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Elucidating the cellular determinants of the end-systolic pressure-volume relationship of the heart via computational modelling. 通过计算模型阐明心脏收缩末期压力-容积关系的细胞决定因素。
IF 4.7 2区 医学
Journal of Physiology-London Pub Date : 2025-05-11 DOI: 10.1113/JP287282
Francesco Regazzoni, Corrado Poggesi, Cecilia Ferrantini
{"title":"Elucidating the cellular determinants of the end-systolic pressure-volume relationship of the heart via computational modelling.","authors":"Francesco Regazzoni, Corrado Poggesi, Cecilia Ferrantini","doi":"10.1113/JP287282","DOIUrl":"https://doi.org/10.1113/JP287282","url":null,"abstract":"<p><p>The left ventricular end-systolic pressure-volume relationship (ESPVr) is a key indicator of cardiac contractility. Despite its established importance, several studies suggested that the mechanical mode of contraction, such as isovolumetric or ejecting contractions, may affect the ESPVr, challenging the traditional notion of a single, consistent relationship. Furthermore, it remains unclear whether the observed effects of ejection on force generation are inherent to the ventricular chamber itself or are a fundamental property of the myocardial tissue, with the underlying mechanisms remaining poorly understood. We investigated these aspects using a multiscale in silico model that allowed us to elucidate the links between subcellular mechanisms and organ-level function. Simulations of ejecting and isovolumetric beats with different preload and afterload resistance were performed by modulating calcium and cross-bridge kinetics. The results suggest that the ESPVr is not a fixed curve but depends on the mechanical history of the contraction, with potentially both positive and negative effects of ejection. Cell scale simulations suggest that these phenomena are intrinsic to the myocardial tissue, rather than properties of the ventricular chamber. Our results suggest that the ESPVr results from the balance between positive and negative effects of ejection, related to a memory effect of the increased apparent calcium sensitivity at high sarcomere length, and to the inverse relationship between force and velocity. Numerical simulations allowed us to reconcile conflicting results in the literature and suggest translational implications for clinical conditions such as hypertrophic cardiomyopathy, where altered calcium dynamics and cross-bridge kinetics may impact the ESPVr. KEY POINTS: The left ventricular end-systolic pressure-volume relationship (ESPVr) is a fundamental indicator of cardiac contractility, but the traditional notion of a single, consistent curve across different mechanical modes of contraction (isovolumetric vs. ejecting) has been challenged. Using multiscale computational simulations, our findings suggest that the ESPVr is not a fixed curve but depends on the mechanical history of the contraction, with both positive and negative inotropic effects during muscle shortening (ejection). Our results suggest that these phenomena are intrinsic to myocardial tissue properties, specifically involving calcium kinetics and cross-bridge cycling, rather than being due to ventricular chamber mechanics. Our study reconciles conflicting findings in the literature by providing a mechanistic explanation of how length-dependent activation and the force-velocity relationship influence ESPVr. This work has potential translational implications for clinical conditions such as hypertrophic cardiomyopathy, where altered calcium dynamics and enhanced cross-bridge kinetics may significantly affect cardiac contractility and the ESPVr.</p>","PeriodicalId":50088,"journal":{"name":"Journal of Physiology-London","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057128","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
Tumour necrosis factor-alpha at the intersection of renal epithelial and immune cell function 肿瘤坏死因子- α在肾上皮细胞和免疫细胞功能交汇处的作用。
IF 4.7 2区 医学
Journal of Physiology-London Pub Date : 2025-05-11 DOI: 10.1113/JP286756
Sara Hubbi, Shoujin Hao, Jarred Epps, Nicholas R. Ferreri
{"title":"Tumour necrosis factor-alpha at the intersection of renal epithelial and immune cell function","authors":"Sara Hubbi,&nbsp;Shoujin Hao,&nbsp;Jarred Epps,&nbsp;Nicholas R. Ferreri","doi":"10.1113/JP286756","DOIUrl":"10.1113/JP286756","url":null,"abstract":"<p>This review explores the roles of tumour necrosis factor-alpha (TNF) in kidney physiology and pathology. TNF, produced by renal epithelial cells, regulates glucose, electrolyte, water and urea transport by modulating key transporters such as sodium-glucose co-transporter-2 (SGLT2), sodium-potassium-chloride cotransporter 2 (NKCC2), sodium chloride cotransporter (NCC), epithelial sodium channel (ENaC), aquaporin-2 (AQP2) and urea transporters. Under non-inflammatory conditions, TNF functions as a regulatory ‘brake’ on water and solute transport, particularly by attenuating NKCC2 and AQP2 activity. Disruption of these actions, coupled with increased salt intake, shifts mice from being salt-resistant to salt-sensitive, thereby altering their blood pressure. In autoimmune diseases, chronic kidney disease (CKD), hypertension with renal inflammation, and sepsis, TNF drives immune responses and disease progression. Although mechanisms underlying tubular epithelial cell (TEC)-immune cell interactions remain unclear, emerging evidence indicates that the spatial organization of immune responses in the kidney is associated with distinct TEC signature phenotypes. Hypertonicity- and NFAT5 (i.e. nuclear factor of activated T cells 5)-driven TNF production in TECs and T lymphocytes may influence immune cell communication by affecting co-stimulatory molecule expression and ENaC activity on macrophages and dendritic cells. Although TNF is generally pathogenic in renal diseases, its inhibition does not always confer protection because its effects on endoplasmic reticulum stress, ion transport, vascular smooth muscle and immune cells are influenced by distinct cellular sources and signalling mechanisms through TNF receptors 1 and 2. Anti-TNF therapies are crucial for treating chronic inflammatory diseases and may also aid in preventing the progression of acute kidney injury to CKD. A more complete understanding of the role of TNF in immunophysiological responses may enable the development of more targeted therapeutic strategies.\u0000\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":50088,"journal":{"name":"Journal of Physiology-London","volume":"603 10","pages":"2915-2936"},"PeriodicalIF":4.7,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1113/JP286756","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025222","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hyperglycaemia-induced reactive oxygen species production in cardiac ventricular myocytes differs among mammals. 在哺乳动物中,高血糖诱导的心室肌细胞活性氧的产生是不同的。
IF 4.7 2区 医学
Journal of Physiology-London Pub Date : 2025-05-11 DOI: 10.1113/JP287886
Shan Lu, Maria J Baier, Risto-Pekka Polonen, Zhandi Liao, Jody L Martin, Kenneth S Ginsburg, Julian Mustroph, Donald M Bers
{"title":"Hyperglycaemia-induced reactive oxygen species production in cardiac ventricular myocytes differs among mammals.","authors":"Shan Lu, Maria J Baier, Risto-Pekka Polonen, Zhandi Liao, Jody L Martin, Kenneth S Ginsburg, Julian Mustroph, Donald M Bers","doi":"10.1113/JP287886","DOIUrl":"https://doi.org/10.1113/JP287886","url":null,"abstract":"<p><strong>Background: </strong>Diabetic cardiomyopathy (DbCM) preclinical studies have used animal models from different species and implicated altered redox regulation and reactive oxygen species (ROS) in this disease. However hyperglycaemia-induced ROS signalling may differ in ventricular myocytes from different species, and here we compare mice, rats, rabbits and humans with respect to hyperglycaemia-induced ROS production.</p><p><strong>Methods: </strong>Using the chemical sensor H<sub>2</sub>DCFDA and genetically encoded redox sensors, we measured time-dependent ROS signals in response to high glucose (HiGlu). Live cell confocal imaging was used to determine redox and glucose levels, contractility and Ca<sup>2+</sup> transients in isolated cardiomyocytes. Western blotting and activity assays were used to evaluate superoxide dismutase (SOD) expression and activity.</p><p><strong>Results: </strong>Consistent with our prior mouse studies, HiGlu exposure in rat and human ventricular myocytes increased cytosolic (not mitochondrial) ROS production via a mechanism involving Ca-calmodulin-dependent protein kinase (CaMKII) O-GlcNAcylation (at Ser280) and NADPH oxidase 2 (NOX2) activation. However in rabbit ventricular myocytes HiGlu alone did not induce significant ROS production, unless complemented by low levels of angiotensin II and inhibition of the enzyme that reverses O-GlcNAcylation using 100 nM Thiamet G, where both cytosolic and mitochondrial ROS accumulation were involved by more complex signalling networks.</p><p><strong>Conclusion: </strong>Acute hyperglycaemia readily induces robust ROS production in mouse, rat and human ventricular myocytes, but rabbit myocytes are intrinsically better protected from this HiGlu-induced ROS responses. In most regards rabbit are much more human-like than rodents for many aspects of myocyte function, but this surprisingly is not the case for HiGlu-induced ROS production.</p><p><strong>Key points: </strong>In mouse ventricular myocytes we previously showed that acute hyperglycaemia (HiGlu) induced increase in reactive oxygen species (ROS) mediated by O-GlcNAcylation of Ca-calmodulin-dependent protein kinase at Ser280 and consequent NADPH oxidase 2 (NOX2) activation. Here we demonstrate that this same pathway is functional in human and rat ventricular myocytes but not in rabbit ventricular myocytes. In rat and human myocytes HiGlu induced an increase in cytosolic, but not mitochondrial, ROS production. In rabbit myocytes HiGlu only produced increased ROS (cytosolic and mitochondrial) only when it was accompanied by both low concentration angiotensin II and an O-GlcNAcylase inhibitor (that individually did not promote ROS production). This direct HiGlu-induced ROS production in cardiac myocytes may contribute to pathological signalling in diabetes.</p>","PeriodicalId":50088,"journal":{"name":"Journal of Physiology-London","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993934","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
Adverse effects of high-fat diet consumption on contractile mechanics of isolated mouse skeletal muscle are reduced when supplemented with resveratrol 高脂肪饮食对小鼠离体骨骼肌收缩力学的不利影响在补充白藜芦醇后有所降低
IF 4.7 2区 医学
Journal of Physiology-London Pub Date : 2025-05-11 DOI: 10.1113/JP287056
Sharn P. Shelley, Rob S. James, Steven J. Eustace, Mark C. Turner, Ryan Brett, Emma L. J. Eyre, Jason Tallis
{"title":"Adverse effects of high-fat diet consumption on contractile mechanics of isolated mouse skeletal muscle are reduced when supplemented with resveratrol","authors":"Sharn P. Shelley,&nbsp;Rob S. James,&nbsp;Steven J. Eustace,&nbsp;Mark C. Turner,&nbsp;Ryan Brett,&nbsp;Emma L. J. Eyre,&nbsp;Jason Tallis","doi":"10.1113/JP287056","DOIUrl":"https://doi.org/10.1113/JP287056","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 \u0000 &lt;div&gt;Increasing evidence indicates resveratrol (RES) supplementation evokes anti-obesogenic responses that could mitigate obesity-induced reductions in skeletal muscle (SkM) contractility. Contractile function is a key facet of SkM health that underpins whole body health. For the first time, the present study examines the effects of a high-fat diet and RES supplementation on isolated soleus (SOL) and extensor digitorum longus (EDL) contractile function. Female CD-1 mice, ∼6 weeks old (&lt;i&gt;n&lt;/i&gt; = 38), consumed a standard laboratory diet (SLD) or a high-fat diet (HFD), with or without RES (4 g kg&lt;sup&gt;−1&lt;/sup&gt; diet) for 12 weeks. SOL and EDL (&lt;i&gt;n&lt;/i&gt; = 8–10 per muscle, per group) were isolated and then absolute and normalised (to muscle size and body mass) isometric force and work loop power output (PO) were measured, and fatigue resistance was determined. Furthermore, sirtuin-1 expression was determined to provide mechanistic insight into any potential contractile changes. For SOL absolute force was higher in HFDRES compared to HFD (&lt;i&gt;P&lt;/i&gt; = 0.033), and PO normalised to body mass and cumulative work during fatigue were reduced in HFD groups (&lt;i&gt;P &lt;/i&gt;&lt; 0.014). EDL absolute and normalised PO and cumulative work during fatigue were lower in HFD compared to other groups (&lt;i&gt;P &lt;/i&gt;&lt; 0.019). RES negated most adverse effects of HFD consumption on EDL contractility, with HFDRES producing PO and cumulative work comparable to the SLD groups. Sirtuin-1 expression was not influenced by diet in either muscle (&lt;i&gt;P &lt;/i&gt;&gt; 0.165). This study uniquely demonstrates that RES attenuates HFD-induced reductions in contractile performance of EDL, but this response is not explained by altered sirtuin-1 expression. These results suggest RES may be an appropriate strategy to alleviate obesity-induced declines in SkM function.\u0000\u0000 &lt;figure&gt;\u0000 &lt;div&gt;&lt;picture&gt;\u0000 &lt;source&gt;&lt;/source&gt;&lt;/picture&gt;&lt;p&gt;&lt;/p&gt;\u0000 &lt;/div&gt;\u0000 &lt;/figure&gt;\u0000 &lt;/div&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Key points&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 &lt;ul&gt;\u0000 \u0000 &lt;li&gt;Skeletal muscle health, a precursor for disease prevention, whole body health and quality of life, is substantially reduced because of obesity.&lt;/li&gt;\u0000 \u0000 &lt;li&gt;Growing evidence suggests that the anti-obesogenic effects of nutritional supplement resveratrol may mitigate against obesity-induced muscle pathology. However, the effect of resveratrol on skeletal muscle contractile performance, a primary marker of skeletal muscle health, is yet to be examined.&lt;/li&gt;\u0000 \u0000 &lt;li&gt;Our findings indicate that resveratrol reduces the adverse effects of high-fat diet consumption ","PeriodicalId":50088,"journal":{"name":"Journal of Physiology-London","volume":"603 9","pages":"2675-2698"},"PeriodicalIF":4.7,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1113/JP287056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143938916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A polygenetic rat model of divergent aerobic capacity reveals a liver-brain interaction impacting Alzheimer's disease-like phenotypes. 不同有氧能力的多基因大鼠模型揭示了影响阿尔茨海默病样表型的肝-脑相互作用。
IF 4.7 2区 医学
Journal of Physiology-London Pub Date : 2025-05-11 DOI: 10.1113/JP286750
Colton R Lysaker, Benjamin A Kugler, Vivien Csikos, Cole J Birky, Caleb A Gilmore, Madi Wenger, Edziu Franczak, Xin Davis, Brittany M Hauger, Julie A Allen, Benjamin R Troutwine, Laura Gonalez-Duran, Colin S McCoin, Munish Chauhan, Janna L Harris, Alexandria L Frazier, Michelle K Winter, Lauren G Koch, Steven L Britton, John P Thyfault, Heather M Wilkins
{"title":"A polygenetic rat model of divergent aerobic capacity reveals a liver-brain interaction impacting Alzheimer's disease-like phenotypes.","authors":"Colton R Lysaker, Benjamin A Kugler, Vivien Csikos, Cole J Birky, Caleb A Gilmore, Madi Wenger, Edziu Franczak, Xin Davis, Brittany M Hauger, Julie A Allen, Benjamin R Troutwine, Laura Gonalez-Duran, Colin S McCoin, Munish Chauhan, Janna L Harris, Alexandria L Frazier, Michelle K Winter, Lauren G Koch, Steven L Britton, John P Thyfault, Heather M Wilkins","doi":"10.1113/JP286750","DOIUrl":"https://doi.org/10.1113/JP286750","url":null,"abstract":"<p><p>The interaction between liver and brain health is an emerging complex relationship implicated in Alzheimer's disease (AD). Divergence in aerobic capacity influences liver and brain health independently; however, whether these factors converge to influence AD risk is mechanistically unknown. Bile acid metabolism has been implicated as a link between liver and brain health and is modulated by aerobic capacity. Here, we examined rats selectively bred for high vs. low intrinsic aerobic capacity [high and low-capacity runner (HCR or LCR)] on indices of hepatic metabolism and brain health following a chronic low-fat, high-fat, or high-fat diet with bile acid sequestrant from 6 to 12 months of age. Pre- and post-diet measures included learning, memory, and brain volume metabolite levels. We additionally quantified brain and liver Aβ and proteins associated with Aβ production and clearance, as well as liver and brain mitochondrial energetics and liver bile acid species. We found that not only did aerobic capacity and diet influence mitochondrial function, but also it modified Aβ levels across the liver and brain. Additionally, aerobic capacity and diet altered bile acid profiles and brain hippocampal metabolite levels. The addition of bile acid sequestrant lowered brain Aβ levels in a sexually dimorphic manner. Aerobic capacity but not diet altered cognitive outcomes. Our results indicate that aerobic capacity and diet-induced liver health alterations modulate brain health with respect to metabolism and AD-like pathologies, whereas a stimulation of faecal bile acid loss could have positive effects on lowering brain Aβ. KEY POINTS: Aerobic capacity and diet-induced alterations to liver function alter liver bile acid species and faecal energy loss. Aerobic capacity and diet alter both brain and liver Aβ homeostasis. Aerobic capacity modulates brain and hippocampal volume in addition to brain metabolism. Aerobic capacity influences learning in middle-aged rats.</p>","PeriodicalId":50088,"journal":{"name":"Journal of Physiology-London","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006205","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
Mechanisms of sympathetic excitation during cycling exercise in heart failure with reduced ejection fraction 心力衰竭伴射血分数降低的循环运动中交感神经兴奋的机制。
IF 4.7 2区 医学
Journal of Physiology-London Pub Date : 2025-05-11 DOI: 10.1113/JP287491
Catherine F. Notarius, Mark B. Badrov, Tomoyuki Tobushi, Daniel A. Keir, Evan Keys, Dilafruz Hasanova, Paul Oh, John S. Floras
{"title":"Mechanisms of sympathetic excitation during cycling exercise in heart failure with reduced ejection fraction","authors":"Catherine F. Notarius,&nbsp;Mark B. Badrov,&nbsp;Tomoyuki Tobushi,&nbsp;Daniel A. Keir,&nbsp;Evan Keys,&nbsp;Dilafruz Hasanova,&nbsp;Paul Oh,&nbsp;John S. Floras","doi":"10.1113/JP287491","DOIUrl":"10.1113/JP287491","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 \u0000 &lt;div&gt;Leg muscle sympathetic nerve activity (MSNA) diminishes in healthy (HC) individuals during mild dynamic exercise but not in age-matched patients with heart failure due to reduced ejection fraction (HFrEF). To elucidate the neural mechanisms responsible for such sympathetic excitation, we studied 20 stable HFrEF patients (6F; mean age 62 ± 8 SD years) and 15 age-matched HC (6F; mean age 59 ± 7). We quantified peak oxygen uptake (&lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;semantics&gt;\u0000 &lt;msub&gt;\u0000 &lt;mover&gt;\u0000 &lt;mi&gt;V&lt;/mi&gt;\u0000 &lt;mo&gt;̇&lt;/mo&gt;\u0000 &lt;/mover&gt;\u0000 &lt;msub&gt;\u0000 &lt;mi&gt;O&lt;/mi&gt;\u0000 &lt;mrow&gt;\u0000 &lt;mn&gt;2&lt;/mn&gt;\u0000 &lt;mi&gt;peak&lt;/mi&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;/msub&gt;\u0000 &lt;/msub&gt;\u0000 &lt;annotation&gt;${{dot{V}}_{{{{mathrm{O}}}_{2{mathrm{peak}}}}}}$&lt;/annotation&gt;\u0000 &lt;/semantics&gt;&lt;/math&gt;) and separately, fibular MSNA (microneurography) at rest and during one-leg cycling (2 min each, mild (unloaded) and moderate intensity (loaded = 30–40% &lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;semantics&gt;\u0000 &lt;msub&gt;\u0000 &lt;mover&gt;\u0000 &lt;mi&gt;V&lt;/mi&gt;\u0000 &lt;mo&gt;̇&lt;/mo&gt;\u0000 &lt;/mover&gt;\u0000 &lt;msub&gt;\u0000 &lt;mi&gt;O&lt;/mi&gt;\u0000 &lt;mrow&gt;\u0000 &lt;mn&gt;2&lt;/mn&gt;\u0000 &lt;mi&gt;peak&lt;/mi&gt;\u0000 &lt;/mrow&gt;\u0000 &lt;/msub&gt;\u0000 &lt;/msub&gt;\u0000 &lt;annotation&gt;${{dot{V}}_{{{{mathrm{O}}}_{2{mathrm{peak}}}}}}$&lt;/annotation&gt;\u0000 &lt;/semantics&gt;&lt;/math&gt;)) throughout three interventions: (1) post-exercise circulatory occlusion (PECO), which isolates the leg muscle metaboreflex (MMR); (2) supine posture, which stimulates cardiopulmonary baroreceptors (CPB); and (3) 32% inspired oxygen, to supress the peripheral chemoreflex (PC). One-leg cycling increased MSNA and activated the leg MMR in patients with HFrEF but not HC. MSNA at rest and during mild exercise was lower when supine than seated in both cohorts. Breathing 32% oxygen lowered the MSNA of HC but not HFrEF. In both groups, hyperoxia decreased burst frequency during low-intensity cycling. Hyperoxia abolished the ‘paradoxical’ sympatho-excitation of HFrEF. Thirteen participants with HFrEF were reassessed after 4 months of conventional cardiopulmonary rehabilitation. Exercise training improved &lt;span&gt;&lt;/span&gt;&lt;math&gt;\u0000 &lt;semantics&gt;\u0000 &lt;msub&gt;\u0000 &lt;mover&gt;\u0000 &lt;mi&gt;V&lt;/mi&gt;\u0000 &lt;mo&gt;̇&lt;/mo&gt;\u0000 &lt;/mover&gt;\u0000 &lt;msub&gt;\u0000 ","PeriodicalId":50088,"journal":{"name":"Journal of Physiology-London","volume":"603 10","pages":"3001-3017"},"PeriodicalIF":4.7,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065042","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
In silico modelling of multi-electrode arrays for enhancing cardiac drug testing on hiPSC-CM heterogeneous tissues. 多电极阵列增强hiPSC-CM异质组织心脏药物检测的硅模拟。
IF 4.7 2区 医学
Journal of Physiology-London Pub Date : 2025-05-11 DOI: 10.1113/JP287276
Sofia Botti, Rolf Krause, Luca F Pavarino
{"title":"In silico modelling of multi-electrode arrays for enhancing cardiac drug testing on hiPSC-CM heterogeneous tissues.","authors":"Sofia Botti, Rolf Krause, Luca F Pavarino","doi":"10.1113/JP287276","DOIUrl":"https://doi.org/10.1113/JP287276","url":null,"abstract":"<p><p>Human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) offer a transformative platform for in vitro and in silico testing of patient-specific drugs, enabling detailed study of cardiac electrophysiology. By integrating standard experimental techniques with extracellular potential measurements from multi-electrode arrays (MEAs), researchers can capture key tissue-level electrophysiological properties, such as action potential dynamics and conduction characteristics. This study presents an innovative computational framework that combines an MEA-based electrophysiological model with phenotype-specific hiPSC-CM ionic models, enabling accurate in silico predictions of drug responses. We tested four drug compounds and ion channel blockers using this model and compared these predictions against experimental MEA data, establishing the model's robustness and reliability. Additionally, we examined how tissue heterogeneity in hiPSC-CMs affects conduction velocity, providing insights into how cellular variations can influence drug efficacy and tissue-level electrical behaviour. Our model was further tested through simulations of Brugada syndrome, successfully replicating pathological electrophysiological patterns observed in adult cardiac tissues. These findings highlight the potential of hiPSC-CM MEA-based in silico modelling for advancing drug screening processes, which have the potential to refine disease-specific therapy development, and improve patient outcomes in complex cardiac conditions. KEY POINTS: Human-induced pluripotent stem cell-derived cardiomyocytes (hiPSC-CMs) offer a transformative platform for in vitro and in silico testing of patient-specific drugs, enabling detailed study of cardiac electrophysiology. Development of an innovative computational framework that combines a multi-electrode array (MEA)-based electrophysiological model with phenotype-specific hiPSC-CM ionic models. Drug testing of four compounds and ion channel blockers using this hiPSC-CM MEA model and comparison against experimental MEA data, establishing the model's robustness and reliability. Study of the effect of tissue heterogeneity in hiPSC-CMs on conduction velocity, providing insights into how cellular variations can influence drug efficacy and tissue-level electrical behaviour. Brugada syndrome simulation through the hiPSC-CM MEA model, successfully replicating pathological electrophysiological patterns observed in adult cardiac tissues.</p>","PeriodicalId":50088,"journal":{"name":"Journal of Physiology-London","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144062961","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
Endothelial-to-mesenchymal transition in the fetoplacental macrovasculature and microvasculature in pregnancies complicated by gestational diabetes. 妊娠合并妊娠糖尿病的胎胎盘大血管和微血管内皮向间质转化。
IF 4.7 2区 医学
Journal of Physiology-London Pub Date : 2025-05-11 DOI: 10.1113/JP287931
Abigail R Byford, Georgia Fakonti, Ziyu Shao, Sharanam Soni, Sophie L Earle, Muath Bajarwan, Lara C Morley, Beth Holder, Eleanor M Scott, Karen Forbes
{"title":"Endothelial-to-mesenchymal transition in the fetoplacental macrovasculature and microvasculature in pregnancies complicated by gestational diabetes.","authors":"Abigail R Byford, Georgia Fakonti, Ziyu Shao, Sharanam Soni, Sophie L Earle, Muath Bajarwan, Lara C Morley, Beth Holder, Eleanor M Scott, Karen Forbes","doi":"10.1113/JP287931","DOIUrl":"https://doi.org/10.1113/JP287931","url":null,"abstract":"<p><p>Gestational diabetes mellitus (GDM) is linked to altered fetal development and an increased risk of offspring developing cardiometabolic diseases in adulthood. The mechanisms responsible are unclear; however, GDM is associated with altered fetoplacental vascularisation, fibrosis and endothelial dysfunction. In non-pregnant individuals with diabetes, similar vascular changes are attributed to disruptions in endothelial-to-mesenchymal transition (EndMT), a key process where endothelial cells adopt a mesenchymal phenotype. Here, we assess whether alterations in the fetoplacental macro- and microvasculature are attributed to EndMT, using human umbilical vein endothelial cells (HUVECs) and human term placental tissue, respectively. Transforming growth factor (TGF)-β2 and interleukin (IL)-1β induced morphological and molecular changes consistent with EndMT in both GDM and non-GDM HUVECs. The ability of TGF-β2 and IL-1β to alter expression of known EndMT regulators, VWF, TGFBR1, IL1B and IL1R1, was diminished in GDM HUVECs; however, all other hallmarks of EndMT were similar. In placental villous tissue, Slug and Snail, two key transcriptional regulators of EndMT, were detected in the villous stroma, suggesting that EndMT probably occurs in the placental microvasculature. We observed a reduction in endothelial marker genes PECAM1, VWF and CDH5 in GDM placentas, suggesting reduced placental vascularisation. This was accompanied by a reduction in EndMT regulators SNAI2, TGB2, TGFB3 and TGFBR2; however, there was no change in mesenchymal markers or other EndMT regulators. This suggests that there may be some alterations in EndMT in GDM but this probably does not fully explain the endothelial dysfunction and altered vascularisation that occurs in the fetoplacental vasculature in pregnancies complicated by GDM. KEY POINTS: Gestational diabetes mellitus (GDM) has been linked to altered placental vascularisation, fibrosis and endothelial dysfunction. Disruptions in endothelial-to-mesenchymal transition (EndMT), a process where endothelial cells adopt a mesenchymal phenotype, has been linked to vascular complications in diabetes, but EndMT in GDM has not been investigated. Transforming growth factor (TGF)-β2 and interleukin (IL)-1β induced morphological and molecular changes consistent with EndMT in GDM and non-GDM human umbilical vein endothelial cells (HUVECs). Although the expression of EndMT mediators, VWF, TGFBR1, IL1B, and IL1R1, was diminished in GDM HUVECs, other EndMT hallmarks were similar. Transcriptional regulators of EndMT, Slug and Snail, were detected in the human term placenta. Despite a reduction in endothelial markers, PECAM1, VWF and CDH5, as well as SNAI2, TGFB2/3 and TGFBR2 in GDM placenta, there was no change in mesenchymal or other EndMT markers. This suggests that, although there may be some changes to EndMT in GDM, the vascular dysfunction is probably not explained fully by alterations in EndMT.</p>","PeriodicalId":50088,"journal":{"name":"Journal of Physiology-London","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030457","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
Acute ketone monoester ingestion lowers resting cerebral blood flow: a randomized cross-over trial. 急性单酮酯摄入降低静息脑血流量:一项随机交叉试验。
IF 4.7 2区 医学
Journal of Physiology-London Pub Date : 2025-05-11 DOI: 10.1113/JP287320
Aedan J Rourke, Claudia M S Yong, Geoff B Coombs, Addriana R Odisho, Jenna A Nash, Jack Bone, Baraa K Al-Khazraji, Jeremy J Walsh
{"title":"Acute ketone monoester ingestion lowers resting cerebral blood flow: a randomized cross-over trial.","authors":"Aedan J Rourke, Claudia M S Yong, Geoff B Coombs, Addriana R Odisho, Jenna A Nash, Jack Bone, Baraa K Al-Khazraji, Jeremy J Walsh","doi":"10.1113/JP287320","DOIUrl":"https://doi.org/10.1113/JP287320","url":null,"abstract":"<p><p>Exogenous ketone monoester (KME) supplements rapidly increase plasma beta-hydroxybutyrate (β-OHB) and may impact cerebral blood flow (CBF). However, it is currently unknown how acute KME ingestion impacts resting CBF and whether differences in KME dose have differential effects on CBF regulation. The purpose of this study was to investigate the effect of two separate KME doses on resting CBF in young adults. On separate days and in a double-blind, placebo-controlled, cross-over design, 20 participants (10 females; aged 23 ± 3 years) ingested either: (1) High-KME (0.6 g kg<sup>-1</sup> β-OHB); (2) Low-KME (0.3 g kg<sup>-1</sup> β-OHB); or (3) placebo drink, and quietly rested for 120 min. Global CBF (gCBF) was assessed using duplex ultrasound of the internal carotid and vertebral arteries, and transcranial Doppler ultrasound was used to assess middle cerebral artery blood velocity at baseline, 45 min and 120 min post-ingestion. End-tidal CO<sub>2</sub> ( <math> <semantics><msub><mi>P</mi> <mrow><mi>ETC</mi> <msub><mi>O</mi> <mn>2</mn></msub> </mrow> </msub> <annotation>${P_{{mathrm{ETC}}{{mathrm{O}}_2}}}$</annotation></semantics> </math> ) was measured using a gas analyser. β-OHB was measured in venous blood. At 45 min post-ingestion, gCBF was significantly reduced by 10.6% in Low-KME and by 14.6% in High-KME compared to baseline. At 120 min, gCBF returned towards baseline in Low-KME, whereas gCBF was further reduced by 19.1% in High-KME compared to baseline. KME dose-dependent reductions in <math> <semantics><msub><mi>P</mi> <mrow><mi>ETC</mi> <msub><mi>O</mi> <mn>2</mn></msub> </mrow> </msub> <annotation>${P_{{mathrm{ETC}}{{mathrm{O}}_2}}}$</annotation></semantics> </math> may have contributed to these reductions in gCBF following KME ingestion. These novel findings provide a foundational characterization of the impact of KME on resting CBF, which prompts further investigation building on these results to isolate underlying mechanisms and develop dosing protocols to mitigate potential CO<sub>2</sub> disruptions. KEY POINTS: Beta-hydroxybutyrate (β-OHB) is a signalling molecule and β-OHB infusion increases cerebral blood flow (CBF) in humans. Ingestion of higher doses of a ketone monoester (KME) supplement have been shown to lower blood pH and arterial CO<sub>2</sub>, which are important regulators of CBF. This double-blind and placebo-controlled cross-over study tested the effects of two separate KME doses (Low-KME and High-KME) on resting CBF, end-tidal CO<sub>2</sub> and systemic haemodynamics over a 2 h period post-ingestion in young adults. Low-KME reduced CBF 45 min post-ingestion and High-KME reduced CBF at both 45 and 120 min post-ingestion, which corresponded with dose-dependent reductions in end-tidal CO<sub>2</sub>. The findings from this trial represent a foundational characterization of the effects of KME dose on resting CBF.</p>","PeriodicalId":50088,"journal":{"name":"Journal of Physiology-London","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050717","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
MicroRNA-138-5p suppresses excitatory synaptic strength at the cerebellar input layer MicroRNA-138-5p抑制小脑输入层兴奋性突触强度。
IF 4.7 2区 医学
Journal of Physiology-London Pub Date : 2025-05-11 DOI: 10.1113/JP288019
Igor Delvendahl, Reetu Daswani, Jochen Winterer, Pierre-Luc Germain, Nora Maria Uhr, Gerhard Schratt, Martin Müller
{"title":"MicroRNA-138-5p suppresses excitatory synaptic strength at the cerebellar input layer","authors":"Igor Delvendahl,&nbsp;Reetu Daswani,&nbsp;Jochen Winterer,&nbsp;Pierre-Luc Germain,&nbsp;Nora Maria Uhr,&nbsp;Gerhard Schratt,&nbsp;Martin Müller","doi":"10.1113/JP288019","DOIUrl":"10.1113/JP288019","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 \u0000 &lt;div&gt;MicroRNAs are small, highly conserved non-coding RNAs that negatively regulate mRNA translation and stability. In the brain, miRNAs contribute to neuronal development, synaptogenesis, and synaptic plasticity. MicroRNA 138-5p (miR-138-5p) controls inhibitory synaptic transmission in the hippocampus and is highly expressed in cerebellar excitatory neurons. However, its specific role in cerebellar synaptic transmission remains unknown. Here, we investigated excitatory transmission in the cerebellum of mice expressing a sponge construct that sequesters endogenous miR-138-5p. Mossy fibre stimulation-evoked EPSCs in granule cells were ∼40% larger in miR-138-5p sponge mice compared to controls. Furthermore, we observed larger miniature EPSC amplitudes, suggesting an increased number of functional postsynaptic AMPA receptors. High-frequency train stimulation revealed enhanced short-term depression following miR-138-5p downregulation. Together with computational modelling, this suggests a negative regulation of presynaptic release probability. Overall, our results demonstrate that miR-138-5p suppresses synaptic strength through pre- and postsynaptic mechanisms, providing a potentially powerful mechanism for tuning excitatory synaptic input into the cerebellum.\u0000\u0000 &lt;figure&gt;\u0000 &lt;div&gt;&lt;picture&gt;\u0000 &lt;source&gt;&lt;/source&gt;&lt;/picture&gt;&lt;p&gt;&lt;/p&gt;\u0000 &lt;/div&gt;\u0000 &lt;/figure&gt;\u0000 &lt;/div&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Key points&lt;/h3&gt;\u0000 \u0000 &lt;div&gt;\u0000 &lt;ul&gt;\u0000 \u0000 &lt;li&gt;MicroRNAs are powerful regulators of mRNA translation and control key cell biological processes including synaptic transmission, but their role in regulating synaptic function in the cerebellum has remained elusive.&lt;/li&gt;\u0000 \u0000 &lt;li&gt;In this study, we investigated how microRNA-138-5p (miR-138-5p) modulates excitatory transmission at adult murine cerebellar mossy fibre to granule cell synapses.&lt;/li&gt;\u0000 \u0000 &lt;li&gt;Downregulation of miR-138-5p enhances excitatory synaptic strength at the cerebellar input layer and increases short-term depression.&lt;/li&gt;\u0000 \u0000 &lt;li&gt;miR-138-5p exerts its regulatory function through both pre- and postsynaptic mechanisms by negatively regulating release probability at mossy fibre boutons, as well as functional AMPA receptor numbers in granule cells.&lt;/li&gt;\u0000 \u0000 &lt;li&gt;These findings provide insights into the role of miR-138-5p in the cerebellum and expand our understanding of microRNA-dependent control of excitatory synaptic transmission and short-term plasticity.&lt;/li&gt;\u0000 &lt;/ul&gt;\u0000 &lt;/div&gt;\u0000 ","PeriodicalId":50088,"journal":{"name":"Journal of Physiology-London","volume":"603 10","pages":"3161-3179"},"PeriodicalIF":4.7,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1113/JP288019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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