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The nose knows: Olfaction as a metabolic gatekeeper in health and disease. 鼻子知道:嗅觉是健康和疾病的代谢看门人。
IF 5.3 2区 医学
Physiology Pub Date : 2025-05-23 DOI: 10.1152/physiol.00007.2025
Diogo Manoel, Eman Abou Moussa, Asma Al-Naama, Luis R Saraiva
{"title":"The nose knows: Olfaction as a metabolic gatekeeper in health and disease.","authors":"Diogo Manoel, Eman Abou Moussa, Asma Al-Naama, Luis R Saraiva","doi":"10.1152/physiol.00007.2025","DOIUrl":"https://doi.org/10.1152/physiol.00007.2025","url":null,"abstract":"<p><p>Long regarded as an accessory sense, olfaction is now emerging as a metabolic architect-an active agent in energy homeostasis, appetite regulation, and systemic physiology. This review explores the converging lines of evidence positioning the olfactory system not as a passive enhancer of flavor but as a dynamic mediator between environment, behavior, and internal metabolic state. Food odors engage specific olfactory receptors (OR<sub>s</sub>), which are embedded in neural circuits that project to hypothalamic, limbic, and reward regions. These circuits modulate insulin release, lipid metabolism, thermogenesis, and feeding behavior-often before a single bite is taken. This sensory-metabolic dialogue is continuously tuned by hormonal signals (e.g., leptin, ghrelin, insulin) and deeply shaped by genetic variation across the ~400 human OR genes, where individual differences in perception carry metabolic consequences. Yet this ancient sensory system now operates in a radically altered chemical landscape. Synthetic volatiles, industrial food aromas, and urban pollutants desensitize olfactory pathways, potentially contributing to overeating and metabolic disease. In parallel, a new therapeutic frontier is emerging: targeted modulation of olfactory pathways-via intranasal hormones, neuromodulation, sensory retraining, and personalized interventions informed by OR genotypes-offers a compelling strategy for precision metabolic care. Revisiting Sydney Whiting's 1853 satire, in which \"Smell\" was cast as a meddling underling at the digestive gates, we now find this once-overlooked sentinel wielding remarkable authority. The nose, it turns out, knows-and may yet hold the key to rebalancing metabolism in a world that smells very different from the one we evolved to navigate.</p>","PeriodicalId":49694,"journal":{"name":"Physiology","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144133198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Targeting the Hippo pathway for cardiac regeneration. 靶向Hippo通路的心脏再生。
IF 5.3 2区 医学
Physiology Pub Date : 2025-05-13 DOI: 10.1152/physiol.00003.2025
Rich Gang Li, Fansen Meng, James F Martin
{"title":"Targeting the Hippo pathway for cardiac regeneration.","authors":"Rich Gang Li, Fansen Meng, James F Martin","doi":"10.1152/physiol.00003.2025","DOIUrl":"https://doi.org/10.1152/physiol.00003.2025","url":null,"abstract":"<p><p>Ischemic heart disease, which affects more than 200 million people worldwide, is caused by reduced blood flow to the heart and leads to widespread cardiomyocyte death. Due to the limited regenerative potential of cardiomyocytes, the lost tissue is replaced by a fibrotic scar, resulting in reduced cardiac function and progression to heart failure. Current therapeutic interventions aim to improve blood flow, but cannot address the inability for cardiomyocytes to renew after injury. However, multiple studies have shown that modulating the Hippo signaling pathway to activate YAP, a transcription coactivator, in adult murine and porcine cardiomyocytes induces robust cardiomyocyte proliferation. Here, we discuss the therapeutic potential of YAP activation in the context of cardiac renewal, with focus on both cardiomyocyte intrinsic mechanisms and the role of the microenvironment. These findings provide important insights into cardiac regeneration and strategies for developing therapies for human patients.</p>","PeriodicalId":49694,"journal":{"name":"Physiology","volume":" ","pages":""},"PeriodicalIF":5.3,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Transforming Physiology and Healthcare through Foundation Models. 通过基础模型转变生理学和医疗保健。
IF 5.3 2区 医学
Physiology Pub Date : 2025-05-01 Epub Date: 2025-01-20 DOI: 10.1152/physiol.00048.2024
Ryan C Godwin, Avery Tung, Dan E Berkowitz, Ryan L Melvin
{"title":"Transforming Physiology and Healthcare through Foundation Models.","authors":"Ryan C Godwin, Avery Tung, Dan E Berkowitz, Ryan L Melvin","doi":"10.1152/physiol.00048.2024","DOIUrl":"10.1152/physiol.00048.2024","url":null,"abstract":"<p><p>Recent developments in artificial intelligence (AI) may significantly alter physiological research and healthcare delivery. Whereas AI applications in medicine have historically been trained for specific tasks, recent technological advances have produced models trained on more diverse datasets with much higher parameter counts. These new, \"foundation\" models raise the possibility that more flexible AI tools can be applied to a wider set of healthcare tasks than in the past. This review describes how these newer models differ from conventional task-specific AI, which relies heavily on focused datasets and narrow, specific applications. By examining the integration of AI into diagnostic tools, personalized treatment strategies, biomedical research, and healthcare administration, we highlight how these newer models are revolutionizing predictive healthcare analytics and operational workflows. In addition, we address ethical and practical considerations associated with the use of foundation models by highlighting emerging trends, calling for changes to existing guidelines, and emphasizing the importance of aligning AI with clinical goals to ensure its responsible and effective use.</p>","PeriodicalId":49694,"journal":{"name":"Physiology","volume":" ","pages":"0"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Neural Circuits of Fear and Anxiety: Insights from a Neuroethological Perspective. 恐惧和焦虑的神经回路:从神经行为学角度的见解。
IF 5.3 2区 医学
Physiology Pub Date : 2025-05-01 Epub Date: 2024-12-11 DOI: 10.1152/physiol.00042.2024
Fernando Falkenburger Melleu, Newton Sabino Canteras
{"title":"Neural Circuits of Fear and Anxiety: Insights from a Neuroethological Perspective.","authors":"Fernando Falkenburger Melleu, Newton Sabino Canteras","doi":"10.1152/physiol.00042.2024","DOIUrl":"10.1152/physiol.00042.2024","url":null,"abstract":"<p><p>The predatory imminence continuum (PIC) of antipredator defensive behavior has been a helpful strategy for modeling anxiety and fear-related disorders in nonclinical research. The PIC is divided into three different sequential stages that reflect defensive behavioral strategy in response to predatory imminence. However, the PIC was experimentally addressed with a series of shock-based fear conditioning experiments rather than predatory threats. In this article, we consider the PIC in a more naturalistic behavioral setting, focusing on analyzing the neural systems of animals responding to terrestrial and aerial predators. Of relevance, there is a sequential engagement of the distinct neural circuits along each phase of the PIC. In the preencounter phase, prefrontal cortical networks are particularly involved in planning and organizing behavioral responses to ambiguous threats. As the predatory cues or the real predator is detected, there is an engagement of amygdalar and hippocampal > hypothalamic pathways in conjunction with the periaqueductal gray, which organize fear responses. This dynamic particularly reveals how specific neural circuits are set into action to subserve distinct defensive responses. Moreover, we further explore the neural circuits governing other fearful situations outside the context of the PIC, including agonistic social encounters and interoceptive challenges. This analysis reveals an interesting overlap between the neural systems responding to these threats and those involved in response to predatory threats. The present review clarifies how defensive circuits respond to natural threats and provides a more realistic view of the neural systems underlying anxiety and fear responses.</p>","PeriodicalId":49694,"journal":{"name":"Physiology","volume":" ","pages":"0"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Regulation of Cardiac Function by the Autonomic Nervous System. 自律神经系统对心脏功能的调节。
IF 5.3 2区 医学
Physiology Pub Date : 2025-05-01 Epub Date: 2024-11-25 DOI: 10.1152/physiol.00018.2024
Omar A Hafez, Rui B Chang
{"title":"Regulation of Cardiac Function by the Autonomic Nervous System.","authors":"Omar A Hafez, Rui B Chang","doi":"10.1152/physiol.00018.2024","DOIUrl":"10.1152/physiol.00018.2024","url":null,"abstract":"<p><p>The autonomic nervous system is critical for regulating cardiovascular physiology. The neurocardiac axis encompasses multiple levels of control, including the motor circuits of the sympathetic and parasympathetic nervous systems, sensory neurons that contribute to cardiac reflexes, and the intrinsic cardiac nervous system that provides localized sensing and regulation of the heart. Disruption of these systems can lead to significant clinical conditions. Recent advances have enhanced our understanding of the autonomic control of the heart, detailing the specific neuronal populations involved and their physiologic roles. In this review, we discuss this research at each level of the neurocardiac axis. We conclude by discussing the clinical field of neurocardiology and attempts to translate this new understanding of neurocardiac physiology to the clinic. We highlight the contributions of autonomic dysfunction in prevalent cardiovascular diseases and assess the current status of novel neuroscience-based treatment approaches.</p>","PeriodicalId":49694,"journal":{"name":"Physiology","volume":" ","pages":"0"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Targeting Sleep Physiology to Modulate Glymphatic Brain Clearance. 以睡眠生理为目标,调节大脑甘油清除。
IF 5.3 2区 医学
Physiology Pub Date : 2025-05-01 Epub Date: 2024-11-27 DOI: 10.1152/physiol.00019.2024
Timo van Hattem, Lieuwe Verkaar, Elena Krugliakova, Nico Adelhöfer, Marcel Zeising, Wilhelmus H I M Drinkenburg, Jurgen A H R Claassen, Róbert Bódizs, Martin Dresler, Yevgenia Rosenblum
{"title":"Targeting Sleep Physiology to Modulate Glymphatic Brain Clearance.","authors":"Timo van Hattem, Lieuwe Verkaar, Elena Krugliakova, Nico Adelhöfer, Marcel Zeising, Wilhelmus H I M Drinkenburg, Jurgen A H R Claassen, Róbert Bódizs, Martin Dresler, Yevgenia Rosenblum","doi":"10.1152/physiol.00019.2024","DOIUrl":"10.1152/physiol.00019.2024","url":null,"abstract":"<p><p>Sleep has been postulated to play an important role in the removal of potentially neurotoxic molecules, such as amyloid-β, from the brain via the glymphatic system. Disturbed sleep, on the other hand, may contribute to the accumulation of neurotoxins in brain tissue, eventually leading to neuronal death. A bidirectional relationship has been proposed between impaired sleep and neurodegenerative processes, which start years before the onset of clinical symptoms associated with conditions like Alzheimer's and Parkinson's diseases. Given the heavy burden these conditions place on society, it is imperative to develop interventions that promote efficient brain clearance, thereby potentially aiding in the prevention or slowing of neurodegeneration. In this review, we explore whether the metabolic clearance function of sleep can be enhanced through sensory (e.g., auditory, vestibular) or transcranial (e.g., magnetic, ultrasound, infrared light) stimulation, as well as pharmacological (e.g., antiepileptics) and behavioral (e.g., sleeping position, physical exercise, cognitive intervention) modulation of sleep physiology. A particular focus is placed on strategies to enhance slow-wave activity during nonrapid eye movement sleep as a driver of glymphatic brain clearance. Overall, this review provides a comprehensive overview on the potential preventative and therapeutic applications of sleep interventions in combating neurodegeneration, cognitive decline, and dementia.</p>","PeriodicalId":49694,"journal":{"name":"Physiology","volume":" ","pages":"0"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Sweat the Small Stuff. 为小事操心。
IF 5.3 2区 医学
Physiology Pub Date : 2025-05-01 Epub Date: 2024-12-24 DOI: 10.1152/physiol.00057.2024
Kyle J Mahoney
{"title":"Sweat the Small Stuff.","authors":"Kyle J Mahoney","doi":"10.1152/physiol.00057.2024","DOIUrl":"10.1152/physiol.00057.2024","url":null,"abstract":"","PeriodicalId":49694,"journal":{"name":"Physiology","volume":" ","pages":"0"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Off to the Races: How the Thoroughbred Is Helping Us Understand Skeletal Muscle. 比赛开始:纯种马如何帮助我们理解骨骼肌。
IF 5.3 2区 医学
Physiology Pub Date : 2025-05-01 Epub Date: 2024-12-26 DOI: 10.1152/physiol.00062.2024
Madison R Barshick
{"title":"Off to the Races: How the Thoroughbred Is Helping Us Understand Skeletal Muscle.","authors":"Madison R Barshick","doi":"10.1152/physiol.00062.2024","DOIUrl":"10.1152/physiol.00062.2024","url":null,"abstract":"","PeriodicalId":49694,"journal":{"name":"Physiology","volume":" ","pages":"0"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Histone Deacetylases in Metabolism: the Known and the Unexplored. 代谢中的组蛋白去乙酰化酶:已知与未知。
IF 5.3 2区 医学
Physiology Pub Date : 2025-05-01 Epub Date: 2024-10-29 DOI: 10.1152/physiol.00044.2024
Somaya Y Ibrahim, Jayden Carter, Rushita A Bagchi
{"title":"Histone Deacetylases in Metabolism: the Known and the Unexplored.","authors":"Somaya Y Ibrahim, Jayden Carter, Rushita A Bagchi","doi":"10.1152/physiol.00044.2024","DOIUrl":"10.1152/physiol.00044.2024","url":null,"abstract":"<p><p>Histone deacetylases (HDACs) are enzymes that catalyze the removal of acetyl groups from key lysine residues on histone and nonhistone proteins and thereby regulate gene transcription. They have been implicated in several biological processes in both healthy and pathological settings. This review discusses the role of HDACs in multiple metabolically active tissues and highlights their contribution to the pathogenesis of tissue-specific maladaptation and diseases. We also summarize the current knowledge gaps and potential ways to address them in future studies.</p>","PeriodicalId":49694,"journal":{"name":"Physiology","volume":" ","pages":"0"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
A Multiscale Perspective on Chromatin Architecture through Polymer Physics. 通过聚合物物理学透视染色质结构的多尺度视角
IF 5.3 2区 医学
Physiology Pub Date : 2025-05-01 Epub Date: 2024-11-27 DOI: 10.1152/physiol.00050.2024
Francesca Vercellone, Andrea M Chiariello, Andrea Esposito, Mattia Conte, Alex Abraham, Andrea Fontana, Florinda Di Pierno, Fabrizio Tafuri, Sougata Guha, Sumanta Kundu, Ciro Di Carluccio, Mario Nicodemi, Simona Bianco
{"title":"A Multiscale Perspective on Chromatin Architecture through Polymer Physics.","authors":"Francesca Vercellone, Andrea M Chiariello, Andrea Esposito, Mattia Conte, Alex Abraham, Andrea Fontana, Florinda Di Pierno, Fabrizio Tafuri, Sougata Guha, Sumanta Kundu, Ciro Di Carluccio, Mario Nicodemi, Simona Bianco","doi":"10.1152/physiol.00050.2024","DOIUrl":"10.1152/physiol.00050.2024","url":null,"abstract":"<p><p>The spatial organization of chromatin within the eukaryotic nucleus is critical in regulating key cellular functions, such as gene expression, and its disruption can lead to disease. Advances in experimental techniques, such as Hi-C and microscopy, have significantly enhanced our understanding of chromatin's intricate and dynamic architecture, revealing complex patterns of interaction at multiple scales. Along with experimental methods, physics-based computational models, including polymer phase separation and loop-extrusion mechanisms, have been developed to explain chromatin structure in a principled manner. Here, we illustrate genomewide applications of these models, highlighting their ability to predict chromatin contacts across different scales and to spread light on the underlying molecular determinants. Additionally, we discuss how these models provide a framework for understanding alterations in chromosome folding associated with disease states, such as SARS-CoV-2 infection and pathogenic structural variants, providing valuable insights into the role of chromatin architecture in health and disease.</p>","PeriodicalId":49694,"journal":{"name":"Physiology","volume":" ","pages":"0"},"PeriodicalIF":5.3,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
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