Acclimatization

驯化
  • 文章类型: Journal Article
    地中海为理解入侵物种和本地栖息地之间复杂的相互作用提供了沃土。特别是在气候变化的背景下。这项耐热性研究揭示了Lophocladiatrichoclados的显着能力,一种被证明具有高度侵入性的红藻物种,为了适应不同的温度,特别是在较冷的地中海水域蓬勃发展,它可以承受低至14°C的温度,在其原生栖息地没有观察到的特征。这种快速的适应,发生在不到一个世纪的时间里,可能需要在耐高温性方面进行权衡。此外,地中海的所有样本种群都有相同的单倍型,这表明了一个共同的起源,以及我们可能面临一种异常适应和侵入性的菌株的可能性。这种高度的可适应性可以决定在不断变化的情况下未来的传播能力,强调在理解入侵物种范围扩大时同时考虑适应和适应的重要性。
    The Mediterranean Sea provides fertile ground for understanding the complex interplay between invasive species and native habitats, particularly within the context of climate change. This thermal tolerance study reveals the remarkable ability of Lophocladia trichoclados, a red algae species that has proven highly invasive, to adapt to varying temperatures, particularly thriving in colder Mediterranean waters, where it can withstand temperatures as low as 14 °C, a trait not observed in its native habitat. This rapid acclimation, occurring in less than a century, might entail a trade-off with high temperature resistance. Additionally, all sampled populations in the Mediterranean share the same haplotype, suggesting a common origin and the possibility that we might be facing an exceptionally acclimatable and invasive strain. This high degree of acclimatability could determine the future spread capacity in a changing scenario, highlighting the importance of considering both acclimation and adaptation in understanding the expansion of invasive species\' ranges.
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  • 文章类型: Journal Article
    游行乐队(MB)艺术家与其他活跃团体(如工人和运动员)类似,会遭受劳累性热病(EHI)。然而,他们是一个研究不足的人群,没有基于证据的热安全指南。这里介绍的是第233届布里斯托尔年度的案例研究,2018年RI独立日游行产生了50多个EHIs,包括来自明尼阿波利斯郊区的圣安东尼村游行乐队(MB)的25名,MN.这项研究旨在确定导致大量EHIs的因素,以及在未来活动中确保MB艺术家安全的指南。人体热平衡模型与当地天气数据一起用于模拟MB艺术家的热应力。使用了三个建模场景来隔离服装的角色(乐队制服与T恤和短裤),天气(2018年7月4日vs.30年气候学),和代谢率(缓慢,中度,并轻快地进行起搏)在热应力下。结果确定了增加热应激的几个关键因素。气象条件异常炎热,潮湿,对布里斯托尔来说阳光明媚,导致蒸发和对流导致的冷却减少,和增加辐射加热。行为因素也会影响热应激。完整的行进乐队制服使蒸发冷却减少了50%,并且在数小时内行进4公里而没有休息的活动水平导致了无法弥补的条件。最后,据推测,来自较冷地区的参与者缺乏适应环境可能会加剧与热有关的影响。这些发现突出了对MB主管和比赛组织者的一些建议,包括在预期的炎热条件下使用夏季制服,并提前进行游行计划,包括在游行前后为参与者提供遮阳/补水,考虑减少辐射加热的较冷路线,并为预期的与热相关的健康影响做好准备,适合预期的热条件。
    Marching band (MB) artists are subject to exertional heat illnesses (EHIs) similar to other active groups like laborers and athletes. Yet, they are an understudied population with no evidence-based heat safety guidelines. Presented here is a case study of the 233rd annual Bristol, RI Independence Day Parade in 2018 that resulted in over 50 EHIs, including 25 from the Saint Anthony Village marching band (MB) from suburban Minneapolis, MN. This research aims to identify the contributing factors that led to the large number of EHIs, as well as guide ensuring the safety of MB artists in future events. A human heat balance model in conjunction with local weather data was used to simulate heat stress on MB artists. Three modeling scenarios were used to isolate the roles of clothing (band uniform vs. t-shirt and shorts), weather (July 4, 2018 vs. 30-year climatology), and metabolic rate (slow, moderate, and brisk marching pacing) on heat stress. The results identify several key factors that increased heat stress. The meteorological conditions were unusually hot, humid, and sunny for Bristol, resulting in reduced cooling from evaporation and convection, and increased radiant heating. Behavioral factors also affect heat stress. The full marching band uniforms reduced evaporative cooling by 50% and the activity levels of marching 4 km over several hours without breaks resulted in conditions that were uncompensable. Finally, it is speculated that a lack of acclimatization for participants from cooler regions may have exacerbated heat-related impacts. These findings highlight several recommendations for MB directors and race organizers, including the use of summer uniforms for anticipated hot conditions, and advance parade planning that includes providing shade/hydration before and after the parade for participants, considering cooler routes that reduce radiant heating and preparing for anticipated heat-related health impacts appropriate for anticipated hot conditions.
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  • 文章类型: Journal Article
    蓝藻在海洋和淡水的初级生产中起着关键作用,并具有可持续生产大量商品的巨大潜力。在他们的生活中,蓝藻细胞需要适应多种挑战,包括入射光的强度和质量的变化。尽管我们越来越了解各种光照条件下的代谢调节,关于光质变化下的健身优势和局限性的详细见解仍未得到充分探索。这里,我们研究了蓝细菌集胞藻的光生理适应。在整个光合有效辐射(PAR)范围内的PCC6803。使用具有定性不同窄光谱的发光二极管(LED),我们描述了光捕获的波长依赖性,电子传输和能量转移到主要的细胞池。此外,我们描述了微调光捕获的过程,例如状态转换,或从藻胆体到光系统(PS)的能量转移效率。我们表明,由于低效的光收集,在蓝光下生长是最有限的,并且许多细胞过程与质体醌(PQ)池的氧化还原状态紧密相关,在红灯下减少最多。在蓝色光子下,PSI与PSII的比率较低,然而,它不是主要的增长限制因素,因为在紫罗兰色和近红光下,它甚至减少了,与蓝光相比,集胞藻生长更快。我们的结果提供了对光养生长的光谱依赖性的见解,并可以为未来研究蓝细菌光适应的分子机制奠定基础。导致受控栽培中的光优化。
    Cyanobacteria play a key role in primary production in both oceans and fresh waters and hold great potential for sustainable production of a large number of commodities. During their life, cyanobacteria cells need to acclimate to a multitude of challenges, including shifts in intensity and quality of incident light. Despite our increasing understanding of metabolic regulation under various light regimes, detailed insight into fitness advantages and limitations under shifting light quality remains underexplored. Here, we study photo-physiological acclimation in the cyanobacterium Synechocystis sp. PCC 6803 throughout the photosynthetically active radiation (PAR) range. Using light emitting diodes (LEDs) with qualitatively different narrow spectra, we describe wavelength dependence of light capture, electron transport and energy transduction to main cellular pools. In addition, we describe processes that fine-tune light capture, such as state transitions, or the efficiency of energy transfer from phycobilisomes to photosystems (PS). We show that growth was the most limited under blue light due to inefficient light harvesting, and that many cellular processes are tightly linked to the redox state of the plastoquinone (PQ) pool, which was the most reduced under red light. The PSI-to-PSII ratio was low under blue photons, however, it was not the main growth-limiting factor, since it was even more reduced under violet and near far-red lights, where Synechocystis grew faster compared to blue light. Our results provide insight into the spectral dependence of phototrophic growth and can provide the foundation for future studies of molecular mechanisms underlying light acclimation in cyanobacteria, leading to light optimization in controlled cultivations.
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  • 文章类型: Journal Article
    底栖鞭毛藻链球菌的报道。在过去的几十年里一直在增加,尤其是在温带地区。在全球变暖的背景下,海水温度升高对其生理和分布的影响的证据仍然缺乏,需要进行研究。在这项研究中,温度对生长的影响,对几种O.cf菌株的生态生理学和毒性进行了评估。来自比斯开湾(东北大西洋)和O.cf.ovata来自地中海西北部。将培养物适应14.5°C至32°C的温度范围,以研究每个特定菌株的热生态位的整个范围。对于O的温度范围从14.5°C到25°C,适应是成功的。参见siamensis和从19°C到32°C的O.cf.ovata,在22°C(0.54-1.06d-1)和28°C(0.52-0.75d-1)时测得的最高增长率,分别。对色素和脂质的细胞含量的分析揭示了链球菌细胞热适应过程的某些方面。O.cf的特定能力。siamensis应对寒冷温度的压力与基于二羟黄酮的叶黄素循环的激活有关。脂质(中性储备脂质和极性脂质)也揭示了物种特异性变异,在极端温度条件下,细胞含量增加。通过卤虫生物测定法评估了毒性的变化。对于这两个物种来说,当温度下降到生长的最佳温度以下时,观察到毒性降低。在O.cf中没有检测到PLTX样化合物。暹罗菌株。因此,对A.franciscana的致死作用的主要部分取决于目前未知的化合物。从多克隆方法来看,这项工作允许定义O.cf的热生态位和适应策略的特殊性。siamensis和O.cf.Ovata对温度。进一步讨论了气候变化对西北地中海和东北大西洋沿岸与链球菌水华相关的毒性风险的潜在影响。考虑到地理分布的变化,每个物种的生长能力和毒性。
    Reports of the benthic dinoflagellate Ostreopsis spp. have been increasing in the last decades, especially in temperate areas. In a context of global warming, evidences of the effects of increasing sea temperatures on its physiology and its distribution are still lacking and need to be investigated. In this study, the influence of temperature on growth, ecophysiology and toxicity was assessed for several strains of O. cf. siamensis from the Bay of Biscay (NE Atlantic) and O. cf. ovata from NW Mediterranean Sea. Cultures were acclimated to temperatures ranging from 14.5 °C to 32 °C in order to study the whole range of each strain-specific thermal niche. Acclimation was successful for temperatures ranging from 14.5 °C to 25 °C for O. cf. siamensis and from 19 °C to 32 °C for O. cf. ovata, with the highest growth rates measured at 22 °C (0.54-1.06 d-1) and 28 °C (0.52-0.75 d-1), respectively. The analysis of cellular content of pigments and lipids revealed some aspects of thermal acclimation processes in Ostreopsis cells. Specific capacities of O. cf. siamensis to cope with stress of cold temperatures were linked with the activation of a xanthophyll cycle based on diadinoxanthin. Lipids (neutral reserve lipids and polar ones) also revealed species-specific variations, with increases in cellular content noted under extreme temperature conditions. Variations in toxicity were assessed through the Artemia franciscana bioassay. For both species, a decrease in toxicity was observed when temperature dropped under the optimal temperature for growth. No PLTX-like compounds were detected in O. cf. siamensis strains. Thus, the main part of the lethal effect observed on A. franciscana was dependent on currently unknown compounds. From a multiclonal approach, this work allowed for defining specificities in the thermal niche and acclimation strategies of O. cf. siamensis and O. cf. ovata towards temperature. Potential impacts of climate change on the toxic risk associated with Ostreopsis blooms in both NW Mediterranean Sea and NE Atlantic coast is further discussed, taking into account variations in the geographic distribution, growth abilities and toxicity of each species.
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  • 文章类型: Journal Article
    过渡到父母身份是夫妻一生中最具挑战性的经历之一,这可能是压力和困难的。积极的过渡期会影响父母的行为质量和婴儿的健康。这项定性研究旨在解释伊朗首次父母适应父母角色的教育需求。
    在这项定性研究中,阿瓦士招募了25名来自不同种族背景的参与者,伊朗,使用目的性抽样。采用深度访谈的方法收集数据,采用定性内容分析法进行分析。
    数据分析中出现了三个主要类别:“需要知识改进培训,\"\"心理适应训练的需要,“和”社会文化适应培训的需要。\"
    为了适应父母的角色,初次为父母的人应该具备将这一时期的挑战转化为成长机会的知识。此外,他们需要家人的支持,医疗团队,还有政府.
    UNASSIGNED: The transition to parenthood is one of the most challenging experiences in a couple\'s life, which can be stressful and difficult. A positive transition period affects the quality of parents\' behavior and the baby\'s health. This qualitative study aimed to explain the educational needs of adaptation to parental role among first-time parents in Iran.
    UNASSIGNED: In this qualitative study, 25 participants from a variety of ethnic backgrounds were recruited in Ahvaz, Iran, using purposive sampling. In-depth interviews were used to collect the data which were analyzed by qualitative content analysis.
    UNASSIGNED: Three main categories emerged from the data analysis: \"The need for knowledge improvement training,\" \"The need for psychological adaptation training,\" and \"The need for sociocultural adaptation training.\"
    UNASSIGNED: To adapt to the parental role, first-time parents should be equipped with the knowledge to turn the challenges of this period into an opportunity for growth. Moreover, they need to be supported by their family members, the healthcare team, and the government.
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  • 文章类型: Journal Article
    温度对组织蛋白合成速率的影响在温带和热带,但不是南极鱼。先前的研究通常表明,与温带亲戚相比,南极鱼类的生长速率较低,蛋白质周转水平较高。这项研究调查了低温如何影响极地鱼类物种的组织蛋白质合成和组织生长。南极群体,南极和温带的Harpagifer,Lipophryspholis,适应一系列重叠的水温,并在白肌肉(WM)中测量蛋白质合成,肝脏和胃肠道(GIT)。两种物种的WM蛋白合成速率均随温度线性增加(H。南极0.16-0.23%。d-1,L.pholis,0.31-0.76%。d-1),而肝脏(H.南极0.24-0.27%。d-1,L.pholis,0.44-1.03%。d-1)和GIT在南极H。受温度影响,但在L。pholis(H。南极0.22-0.26%。d-1,L.pholis,0.40-0.86%。d-1)。在南极嗜血杆菌中,RNA与蛋白质的比率不受温度的影响,但微弱地增加,在L.pholisWM和肝脏中。在L.pholis,在所有组织中,RNA翻译效率随温度的升高而显着增加,但只在南极H.在3°C的重叠温度下,蛋白质合成(WM26%,肝脏,39%,GIT,35%)和RNA翻译效率(WM273%,肝脏,271%,GIT,300%)显著低于南方H.pholis,而RNA与蛋白质的比率明显更高(WM为270%,肝脏170%,GIT186%)。温度的组织特异性效应在两个物种中均可检测到。这项研究提供了第一个证据,南极鱼类的组织蛋白质合成速率受到限制。
    The affect of temperature on tissue protein synthesis rates has been reported in temperate and tropical, but not Antarctic fishes. Previous studies have generally demonstrated low growth rates in Antarctic fish species in comparison to temperate relatives and elevated levels of protein turnover. This study investigates how low temperatures effect tissue protein synthesis and hence tissue growth in a polar fish species. Groups of Antarctic, Harpagifer antarcticus and temperate, Lipophrys pholis, were acclimated to a range of overlapping water temperatures and protein synthesis was measure in white muscle (WM), liver and gastrointestinal tract (GIT). WM protein synthesis rates increased linearly with temperature in both species (H. antarcticus 0.16-0.23%.d-1, L. pholis, 0.31-0.76%.d-1), while liver (H. antarcticus 0.24-0.27%.d-1, L. pholis, 0.44-1.03%.d-1) and GIT were unaffected by temperature in H. antarcticus but increased non-linearly in L.pholis (H. antarcticus 0.22-0.26%.d-1, L. pholis, 0.40-0.86%.d-1). RNA to protein ratios were unaffected by temperature in H. antarcticus but increased weakly, in L.pholis WM and liver. In L.pholis, RNA translational efficiency increased significantly with temperature in all tissues, but only in liver in H. antarcticus. At the overlapping temperature of 3 °C, protein synthesis (WM 26%, Liver, 39%, GIT, 35%) and RNA translational efficiency (WM 273%, Liver, 271%, GIT, 300%) were significantly lower in H. antarcticus than L.pholis, while RNA to protein ratios were significantly higher (WM 270%, Liver 170%, GIT 186%). Tissue specific effects of temperature are detectable in both species. This study provides the first evidence, that tissue protein synthesis rates are constrained in Antarctic fishes.
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  • 文章类型: Journal Article
    高海拔的低氧促进了通气控制的变化,这可能导致夜间周期性呼吸(nPB)。这里,我们引入了一种安慰剂对照方法,通过增加吸入CO2来预防nPB,并用它来评估nPB是否有助于低氧对睡眠结构的不利影响.在一个随机的,单盲,交叉设计,12名男子进行了两次逗留(每人三天/夜,相隔4周)在相当于4000米海拔的低压缺氧中,在每次逗留的第一和第三个晚上进行多导睡眠监测。在所有的夜晚,受试者的头部被保留呼出的二氧化碳的树冠包围,通过调节新鲜空气流入来控制冠层中的CO2浓度(即吸入CO2浓度)。在整个安慰剂逗留期间,吸入二氧化碳≤0.2%,而在其他逗留期间,它增加到1.76%(IQR,1.07%-2.44%)。在安慰剂逗留期间,在第一和第三晚上,nPB的总睡眠时间(TST)分别为54.3%(37.4%-80.8%)和45.0%(24.5%-56.5%),分别为(P=0.042)。增加的吸气CO2使nPB的TST绝对减少了38.1%(28.1%-48.1%),呼吸暂停-呼吸不足指数为58.1/h(40.1-76.1/h),56.0/h(38.9.1-73.2/h)时,氧饱和度指数≥3%(均P<0.001),而它使TST的平均动脉血氧饱和度增加了2.0%(0.4%-3.5%,P=0.035)。吸入CO2的增加略微增加了第三晚N3睡眠的百分比(P=0.045),对睡眠结构没有其他影响。增加吸入CO2可有效预防缺氧诱导的nPB,而不影响睡眠宏观结构。表明nPB不能解释在高海拔地区常见的睡眠恶化。要点:在高海拔地区睡眠期间,周期性呼吸很常见,目前还不清楚这如何影响睡眠结构。我们开发了一种安慰剂对照方法,通过吸入CO2来预防夜间周期性呼吸(nPB),并将其用于评估低压低氧下nPB对睡眠的影响。夜间周期性呼吸通过以盲目方式增加的吸入CO2分数有效地减轻。预防nPB不会导致低压缺氧时睡眠结构的相关变化。我们得出的结论是,nPB不能解释在高海拔地区常见的睡眠结构恶化。
    Hypoxia at high altitude facilitates changes in ventilatory control that can lead to nocturnal periodic breathing (nPB). Here, we introduce a placebo-controlled approach to prevent nPB by increasing inspiratory CO2 and used it to assess whether nPB contributes to the adverse effects of hypoxia on sleep architecture. In a randomized, single-blinded, crossover design, 12 men underwent two sojourns (three days/nights each, separated by 4 weeks) in hypobaric hypoxia corresponding to 4000 m altitude, with polysomnography during the first and third night of each sojourn. During all nights, subjects\' heads were encompassed by a canopy retaining exhaled CO2 , and CO2 concentration in the canopy (i.e. inspiratory CO2 concentration) was controlled by adjustment of fresh air inflow. Throughout the placebo sojourn inspiratory CO2 was ≤0.2%, whereas throughout the other sojourn it was increased to 1.76% (IQR, 1.07%-2.44%). During the placebo sojourn, total sleep time (TST) with nPB was 54.3% (37.4%-80.8%) and 45.0% (24.5%-56.5%) during the first and the third night, respectively (P = 0.042). Increased inspiratory CO2 reduced TST with nPB by an absolute 38.1% (28.1%-48.1%), the apnoea-hypopnoea index by 58.1/h (40.1-76.1/h), and oxygen desaturation index ≥3% by 56.0/h (38.9.1-73.2/h) (all P < 0.001), whereas it increased the mean arterial oxygen saturation in TST by 2.0% (0.4%-3.5%, P = 0.035). Increased inspiratory CO2 slightly increased the percentage of N3 sleep during the third night (P = 0.045), without other effects on sleep architecture. Increasing inspiratory CO2 effectively prevented hypoxia-induced nPB without affecting sleep macro-architecture, indicating that nPB does not explain the sleep deterioration commonly observed at high altitudes. KEY POINTS: Periodic breathing is common during sleep at high altitude, and it is unclear how this affects sleep architecture. We developed a placebo-controlled approach to prevent nocturnal periodic breathing (nPB) with inspiratory CO2 administration and used it to assess the effects of nPB on sleep in hypobaric hypoxia. Nocturnal periodic breathing was effectively mitigated by an increased inspiratory CO2 fraction in a blinded manner. Prevention of nPB did not lead to relevant changes in sleep architecture in hypobaric hypoxia. We conclude that nPB does not explain the deterioration in sleep architecture commonly observed at high altitude.
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  • 文章类型: Randomized Controlled Trial
    背景:高海拔暴露会改变心脏的电传导。然而,关于高原适应和非适应期间的心电图(ECG)特征和有效的预防剂的报告不足。本研究旨在探讨泛醇对高原缺氧复氧后电生理的影响。
    方法:这项研究是一项前瞻性的,随机化,双盲,安慰剂对照试验。41名参与者被随机分为两组,在飞往高海拔(3900m)直到研究结束前14天,每天接受200mg的泛醇或口服安慰剂。在基线(300m)进行心肺运动测试,到达高海拔后的第三天,回到基线后的第七天。
    结果:急性高原暴露延长静息心室复极,以增加的校正QT间期(455.9±23.4vs.427.1±19.1ms,P<0.001)和校正的Tpeak-Tend间隔(155.5±27.4vs.125.3±21.1ms,P<0.001),返回低海拔后恢复。补充泛醇缩短了低氧诱导的延长的Tpeak-Tend间隔(-7.7ms,[95%置信区间(CI),-13.8至-1.6],P=0.014),Tpeak-Tend/QT间期(-0.014[95%CI,-0.027至-0.002],P=0.028),和保留的最大心率(11.9bpm[95%CI,3.2至20.6],在高海拔运动期间P=0.013)。此外,V3导联ST段静息幅度降低与峰值氧脉搏降低(R=0.713,P<0.001)和最大耗氧量(R=0.595,P<0.001)相关。
    结论:我们的结果说明了高原适应和去适应过程中的电生理变化。同样,在高海拔地区运动期间,补充泛醇会缩短延长的Tpeak-Tend间隔并保留最大心率。
    背景:URL:www.chictr.org.cn;唯一标识符:ChiCTR2200059900。
    BACKGROUND: High-altitude exposure changes the electrical conduction of the heart. However, reports on electrocardiogram (ECG) characteristics and potent prophylactic agents during high-altitude acclimatization and de-acclimatization are inadequate. This study aimed to investigate the effects of ubiquinol on electrophysiology after high-altitude hypoxia and reoxygenation.
    METHODS: The study was a prospective, randomized, double-blind, placebo-controlled trial. Forty-one participants were randomly divided into two groups receiving ubiquinol 200 mg daily or placebo orally 14 days before flying to high altitude (3900 m) until the end of the study. Cardiopulmonary exercise testing was performed at baseline (300 m), on the third day after reaching high altitude, and on the seventh day after returning to baseline.
    RESULTS: Acute high-altitude exposure prolonged resting ventricular repolarization, represented by increased corrected QT interval (455.9 ± 23.4 vs. 427.1 ± 19.1 ms, P < 0.001) and corrected Tpeak-Tend interval (155.5 ± 27.4 vs. 125.3 ± 21.1 ms, P < 0.001), which recovered after returning to low altitude. Ubiquinol supplementation shortened the hypoxia-induced extended Tpeak-Tend interval (-7.7 ms, [95% confidence interval (CI), -13.8 to -1.6], P = 0.014), Tpeak-Tend /QT interval (-0.014 [95% CI, -0.027 to -0.002], P = 0.028), and reserved maximal heart rate (11.9 bpm [95% CI, 3.2 to 20.6], P = 0.013) during exercise at high altitude. Furthermore, the decreased resting amplitude of the ST-segment in the V3 lead was correlated with decreased peak oxygen pulse (R = 0.713, P < 0.001) and maximum oxygen consumption (R = 0.595, P < 0.001).
    CONCLUSIONS: Our results illustrated the electrophysiology changes during high-altitude acclimatization and de-acclimatization. Similarly, ubiquinol supplementation shortened the prolonged Tpeak-Tend interval and reserved maximal heart rate during exercise at high altitude.
    BACKGROUND: URL: www.chictr.org.cn; Unique identifier: ChiCTR2200059900.
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  • 文章类型: Journal Article
    背景:越来越多的高血压患者在使用抗高血压药物如β受体阻滞剂时前往高海拔地区。然而,而低氧暴露会导致肺动脉压(Ppa)和肺血管阻力(PVR)升高,自主神经系统的贡献尚不清楚。在动物中,β-肾上腺素能阻滞在常氧下引起肺血管收缩和过度的缺氧性肺血管收缩(HPV),并且毒蕈碱阻滞消除了这两种作用。因此,我们假设在人类中,普萘洛尔(PROP)会增加常氧状态下的Ppa和PVR,并夸大HPV,并且格隆溴铵(GLYC)消除了PROP的这些作用。
    方法:在七个健康的男性低地人中,无药物侵入性测量肺动脉压,使用PROP和PROP+GLYC,都在海平面(SL,488m)和在3454m高度(HA)逗留三周后。进行了双侧大腿袖带释放动作,以得出肺压-流量关系和肺血管扩张性。
    结果:在SL,PROP将Ppa和PVR从(平均值±SEM)14±1增加到17±1mmHg,从69±8增加到108±11dyn*s*cm-5(增加21%和57%,p=0.01和p<0.0001)。对PROP的PVR应答在HA处被扩增至76%(p<0.0001,p[相互作用]=0.05)。在这两个高度,PROP+GLYC消除了PROP对Ppa和PVR的影响。HA时的肺血管扩张性从2.9±0.5下降到1.7±0.2(p<0.0001),PROP时下降到1.2±0.2,PROP+GLYC进一步降低至0.9±0.2%*mmHg-1(p=0.01)。
    结论:我们的数据表明β-肾上腺素能阻滞增加,毒蕈碱阻滞降低PVR,而两者都增加肺动脉弹性。未来的研究可能会证实这一发现的潜在含义,即β-肾上腺素能阻断会夸大HPV,以预防或治疗使用β-受体阻滞剂预防或治疗心血管疾病的登山者。
    BACKGROUND: An increasing number of hypertensive persons travel to high altitude (HA) while using antihypertensive medications such as beta-blockers. Nevertheless, while hypoxic exposure initiates an increase in pulmonary artery pressure (Ppa) and pulmonary vascular resistance (PVR), the contribution of the autonomic nervous system is unclear. In animals, beta-adrenergic blockade has induced pulmonary vasoconstriction in normoxia and exaggerated hypoxic pulmonary vasoconstriction (HPV) and both effects were abolished by muscarinic blockade. We thus hypothesized that in humans, propranolol (PROP) increases Ppa and PVR in normoxia and exaggerates HPV, and that these effects of PROP are abolished by glycopyrrolate (GLYC).
    METHODS: In seven healthy male lowlanders, Ppa was invasively measured without medication, with PROP and PROP + GLYC, both at sea level (SL, 488 m) and after a 3-week sojourn at 3454 m altitude (HA). Bilateral thigh-cuff release manoeuvres were performed to derive pulmonary pressure-flow relationships and pulmonary vessel distensibility.
    RESULTS: At SL, PROP increased Ppa and PVR from (mean ± SEM) 14 ± 1 to 17 ± 1 mmHg and from 69 ± 8 to 108 ± 11 dyn s cm-5 (21% and 57% increase, P = 0.01 and P < 0.0001). The PVR response to PROP was amplified at HA to 76% (P < 0.0001, P[interaction] = 0.05). At both altitudes, PROP + GLYC abolished the effect of PROP on Ppa and PVR. Pulmonary vessel distensibility decreased from 2.9 ± 0.5 to 1.7 ± 0.2 at HA (P < 0.0001) and to 1.2 ± 0.2 with PROP, and further decreased to 0.9 ± 0.2% mmHg-1 with PROP + GLYC (P = 0.01).
    CONCLUSIONS: Our data show that beta-adrenergic blockade increases, and muscarinic blockade decreases PVR, whereas both increase pulmonary artery elastance. Future studies may confirm potential implications from the finding that beta-adrenergic blockade exaggerates HPV for the management of mountaineers using beta-blockers for prevention or treatment of cardiovascular conditions.
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  • 文章类型: Journal Article
    高原低氧环境会影响人体的体温调节过程,并且由于对低氧环境的适应能力不同,不同时间进入西藏的人对热量的要求可能不同。因此,本研究旨在阐明高原低氧环境如何影响不同时期进入西藏的人的生理和主观反应。并在西安和拉萨进行了现场实验,分别,为了比较平原上不同温度条件下受试者的热响应和氧响应,进入西藏的第一天和进入西藏的第十五天。结果表明,在低氧环境下,受试者的热感觉下降。随着进入西藏时间的延长,低氧环境对热舒适的影响逐渐减弱,但是在低温环境下,缺氧对热响应的影响没有显著降低。本研究结果有助于揭示高原低氧环境对人体热舒适的影响,为不同时期适合旅居者的室内热环境参数设计提供理论依据。
    The plateau hypoxic environment can affect the thermoregulation process of the human body, and due to the different acclimatization ability to the hypoxic environment, the thermal requirements among the people who enter Xizang at different times may be different. Accordingly, this study aims to clarify how plateau hypoxic environments influence the physiological and subjective responses of people entering Xizang at different times. And field experiments were conducted in Xi\'an and Lhasa, respectively, to compare the thermal responses and oxygen responses of the subjects under different temperature conditions on the plain, the first day of entering Xizang and the 15th day of entering Xizang. The results showed that under the hypoxic environment, the thermal sensation of the subjects decreased. With the extension of the time entering Xizang, the influence of the hypoxic environment on thermal comfort was gradually weakened, but under the low temperature environment, the effect of hypoxia on thermal response was not significantly reduced. The results of this study can help to reveal how plateau hypoxic environments affect human thermal comfort and provide a theoretical basis for the design of indoor thermal environment parameters suitable for sojourners entering Xizang at different times.
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