American journal of physiology. Gastrointestinal and liver physiology最新文献

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Functional involvement of the sternohyoid muscle during breathing and swallowing in rats. 胸锁乳突肌在大鼠呼吸和吞咽过程中的功能参与。
IF 3.9 3区 医学
American journal of physiology. Gastrointestinal and liver physiology Pub Date : 2024-10-01 Epub Date: 2024-08-06 DOI: 10.1152/ajpgi.00138.2024
Nobuaki Saka, Titi Chotirungsan, Midori Yoshihara, Charng-Rong Pan, Yuhei Tsutsui, Nozomi Dewa, Jin Magara, Takanori Tsujimura, Makoto Inoue
{"title":"Functional involvement of the sternohyoid muscle during breathing and swallowing in rats.","authors":"Nobuaki Saka, Titi Chotirungsan, Midori Yoshihara, Charng-Rong Pan, Yuhei Tsutsui, Nozomi Dewa, Jin Magara, Takanori Tsujimura, Makoto Inoue","doi":"10.1152/ajpgi.00138.2024","DOIUrl":"10.1152/ajpgi.00138.2024","url":null,"abstract":"<p><p>The sternohyoid muscle depresses the hyoid bone, but it is unclear whether the muscle contributes to respiratory and swallowing mechanisms. This study aimed to clarify whether the sternohyoid muscle participates in the respiration and swallowing reflex and how the activity is modulated in two conditions: with airway stenosis and with a fixed sternohyoid muscle length. Electromyographic activity in the sternohyoid, digastric, thyrohyoid, and diaphragm muscles was recorded in anesthetized rats. The sternohyoid muscle activity was observed in the inspiratory phase and during swallowing, and was well coordinated with digastric and thyrohyoid muscle activity. With airway stenosis, the respiratory activity per respiratory cycle was facilitated in all assessed muscles but the facilitation of activity per second occurred only in the digastric, thyrohyoid, and sternohyoid muscles. With airway stenosis, the swallowing activity was facilitated only in the digastric muscle but not in the thyrohyoid and sternohyoid muscles. Swallowing activity was not observed in the sternohyoid muscle in the condition with the sternohyoid muscle length fixed, although increased inspiratory activity remained. The current results suggest that <i>1</i>) the sternohyoid muscle is slightly activated in the inspiratory phase, <i>2</i>) the effect of airway stenosis on respiratory function may differ between the upper airway muscles and diaphragm, and <i>3</i>) swallowing activity in the sternohyoid muscle is not dominantly controlled by the swallowing central pattern generator but instead occurs as a myotatic reflex.<b>NEW & NOTEWORTHY</b> We found that the sternohyoid muscle was activated in the inspiratory phase. However, increased airway resistance had different effects on the extrathoracic muscles than on the diaphragm. The swallowing activity of the sternohyoid disappeared when the muscle length was fixed. These findings suggest that the sternohyoid muscle may be activated not by the swallowing central pattern generator but as a myotatic reflex.</p>","PeriodicalId":7725,"journal":{"name":"American journal of physiology. Gastrointestinal and liver physiology","volume":" ","pages":"G598-G607"},"PeriodicalIF":3.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141892707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Increased activity of epithelial Cdc42 Rho GTPase and tight junction permeability in the Cftr knockout intestine. 上皮细胞 Cdc42 Rho GTPase 活性增强和 Cftr 基因敲除肠的紧密连接通透性增加
IF 3.9 3区 医学
American journal of physiology. Gastrointestinal and liver physiology Pub Date : 2024-10-01 Epub Date: 2024-08-06 DOI: 10.1152/ajpgi.00211.2022
Rowena A Woode, Ashlee M Strubberg, Jinghua Liu, Nancy M Walker, Lane L Clarke
{"title":"Increased activity of epithelial Cdc42 Rho GTPase and tight junction permeability in the Cftr knockout intestine.","authors":"Rowena A Woode, Ashlee M Strubberg, Jinghua Liu, Nancy M Walker, Lane L Clarke","doi":"10.1152/ajpgi.00211.2022","DOIUrl":"10.1152/ajpgi.00211.2022","url":null,"abstract":"<p><p>Increased intestinal permeability is a manifestation of cystic fibrosis (CF) in people with CF (pwCF) and in CF mouse models. CF transmembrane conductance regulator knockout (Cftr KO) mouse intestine exhibits increased proliferation and Wnt/β-catenin signaling relative to wild-type mice (WT). Since the Rho GTPase Cdc42 plays a central role in intestinal epithelial proliferation and tight junction remodeling, we hypothesized that Cdc42 may be altered in the Cftr KO crypts. Immunofluorescence showed distinct tight junction localization of Cdc42 in Cftr KO fresh crypts and enteroids, the latter indicating an epithelial-autonomous feature. Quantitative PCR and immunoblots revealed similar expression of Cdc42 in the Cftr KO crypts/enteroids relative to WT, whereas pulldown assays showed increased GTP-bound (active) Cdc42 in proportion to total Cdc42 in Cftr KO enteroids. Cdc42 activity in the Cftr KO and WT enteroids could be reduced by inhibition of the Wnt transducer Disheveled. With the use of a dye permeability assay, Cftr KO enteroids exhibited increased paracellular permeability to 3 kDa dextran relative to WT. Leak permeability and Cdc42 tight junction localization were reduced to a greater extent by inhibition of Wnt/β-catenin signaling with endo-IWR1 in Cftr KO relative to WT enteroids. Increased proliferation or inhibition of Cdc42 activity with ML141 in WT enteroids had no effect on permeability. In contrast, inhibition of Cdc42 with ML141 increased permeability to both 3 kDa dextran and tight junction impermeant 500 kDa dextran in Cftr KO enteroids. These data suggest that increased constitutive Cdc42 activity may alter the stability of paracellular permeability in Cftr KO crypt epithelium.<b>NEW & NOTEWORTHY</b> Increased tight junction localization and GTP-bound activity of the Rho GTPase Cdc42 was identified in small intestinal crypts and enteroids of cystic fibrosis (CF) transmembrane conductance regulator knockout (Cftr KO) mice. The increase in epithelial Cdc42 activity was associated with increased Wnt signaling. Paracellular flux of an uncharged solute (3 kDa dextran) in Cftr KO enteroids indicated a moderate leak permeability under basal conditions that was strongly exacerbated by Cdc42 inhibition. These findings suggest increased activity of Cdc42 in the Cftr KO intestine underlies alterations in intestinal permeability.</p>","PeriodicalId":7725,"journal":{"name":"American journal of physiology. Gastrointestinal and liver physiology","volume":" ","pages":"G545-G557"},"PeriodicalIF":3.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141892656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mechanical stress, connective tissue growth factor, and intestinal fibrosis. 机械应力、结缔组织生长因子和肠纤维化。
IF 3.9 3区 医学
American journal of physiology. Gastrointestinal and liver physiology Pub Date : 2024-09-03 DOI: 10.1152/ajpgi.00224.2024
Sumei Liu
{"title":"Mechanical stress, connective tissue growth factor, and intestinal fibrosis.","authors":"Sumei Liu","doi":"10.1152/ajpgi.00224.2024","DOIUrl":"https://doi.org/10.1152/ajpgi.00224.2024","url":null,"abstract":"","PeriodicalId":7725,"journal":{"name":"American journal of physiology. Gastrointestinal and liver physiology","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142118825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Muscle protein catabolism and splanchnic arginine consumption drive arginine dysregulation during Pseudomonas Aeruginosa induced early acute sepsis in swine. 在绿脓杆菌诱发猪早期急性败血症期间,肌肉蛋白质分解和脾脏精氨酸消耗导致精氨酸失调。
IF 3.9 3区 医学
American journal of physiology. Gastrointestinal and liver physiology Pub Date : 2024-09-03 DOI: 10.1152/ajpgi.00257.2023
Sarah A Rice, Gabriella A M Ten Have, Marielle P K J Engelen, Nicolaas E P Deutz
{"title":"Muscle protein catabolism and splanchnic arginine consumption drive arginine dysregulation during <i>Pseudomonas Aeruginosa</i> induced early acute sepsis in swine.","authors":"Sarah A Rice, Gabriella A M Ten Have, Marielle P K J Engelen, Nicolaas E P Deutz","doi":"10.1152/ajpgi.00257.2023","DOIUrl":"10.1152/ajpgi.00257.2023","url":null,"abstract":"<p><p>Human sepsis is characterized by increased protein breakdown and changes in arginine and citrulline metabolism. However, it is unclear whether this is caused by changes in transorgan metabolism. We therefore studied in a <i>Pseudomonas aeruginosa</i> induced pig sepsis model the changes in protein and arginine related metabolism on whole body (Wb) and transorgan level. We studied 22 conscious pigs for 18 hours during sepsis, induced by infusing live bacteria (<i>Pseudomonas aeruginosa)</i> or after placebo infusion (control). We used stable isotope tracers to measure Wb and skeletal muscle protein synthesis and breakdown, as well as Wb, splanchnic, skeletal muscle, hepatic and portal drained viscera (PDV) arginine and citrulline disposal and production rates. During sepsis, arginine Wb production (p=0.0146), skeletal muscle release (p=0.0035) and liver arginine uptake were elevated (p=0.0031). Wb <i>de novo</i> arginine synthesis, citrulline production, and transorgan PDV release of citrulline, glutamine and arginine did not differ between sepsis and controls. However, Wb (p<0.0001) and muscle (p<0.001) protein breakdown were increased, suggesting that the enhanced arginine production is predominantly derived from muscle breakdown in sepsis. In conclusion, live-bacterium sepsis increases muscle arginine release and liver uptake, mirroring previous pig endotoxemia studies. In contrast to observations in humans, acute live-bacterium sepsis in pigs does not change citrulline production or arterial arginine concentration. We therefore conclude that the arginine dysregulation observed in human sepsis is possibly initiated by enhanced protein catabolism and splanchnic arginine catabolism, while decreased arterial arginine concentration and citrulline metabolism may require more time to fully manifest in patients.</p>","PeriodicalId":7725,"journal":{"name":"American journal of physiology. Gastrointestinal and liver physiology","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11559638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142118764","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}
引用次数: 0
Targeting serotonin signaling in the gut to limit colitis via 5-HT7 receptor antagonism. 通过 5-HT7 受体拮抗剂靶向肠道中的血清素信号,限制结肠炎的发生。
IF 3.9 3区 医学
American journal of physiology. Gastrointestinal and liver physiology Pub Date : 2024-09-01 Epub Date: 2024-07-30 DOI: 10.1152/ajpgi.00181.2024
Michael A Schumacher
{"title":"Targeting serotonin signaling in the gut to limit colitis via 5-HT<sub>7</sub> receptor antagonism.","authors":"Michael A Schumacher","doi":"10.1152/ajpgi.00181.2024","DOIUrl":"10.1152/ajpgi.00181.2024","url":null,"abstract":"","PeriodicalId":7725,"journal":{"name":"American journal of physiology. Gastrointestinal and liver physiology","volume":" ","pages":"G454-G455"},"PeriodicalIF":3.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141791700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Animal models with characteristics of irritable bowel syndrome with diarrhea: current applications and future perspectives. 具有肠易激综合征腹泻特征的动物模型:当前应用和未来展望。
IF 3.9 3区 医学
American journal of physiology. Gastrointestinal and liver physiology Pub Date : 2024-09-01 Epub Date: 2024-07-16 DOI: 10.1152/ajpgi.00060.2024
Jinfeng Chen, Tingting Zhang, Yang Liu, Xueqian Dong, Jianjun Liu
{"title":"Animal models with characteristics of irritable bowel syndrome with diarrhea: current applications and future perspectives.","authors":"Jinfeng Chen, Tingting Zhang, Yang Liu, Xueqian Dong, Jianjun Liu","doi":"10.1152/ajpgi.00060.2024","DOIUrl":"10.1152/ajpgi.00060.2024","url":null,"abstract":"<p><p>Irritable bowel syndrome with diarrhea (IBS-D) is a common intestinal condition that significantly impacts work efficiency and quality of life. The use of animal models is crucial for delving into the pathophysiology of IBS-D and exploring therapeutic options. However, a wide variety of animal models for IBS-D has been used in previous studies, posing a considerable challenge for researchers in selecting a suitable model. In this review, using the Web of Science database, we searched IBS-D-related research spanning from 2014 to 2023; described the differences in animal strains and modeling methods among various IBS-D features recapitulating models; summarized the frequency of model usage, pathogenesis, and pathological characteristics of these models; and discussed their current applications, limitations, and future perspectives. The objective is to offer theoretical guidance for future researchers, aiding them in choosing suitable animal models based on their experimental designs.</p>","PeriodicalId":7725,"journal":{"name":"American journal of physiology. Gastrointestinal and liver physiology","volume":" ","pages":"G360-G378"},"PeriodicalIF":3.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surface mapping of gastric motor functions using MRI: a comparative study between humans and rats. 利用核磁共振成像绘制胃运动功能表面图:人类与大鼠的比较研究
IF 3.9 3区 医学
American journal of physiology. Gastrointestinal and liver physiology Pub Date : 2024-09-01 Epub Date: 2024-06-25 DOI: 10.1152/ajpgi.00045.2024
Xiaokai Wang, Fatimah Alkaabi, Minkyu Choi, Madeleine R Di Natale, Ulrich M Scheven, Douglas C Noll, John B Furness, Zhongming Liu
{"title":"Surface mapping of gastric motor functions using MRI: a comparative study between humans and rats.","authors":"Xiaokai Wang, Fatimah Alkaabi, Minkyu Choi, Madeleine R Di Natale, Ulrich M Scheven, Douglas C Noll, John B Furness, Zhongming Liu","doi":"10.1152/ajpgi.00045.2024","DOIUrl":"10.1152/ajpgi.00045.2024","url":null,"abstract":"<p><p>The stomach's ability to store, mix, propel, and empty its content requires highly coordinated motor functions. However, current diagnostic tools cannot simultaneously assess these motor processes. This study aimed to use magnetic resonance imaging (MRI) to map multifaceted gastric motor functions, including accommodation, tonic and peristaltic contractions, and emptying, through a single noninvasive experiment for both humans and rats. Ten humans and 10 Sprague-Dawley rats consumed MRI-visible semisolid meals and underwent MRI scans. We used a surface model to analyze MRI data, capturing the deformation of the stomach wall on ingestion or during digestion. We inferred muscle activity, mapped motor processes, parcellated the stomach into functional regions, and revealed cross-species distinctions. In humans, both the fundus and antrum distended postmeal, followed by sustained tonic contractions to regulate intragastric pressure. Peristaltic contractions initiated from the distal fundus, including three concurrent wavefronts oscillating at 3.3 cycles/min and traveling at 1.7 to 2.9 mm/s. These motor functions facilitated linear gastric emptying with a 61-min half-time. In contrast, rats exhibited peristalsis from the midcorpus, showing two wavefronts oscillating at 5.0 cycles/min and traveling at 0.4 to 0.9 mm/s. For both species, motility features allowed functional parcellation of the stomach along a midcorpus division. This study maps region- and species-specific gastric motor functions. We demonstrate the value of MRI with surface modeling in understanding gastric physiology and its potential to become a new standard for clinical and preclinical investigations of gastric disorders at both individual and group levels.<b>NEW & NOTEWORTHY</b> A novel MRI technique can visualize how the stomach accommodates, mixes, and propels food for digestion in humans and animals alike. Digital models of gastric MRI reveal the functional maps, organization, and distinction of the stomach across individuals and species. This technique holds the unique potential to advance basic and clinical studies of functional gastric disorders.</p>","PeriodicalId":7725,"journal":{"name":"American journal of physiology. Gastrointestinal and liver physiology","volume":" ","pages":"G345-G359"},"PeriodicalIF":3.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11427095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141445212","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}
引用次数: 0
Assessing the degree of hepatic ischemia-reperfusion injury using physiologically based pharmacokinetic modeling of sodium fluorescein disposition in ex vivo machine-perfused livers. 利用荧光素钠在体外机器灌注肝脏中处置的 PBPK 模型评估肝脏缺血再灌注损伤的程度。
IF 3.9 3区 医学
American journal of physiology. Gastrointestinal and liver physiology Pub Date : 2024-09-01 Epub Date: 2024-06-25 DOI: 10.1152/ajpgi.00048.2024
Christopher E Monti, Seung-Keun Hong, Said H Audi, Whayoung Lee, Amit Joshi, Scott S Terhune, Joohyun Kim, Ranjan K Dash
{"title":"Assessing the degree of hepatic ischemia-reperfusion injury using physiologically based pharmacokinetic modeling of sodium fluorescein disposition in ex vivo machine-perfused livers.","authors":"Christopher E Monti, Seung-Keun Hong, Said H Audi, Whayoung Lee, Amit Joshi, Scott S Terhune, Joohyun Kim, Ranjan K Dash","doi":"10.1152/ajpgi.00048.2024","DOIUrl":"10.1152/ajpgi.00048.2024","url":null,"abstract":"<p><p>Ischemia-reperfusion injury (IRI) is an intrinsic risk associated with liver transplantation. Ex vivo hepatic machine perfusion (MP) is an emerging organ preservation technique that can mitigate IRI, especially in livers subjected to prolonged warm ischemia time (WIT). However, a method to quantify the biological response to WIT during MP has not been established. Previous studies used physiologically based pharmacokinetic (PBPK) modeling to demonstrate that a decrease in hepatic transport and biliary excretion of the tracer molecule sodium fluorescein (SF) could correlate with increasing WIT in situ. Furthermore, these studies proposed intracellular sequestration of the hepatocyte canalicular membrane transporter multidrug resistance-associated protein 2 (MRP2) leading to decreased MRP2 activity (maximal transport velocity; <i>V</i><sub>max</sub>) as the potential mechanism for decreased biliary SF excretion. We adapted an extant PBPK model to account for ex vivo hepatic MP and fit a six-parameter version of this model to control time-course measurements of SF in MP perfusate and bile. We then identified parameters whose values were likely insensitive to changes in WIT and fixed them to generate a reduced model with only three unknown parameters. Finally, we fit the reduced model to each individual biological replicate SF time course with differing WIT, found the mean estimated value for each parameter, and compared them using a one-way ANOVA. We demonstrated that there was a significant decrease in the estimated value of <i>V</i><sub>max</sub> for MRP2 at the 30-min WIT. These studies provide the foundation for future studies investigating real-time assessment of liver viability during ex vivo MP.<b>NEW & NOTEWORTHY</b> We developed a computational model of sodium fluorescein (SF) biliary excretion in ex vivo machine perfusion and used this model to assess changes in model parameters associated with the activity of MRP2, a hepatocyte membrane transporter, in response to increasing warm ischemia time. We found a significant decrease in the parameter value describing MRP2 activity, consistent with a role of decreased MRP2 function in ischemia-reperfusion injury leading to decreased secretion of SF into bile.</p>","PeriodicalId":7725,"journal":{"name":"American journal of physiology. Gastrointestinal and liver physiology","volume":" ","pages":"G424-G437"},"PeriodicalIF":3.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11427087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141449418","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}
引用次数: 0
Enhancing the diagnostic yield of esophageal manometry using distension-contraction plots of peristalsis and artificial intelligence. 利用蠕动扩张收缩图和人工智能提高食管测压的诊断率
IF 3.9 3区 医学
American journal of physiology. Gastrointestinal and liver physiology Pub Date : 2024-09-01 Epub Date: 2024-07-02 DOI: 10.1152/ajpgi.00139.2024
Ali Zifan, Ji Min Lee, Ravinder K Mittal
{"title":"Enhancing the diagnostic yield of esophageal manometry using distension-contraction plots of peristalsis and artificial intelligence.","authors":"Ali Zifan, Ji Min Lee, Ravinder K Mittal","doi":"10.1152/ajpgi.00139.2024","DOIUrl":"10.1152/ajpgi.00139.2024","url":null,"abstract":"<p><p>Our prior study reveals that the distension-contraction profiles using high-resolution manometry impedance recordings can distinguish patients with dysphagia symptom but normal esophageal function testing (\"functional dysphagia\") from control subjects. The aim of this study was to determine the diagnostic value of the recording protocol used in our prior studies (10-mL swallows with subjects in the Trendelenburg position) against the standard clinical protocol (5-mL swallows with subjects in the supine position). We used advanced machine learning techniques and robust metrics for classification purposes. Studies were performed on 30 healthy subjects and 30 patients with functional dysphagia. A custom-built software was used to extract the relevant distension-contraction features of esophageal peristalsis. Ensemble methods, i.e., gradient boost, support vector machines (SVMs), and logit boost, were used as the primary machine learning algorithms. Although the individual contraction features were marginally different between the two groups, the distension features of peristalsis were significantly different. The receiver operating characteristic (ROC) curve values for the standard recording protocol and the distension features ranged from 0.74 to 0.82; they were significantly better for the protocol used in our prior studies, ranging from 0.81 to 0.91. The ROC curve values using three machine learning algorithms were far superior for the distension than the contraction features of esophageal peristalsis, revealing a value of 0.95 for the SVM algorithm. Current patient classification for esophageal motility disorders, based on the contraction phase of peristalsis, ignores a large number of patients who have an abnormality in the distension phase of peristalsis. Distension-contraction plots should be the standard for assessing esophageal peristalsis in clinical practice.<b>NEW & NOTEWORTHY</b> Our findings underscore the superiority of distension features over contraction metrics in diagnosing esophageal dysfunctions. By leveraging state-of-the-art machine learning techniques, our study highlights the diagnostic potential of distension-contraction plots of peristalsis. Implementation of these plots could significantly enhance the accuracy of identifying patients with esophageal motor disorders, advocating for their adoption as the standard in clinical practice.</p>","PeriodicalId":7725,"journal":{"name":"American journal of physiology. Gastrointestinal and liver physiology","volume":" ","pages":"G405-G413"},"PeriodicalIF":3.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11427102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141490602","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}
引用次数: 0
Colonocyte keratins stabilize mitochondria and contribute to mitochondrial energy metabolism. 结肠细胞角蛋白能稳定线粒体,促进线粒体能量代谢。
IF 3.9 3区 医学
American journal of physiology. Gastrointestinal and liver physiology Pub Date : 2024-09-01 Epub Date: 2024-06-11 DOI: 10.1152/ajpgi.00220.2023
Joel H Nyström, Taina R H Heikkilä, Keshav Thapa, Ilari Pulli, Kid Törnquist, Diana M Toivola
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