American journal of physiology. Heart and circulatory physiology最新文献

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Glucocorticoids impair T lymphopoiesis after myocardial infarction. 糖皮质激素影响心肌梗死后的T淋巴细胞生成
IF 4.1 2区 医学
American journal of physiology. Heart and circulatory physiology Pub Date : 2024-08-01 Epub Date: 2024-07-12 DOI: 10.1152/ajpheart.00195.2024
Danielle X Shane, Daria M Konovalova, Harishkumar Rajendran, Sarah Y Yuan, Yonggang Ma
{"title":"Glucocorticoids impair T lymphopoiesis after myocardial infarction.","authors":"Danielle X Shane, Daria M Konovalova, Harishkumar Rajendran, Sarah Y Yuan, Yonggang Ma","doi":"10.1152/ajpheart.00195.2024","DOIUrl":"10.1152/ajpheart.00195.2024","url":null,"abstract":"<p><p>The thymus, where T lymphocytes develop and mature, is sensitive to insults such as tissue ischemia or injury. The insults can cause thymic atrophy and compromise T-cell development, potentially impairing adaptive immunity. The objective of this study was to investigate whether myocardial infarction (MI) induces thymic injury to impair T lymphopoiesis and to uncover the underlying mechanisms. When compared with sham controls, MI mice at <i>day 7</i> post-MI exhibited smaller thymus, lower cellularity, as well as less thymocytes at different developmental stages, indicative of T-lymphopoiesis impairment following MI. Accordingly, the spleen of MI mice has less T cells and recent thymic emigrants (RTEs), implying that the thymus of MI mice releases fewer mature thymocytes than sham controls. Interestingly, the secretory function of splenic T cells was not affected by MI. Further experiments showed that the reduction of thymocytes in MI mice was due to increased thymocyte apoptosis. Removal of adrenal glands by adrenalectomy (ADX) prevented MI-induced thymic injury and dysfunction, whereas corticosterone supplementation in ADX + MI mice reinduced thymic injury and dysfunction, indicating that glucocorticoids mediate thymic damage triggered by MI. Eosinophils play essential roles in thymic regeneration postirradiation, and eosinophil-deficient mice exhibit impaired thymic recovery after sublethal irradiation. Interestingly, the thymus was fully regenerated in both wild-type and eosinophil-deficient mice at <i>day 14</i> post-MI, suggesting that eosinophils are not critical for thymus regeneration post-MI. In conclusion, our study demonstrates that MI-induced glucocorticoids trigger thymocyte apoptosis and impair T lymphopoiesis, resulting in less mature thymocyte release to the spleen.<b>NEW & NOTEWORTHY</b> The thymus is essential for maintaining whole body T-cell output. Thymic injury can adversely affect T lymphopoiesis and T-cell immune response. This study demonstrates that MI induces thymocyte apoptosis and compromises T lymphopoiesis, resulting in fewer releases of mature thymocytes to the spleen. This process is mediated by glucocorticoids secreted by adrenal glands. Therefore, targeting glucocorticoids represents a novel approach to attenuate post-MI thymic injury.</p>","PeriodicalId":7692,"journal":{"name":"American journal of physiology. Heart and circulatory physiology","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442026/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141589382","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
Understanding the estrogen paradox of pulmonary arterial hypertension in the context of right ventricular function. 从右心室功能角度理解肺动脉高压的雌激素悖论
IF 4.1 2区 医学
American journal of physiology. Heart and circulatory physiology Pub Date : 2024-08-01 Epub Date: 2024-06-21 DOI: 10.1152/ajpheart.00400.2024
Madeline G Burghaze, Matthew W Gorr
{"title":"Understanding the estrogen paradox of pulmonary arterial hypertension in the context of right ventricular function.","authors":"Madeline G Burghaze, Matthew W Gorr","doi":"10.1152/ajpheart.00400.2024","DOIUrl":"10.1152/ajpheart.00400.2024","url":null,"abstract":"","PeriodicalId":7692,"journal":{"name":"American journal of physiology. Heart and circulatory physiology","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141431132","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
Remote and local effects of ischemic preconditioning on vascular function: a case for cumulative benefit. 缺血预处理对血管功能的远程和局部影响;累积效益的案例。
IF 4.1 2区 医学
American journal of physiology. Heart and circulatory physiology Pub Date : 2024-08-01 Epub Date: 2024-06-28 DOI: 10.1152/ajpheart.00315.2024
Bert Bond, Harrison Hurlstone, David M Köditz, Alice B Lester, Harry Mould, Thomas Tennant, Amber Thorington
{"title":"Remote and local effects of ischemic preconditioning on vascular function: a case for cumulative benefit.","authors":"Bert Bond, Harrison Hurlstone, David M Köditz, Alice B Lester, Harry Mould, Thomas Tennant, Amber Thorington","doi":"10.1152/ajpheart.00315.2024","DOIUrl":"10.1152/ajpheart.00315.2024","url":null,"abstract":"<p><p>Brief, repeated cycles of limb ischemia and reperfusion [ischemic preconditioning (IPC)] can protect against vascular insult. Few papers have considered the effect of IPC on resting vascular function, and no single study has simultaneously considered the local (trained arm) and remote (untrained arm) effects of a single session of IPC and following repeated sessions. We determined macrovascular [allometrically scaled flow-mediated dilation (FMD)] and microvascular [cutaneous vascular conductance (CVC)] function in healthy adults before, immediately post, 20 min post, and 24 h post a single session of IPC (4 × 5 min of single arm ischemia). These outcomes also were remeasured 24 h after six IPC sessions, performed over 2 wk. FMD and CVC increased in both arms 20 min post [FMD mean difference (MD) 1.1%, <i>P</i> < 0.001; CVC MD 0.08 arbitrary units (AU), <i>P</i> = 0.004] but not 24 h post (FMD MD -0.2%, <i>P</i> = 0.459; CVC MD -0.02 AU, <i>P</i> = 0.526] a single session of IPC, with no differences between trained and untrained arms. Although FMD did not increase 24 h after one IPC session, it was elevated in both arms 24 h after the sixth session (MD 1.2%, <i>P</i> = 0.009). CVC was not altered in either arm 24 h after the last IPC session. These data indicate that the local and remote effects of IPC on vascular health may be equivalent and that the benefits to FMD may be greater with sustained training compared with a single IPC exposure.</p>","PeriodicalId":7692,"journal":{"name":"American journal of physiology. Heart and circulatory physiology","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465680","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
Sublingual microcirculatory function as a prognostic indicator of general microvascular health. 舌下微循环功能作为全身微血管健康的预测指标
IF 4.1 2区 医学
American journal of physiology. Heart and circulatory physiology Pub Date : 2024-08-01 Epub Date: 2024-06-14 DOI: 10.1152/ajpheart.00390.2024
Anna Kosmach, Timothy M Sveeggen, Pooneh Bagher
{"title":"Sublingual microcirculatory function as a prognostic indicator of general microvascular health.","authors":"Anna Kosmach, Timothy M Sveeggen, Pooneh Bagher","doi":"10.1152/ajpheart.00390.2024","DOIUrl":"10.1152/ajpheart.00390.2024","url":null,"abstract":"","PeriodicalId":7692,"journal":{"name":"American journal of physiology. Heart and circulatory physiology","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141316582","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
Sex-dependent remodeling of right ventricular function in a rat model of pulmonary arterial hypertension. 肺动脉高压大鼠模型中右心室功能重塑的性别依赖性
IF 4.1 2区 医学
American journal of physiology. Heart and circulatory physiology Pub Date : 2024-08-01 Epub Date: 2024-06-07 DOI: 10.1152/ajpheart.00098.2024
Ethan D Kwan, Becky A Hardie, Kristen M Garcia, Hao Mu, Tsui-Min Wang, Daniela Valdez-Jasso
{"title":"Sex-dependent remodeling of right ventricular function in a rat model of pulmonary arterial hypertension.","authors":"Ethan D Kwan, Becky A Hardie, Kristen M Garcia, Hao Mu, Tsui-Min Wang, Daniela Valdez-Jasso","doi":"10.1152/ajpheart.00098.2024","DOIUrl":"10.1152/ajpheart.00098.2024","url":null,"abstract":"<p><p>Right ventricular (RV) function is an important prognostic indicator for pulmonary arterial hypertension (PAH), a vasculopathy that primarily and disproportionally affects women with distinct pre- and postmenopausal clinical outcomes. However, most animal studies have overlooked the impact of sex and ovarian hormones on RV remodeling in PAH. Here, we combined invasive measurements of RV hemodynamics and morphology with computational models of RV biomechanics in sugen-hypoxia (SuHx)-treated male, ovary-intact female, and ovariectomized female rats. Despite similar pressure overload levels, SuHx induced increases in end-diastolic elastance and passive myocardial stiffening, notably in male SuHx animals, corresponding to elevated diastolic intracellular calcium. Increases in end-systolic chamber elastance were largely explained by myocardial hypertrophy in male and ovary-intact female rats, whereas ovariectomized females exhibited contractility recruitment via calcium transient augmentation. Ovary-intact female rats primarily responded with hypertrophy, showing fewer myocardial mechanical alterations and less stiffening. These findings highlight sex-related RV remodeling differences in rats, affecting systolic and diastolic RV function in PAH.<b>NEW & NOTEWORTHY</b> Combining hemodynamic and morphological measurements from male, female, and ovariectomized female pulmonary arterial hypertension (PAH) rats revealed distinct adaptation mechanisms despite similar pressure overload. Males showed the most diastolic stiffening. Ovariectomized females had enhanced myocyte contractility and calcium transient upregulation. Ovary-intact females primarily responded with hypertrophy, experiencing milder passive myocardial stiffening and no changes in myocyte shortening. These findings suggest potential sex-specific pathways in right ventricular (RV) adaptation to PAH, with implications for targeted interventions.</p>","PeriodicalId":7692,"journal":{"name":"American journal of physiology. Heart and circulatory physiology","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141282768","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
Vascular regeneration: a new mechanism of glucagon-like peptide-1 receptor agonist-mediated cardioprotection? 血管再生:胰高血糖素样肽-1 受体激动剂介导的心脏保护新机制?
IF 4.1 2区 医学
American journal of physiology. Heart and circulatory physiology Pub Date : 2024-08-01 Epub Date: 2024-07-12 DOI: 10.1152/ajpheart.00446.2024
Jordan S F Chan, John R Ussher
{"title":"Vascular regeneration: a new mechanism of glucagon-like peptide-1 receptor agonist-mediated cardioprotection?","authors":"Jordan S F Chan, John R Ussher","doi":"10.1152/ajpheart.00446.2024","DOIUrl":"10.1152/ajpheart.00446.2024","url":null,"abstract":"","PeriodicalId":7692,"journal":{"name":"American journal of physiology. Heart and circulatory physiology","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141589402","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
Heartbreak to immune breakdown: myocardial infarction is causing thymic injury mediated by activation of the hypothalamus-pituitary-adrenal axis. 从心碎到免疫崩溃:心肌梗塞导致胸腺损伤,而胸腺损伤是由激活下丘脑-垂体-肾上腺轴介导的。
IF 4.1 2区 医学
American journal of physiology. Heart and circulatory physiology Pub Date : 2024-08-01 Epub Date: 2024-07-19 DOI: 10.1152/ajpheart.00473.2024
Patrycja E Szybowska, Azadeh Nasuhidehnavi, Chi Fung Lee
{"title":"Heartbreak to immune breakdown: myocardial infarction is causing thymic injury mediated by activation of the hypothalamus-pituitary-adrenal axis.","authors":"Patrycja E Szybowska, Azadeh Nasuhidehnavi, Chi Fung Lee","doi":"10.1152/ajpheart.00473.2024","DOIUrl":"10.1152/ajpheart.00473.2024","url":null,"abstract":"","PeriodicalId":7692,"journal":{"name":"American journal of physiology. Heart and circulatory physiology","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141722825","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
Combination of reduced uterine perfusion pressure and leptin infusion as a novel model of preeclampsia. 将降低子宫灌注压和注入瘦素结合起来,作为子痫前期的新型模型。
IF 4.1 2区 医学
American journal of physiology. Heart and circulatory physiology Pub Date : 2024-08-01 Epub Date: 2024-07-26 DOI: 10.1152/ajpheart.00476.2024
Anukool A Bhopatkar, Sautan Mandal, Jan M Williams
{"title":"Combination of reduced uterine perfusion pressure and leptin infusion as a novel model of preeclampsia.","authors":"Anukool A Bhopatkar, Sautan Mandal, Jan M Williams","doi":"10.1152/ajpheart.00476.2024","DOIUrl":"10.1152/ajpheart.00476.2024","url":null,"abstract":"","PeriodicalId":7692,"journal":{"name":"American journal of physiology. Heart and circulatory physiology","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141756647","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
Inhibition of nuclear factor-κB activation improves non-nitric oxide-mediated cutaneous microvascular function in reproductive-aged healthy women. 抑制核因子-KappaB活化可改善育龄健康女性非一氧化氮介导的皮肤微血管功能
IF 4.1 2区 医学
American journal of physiology. Heart and circulatory physiology Pub Date : 2024-08-01 Epub Date: 2024-06-07 DOI: 10.1152/ajpheart.00204.2024
Virginia G Content, Auni C Williams, Lacy M Alexander
{"title":"Inhibition of nuclear factor-κB activation improves non-nitric oxide-mediated cutaneous microvascular function in reproductive-aged healthy women.","authors":"Virginia G Content, Auni C Williams, Lacy M Alexander","doi":"10.1152/ajpheart.00204.2024","DOIUrl":"10.1152/ajpheart.00204.2024","url":null,"abstract":"<p><p>The transcriptional regulator nuclear factor-κB (NF-κB) is a mediator of endothelial dysfunction. Inhibiting NF-κB with salsalate is used to investigate inflammatory mechanisms contributing to accelerated cardiovascular disease risk. However, in the absence of disease, inhibition of NF-κB can impact redox mechanisms, resulting in paradoxically decreased endothelial function. This study aimed to measure microvascular endothelial function during inhibition of the transcriptional regulator NF-κB in reproductive-aged healthy women. In a randomized, single-blind, crossover, placebo-controlled design, nine healthy women were randomly assigned oral salsalate (1,500 mg, twice daily) or placebo treatments for 5 days. Subjects underwent graded perfusion with the endothelium-dependent agonist acetylcholine (ACh, 10<sup>-10</sup> to 10<sup>-1</sup> M, 33°C) alone and in combination with 15 mM <i>N</i><sup>G</sup>-nitro-l-arginine methyl ester [l-NAME; nonselective nitric oxide (NO) synthase inhibitor] through intradermal microdialysis. Laser-Doppler flux was measured over each microdialysis site, and cutaneous vascular conductance (CVC) was calculated as flux divided by mean arterial pressure and normalized to site-specific maximum (CVC<sub>%max</sub>; 28 mM sodium nitroprusside + 43°C). The l-NAME sensitive component was calculated as the difference between the areas under the dose-response curves. During the placebo and salsalate treatments, the l-NAME sites were reduced compared with the control sites (both <i>P</i> < 0.0001). Across treatments, there was a significant difference between the control and l-NAME sites, where both sites shifted upward following salsalate treatment (both <i>P</i> < 0.0001), whereas the l-NAME-sensitive component was not different (<i>P</i> = 0.94). These data demonstrate that inhibition of the transcriptional regulator NF-κB improves cutaneous microvascular function in reproductive-aged healthy women through non-NO-dependent mechanisms.<b>NEW & NOTEWORTHY</b> The transcription factor nuclear factor-κB (NF-κB) regulates multiple aspects of innate and adaptive immunity by encoding for genes that participate in inflammation and impact endothelial function following NF-κB inhibition with salsalate treatment. Our results show that cutaneous microvascular function is increased through non-nitric oxide (NO)-dependent mechanisms following salsalate treatment in reproductive-aged healthy women.</p>","PeriodicalId":7692,"journal":{"name":"American journal of physiology. Heart and circulatory physiology","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11444226/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141282756","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
Proteolytic degradation of atrial sarcomere proteins underlies contractile defects in atrial fibrillation. 心房肌节蛋白的蛋白水解降解是心房颤动收缩缺陷的基础。
IF 4.1 2区 医学
American journal of physiology. Heart and circulatory physiology Pub Date : 2024-08-01 Epub Date: 2024-06-28 DOI: 10.1152/ajpheart.00148.2024
Hannah E Cizauskas, Hope V Burnham, Azaria Panni, Alexandra Peña, Alejandro Alvarez-Arce, M Therese Davis, Kelly N Araujo, Christine E Delligatti, Seby Edassery, Jonathan A Kirk, Rishi Arora, David Y Barefield
{"title":"Proteolytic degradation of atrial sarcomere proteins underlies contractile defects in atrial fibrillation.","authors":"Hannah E Cizauskas, Hope V Burnham, Azaria Panni, Alexandra Peña, Alejandro Alvarez-Arce, M Therese Davis, Kelly N Araujo, Christine E Delligatti, Seby Edassery, Jonathan A Kirk, Rishi Arora, David Y Barefield","doi":"10.1152/ajpheart.00148.2024","DOIUrl":"10.1152/ajpheart.00148.2024","url":null,"abstract":"<p><p>Atrial fibrillation (AFib) is the most common cardiac rhythm disturbance, often treated via electrical cardioversion. Following rhythm restoration, a period of depressed mechanical function known as atrial stunning occurs, suggesting that defects in contractility occur in AFib and are revealed upon restoration of rhythm. This project aims to define the contractile remodeling that occurs in AFib. To assess contractile function, we used a canine atrial tachypacing model of induced AFib. Mass spectrometry analysis showed dysregulation of contractile proteins in samples from AFib compared with sinus rhythm atria. Atrial cardiomyocytes show reduced force of contraction, decreased resting tension, and increased calcium sensitivity in skinned single cardiomyocyte studies. These alterations correlated with degradation of myofilament proteins including myosin heavy chain altering force of contraction, titin altering resting tension, and troponin I altering calcium sensitivity. We measured degradation of other myofilament proteins, including cardiac myosin binding protein C and actinin, that show degradation products in the AFib samples that are absent in the sinus rhythm atria. Many of the degradation products appeared as discrete cleavage products that are generated by calpain proteolysis. We assessed calpain activity and found it to be significantly increased. These results provide an understanding of the contractile remodeling that occurs in AFib and provide insight into the molecular explanation for atrial stunning and the increased risk of atrial thrombus and stroke in AFib.<b>NEW & NOTEWORTHY</b> Atrial fibrillation is the most common cardiac rhythm disorder, and remodeling during atrial fibrillation is highly variable between patients. This study has defined the biophysical changes in contractility that occur in atrial fibrillation along with identifying potential molecular mechanisms that may drive this remodeling. This includes proteolysis of several myofilament proteins including titin, troponin I, myosin heavy chain, myosin binding protein C, and actinin, which is consistent with the observed contractile deficits.</p>","PeriodicalId":7692,"journal":{"name":"American journal of physiology. Heart and circulatory physiology","volume":null,"pages":null},"PeriodicalIF":4.1,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11442024/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141465679","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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