids <i>in vitro</i> model to investigate intestinal glucose transport, barrier function, oxidative stress, and inflammatory responses in broiler chickens.","authors":"Peter Mann, Jundi Liu, Liang-En Yu, Ross Wolfenden, Yihang Li","doi":"10.3389/fphys.2024.1470009","DOIUrl":"10.3389/fphys.2024.1470009","url":null,"abstract":"<p><strong>Introduction: </strong>Conventional 2D intestinal epithelial cell lines have been widely used in investigating intestinal functions, yet with limitations in recapitulating the <i>in vivo</i> gut physiology of chickens. A recently established chicken enteroid model with apical-out nature and the presence of leukocyte components represents intestinal mucosal functions. The objectives of this study were to 1) evaluate basic gut nutrient transport and barrier functions in this model and 2) identify the model's effectiveness in studying inflammation and oxidative stress responses.</p><p><strong>Methods: </strong>Enteroids were generated from individual villus units isolated from the small intestine of Cobb500 broiler embryos. Enteroid viability, morphology, and epithelial cell markers were monitored; barrier function was evaluated based on the permeability to fluorescein isothiocyanate-dextran (FD4) with or without EDTA and lipopolysaccharide (LPS) challenges; nutrient transport was evaluated by fluorescence-labeled glucose (2NBD-G) with or without transporter blockade; the oxidative status was indicated by reactive oxygen species (ROS). Inflammatory and oxidative challenges were induced by LPS and menadione treatment, respectively. Selected marker gene expressions, including tight junction proteins (CLDN-1, CLDN-2, ZO-1, and OCCL), epithelial cell markers (Lgr-5, LYZ, and MUC-2), cytokines (IL-1β, IL-6, IL-8, IL-10, TNF-α, and INF-γ), and antioxidant enzymes (Nrf-2, catalase, and SOD), were determined by using RT-qPCR. Data were analyzed by one-way ANOVA among treatment groups.</p><p><strong>Results: </strong>Enteroid cell activity was stable from day (d) 2 to d 6 and declined at d 7. Epithelial cell marker and cytokine expressions were stable from d 4 to d 6. FD4 permeability was increased after the EDTA treatment (<i>P</i> ≤ 0.05). Transporter-mediated 2NBD-G absorption was observed, which was reduced with glucose transporter blockade (<i>P</i> ≤ 0.05). Enteroids showed classic responses to LPS challenges, including upregulated gene expressions of IL-1β and IL-6, downregulated gene expressions of ZO-1 and OCCL, and increased FD4 permeability (<i>P</i> ≤ 0.05). Enteroids showed increased ROS generation (<i>P</i> ≤ 0.05) in response to oxidative stress.</p><p><strong>Discussion: </strong>In conclusion, this apical-out enteroid model is a stable alternative <i>in vitro</i> model that exhibits intestinal barrier, nutrient transport, oxidation, and inflammation functions. With this enteroid model, we developed two challenge protocols for evaluating intestinal functions under oxidative stress and inflammation conditions.</p>","PeriodicalId":12477,"journal":{"name":"Frontiers in Physiology","volume":"15 ","pages":"1470009"},"PeriodicalIF":3.2,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PhysiologyPub Date : 2024-11-06eCollection Date: 2024-01-01DOI: 10.3389/fphys.2024.1481985
Indeevar Beeram, Maria Belen Cubria, Pramod Kamalapathy, Diana Yeritsyan, Amanda J Dubose, Ahmad Hedayatzadeh Razavi, Nazanin Nafisi, Michael R Erdos, Brian D Snyder, Wayne A Cabral, Francis S Collins, Ara Nazarian
{"title":"Characterization of the craniofacial abnormalities of the homozygous G608G progeria mouse model.","authors":"Indeevar Beeram, Maria Belen Cubria, Pramod Kamalapathy, Diana Yeritsyan, Amanda J Dubose, Ahmad Hedayatzadeh Razavi, Nazanin Nafisi, Michael R Erdos, Brian D Snyder, Wayne A Cabral, Francis S Collins, Ara Nazarian","doi":"10.3389/fphys.2024.1481985","DOIUrl":"10.3389/fphys.2024.1481985","url":null,"abstract":"<p><strong>Introduction: </strong>Hutchinson-Gilford Progeria Syndrome (HGPS) is a rare genetic condition characterized by premature aging, impacting multiple organ systems, including cardiovascular, musculoskeletal, and integumentary. Significant abnormalities in a transgenic mouse model (homozygous G608G mutation), specifically targeting the development of skull and facial bone indices through high-resolution CT scanning and cephalometric analysis.</p><p><strong>Methods: </strong>Key measurements include bone thickness, skull volume, and cranial suture integrity. Bone volume increased significantly in HGPS mice by 8 months of age compared to wildtype mice.</p><p><strong>Results: </strong>Cortical thickness showed a trend toward increased values in HGPS mice. Cranial metrics revealed distinct differences.</p><p><strong>Discussion: </strong>HGPS mice exhibited smaller internasal width, interzygomatic distance, and palatine length compared to WT mice over time.</p>","PeriodicalId":12477,"journal":{"name":"Frontiers in Physiology","volume":"15 ","pages":"1481985"},"PeriodicalIF":3.2,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Identification of the serum metabolomic profile for acute ischemic preconditioning in athletes.","authors":"Ziyue Ou, Liang Yang, Mingxin Xu, Xiquan Weng, Guoqin Xu","doi":"10.3389/fphys.2024.1492202","DOIUrl":"10.3389/fphys.2024.1492202","url":null,"abstract":"<p><strong>Purpose: </strong>In recent years, ischemic preconditioning (IPC) has emerged as an effective strategy to increase tissue resistance against long-term ischemic damage and has been increasingly integrated into exercise regimens. However, further research is needed to explore the impact of IPC-mediated metabolic alterations from an exercise standpoint to conduct a comprehensive exploration of metabolic alterations and their exercise-related mechanisms during acute IPC.</p><p><strong>Methods: </strong>Nontarget metabolomics was performed on blood samples obtained from 8 male athletes both before and after IPC. The studies included the identification of differentially abundant metabolites, analysis of receiver operating characteristic (ROC) curves, Kyoto Encyclopedia of Genes and Genomes (KEGG) enrichment analysis for differentially abundant metabolites, and metabolite set enrichment analysis (MSEA).</p><p><strong>Results: </strong>Nineteen differentially abundant metabolites were identified, with increasing levels of five metabolites, such as O-desmethyltramadol and D-gluconate, whereas 14 metabolites, including 9-hydroxy-10e, 12z-octadecadienoic acid (9-HODE), tetradione, 2-hexenal, (2,4-dichlorophenoxy)acetic acid (2,4-D), and phosphatidylserine (PS), decreased. ROC curve analysis revealed an AUC of 0.9375 for D-gluconate. Both KEGG enrichment analysis and MSEA revealed enrichment in the pentose phosphate pathway (PPP).</p><p><strong>Conclusion: </strong>This study revealed that PPP, D-gluconate, O-desmethyltramadol, and D-2-aminobutyric acid could be upregulated within 5 min after acute IPC, whereas 2,4-D, PS, 9-HODE, 2-hexenal, and tetradinone could be downregulated. These identified metabolites show promise for improving physical functional status and could be harnessed to enhance athletic performance.</p>","PeriodicalId":12477,"journal":{"name":"Frontiers in Physiology","volume":"15 ","pages":"1492202"},"PeriodicalIF":3.2,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576439/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PhysiologyPub Date : 2024-11-05eCollection Date: 2024-01-01DOI: 10.3389/fphys.2024.1479882
Nikitha Nelapudi, Madison Boskind, Xiang-Qun Hu, David Mallari, Michelle Chan, Devin Wilson, Monica Romero, Eris Albert-Minckler, Lubo Zhang, Arlin B Blood, Christopher G Wilson, Jose Luis Puglisi, Sean M Wilson
{"title":"Long-term hypoxia modulates depolarization activation of BK<sub>Ca</sub> currents in fetal sheep middle cerebral arterial myocytes.","authors":"Nikitha Nelapudi, Madison Boskind, Xiang-Qun Hu, David Mallari, Michelle Chan, Devin Wilson, Monica Romero, Eris Albert-Minckler, Lubo Zhang, Arlin B Blood, Christopher G Wilson, Jose Luis Puglisi, Sean M Wilson","doi":"10.3389/fphys.2024.1479882","DOIUrl":"10.3389/fphys.2024.1479882","url":null,"abstract":"<p><strong>Introduction: </strong>Previous evidence indicates that gestational hypoxia disrupts cerebrovascular development, increasing the risk of intracranial hemorrhage and stroke in the newborn. Due to the role of cytosolic Ca<sup>2+</sup> in regulating vascular smooth muscle (VSM) tone and fetal cerebrovascular blood flow, understanding Ca<sup>2+</sup> signals can offer insight into the pathophysiological disruptions taking place in hypoxia-related perinatal cerebrovascular disease. This study aimed to determine the extent to which gestational hypoxia disrupts local Ca<sup>2+</sup> sparks and whole-cell Ca<sup>2+</sup> signals and coupling with BK<sub>Ca</sub> channel activity.</p><p><strong>Methods: </strong>Confocal imaging of cytosolic Ca<sup>2+</sup> and recording BK<sub>Ca</sub> currents of fetal sheep middle cerebral arterial (MCA) myocytes was performed. MCAs were isolated from term fetal sheep (∼140 days of gestation) from ewes held at low- (700 m) and high-altitude (3,801 m) hypoxia (LTH) for 100+ days of gestation. Arteries were depolarized with 30 mM KCl (30K), in the presence or absence of 10 μM ryanodine (Ry), to block RyR mediated Ca<sup>2+</sup> release.</p><p><strong>Results: </strong>Membrane depolarization increased Ry-sensitive Ca<sup>2+</sup> spark frequency in normoxic and LTH groups along with BK<sub>Ca</sub> activity. LTH reduced Ca<sup>2+</sup> spark and whole-cell Ca<sup>2+</sup> activity and induced a large leftward shift in the voltage-dependence of BK<sub>Ca</sub> current activation. The influence of LTH on the spatial and temporal aspects of Ca<sup>2+</sup> sparks and whole-cell Ca<sup>2+</sup> responses varied.</p><p><strong>Discussion: </strong>Overall, LTH attenuates Ca<sup>2+</sup> signaling while increasing the coupling of Ca<sup>2+</sup> sparks to BK<sub>Ca</sub> activity; a process that potentially helps maintain oxygen delivery to the developing brain.</p>","PeriodicalId":12477,"journal":{"name":"Frontiers in Physiology","volume":"15 ","pages":"1479882"},"PeriodicalIF":3.2,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PhysiologyPub Date : 2024-11-05eCollection Date: 2024-01-01DOI: 10.3389/fphys.2024.1516682
Denise Battaglini, Patricia R M Rocco
{"title":"Editorial: Crosstalk between lung and brain, heart, kidney and vascular system in critical illness.","authors":"Denise Battaglini, Patricia R M Rocco","doi":"10.3389/fphys.2024.1516682","DOIUrl":"10.3389/fphys.2024.1516682","url":null,"abstract":"","PeriodicalId":12477,"journal":{"name":"Frontiers in Physiology","volume":"15 ","pages":"1516682"},"PeriodicalIF":3.2,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PhysiologyPub Date : 2024-11-05eCollection Date: 2024-01-01DOI: 10.3389/fphys.2024.1471272
Trevor S Wendt, Saema Ansar, Rayna J Gonzales
{"title":"OxLDL/LOX-1 mediated sex, age, stiffness, and endothelial dependent alterations in mouse thoracic aortic vascular reactivity.","authors":"Trevor S Wendt, Saema Ansar, Rayna J Gonzales","doi":"10.3389/fphys.2024.1471272","DOIUrl":"10.3389/fphys.2024.1471272","url":null,"abstract":"<p><p>Elevated plasma levels of oxidized low-density lipoprotein (oxLDL) are a risk factor and key component that accelerates and worsens cardiovascular disease fueling inflammation, plaque buildup and vascular damage. OxLDL can elicit its detrimental action via lectin-like oxLDL receptor 1 (LOX-1). In this study, we determined whether oxLDL, via LOX-1, alters aortic vascular reactivity and determined if sex and age differences exist. Thoracic aortic endothelium-intact or -denuded ring segments were isolated from 7 to 12 months old intact C57BL/6J female and male mice and pre-incubated with oxLDL <i>ex vivo</i> (50ug/dL; 2 h). Using wire myography, cumulative concentration-response curves to phenylephrine (PE) were generated to determine contractile responses. From these curves, the EC50 was determined and used to contract rings to assess acetylcholine (ACh) dependent relaxation. Calculated aortic stiffness and remodeling were also assessed. BI-0115 (10 <math><mrow><mi>μ</mi></mrow> </math> M; selective LOX-1 inhibitor) was used to determine LOX-1 dependence. We observed differential sex, age, endothelial cell, and LOX-1 dependent alterations to the efficacy of PE-induced contractile responses and ACh-mediated vasorelaxation in thoracic aortic rings following oxLDL exposure. Additionally, we observed a distinct sex and age effect on thoracic aortic stiffness following exposure to oxLDL. There was also a sex effect on calculated vessel diameter, as well as an age effect on oxLDL-mediated aortic remodeling that was LOX-1 dependent. Thus, LOX-1 inhibition and the resulting attenuation of oxLDL/endothelial-mediated alterations in aortic function suggests that there are differential sex differences in the role of oxLDL/LOX-1 in the thoracic aorta of middle-aged male and female mice. NEW and NOTEWORTHY. We investigated the effects of oxLDL via the LOX-1 receptor on murine thoracic aortic vasoreactivity, stiffness, and remodeling across age and sex. Acute exposure to oxLDL led to altered vasoreactivity, endothelial dysfunction, and changes in aortic stiffness and remodeling. These effects were in-part age, sex, endothelial, and LOX-1 dependent. This study reveals potential complex interactions in oxLDL/LOX-1-mediated vascular responses that could serve as potential therapeutic intervention for vascular diseases such as atherosclerosis and stroke.</p>","PeriodicalId":12477,"journal":{"name":"Frontiers in Physiology","volume":"15 ","pages":"1471272"},"PeriodicalIF":3.2,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Circulating MicroRNAs as potential biomarkers for cerebral collateral circulation in symptomatic carotid stenosis.","authors":"Wenwen Liang, Bingcang Huang, Qin Shi, Xuelian Yang, Hanwen Zhang, Wei Chen","doi":"10.3389/fphys.2024.1403598","DOIUrl":"10.3389/fphys.2024.1403598","url":null,"abstract":"<p><strong>Background: </strong>Cerebral collateral circulation (CCC) considerably improves the prognosis of patients with symptomatic carotid stenosis (SCS). This study evaluated the diagnostic value of plasma microRNAs (miRNAs) in determining CCC status in patients with SCS.</p><p><strong>Methods: </strong>This single-center observational study enrolled patients with ≥50% carotid artery stenosis diagnosed using Doppler ultrasound. CCC was assessed using cerebrovascular digital subtraction angiography (DSA). Quantitative reverse transcription-polymerase chain reaction was used to determine the expression levels of plasma miRNAs. A multivariate logistic regression model and receiver operating characteristic (ROC) curve were used to analyze the diagnostic value of plasma miRNA expression in determining CCC status.</p><p><strong>Results: </strong>A total of 43 patients were enrolled (28 with CCC and 15 without CCC). The plasma expression levels of miR-126-3p, miR-132-3p, and miR-210-3p were significantly higher and those of miR-16-3p and miR-92-3p were significantly lower in patients with CCC. After adjusting for age, gender, drinking history, comorbidities and degree of SCS, miR-92a-3p, miR-126-3p, miR-132-3p, and miR-210-3p were found to be significantly associated with CCC establishment (<i>p</i> < 0.05). ROC curve analysis indicated a high diagnostic value of these miRNAs in determining CCC status [area under the curve (AUC): 0.918-0.965], with miR-126-3p exhibiting the highest predictive performance (AUC: 0.965). Subgroup analysis revealed that patients with CCC who had 50%-70% stenosis showed significantly higher expression level of miR-126-3p, whereas those with CCC who had 70%-99% stenosis showed significantly higher expression levels of miR-126-3p, miR-132-3p, and miR-210-3p as well as significantly lower expression levels of miR-15a-3p, miR-16-3p, and miR-92a-3p.</p><p><strong>Conclusion: </strong>The results indicate that these six plasma miRNAs have promising diagnostic value in determining CCC status in varying degrees of SCS. These miRNAs can serve as biomarkers for CCC status following SCS, with miR-126-3p showing the strongest positive correlation.</p>","PeriodicalId":12477,"journal":{"name":"Frontiers in Physiology","volume":"15 ","pages":"1403598"},"PeriodicalIF":3.2,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11563797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142647205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}