Muscle Contraction

肌肉收缩
  • 文章类型: Journal Article
    Sustained low-intensity muscle fatigue (SULMF) refers to the phenomenon that skeletal muscle continues to contract at less than 10% of maximum voluntary contraction during work activities, resulting in decreased muscle contractile function, which is one of the main causes of occupational neck, shoulder, waist and back discomfort and pain symptoms. Although surface electromyography is a key physiological technique for assessing the efficiency of neuromuscular activity, its effectiveness in objectively detecting SULMF remains controversial. Therefore, this paper describes the neurophysiological mechanism and related hypotheses of SULMF, and reviews the research progress of electromyography detection indicators and detection methods of SULMF, which is of great significance for the early prevention and accurate detection of work-related musculoskeletal disorders.
    长时间-低强度肌肉疲劳指作业活动中骨骼肌以低于10%最大随意等长收缩力持续收缩导致肌肉收缩功能下降的现象,是职业性颈、肩、腰、背部不适与疼痛症状高发的主要诱因之一。尽管表面肌电图是评估神经肌肉活动效率的关键生理技术,但在客观检测长时间-低强度肌肉疲劳方面,其有效性仍存在争议。因此,本文阐述长时间-低强度肌肉疲劳的神经生理机制及相关假说,并综述长时间-低强度肌肉疲劳肌电检测指标与检测方法的研究进展,对工作相关肌肉骨骼疾患的早期预防与精准检测有重要意义。.
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  • 文章类型: Journal Article
    背景:研究肌肉活动的空间分布将有助于理解痉挛的潜在机制。目的通过高密度表面肌电图(HD-sEMG)研究被动拉伸和主动收缩过程中痉挛肌的特征。
    方法:招募了14名痉挛偏瘫受试者和10名健康受试者。HD-sEMG记录了每个受试者的肱二头肌(BB)肌肉活动,在四个拉伸速度(10、60、120、180º/s)的被动拉伸和三个次最大收缩水平(20、50、80%MVC)的主动收缩过程中。通过双向方差分析比较了BB活性的强度和空间分布,独立样本t检验,和配对样本t检验。
    结果:与健康受试者相比,痉挛偏瘫受试者在被动拉伸过程中表现出明显更高的强度,具有速度依赖性的异质激活,而在主动收缩过程中表现出更多的侧向和近端激活分布。此外,痉挛偏瘫患者在被动拉伸和主动收缩过程中显示出几乎不重叠的激活区域。与主动收缩相比,被动拉伸的激活分布更远。
    结论:这些BB活性的改变可能是卒中后中枢下降控制功能缺失的结果。痉挛BB活动的互补空间分布反映了它们在被动拉伸和主动收缩之间相反的运动单位(MU)募集模式。这项HD-sEMG研究为痉挛型BB活动在被动拉伸和主动收缩之间的空间关系提供了新的神经生理学证据。提高我们对痉挛机制的认识。
    背景:ChiCTR2000032245。
    BACKGROUND: Investigating the spatial distribution of muscle activity would facilitate understanding the underlying mechanism of spasticity. The purpose of this study is to investigate the characteristics of spastic muscles during passive stretch and active contraction by high-density surface electromyography (HD-sEMG).
    METHODS: Fourteen spastic hemiparetic subjects and ten healthy subjects were recruited. The biceps brachii (BB) muscle activity of each subject was recorded by HD-sEMG during passive stretch at four stretch velocities (10, 60, 120, 180˚/s) and active contraction at three submaximal contraction levels (20, 50, 80%MVC). The intensity and spatial distribution of the BB activity were compared by the means of two-way analysis of variance, independent sample t-test, and paired sample t-test.
    RESULTS: Compared with healthy subjects, spastic hemiparetic subjects showed significantly higher intensity with velocity-dependent heterogeneous activation during passive stretch and more lateral and proximal activation distribution during active contraction. In addition, spastic hemiparetic subjects displayed almost non-overlapping activation areas during passive stretch and active contraction. The activation distribution of passive stretch was more distal when compared with the active contraction.
    CONCLUSIONS: These alterations of the BB activity could be the consequence of deficits in the descending central control after stroke. The complementary spatial distribution of spastic BB activity reflected their opposite motor units (MUs) recruitment patterns between passive stretch and active contraction. This HD-sEMG study provides new neurophysiological evidence for the spatial relationship of spastic BB activity between passive stretch and active contraction, advancing our knowledge on the mechanism of spasticity.
    BACKGROUND: ChiCTR2000032245.
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  • 文章类型: Journal Article
    收缩肌球蛋白束在各种生理过程中起着至关重要的作用,包括细胞迁移,形态发生,肌肉收缩。肌动球蛋白束的复杂组装涉及肌球蛋白II丝的精确排列和融合,然而,这些过程中涉及的潜在机制和因素仍然难以捉摸。我们的研究表明,LUZP1在协调厚实肌球蛋白束的成熟中起着核心作用。LUZP1缺失导致细胞形态发生异常,迁移,以及对环境施加力量的能力。重要的是,敲除LUZP1导致肌球蛋白II细丝的串联和持续关联的显着缺陷,严重损害肌球蛋白II堆栈的组装。LUZP1敲除细胞中这些过程的破坏提供了对厚的腹侧应力纤维的缺陷组装和相关的细胞收缩异常的机械见解。总的来说,这些结果极大地有助于我们对肌动球蛋白束形成的分子机制的理解,并强调了LUZP1在这一过程中的重要作用。
    Contractile actomyosin bundles play crucial roles in various physiological processes, including cell migration, morphogenesis, and muscle contraction. The intricate assembly of actomyosin bundles involves the precise alignment and fusion of myosin II filaments, yet the underlying mechanisms and factors involved in these processes remain elusive. Our study reveals that LUZP1 plays a central role in orchestrating the maturation of thick actomyosin bundles. Loss of LUZP1 caused abnormal cell morphogenesis, migration, and the ability to exert forces on the environment. Importantly, knockout of LUZP1 results in significant defects in the concatenation and persistent association of myosin II filaments, severely impairing the assembly of myosin II stacks. The disruption of these processes in LUZP1 knockout cells provides mechanistic insights into the defective assembly of thick ventral stress fibers and the associated cellular contractility abnormalities. Overall, these results significantly contribute to our understanding of the molecular mechanism involved in actomyosin bundle formation and highlight the essential role of LUZP1 in this process.
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  • 文章类型: Journal Article
    利用连续波(CW)近红外光谱(NIRS)设备来测量健康和疾病状态下的非侵入性肌肉氧合受到与差分路径长度因子(DPF)相关的不确定性的限制。通过NIRS测量光密度,需要DPF值量化含氧和脱氧血红素基团的浓度变化。结合动物和氧气运输和利用的计算模型的集成方法用于原位估计DPF值。肌肉氧化代谢的犬模型允许在不同的氧气输送条件下通过CWNIRS测量静脉血氧含量和组织氧合。将从动物模型获得的实验数据整合到O2运输和利用的计算模型中,并结合Beer-Lambert定律来估算骨骼肌收缩中的DPF值。通过将数学模型拟合到在收缩肌肉(T3)(Med)中获得的实验数据,发现DPF的值为2.1。Sci.体育。练习48(10):2013-2020,2016)。根据DPF的估计值,模型模拟很好地预测了NIRS在相同的动物模型上测量的光密度,但血流不同,动脉血氧含量和收缩率(J.应用。Physiol.108:1169-1176,2010和112:9-19,2013),并证明了在估计DPF值时提出的方法的鲁棒性。所使用的方法可以克服NIRS的半定量性质,并非侵入性地估计DPF,以通过CWNIRS测量在不同的氧气输送和收缩率下收缩骨骼肌获得氧合和脱氧血液组的准确浓度变化。
    The utilization of continuous wave (CW) near-infrared spectroscopy (NIRS) device to measure non-invasively muscle oxygenation in healthy and disease states is limited by the uncertainties related to the differential path length factor (DPF). DPF value is required to quantify oxygenated and deoxygenated heme groups\' concentration changes from measurement of optical densities by NIRS. An integrated approach that combines animal and computational models of oxygen transport and utilization was used to estimate the DPF value in situ. The canine model of muscle oxidative metabolism allowed measurement of both venous oxygen content and tissue oxygenation by CW NIRS under different oxygen delivery conditions. The experimental data obtained from the animal model were integrated in a computational model of O2 transport and utilization and combined with Beer-Lambert law to estimate DPF value in contracting skeletal muscle. A 2.1 value was found for DPF by fitting the mathematical model to the experimental data obtained in contracting muscle (T3) (Med.Sci.Sports.Exerc.48(10):2013-2020,2016). With the estimated value of DPF, model simulations well predicted the optical density measured by NIRS on the same animal model but with different blood flow, arterial oxygen contents and contraction rate (J.Appl.Physiol.108:1169-1176, 2010 and 112:9-19,2013) and demonstrated the robustness of the approach proposed in estimating DPF value. The approach used can overcome the semi-quantitative nature of the NIRS and estimate non-invasively DPF to obtain an accurate concentration change of oxygenated and deoxygenated hemo groups by CW NIRS measurements in contracting skeletal muscle under different oxygen delivery and contraction rate.
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  • 文章类型: Journal Article
    背景:最近的研究引入了“融合线”的概念,以指导注射器在用毒素治疗额肌时提高精度并避免并发症。然而,目前,当搜索收敛线时,不采用注射前超声扫描来提高精度并减少不良事件。
    目的:探讨前注超声扫描用于前额神经调质美学治疗的可行性和实用性。
    方法:本研究的样本包括n=55名志愿者(42名女性和13名男性),平均年龄42.24(10.3)岁,平均BMI为25.07(4.0)kg/m2。高频超声成像用于测量厚度,长度,和额叶软组织的收缩性,并确定最大额肌收缩过程中会聚线的精确位置。
    结果:结果显示,收敛线位于眉毛纤毛上边界上方总额头高度的58.43%(8.7),性别之间没有统计学上的显着差异,年龄,或BMI。额肌收缩,男性的前额缩短了25.90%(6.5),而在女性中,它仅缩短了21.74%(5.1),性别差异p<0.001。
    结论:这项研究证明了注射前超声扫描用于面部美学神经调质治疗的可行性和实用性。知道会聚线的位置,注射器可以精确地并在个体基础上确定在何处施用神经调质的深层或浅层或何时注射位置有引起眉毛下垂的风险。
    BACKGROUND: Recent research introduced the concept of the \"line of convergence\" as a guide for injectors to enhance precision and avoid complications when treating the frontalis muscle with toxins. However, currently, no pre-injection ultrasound scanning is employed to increase precision and reduce adverse events when searching for the line of convergence.
    OBJECTIVE: To explore the feasibility and practicality of implementing pre-injection ultrasound scanning into aesthetic neuromodulator treatments of the forehead.
    METHODS: The sample of this study consisted of n = 55 volunteers (42 females and 13 males), with a mean age of 42.24 (10.3) years and a mean BMI of 25.07 (4.0) kg/m2. High-frequency ultrasound imaging was utilized to measure the thickness, length, and contractility of the frontal soft tissue and to determine the precise location of the line of convergence during maximal frontalis muscle contraction.
    RESULTS: The results revealed that the line of convergence was located at 58.43% (8.7) of the total forehead height above the superior border of the eyebrow cilia without a statistically significant difference between sex, age, or BMI. With frontalis muscle contraction, the forehead shortens in males by 25.90% (6.5), whereas in females it shortens only by 21.74% (5.1), with p < 0.001 for sex differences.
    CONCLUSIONS: This study demonstrated the feasibility and practicality of pre-injection ultrasound scanning for facial aesthetic neuromodulator treatments. Knowing the location of the line of convergence, injectors can determine precisely and on an individual basis where to administer the neuromodulator deep or superficial or when the injection location is at risk to cause eyebrow ptosis.
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  • 文章类型: Journal Article
    背景研究有或没有性功能障碍(FSD)的女性盆底肌(PFM)肌电图(EMG)参数的差异及其相关性。方法回顾性分析2021年3月至2021年12月在潍坊市人民医院自愿参加性功能问卷调查并接受PFMEMG检查的妇女。使用女性性功能指数测量女性性功能(dys)。使用Melander仪器(MLDA2Deluxe)进行GlazerPFMEMG。比较有或没有FSD的女性之间的PFMEMG参数的差异,采用多元线性回归模型分析PFMEMG参数与FSD的关系。结果共纳入305名女性,FSD组163人,非FSD组142人。两组之间PFMEMG参数的比较表明,FSD组在阶段性(轻弹)收缩期间的EMG峰值幅度明显高于非FSD组,而在强直收缩期间的恢复潜伏期则较短(PPP结论本研究中的盆底EMG结果表明,FSD女性的盆底肌肉可能更容易疲劳,盆底肌肉的协调性可能较差。
    Background To investigate the differences in pelvic floor muscle (PFM) electromyography (EMG) parameters between women with or without sexual dysfunction (FSD) and their correlations. Methods Women who voluntarily participated in a questionnaire-based survey on sexual function and underwent PFM EMG in Weifang People\'s Hospital during the period from March 2021 to December 2021 were retrospectively enrolled. The female sexual (dys)function was measured using the Female Sexual Function Index. Glazer PFM EMG was performed using a Melander instrument (MLD A2 Deluxe). The differences in PFM EMG parameters between women with or without FSD were compared, and the relationships between PFM EMG parameters and FSD were analysed using multiple linear regression models. Results A total of 305 women were enrolled, with 163 in the FSD group and 142 in the non-FSD group. Comparisons of PFM EMG parameters between these two groups revealed that the FSD group had significantly higher peak EMG amplitude during the phasic (flick) contractions and shorter recovery latency during the tonic contractions than the non-FSD group (both P P Conclusions The results of the pelvic floor EMG in this study suggest that the pelvic floor muscles of women with FSD may be more susceptible to fatigue, and may have poorer coordination of their pelvic floor muscles.
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  • 文章类型: Journal Article
    本研究的目的是研究复叶多糖组分1(PPPm-1)的抗疲劳作用并探讨其机制。采用负重游泳法建立运动性疲劳小鼠模型,观察不同浓度PPPm-1对负重游泳时间的影响。PPPm-1的抗疲劳作用取决于收缩幅度的影响,收缩率,5mg/mLPPPm-1浸润前后,青蛙腓肠肌在体内的舒张率。PPPm-1对血乳酸含量的影响,血清尿素氮,肝糖原,小鼠运动疲劳模型中的肌糖原,和乙酰胆碱(ACh)含量和乙酰胆碱酯酶(AChE)活性在青蛙坐骨神经-腓肠肌的交界处在正常的生理,通过酶联免疫吸附试验(ELISA)测定青蛙腓肠肌的Na-K-ATPase和Ca2-Mg2-ATPase活性,探讨PPPm-1的抗疲劳机制。结果表明,PPPm-1能显著延长小鼠负重游泳时间(P<0.01),降低血乳酸和血清尿素氮的含量,与对照组相比,运动疲劳后小鼠的肝糖原和肌糖原含量增加,多数指标差异极显著(P<0.01)。5mg/mL的PPPm-1能显著促进收缩幅度,收缩率,和青蛙腓肠肌的松弛率,青蛙坐骨神经-腓肠肌连接处ACh含量(P<0.01),但对青蛙坐骨神经-腓肠肌连接处AChE的活性有明显的抑制作用(P<0.01)。PPPm-1可以增加青蛙腓肠肌的Na-K-ATPase和Ca2-Mg2-ATPase活性(对于Ca2-Mg2-ATPase,P<0.01)。以上结果表明PPPm-1具有良好的抗疲劳作用,其主要机制与提高耐力和糖原储备有关,减少糖原消耗,乳酸和血清尿素氮积累,促进Ca2+流入。
    The objectives of this study were to investigate the anti-fatigue effects of Paris polyphylla polysaccharide component 1 (PPPm-1) and explore its mechanisms. A mouse model of exercise-induced fatigue was established by weight-bearing swimming to observe the effects of different concentrations of PPPm-1 on weight-bearing swimming time. The anti-fatigue effect of PPPm-1 was determined by the effects of contraction amplitude, contraction rate, and diastolic rate of the frog gastrocnemius muscle in vivo before and after infiltration with 5 mg/mL PPPm-1. The effects of PPPm-1 on the contents of blood lactate, serum urea nitrogen, hepatic glycogen, muscle glycogen in the exercise fatigue model of mice, and acetylcholine (ACh) content and acetylcholinesterase (AChE) activity at the junction of the frog sciatic nerve-gastrocnemius under normal physiological, and Na+-K+-ATPase and Ca2+-Mg2+-ATPase activities of the frog gastrocnemius were determined by enzyme-linked immunosorbent assay (ELISA), to investigate the anti-fatigue mechanisms of PPPm-1. The results showed that PPPm-1 could significantly prolong the weight-bearing swimming time in mice (P < 0.01), decrease the contents of blood lactate and serum urea nitrogen, increase the contents of the hepatic glycogen and muscle glycogen of mice after exercise fatigue compared with those of the control group, and there was extremely significant difference in most indicators (P < 0.01). The 5 mg/mL of PPPm-1 could significantly promote the contraction amplitude, contraction rate, and relaxation rate of the gastrocnemius muscle in the frogs, and the content of ACh at the junction of the frog sciatic nerve-gastrocnemius (P < 0.01), but it had obvious inhibitory effetc on the activity of AChE at the junction of the frog sciatic nerve-gastrocnemius (P < 0.01). PPPm-1 could increase the Na+-K+-ATPase and Ca2+-Mg2+-ATPase activities of gastrocnemius in the frogs (for Ca2+-Mg2+-ATPase, P < 0.01). The above results suggested that the PPPm-1 had a good anti-fatigue effect, and its main mechanisms were related to improving endurance and glycogen reserve, reducing glycogen consumption, lactate and serum urea nitrogen accumulation, and promoting Ca2+ influx.
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  • 文章类型: Journal Article
    背景:为了应对季节性寒冷和食物短缺,西藏高原青蛙,Nanoranaparkeri(Anura:Dicroglossidae),进入可逆的低代谢状态,在这种状态下,骨骼肌的心率和耗氧量被强烈抑制。然而,冬季冬眠对这两种组织的基因表达和代谢谱的影响仍然未知。在本研究中,我们对夏季和冬季收集的帕克里奈瑟氏菌的心脏和骨骼肌进行了转录组和代谢组分析,以探索季节性冬眠的机制。
    结果:我们在心脏中鉴定了2407个差异表达基因(DEGs),在骨骼肌中鉴定了2938个DEGs。富集分析表明,两个组织中共享的DEGs主要在翻译和代谢过程中富集。其中,功能分类为“对压力的反应”的基因的表达“防御机制”,或“肌肉收缩”与冬眠特别相关。代谢组学分析确定了24和22差异表达的代谢物(DEM)在心肌和骨骼肌,分别。特别是,途径分析表明心肌中的DEM参与了磷酸戊糖途径,甘油脂代谢,丙酮酸代谢,柠檬酸盐循环(TCA循环),和糖酵解/糖异生。相比之下,骨骼肌中的DEM主要参与氨基酸代谢。
    结论:总之,冬眠中心肌和骨骼肌的自然适应涉及翻译中的转录改变,应激反应,保护机制,和肌肉收缩过程以及代谢重塑。这项研究为有助于高海拔青蛙N.parkeri冬季生存的转录和代谢调整提供了新的见解。
    BACKGROUND: In response to seasonal cold and food shortage, the Xizang plateau frogs, Nanorana parkeri (Anura: Dicroglossidae), enter a reversible hypometabolic state where heart rate and oxygen consumption in skeletal muscle are strongly suppressed. However, the effect of winter hibernation on gene expression and metabolic profiling in these two tissues remains unknown. In the present study, we conducted transcriptomic and metabolomic analyses of heart and skeletal muscle from summer- and winter-collected N. parkeri to explore mechanisms involved in seasonal hibernation.
    RESULTS: We identified 2407 differentially expressed genes (DEGs) in heart and 2938 DEGs in skeletal muscle. Enrichment analysis showed that shared DEGs in both tissues were enriched mainly in translation and metabolic processes. Of these, the expression of genes functionally categorized as \"response to stress\", \"defense mechanisms\", or \"muscle contraction\" were particularly associated with hibernation. Metabolomic analysis identified 24 and 22 differentially expressed metabolites (DEMs) in myocardium and skeletal muscle, respectively. In particular, pathway analysis showed that DEMs in myocardium were involved in the pentose phosphate pathway, glycerolipid metabolism, pyruvate metabolism, citrate cycle (TCA cycle), and glycolysis/gluconeogenesis. By contrast, DEMs in skeletal muscle were mainly involved in amino acid metabolism.
    CONCLUSIONS: In summary, natural adaptations of myocardium and skeletal muscle in hibernating N. parkeri involved transcriptional alterations in translation, stress response, protective mechanisms, and muscle contraction processes as well as metabolic remodeling. This study provides new insights into the transcriptional and metabolic adjustments that aid winter survival of high-altitude frogs N. parkeri.
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  • 文章类型: Journal Article
    越来越多的人认识到,肌肉收缩的调节需要细丝和细丝的激活才能完全激活肌节。粗丝激活的现行机械传感模型来自快速抽搐肌肉的实验。我们解决的问题是,或者在多大程度上,这种机制可以外推到大型哺乳动物心脏的慢肌,包括人类。我们使用小角X射线衍射研究了在松弛条件和亚最大收缩下,与快速大鼠指长伸肌(EDL)骨骼肌相比,猪心肌中厚丝激活的结构特征的异同。发现粗丝和细丝在松弛条件下采用不同的结构构型,肌球蛋白头部在次最大激活时显示出不同的构型变化,当比较两种肌肉类型时。发现Titin的X射线衍射特征与整个粗丝骨架的X射线衍射特征不同,并且其间距变化似乎与施加在粗丝上的力呈正相关。发现快速EDL肌肉的结构变化与机械感应模型一致。在猪心肌中,然而,机械感应的结构基础被钝化,这表明需要在慢心肌中额外的激活机制。粗丝调节的这些差异可能与它们不同的生理作用有关,其中快速肌肉被优化为快速,像爆裂一样,收缩,大型哺乳动物心脏中的缓慢心肌采用了更精细的调节,分级反应,以允许他们大量的功能储备。关键点:需要细丝和粗丝激活才能完全激活肌节。粗丝和细丝在松弛条件下采用不同的结构配置,在快速指长伸肌和慢速猪心肌中,肌球蛋白头在亚最大激活时显示出不同的构型变化。Titin具有与整个粗丝主链不同的X射线衍射特征,并且该Titin反射间距变化似乎与施加在粗丝上的力成正比。机械感应在猪心肌中被钝化,这表明在慢心肌中需要额外的激活机制。快速骨骼肌优化为快速,爆裂状收缩,大型哺乳动物心脏中的缓慢心肌采用更精细的分级反应,以允许其大量的功能储备。
    There is a growing appreciation that regulation of muscle contraction requires both thin filament and thick filament activation in order to fully activate the sarcomere. The prevailing mechano-sensing model for thick filament activation was derived from experiments on fast-twitch muscle. We address the question whether, or to what extent, this mechanism can be extrapolated to the slow muscle in the hearts of large mammals, including humans. We investigated the similarities and differences in structural signatures of thick filament activation in porcine myocardium as compared to fast rat extensor digitorum longus (EDL) skeletal muscle under relaxed conditions and sub-maximal contraction using small angle X-ray diffraction. Thick and thin filaments were found to adopt different structural configurations under relaxing conditions, and myosin heads showed different changes in configuration upon sub-maximal activation, when comparing the two muscle types. Titin was found to have an X-ray diffraction signature distinct from those of the overall thick filament backbone, and its spacing change appeared to be positively correlated to the force exerted on the thick filament. Structural changes in fast EDL muscle were found to be consistent with the mechano-sensing model. In porcine myocardium, however, the structural basis of mechano-sensing is blunted suggesting the need for additional activation mechanism(s) in slow cardiac muscle. These differences in thick filament regulation can be related to their different physiological roles where fast muscle is optimized for rapid, burst-like, contractions, and the slow cardiac muscle in large mammalian hearts adopts a more finely tuned, graded response to allow for their substantial functional reserve. KEY POINTS: Both thin filament and thick filament activation are required to fully activate the sarcomere. Thick and thin filaments adopt different structural configurations under relaxing conditions, and myosin heads show different changes in configuration upon sub-maximal activation in fast extensor digitorum longus muscle and slow porcine cardiac muscle. Titin has an X-ray diffraction signature distinct from those of the overall thick filament backbone and this titin reflection spacing change appeared to be directly proportional to the force exerted on the thick filament. Mechano-sensing is blunted in porcine myocardium suggesting the need for additional activation mechanism(s) in slow cardiac muscle. Fast skeletal muscle is optimized for rapid, burst-like contractions, and the slow cardiac muscle in large mammalian hearts adopts a more finely tuned graded response to allow for their substantial functional reserve.
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  • 文章类型: Journal Article
    机械通气(MV)是一种必不可少的救命技术,但长时间的MV会导致严重的膈肌功能障碍,由于萎缩和膈肌纤维的收缩性下降,称为呼吸机诱发的膈肌功能障碍(VIDD)。VIDD的发生机制和预防措施尚不清楚。Irisin是一种新发现的调节能量代谢的肌肉因子。研究表明,irisin可通过下调内质网(ER)应激在多种疾病中发挥保护作用;irisin是否在VIDD中起保护作用尚未见报道。Sprague-Dawley大鼠机械通气构建VIDD模型,通过静脉注射irisin进行干预.膈肌收缩性,萎缩程度,横截面积(CSA),ER应力标记,AMPK蛋白表达,在实验结束时测量氧化应激指标和凋亡细胞水平。我们的研究结果表明,随着通风时间的增加,视频越严重,ER应力程度增加,irisin的表达下降。ER应激可能是VIDD的原因之一。用irisin干预通过降低ER应激程度改善VIDD,减弱氧化应激,并降低凋亡指数。MV降低膈肌磷酸化AMPK的表达,而使用irisin会增加磷酸化AMPK的表达。Irisin可能通过激活磷酸化的AMPK途径发挥其保护作用。
    Mechanical ventilation (MV) is an essential life-saving technique, but prolonged MV can cause significant diaphragmatic dysfunction due to atrophy and decreased contractility of the diaphragm fibres, called ventilator-induced diaphragmatic dysfunction (VIDD). It is not clear about the mechanism of occurrence and prevention measures of VIDD. Irisin is a newly discovered muscle factor that regulates energy metabolism. Studies have shown that irisin can exhibit protective effects by downregulating endoplasmic reticulum (ER) stress in a variety of diseases; whether irisin plays a protective role in VIDD has not been reported. Sprague-Dawley rats were mechanically ventilated to construct a VIDD model, and intervention was performed by intravenous administration of irisin. Diaphragm contractility, degree of atrophy, cross-sectional areas (CSAs), ER stress markers, AMPK protein expression, oxidative stress indicators and apoptotic cell levels were measured at the end of the experiment.Our findings showed that as the duration of ventilation increased, the more severe the VIDD was, the degree of ER stress increased, and the expression of irisin decreased.ER stress may be one of the causes of VIDD. Intervention with irisin ameliorated VIDD by reducing the degree of ER stress, attenuating oxidative stress, and decreasing the apoptotic index. MV decreases the expression of phosphorylated AMPK in the diaphragm, whereas the use of irisin increases the expression of phosphorylated AMPK. Irisin may exert its protective effect by activating the phosphorylated AMPK pathway.
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