Musculoskeletal Development

  • 文章类型: Journal Article
    内源性大麻素系统(ECS)在维持身体稳态和对外部侮辱的适应性反应中起着重要作用。它已被证明可以调节重要的生理过程和行为,跨越神经功能,焦虑,认知,和疼痛的感觉。由于这种广泛的活动,ECS已被探索为治疗某些疾病的潜在治疗靶标。然而,直到对外源性和内源性配体的ECS激活如何在不同的组织和细胞中表现出更全面的了解,应该行使自由裁量权。以前的工作已经研究了内源性大麻素信号如何影响骨骼肌发育和分化。然而,δ-9-四氢大麻酚(THC,大麻中最具精神活性的成分)对骨骼肌发育的影响,特别是在子宫内,仍然不清楚。为了解决这个研究空白,我们使用高度翻译的非人类灵长类动物模型来研究长期产前THC暴露对胎儿和婴儿肌肉骨骼发育的潜在影响.从骨骼肌分离RNA,并使用由770个基因组成的NanostringnCounter神经炎症小组分析差异基因表达。还进行了肌肉形态和组成的组织形态学评估。我们的研究结果表明,虽然产前THC暴露对胎儿和婴儿肌肉发育有狭窄的整体影响,在与炎症和细胞因子信号相关的通路中观察到最大的影响,这表明了组织损伤和萎缩的可能性。这项初步研究确立了评估产前THC暴露引起的神经炎症的可行性,并为后续研究提供了理论基础,这些研究探讨了后代在继续成熟时遇到的长期影响和功能后果。
    The endocannabinoid system (ECS) plays a major role in the maintenance of bodily homeostasis and adaptive response to external insults. It has been shown to regulate crucial physiological processes and behaviors, spanning nervous functions, anxiety, cognition, and pain sensation. Due to this broad activity, the ECS has been explored as a potential therapeutic target in the treatment of select diseases. However, until there is a more comprehensive understanding of how ECS activation by exogenous and endogenous ligands manifests across disparate tissues and cells, discretion should be exercised. Previous work has investigated how endogenous cannabinoid signaling impacts skeletal muscle development and differentiation. However, the effects of activation of the ECS by delta-9-tetrahydrocannabinol (THC, the most psychoactive component of cannabis) on skeletal muscle development, particularly in utero, remain unclear. To address this research gap, we used a highly translational non-human primate model to examine the potential impact of chronic prenatal THC exposure on fetal and infant musculoskeletal development. RNA was isolated from the skeletal muscle and analyzed for differential gene expression using a Nanostring nCounter neuroinflammatory panel comprised of 770 genes. Histomorphological evaluation of muscle morphology and composition was also performed. Our findings suggest that while prenatal THC exposure had narrow overall effects on fetal and infant muscle development, the greatest impacts were observed within pathways related to inflammation and cytokine signaling, which suggest the potential for tissue damage and atrophy. This pilot study establishes feasibility to evaluate neuroinflammation due to prenatal THC exposure and provides rationale for follow-on studies that explore the longer-term implications and functional consequences encountered by offspring as they continue to mature.
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  • 文章类型: Journal Article
    Although Chagas disease causes high levels of morbidity, the muscle function and tolerance to physical activity in Chagas disease patients are still not completely understood.
    To compare health-related fitness of patient groups with acute Chagas disease versus chronic Chagas disease.
    We conducted a cross-sectional study involving 18 patients. The data were obtained from patient´s records, and functional capacity was measured with the sixminute walk test, the peripheral muscle strength with handgrip strength, and respiratory muscle strength using the maximum inspiratory pressure and the maximum expiratory pressure.
    The 18 patients were divided in two groups: acute Chagas disease (n=9) and chronic Chagas disease (n=9). The distance walked in the six-minute walk test was lower than the predicted distance walked in both groups (p < 0.0001). The maximum expiratory pressure was lower than the predicted one (p = 0.005), and statistically significant for chronic Chagas disease patients (p = 0.02). Heart rate increased faster in the chronic Chagas disease group within the first two minutes of the six-minute walk test (p = 0.04). The sixminute walk test in the acute Chagas disease group presented a strong correlation with peripheral muscle strength (p = 0.012) and maximum inspiratory pressure (p = 0.0142), while in the chronic Chagas disease group, only peripheral muscle strength and maximum inspiratory pressure were correlated (p = 0.0259).
    The results suggest lowered functional capacity and reduced respiratory and peripheral muscle strength in patients with Chagas disease, although no differences were observed between groups. The early increase in heart rate during exercise in the chronic Chagas disease group implies a greater myocardial overload.
    Introducción. Aunque la enfermedad de Chagas causa gran morbilidad, la función muscular y la tolerancia a la actividad física de estos pacientes aún no se comprenden por completo. Objetivos. Comparar el estado físico relacionado con la salud de pacientes con enfermedad de Chagas aguda versus crónica de Chagas. Materiales y métodos. Se hizo un estudio transversal que incluyó 18 pacientes. La información se obtuvo de los registros de los pacientes. La capacidad funcional se evaluó con la prueba de la caminata de seis minutos, se determinó la fuerza de prensión manual para evaluar los músculos periféricos y se estableció la fuerza de los músculos respiratorios mediante presión inspiratoria máxima y la presión espiratoria máxima. Resultados. Se evaluaron 18 pacientes, nueve con enfermedad de Chagas aguda y nueve con enfermedad de Chagas crónica. La distancia recorrida en la prueba de caminata de seis minutos fue menor que la distancia recorrida predicha en ambos grupos (p < 0,0001). La presión espiratoria máxima fue más baja de lo previsto (forma aguda: p = 0,005; forma crónica: p = 0,02). La frecuencia cardíaca aumentó más rápido en el grupo con enfermedad de Chagas crónica dentro de los primeros dos minutos de la caminata (p = 0,04). La distancia recorrida en el grupo con la forma aguda se correlacionó con la fuerza de prensión manual (p = 0,01) y la presión inspiratoria máxima (p = 0,01). En el grupo con la enfermedad crónica, solo hubo correlación entre la fuerza de presión manual y la presión inspiratoria máxima (p = 0,02). Conclusiones. Los resultados sugirieren disminución de la capacidad funcional y de la fuerza muscular respiratoria y periférica, aunque sin diferencias entre ambos grupos. El aumento de la frecuencia cardiaca en el grupo con enfermedad de Chagas crónica sugiere una mayor sobrecarga miocárdica.
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  • 文章类型: Journal Article
    由于学术要求以及较少的父母和社区鼓励,女学生在整个学院或大学期间的体育锻炼参与受到了极大的影响。因此,女大学生缺乏体育锻炼会导致肌肉骨骼效率和工作表现降低。
    定制的瑜伽模块可能被认为可以增强有氧和无氧能力,肺容量和肌肉骨骼效率对女大学生全身机能的改善。
    随机,对照平行研究设计(n=60;年龄=20.16±2.05岁),对久坐的女大学生练习定制瑜伽模块(n=30)5天/周3个月(每天早上60分钟)进行人体测量,生理,心肺和肌肉耐力指数。
    瑜伽练习后,体内脂肪显着减少(p<0.05)(%),心率(p<0.001),收缩压(p<0.001),估计了双乘积(p=0.01)和速率压力乘积(p<0.05)。肺活量显著改善(p<0.001),还观察到1秒内的用力呼气量。手部握力评估,瑜伽干预后,最大耗氧量和体力劳动能力显着增加(p<0.01)。
    为期三个月的定制瑜伽训练改善了静息生理活动,心肺功能,由于集中呼吸,肌肉骨骼力量和耐力健身,正念冥想和通过拉伸强化模式来实现女大学生的娱乐性体育活动。
    UNASSIGNED: Physical exercise participation among female students is significantly compromised throughout the academic periods of college or university due to scholastic demands and also by less parental and community encouragements. Thus, physical inactivity in female college students leads to less musculoskeletal efficiency and work performance.
    UNASSIGNED: Customized yogic module may be considered to enhance both aerobic and anaerobic power, pulmonary capacity and musculoskeletal efficiency for the improvement of systemic body functions among female college students.
    UNASSIGNED: A randomized, controlled parallel study design (n = 60; age = 20.16±2.05 years), on sedentary female college students practicing customized yogic module (n = 30) for 5 days / week for 3 months (60 min daily in the morning) to observe anthropometric, physiological, cardiopulmonary and muscular endurance indices.
    UNASSIGNED: After yogic practice, a significant reduction in body fat (p < 0.05) (%), heart rate (p < 0.001), systolic blood pressure (p < 0.001), double product (p‹0.01) and rate pressure product (p < 0.05) were estimated. Significant improvement (p < 0.001) in vital capacity, forced expiratory volume in 1 sec was also observed. Evaluation of hand grip strength, maximal oxygen consumption and physical work capacity showed significant increase (p < 0.01) after yogic intervention.
    UNASSIGNED: A three-month customized yogic training improved resting physiological activities, cardiopulmonary functions, musculoskeletal strength and endurance fitness due to focused breathing, mindfulness meditation and by stretching-strengthening patterns for achieving recreational physical activity among female college students.
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  • 文章类型: Review
    肌肉骨骼发育和产后稳态是高度动态的过程,以在很短的时间内快速的结构和功能变化为标志。成人解剖学和生理学来源于预先存在的细胞和生化状态。因此,这些早期的发展状态指导和预测整个系统的未来。已经开发了工具来标记,trace,并跟踪特定的细胞及其后代,从一个发育状态到下一个发育状态,或者在健康和疾病环境之间。现在有许多这样的技术与分子标记库一起使用,可以结合使用以允许精确开发独特的细胞“谱系”。在这次审查中,我们首先描述肌肉骨骼系统的发育,从胚胎胚层开始,以及随后的每个关键发育阶段。然后,我们在体内平衡过程中讨论成人组织的这些结构,损伤,和修复。在这些部分的每一部分中,都特别关注所涉及的关键基因,这些基因可能在出生后组织中用作谱系或后来的标记。然后,我们完成了对谱系追踪和目前用于标记细胞的技术和技术的技术评估,组织,和肌肉骨骼系统内的结构。
    Musculoskeletal development and later post-natal homeostasis are highly dynamic processes, marked by rapid structural and functional changes across very short periods of time. Adult anatomy and physiology are derived from pre-existing cellular and biochemical states. Consequently, these early developmental states guide and predict the future of the system as a whole. Tools have been developed to mark, trace, and follow specific cells and their progeny either from one developmental state to the next or between circumstances of health and disease. There are now many such technologies alongside a library of molecular markers which may be utilized in conjunction to allow for precise development of unique cell \'lineages\'. In this review, we first describe the development of the musculoskeletal system beginning as an embryonic germ layer and at each of the key developmental stages that follow. We then discuss these structures in the context of adult tissues during homeostasis, injury, and repair. Special focus is given in each of these sections to the key genes involved which may serve as markers of lineage or later in post-natal tissues. We then finish with a technical assessment of lineage tracing and the techniques and technologies currently used to mark cells, tissues, and structures within the musculoskeletal system.
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  • 文章类型: Journal Article
    肌腱连接(MTJ)通过将肌肉连接到肌腱来促进运动的产生。在成人MTJ,一个专门的细胞外基质(ECM)被认为有助于肌肉-肌腱界面的机械完整性,但哺乳动物发育过程中影响MTJ形成的因素尚不清楚。这里,我们将3D成像和蛋白质组学与小鼠模型相结合,在小鼠模型中,肌肉收缩性和模式被破坏,以解决MTJ发育过程中ECM的形态和组成变化。我们发现,由于生长,MTJ特异性ECM沉积可以通过静态加载启动;然而,它需要循环加载才能形成成熟的形态。此外,MTJ可以在没有肌腱终止为软骨的情况下成熟。基于这些结果,我们描述了一个模型,其中MTJ的发展取决于机械载荷,而不是插入到一个胜。
    The myotendinous junction (MTJ) contributes to the generation of motion by connecting muscle to tendon. At the adult MTJ, a specialized extracellular matrix (ECM) is thought to contribute to the mechanical integrity of the muscle-tendon interface, but the factors that influence MTJ formation during mammalian development are unclear. Here, we combined 3D imaging and proteomics with murine models in which muscle contractility and patterning are disrupted to resolve morphological and compositional changes in the ECM during MTJ development. We found that MTJ-specific ECM deposition can be initiated via static loading due to growth; however, it required cyclic loading to develop a mature morphology. Furthermore, the MTJ can mature without the tendon terminating into cartilage. Based on these results, we describe a model wherein MTJ development depends on mechanical loading but not insertion into an enthesis.
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  • 文章类型: Editorial
    肌肉骨骼(MSK)疾病是所有年龄段的人残疾的主要原因之一,并给社会带来重大的社会经济负担[。..].
    Musculoskeletal (MSK) disorders are one of the leading causes of disability for people of all ages and impart significant socio-economic burdens on society [...].
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  • 文章类型: Journal Article
    本研究旨在确定7-15岁儿童和青少年上肢肌肉的等距力量曲线。此外,(a)确定在性别之间观察到力量差异的年龄;(b)确定可以观察到力量显著进展的年龄范围;和(c)确定每个肌肉对上肢总力量的作用。横断面研究评估了243名智利儿童上肢9个肌肉群的等距力量,分为9个年龄组,间隔1年。为此,使用手持测力和手握测力。进行了最大等距强度的双因素方差分析和逐步多元线性回归分析。从11岁开始,腕屈肌是第一个显示出有利于男孩的等距力量有显著差异的肌肉组(P=0.0143)。在男孩中,腕屈肌等长力量进展中最窄和最早的年龄范围为10~12岁(P=0.0392).肩屈是解释上肢总力量表现的主要因素(R2=0.742;P<0.001)。从10岁开始,上肢的腹侧和远端肌肉就出现了最渐进的等距力量发展;从这个年龄开始,男孩开始表现出比女孩更大的等距力量。此外,肩屈的等距力量解释了较高的上肢总力量表现。
    The present study aimed to determine the isometric strength profile of the upper limb muscles of children and adolescents between 7-15 years of age. Furthermore, to (a) identify the age at which differences in strength are observed between sexes; to (b) determine the age range at which significant progression of strength could be observed; and (c) identify the role of each muscle on the total upper limb strength. Cross-sectional study that evaluated the isometric strength of nine muscle groups of the upper limb of 243 Chilean children, split into 9 age groups, separated by 1-year intervals. For this, hand-held dynamometry and hand-grip dynamometry were used. A two-factor analysis of variance for the maximum isometric strength and a stepwise multiple linear regression analysis were performed. From 11 years of age, wrist flexors were the first muscle group that revealed a significant difference in isometric strength in favor of boys (P=0.0143). In boys, the narrowest and earliest age range in the progression of isometric strength was 10 to 12 years for wrist flexors (P=0.0392). Shoulder flexors was the main factor that explained the performance of the total upper limb strength (R 2=0.742; P<0.001). The most progressive isometric strength development occurred from age 10 years in the ventral and distal muscles of the upper limb; and from this age the boys begin to present a greater isometric strength than girls. In addition, the isometric strength of shoulder flexors explained the higher total upper limb strength performance.
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  • 文章类型: Journal Article
    使用转基因II型胶原蛋白特异性Sirt1敲除(CKO)小鼠,我们研究了Sirt1在营养诱导的追赶生长(CUG)中的作用,我们发现这些小鼠的生长板组织较少,CUG的效率降低。此外,我们注意到它们比对照(CTL)小鼠重。研究重量增加的原因,我们发现了活动和大脑功能的差异。
    使用了几种行为和活动测试:开场;高架加迷宫,莫里斯水迷宫,和家庭笼子运行轮。葡萄糖-骨钙蛋白的水平,已知连接骨骼和大脑功能,通过Elisa测量;通过蛋白质印迹分析脑Sirt1。
    我们发现CKO小鼠焦虑增加,空间记忆较少,学习能力和家庭笼子里的活动减少。CKO和CTL小鼠之间在Glu-骨钙蛋白水平上没有发现显着差异;在脑SIRT1水平上也没有发现显着差异。
    使用转基因II型胶原蛋白特异性Sirt1敲除(CKO)小鼠,我们发现线性生长与脑功能之间存在密切联系。使用II型胶原蛋白衍生系统,我们影响了导致低活性的中枢调节机制,焦虑加剧,学习速度较慢,不影响昼夜节律。由于特发性身材矮小的儿童更有可能有较低的智商,工作记忆比健康对照组严重缺乏,目前的研究结果表明SIRT1可能是连接生长和脑功能的潜在因素.
    Using transgenic collagen type II-specific Sirt1 knockout (CKO) mice we studied the role of Sirt1 in nutritional induced catch up growth (CUG) and we found that these mice have a less organized growth plate and reduced efficiency of CUG. In addition, we noted that they weigh more than control (CTL) mice. Studying the reason for the increased weigh, we found differences in activity and brain function.
    Several tests for behavior and activity were used: open field; elevated plus maze, Morris water maze, and home cage running wheels. The level of Glu- osteocalcin, known to connect bone and brain function, was measured by Elisa; brain Sirt1 was analyzed by western blot.
    We found that CKO mice had increased anxiety, with less spatial memory, learning capabilities and reduced activity in their home cages. No significant differences were found between CKO and CTL mice in Glu- osteocalcin levels; nor in the level of brain SIRT1.
    Using transgenic collagen type II-specific Sirt1 knockout (CKO) mice we found a close connection between linear growth and brain function. Using a collagen type II derived system we affected a central regulatory mechanism leading to hypo activity, increased anxiety, and slower learning, without affecting circadian period. As children with idiopathic short stature are more likely to have lower IQ, with substantial deficits in working memory than healthy controls, the results of the current study suggest that SIRT1 may be the underlying factor connecting growth and brain function.
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  • 文章类型: Journal Article
    The aim of this review was to report on the imaging modalities used to assess morphological and architectural properties of the m. triceps surae muscle in typically developing children, and the available reliability analyses. Scopus and MEDLINE (Pubmed) were searched systematically for all original articles published up to September 2020 measuring morphological and architectural properties of the m. triceps surae in typically developing children (18 years or under). Thirty eligible studies were included in this analysis, measuring fibre bundle length (FBL) (n = 11), pennation angle (PA) (n = 10), muscle volume (MV) (n = 16) and physiological cross-sectional area (PCSA) (n = 4). Three primary imaging modalities were utilised to assess these architectural parameters in vivo: two-dimensional ultrasound (2DUS; n = 12), three-dimensional ultrasound (3DUS; n = 9) and magnetic resonance imaging (MRI; n = 6). The mean age of participants ranged from 1.4 years to 18 years old. There was an apparent increase in m. gastrocnemius medialis MV and pCSA with age; however, no trend was evident with FBL or PA. Analysis of correlations of muscle variables with age was limited by a lack of longitudinal data and methodological variations between studies affecting outcomes. Only five studies evaluated the reliability of the methods. Imaging methodologies such as MRI and US may provide valuable insight into the development of skeletal muscle from childhood to adulthood; however, variations in methodological approaches can significantly influence outcomes. Researchers wishing to develop a model of typical muscle development should carry out longitudinal architectural assessment of all muscles comprising the m. triceps surae utilising a consistent approach that minimises confounding errors.
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  • 文章类型: Journal Article
    肌肉骨骼系统是保护内部器官的重要身体系统,支持运动,并保持稳态功能。不幸的是,肌肉骨骼疾病是全球残疾的主要原因。虽然使用自体移植物进行植入手术,同种异体移植,已经进行了异种移植,一些不利影响,包括供体部位的发病率和免疫反应,存在。为了克服这些限制,基于对人类肌肉骨骼组织复杂性的理解,已经提出了各种生物医学工程方法。在这次审查中,描述了使用3D生物打印技术和肌肉骨骼组织来源的脱细胞细胞外基质生物墨水进行肌肉骨骼组织工程的前沿。特别是,对肌肉骨骼组织的体内再生和体外建模的研究一直是重点。最后,目前的突破,局限性,并描述了未来的前景。
    The musculoskeletal system is a vital body system that protects internal organs, supports locomotion, and maintains homeostatic function. Unfortunately, musculoskeletal disorders are the leading cause of disability worldwide. Although implant surgeries using autografts, allografts, and xenografts have been conducted, several adverse effects, including donor site morbidity and immunoreaction, exist. To overcome these limitations, various biomedical engineering approaches have been proposed based on an understanding of the complexity of human musculoskeletal tissue. In this review, the leading edge of musculoskeletal tissue engineering using 3D bioprinting technology and musculoskeletal tissue-derived decellularized extracellular matrix bioink is described. In particular, studies on in vivo regeneration and in vitro modeling of musculoskeletal tissue have been focused on. Lastly, the current breakthroughs, limitations, and future perspectives are described.
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