Reflex responses to regional venous pooling during lower body negative pressure in humans

Halliwill, John R., Lori A. Lawler, Tamara J. Eickhoff,Michael J. Joyner, and Sharon L. Mulvagh. Reflex responses toregional venous pooling during lower body negative pressure in humans.J. Appl. Physiol. 84(2): 454-458, 1998.Lower body negative pressure is frequently used to simulateorthostasis. Prior data suggest that venous pooling in abdominal orpelvic regions may have major hemodynamic consequences. Therefore, we developed a simple paradigm for assessing regional contributions tovenous pooling during lower body negative pressure. Sixteen healthy menand women underwent graded lower body negative pressure protocols to 60 mmHg while wearing medical antishock trousers to prevent venous poolingunder three randomized conditions:1) no trouser inflation (control),2) only the trouser legs inflated, and 3) the trouser legs andabdominopelvic region inflated. Without trouser inflation, heart rateincreased 28 ± 4 beats/min, mean arterial pressure fell 3 ± 2 mmHg, and forearm vascular resistance increased 51 ± 9 units at 60 mmHg lower body negative pressure. With inflation of eitherthe trouser legs or the trouser legs and abdominopelvic region, heartrate and mean arterial pressure did not change during lower bodynegative pressure. By contrast, although the forearm vasoconstrictorresponse to lower body negative pressure was attenuated by inflation ofthe trouser legs (forearm vascular resistance 33 ± 10 units,P < 0.05 vs. control), attenuation was greater with the inflation of the trouser legs and abdominopelvic region (forearm vascular resistance 16 ± 5 units,P < 0.05 vs. control and trouserlegs-only inflation). Thus the hemodynamic consequences of pooling inthe abdominal and pelvic regions during lower body negative pressureappear to be less than in the legs in healthy individuals.

     

Hemodynamics, cerebral circulation, and oxygen saturation in Cheyne-Stokes respiration

Franklin, Karl A., Erik Sandström, GöranJohansson, and Eva M. Bålfors. Hemodynamics, cerebralcirculation, and oxygen saturation in Cheyne-Stokes respiration.J. Appl. Physiol. 83(4): 1184-1191, 1997.Because cardiovascular disorders and stroke may induceCheyne-Stokes respiration, our purpose was to study the interactionamong cerebral activity, cerebral circulation, blood pressure, andblood gases during Cheyne-Stokes respiration. Ten patients with heartfailure or a previous stroke were investigated during Cheyne-Stokesrespiration with recordings of daytime polysomnography, cerebral bloodflow velocity, intra-arterial blood pressure, and intra-arterial oxygensaturation with and without oxygen administration. There weresimultaneous changes in wakefulness, cerebral blood flow velocity, andrespiration with accompanying changes in blood pressure and heart rate~10 s later. Cerebral blood flow velocity, blood pressure, and heartrate had a minimum occurrence in apnea and a maximum occurrence duringhyperpnea. The apnea-induced oxygen desaturations were diminishedduring oxygen administration, but the hemodynamic alterationspersisted. Oxygen desaturations were more severe and occurred earlieraccording to intra-arterial measurements than with finger oximetry. Itis not possible to explain Cheyne-Stokes respiration by alterations inblood gases and circulatory time alone. Cheyne-Stokes respiration maybe characterized as a state of phase-linked cyclic changes in cerebral,respiratory, and cardiovascular functions probably generated byvariations in central nervous activity.

     

Strain-induced growth of the immature lung

Zhang, Shaoping, Vicki Garbutt, and John T. McBride.Strain-induced growth of the immature lung. J. Appl. Physiol. 81(4): 1471-1476, 1996.Toinvestigate the relationship between strain and postnatal lung growth,two groups of weanling ferrets were tracheotomized: the study group wasexposed for 2 wk to a continuous positive airway pressure (CPAP) of 6 cmH₂O and the other group wasexposed to atmospheric pressure (control). Total lung capacity after 2 wk was ~40% higher in the CPAP-exposed animals than in the controlanimals (n = 19 for the control groupand 18 for the study group; P < 0.01). CPAP exposure was also associated with increases in lung weightand total lung protein and DNA contents. Lung recoil, measured in asubgroup of animals, was characterized by air-filled and saline-filledstatic expiratory pressure-volume curves. Neither in the air-filledlungs nor in the saline-filled lungs was there a significant differencebetween CPAP-exposed and control animals in lung recoil at equalfractions of total lung capacity. These data indicate that mechanicalstrain was associated with an acceleration of lung growth in immatureferrets. The preservation of volume-corrected lung recoil and theexpected contribution of surface forces and tissue forces to lungrecoil in CPAP-exposed animals suggest that this response did notinvolve simple lung distension but included a remodeling of the lungparenchyma.

     

Effect of Diazinon PLUS on rapidly adapting receptors in the rabbit

Campbell, Hillary, Krishnan Ravi, Emigdio Bravo, and C. Tissa Kappagoda. Effect of Diazinon PLUS on rapidly adapting receptors in the rabbit. J. Appl.Physiol. 81(6): 2604-2610, 1996.The effects ofDiazinon PLUS aerosol on the activities of rapidly adapting receptors(RARs) and slowly adapting receptors (SAR) of the airways wereinvestigated in anesthetized rabbits. The effects on boththe baseline activity and the responses to stimulation by increasingmean left atrial pressure were examined. Action potentialswere recorded from the left cervical vagus nerve. Aerosols (particlesize 3 µm) were generated by a Mini-HEART nebulizer. We observed thatan aerosol of Diazinon PLUS (1:10 vol/vol dilution in normal saline)decreased the baseline RAR activity (n = 10) significantly (P < 0.05) from209 ± 77 to 120 ± 40 impulses/min. In the post-Diazinon PLUScontrol period, the RAR activity recovered partially to 185 ± 75 impulses/min and decreased significantly to 131 ± 52 impulses/min(P < 0.05) after a second exposureof Diazinon PLUS (undiluted) aerosol. Aerosols of normal saline in thecontrol state did not produce a significant change in the RAR activity.A group of SAR (n = 8) were examinedunder similar conditions, and it was found that only the exposure toDiazinon PLUS (undiluted) aerosol decreased the activity significantly (P < 0.05) from 1,536 ± 206 to1,367 ± 182 impulses/min. The effect of Diazinon PLUS on theresponse to increasing mean left atrial pressure was examined in sevenRARs. In the control state, RAR activity increased significantly(P < 0.05) during elevation of meanleft atrial pressure. This response was abolished after exposure toDiazinon PLUS. These findings suggest that diazinon may interfere withairway defense mechanisms by reducing the activity of RARs.

     

Cardiopulmonary control in sleeping Sprague-Dawley rats treated with hydralazine

Carley, David W., Sinisa M. Trbovic, Alex Bozanich, andMiodrag Radulovacki. Cardiopulmonary control in sleepingSprague-Dawley rats treated with hydralazine. J. Appl.Physiol. 83(6): 1954-1961, 1997.To test thehypothesis that hydralazine can suppress spontaneous sleep-relatedcentral apnea, respiratory pattern, blood pressure, and heart periodwere monitored in Sprague-Dawley rats. In random order and on separatedays, rats were recorded after intraperitoneal injection of1) saline or2) 2 mg/kg hydralazine. Normalizedminute ventilation(NI)declined significantly with transitions from wake tonon-rapid-eye-movement (NREM) sleep (5.1%;P = 0.01) and rapid-eye-movement (REM)sleep (4.2%; P = 0.022).Hydralazine stimulated respiration(NIincreased by 21%; P < 0.03) andeliminated the effect of state onNI. Bloodpressure decreased by 17% after hydralazine, and the correlationbetween fluctuations in mean blood pressure andNI changedfrom strongly positive during control recordings to weakly negativeafter hydralazine (P < 0.0001 foreach). Postsigh and spontaneous apneas were reduced during NREM and REMsleep after hydralazine (P < 0.05 for each). This suppression was strongly correlated with the reductionin blood pressure and with the degree of respiratory stimulation. Weconclude that mild hydralazine-induced hypotension leads to respiratory stimulation and apnea suppression.

     

Oxygen pulse in guinea pigs in hyperbaric helium and hydrogen

Kayar, Susan R., and Erich C. Parker. Oxygen pulse inguinea pigs in hyperbaric helium and hydrogen. J. Appl. Physiol. 82(3): 988-997, 1997.We analyzedO₂ pulse, the total volume of O₂ consumed per heart beat, inguinea pigs at pressures from 10 to 60 atmospheres. Animals were placedin a hyperbaric chamber and breathed 2%O₂ in either helium (heliox) orhydrogen (hydrox). Oxygen consumption rate(O₂) was measured by gaschromatographic analysis. Core temperature and heart rate were measuredby using surgically implanted radiotelemeters. TheO₂ was modulated over afourfold range by varying chamber temperature from 25 to 36°C. There was a direct correlation betweenO₂ and heartrate, which was significantly different for animals in heliox vs.hydrox (P = 0.003). By usingmultivariate regression analysis, we identified variables that weresignificant to O₂ pulse: bodysurface area, chamber temperature, core temperature, and pressure.After normalizing for all nonpressure variables, the residualO₂ pulse was found to decreasesignificantly (P = 0.02) with pressurefor animals in heliox but did not decrease significantly(P = 0.38) with pressure for animalsin hydrox over the range of pressures studied. This amounted to aroughly 25% lower O₂ pulse fornormothermic animals in 60 atmospheres heliox vs. hydrox. These resultssuggest that reduction of cardiovascular efficiency in a hyperbaricenvironment can be mitigated by the choice of breathing gas.

     

Vasomotor instability preceding tilt-induced syncope: does respiration play a role?

Lipsitz, Lewis A., Raymond Morin, Margaret Gagnon, DanKiely, and Aharon Medina. Vasomotor instability precedingtilt-induced syncope: does respiration play a role? J. Appl. Physiol. 83(2): 383-390, 1997.This studyaimed to determine whether alterations in cardiovascular dynamicsbefore syncope are related to changes in spontaneous respiration.Fifty-two healthy subjects underwent continuous heart rate (HR),arterial blood pressure (BP), and respiratory measurements during10-min periods of spontaneous and paced breathing (0.25 Hz) in thesupine and 60° head-up tilt positions. Data were evaluated by powerspectrum and transfer function analyses. During tilt, 27 subjectsdeveloped syncope or presyncope and 25 remained asymptomatic. Subjectswith tilt-induced syncope had significantly greater increases inlow-frequency (0.04-0.15 Hz) systolic BP, diastolic BP, and HRpower during tilt than the asymptomatic subjects(P  0.01). This difference waspresent during spontaneous but not paced breathing. However, averagetidal volume, respiratory rate, minute ventilation, proportion ofbreaths below 0.15 Hz, and low-frequency respiratory power during tilt did not differ between syncopal and nonsyncopal subjects. Transfer magnitudes between low-frequency respiration and BP, and between BP andinterbeat interval, were also similar between groups. Thus vasomotorinstability before syncope is not related to alterations in respirationor the cardiovagal baroreflex but may reflect oscillating centralsympathetic outflow to the vasculature.

     

Prolongation in expiration evoked from ventrolateral pons of adult rats

Jodkowski, Józef S., Sharon K. Coles, and Thomas E. Dick. Prolongation in expiration evoked from ventrolateral pons ofadult rats. J. Appl. Physiol. 82(2):377-381, 1997.Activation of neurons in the ventrolateral (vl)pons was hypothesized to alter the breathing pattern becauseprevious studies demonstrated apneusis after inhibitingneuronal activity with bilateral muscimol (10 mM) microinjectionsinto the vl pons (17). The excitatory amino acid L-glutamate (10 mM) was microinjected(10-100 nl) into the vl pons in anesthetized, vagotomized,paralyzed, and ventilated adult rats(n = 8). In four of these animals, thetarget site was approached from the ventral surface of the pons toavoid penetrating the dorsolateral (dl) pons. The expiratory phase wasprolonged transiently and concurrently with the microinjection. Thelocation of the injection sites included the A5 area, was independentof the approach, and was distinct from the dl pons. These results complement our previous data and indicate that neurons located in thevl pons influence respiration specifically by prolonging expirationwhen activated and by delaying the inspiratory-to-expiratory phasetransition when inhibited.

     

In vivo validation of whole body composition estimates from dual-energy X-ray absorptiometry

Prior, Barry M., Kirk J. Cureton, Christopher M. Modlesky,Ellen M. Evans, Mark A. Sloniger, Michael Saunders, and Richard D. Lewis. In vivo validation of whole body composition estimates fromdual-energy X-ray absorptiometry. J. Appl.Physiol. 83(2): 623-630, 1997.We validated wholebody composition estimates from dual-energy X-ray absorptiometry (DEXA)against estimates from a four-component model to determine whetheraccuracy is affected by gender, race, athletic status, ormusculoskeletal development in young adults. Measurements of bodydensity by hydrostatic weighing, body water by deuterium dilution, andbone mineral by whole body DEXA were obtained in 172 young men(n = 91) and women(n = 81). Estimates of body fat(%Fat) from DEXA (%Fat_DEXA)were highly correlated with estimates of body fat from thefour-component model [body density, total body water, and totalbody mineral (%Fat_d,w,m);r = 0.94, standard error of theestimante (SEE) = 2.8% body mass (BM)] with no significantdifference between methods [mean of the difference ± SD ofthe difference = 0.4 ± 2.9 (SD) % BM,P = 0.10] in women and men. Onthe basis of the comparison with%Fat_d,w,m, estimates of%Fat_DEXA were slightly moreaccurate than those from body density(r = 0.91, SEE = 3.4%; mean of the difference ± SD of the difference = 1.2 ± 3.4% BM).Differences between %Fat_DEXA and%Fat_d,w,m were weakly related tobody thickness, as reflected by BMI (r = 0.34), and to the percentage of water in the fat-free mass(r = 0.51), but were notaffected by race, athletic status, or musculoskeletal development. Weconclude that body composition estimates from DEXA are accuratecompared with those from a four-component model in young adults whovary in gender, race, athletic status, body size, musculoskeletaldevelopment, and body fatness.

     

Effects of 4wk of hindlimb suspension on skeletal muscle mitochondrial respiration in rats

Yajid, Fatima, Jacques G. Mercier, Béatrice M. Mercier, Hervé Dubouchaud, and Christian Préfaut.Effects of 4 wk of hindlimb suspension on skeletal musclemitochondrial respiration in rats. J. Appl.Physiol. 84(2): 479-485, 1998.We investigated inrats the effect of 4 wk of hypodynamia on the respiration of mitochondria isolated from four distinct muscles [soleus,extensor digitorum longus, tibial anterior, and gastrocnemius(Gas)] and from subsarcolemmal (SS) and intermyofibrillar (IMF)regions of mixed hindlimb muscles that mainly contained the four citedmuscles. With pyruvate plus malate as respiratory substrate, 4 wk ofhindlimb suspension produced an 18% decrease in state3 respiration for IMF mitochondria compared with thosein the control group (P < 0.05). TheSS mitochondria state 3 were notsignificantly changed. Concerning the four single muscles, themitochondrial respiration was significantly decreased in the Gasmuscle, which showed a 59% decrease in state3 with pyruvate + malate(P < 0.05). The other musclespresented no significant decrease in respiratory rate in comparisonwith the control group. With succinate + rotenone, there was nosignificant difference in the respiratory rate compared with therespective control group, whatever the mitochondrial origin (SS, orIMF, or from single muscle). We conclude that 4 wk of hindlimbsuspension alters the respiration of IMF mitochondria in hindlimbskeletal muscles and seems to act negatively on complex I of theelectron-transport chain or prior sites. The muscle mitochondria mostaffected are those isolated from the Gas muscle.

     

Anabolic influences of insulin-like growth factor I and/or growth hormone on the diaphragm of young rats

Lewis, Michael I., Thomas J. LoRusso, and Mario Fournier.Anabolic influences of insulin-like growth factor I and/or growth hormone on the diaphragm of young rats. J. Appl. Physiol. 82(6): 1972-1978, 1997.It iscontroversial whether insulin-like growth factor I (IGF-I), growthhormone (GH), or their combination might enhance body growthand/or tissue anabolism in the well-fed animal with an intactsomatotrophic axis. To assess this further, we studied four groups ofadolescent rats: 1) control (Ctr),2) GH,3) IGF-I, and4) GH/IGF-I. IGF-I was given via anosmotic minipump, whereas GH was injected subcutaneously for a period of 72 h. Diaphragm (Dia) contractile and fatigue properties were determined in vitro. Quantitative histochemical and morphometric analyses were performed on Dia fibers. Total serum IGF-I levels weresignificantly increased in the groups receiving growth factors. Although body weight increased to a greater extent in the animals receiving growth factors, a further synergistic effect was noted in theGH/IGF-I animals compared with either GH or IGF-I groups. Costal Diamass was greater in the groups receiving growth factors. The Dia ofGH/IGF-I animals was more fatigue resistant than the Dia in Ctr. Thecross-sectional area of types IIa and IIx fibers were increased to asimilar extent in all groups receiving growth factors compared withCtr. Succinate dehydrogenase activity of type IIa fibers wassignificantly greater in the GH/IGF-I animals compared with the othergroups. We conclude that the short-term provision of growth factors towell-nourished, normally growing adolescent rats can accelerate bodygrowth and promote selective hypertrophy of predominantly type II Diafibers.

     

Assessment of regional deposition of inhaled particles in human lungs by serial bolus delivery method

Kim, Chong S., S. C. Hu, P. DeWitt, and T. R. Gerrity.Assessment of regional deposition of inhaled particles in human lungs by serial bolus delivery method. J. Appl.Physiol. 81(5): 2203-2213, 1996.Detailedregional deposition of inhaled particles was investigated in youngadults (n = 11) by use of aserial bolus aerosol delivery technique. A small bolus (45 mlhalf-width) of monodisperse aerosols [1-, 3-, and5-µm particle diameter(D_p)] wasdelivered sequentially to a specific volumetric depth of the lung(100-500 ml in 50-ml increments), while the subject inhaled cleanair via a laser aerosol photometer (25-ml dead volume) with a constantflow rate ( = 150, 250, and 500 ml/s) andexhaled with the same without a pause to theresidual volume. Deposition efficiency (LDE) and deposition fraction in10 local volumetric regions and total deposition fraction of the lungwere obtained. LDE increased monotonically with increasing lung depthfor all three D_p.LDE was greater with smaller values in all lungregions. Deposition was distributed fairly evenly throughout the lungregions with a tendency for an enhancement in the distal lung regions for D_p = 1 µm.Deposition distribution was highly uneven forD_p = 3 and 5 µm, and the region of the peak deposition shifted toward the proximalregions with increasingD_p. Surface dosewas 1-5 times greater in the small airway regions and 2-17times greater in the large airway regions than in the alveolar regions.The results suggest that local or regional enhancement of deposition occurs in healthy subjects and that the local enhancement can be animportant factor in health risk assessment of inhaled particles.

     

Augmented sympathetic tone alters muscle metabolism with exercise: lack of evidence for functional sympatholysis

Shoemaker, J. Kevin, Prasant Pandey, Michael D. Herr, DavidH. Silber, Qing X. Yang, Michael B. Smith, Kristen Gray, and LawrenceI. Sinoway. Augmented sympathetic tone alters muscle metabolismwith exercise: lack of evidence for functional sympatholysis. J. Appl. Physiol. 82(6):1932-1938, 1997.It is unclear whether sympathetic tone opposesdilator influences in exercising skeletal muscle. We examined highlevels of sympathetic tone, evoked by lower body negative pressure(LBNP, 60 mmHg) on intramuscular pH and phosphocreatine (PCr)levels (³¹P-nuclear magnetic resonance spectroscopy) duringgraded rhythmic handgrip (30 contractions/min; ~17, 34, 52 and 69%maximal voluntary contraction). Exercise was performedwith LBNP and without LBNP (Control). At the end of exercise, LBNPcaused lower levels of muscle pH (6.59 ± 0.09) comparedwith Control (6.78 ± 0.05; P < 0.05). PCr recovery, an index of mitochondrial respiration, was lessduring the recovery phase of the LBNP trial. Exercise mean arterialpressure was not altered by LBNP. The protocols were repeated withmeasurements of forearm blood flow velocity and deep venous samples(active forearm) of hemoglobin (Hb) saturation, pH, and lactate. WithLBNP, mean blood velocity was reduced at rest, during exercise, andduring recovery compared with Control (P < 0.05). Also, venous Hbsaturation and pH levels during exercise and recovery were lower withLBNP and lactate was higher compared with Control(P < 0.05). We concludethat LBNP enhanced sympathetic tone and reduced oxygen transport. Athigh workloads, there was a greater reliance on nonoxidativemetabolism. In other words, sympatholysis did not occur.

     

Regional intramuscular pressure development and fatigue in the canine gastrocnemius muscle in situ

Ameredes, Bill T., and Mark A. Provenzano. Regionalintramuscular pressure development and fatigue in the caninegastrocnemius muscle in situ. J. Appl.Physiol. 83(6): 1867-1876, 1997.Intramuscular pressure (P_IM) was measuredsimultaneously in zones of the medial head of thegastrocnemius-plantaris muscle group (zone I, popliteal origin; zoneII, central; zone III, near calcaneus tendon) to determine regionalmuscle mechanics during isometric tetanic contractions. PeakP_IM averages were 586, 1,676, and993 mmHg deep in zones I, II, and III and 170, 371, and 351 mmHgsuperficially in zones I, II, and III, respectively. During fatigue,loss of P_IM across zones wasgreatest in zone III (81%) and least in zone I (60%) when whole muscle tension loss was 49%. Recovery ofP_IM was greatest in zone III andleast in zone II, achieving 86% and 67% of initial P_IM, respectively, when tensionrecovered to 89%. These data demonstrate that1) regional mechanical performancecan be measured as P_IM within awhole muscle, 2)P_IM is nonuniform within thecanine gastrocnemius-plantaris muscle, being greatest in the deepcentral zone, and 3) fatigue andrecovery of P_IM are dissimilaracross regions. These differences suggest distinct local effects that integrate to determine whole muscle mechanical capacity during andafter intense exercise.

     

Effect of nitric oxide synthase inhibition on cardiorespiratory responses in the conscious rat

Gozal, David, José E. Torres, Yair M. Gozal, andSanford M. Littwin. Effect of nitric oxide synthase inhibition on cardiorespiratory responses in the conscious rat. J. Appl. Physiol. 81(5): 2068-2077, 1996.Nitricoxide synthase (NOS) blockade was used to test the cardioventilatoryresponses to hypercapnia and hypoxia in freely behaving animals.Chronically instrumented adult Sprague-Dawley rats were studied beforeand after intravenous administration of either 100 mg/kg ofN^G-nitro-L-arginine methylester (L-NAME), a nonspecificNOS blocker, or 10 mg/kg ofS-methyl-L-thiocitrulline(SMTC), a selective neural NOS inhibitor.L-NAME injection inducedsustained blood pressure (BP) elevation with transient tachycardia andincreased minute ventilation (E), whichreturned to baseline within minutes. SMTC elicited similar, althoughtransient, BP increases; however, heart rate andE decreased.L-NAME and SMTC did not modifyoverall steady-state hypercapnic responses. In controlconditions, hypoxia induced early Eincreases with further E enhancementsat 30 min. L-NAME increased theearly E response to 10%O₂ but induced lateE reductions in hypoxia. SMTC did notchange early E responses but inducedmarked reductions in the later Ehypoxic responses. In control animals, hypoxia induced a significantheart rate increase. This increase was absent during the early response after SMTC and was followed in bothL-NAME- and SMTC-treated animals by significant heart rate reductions to values below room air. Similarly, the sustained BP response to hypoxia in control animals wasabsent after administration of NOS inhibitors. These findings suggestthat NOS activity exerts excitatory influences on respiration andcardiac chronotropy and sustained vasomotor tone during hypoxia. Wespeculate that NOS-mediated mechanisms may play an important role inhypoxia-induced ventilatory roll-off during wakefulness.

     

High-resolution maps of regional ventilation utilizing inhaled fluorescent microspheres

Robertson, H. Thomas, Robb W. Glenny, Derek Stanford, LynnM. McInnes, Daniel L. Luchtel, and David Covert. High-resolution maps of regional ventilation utilizing inhaled fluorescentmicrospheres. J. Appl. Physiol. 82(3):943-953, 1997.The regional deposition of an inhaled aerosol of1.0-µm diameter fluorescent microspheres (FMS) was used to producehigh-resolution maps of regional ventilation. Five anesthetized, prone,mechanically ventilated pigs received two 10-min inhalations of pairsof different FMS labels, accompanied by intravenous injection of15.0-µm radioactive microspheres. The lungs were air dried and cutinto 1.9-cm³ pieces, with notationof the spatial coordinates for each piece. After measurement ofradioactive energy peaks, the tissue samples were soaked in2-ethoxyethyl acetate, and fluorescent emission peaks were recorded forthe wavelengths specific to each fluorescence label. The correlation offluorescence activity between simultaneously administered inhaled FMSranged from 0.98 to 0.99. The mean coefficient of variation forventilation for all 10 trials (47.9 ± 8.1%) was similar to thatfor perfusion (46.2 ± 6.3%). No physiologically significantgravitational gradient of ventilation or perfusion was present in theprone animals. The strongest predictor of the magnitude of regionalventilation among all animals was regional perfusion(r = 0.77 ± 0.13).

     

Protoveratrines A and B increase sleep apnea index in Sprague-Dawley rats

Trbovic, Sinisa M., Miodrag Radulovacki, and David W. Carley. Protoveratrines A and B increase sleep apneaindex in Sprague-Dawley rats. J. Appl.Physiol. 83(5): 1602-1606, 1997.The action ofprotovertarines A and B, which stimulate carotid sinus baroreceptorsand vagal sensory endings in the heart as well as pulmonary bed, wereassessed on spontaneous and postsigh central sleep apneas in freelymoving Sprague-Dawley rats. During the 6-h recording period, animalswere simultaneously monitored for sleep by using electroencephalogramand electromyogram recordings, for respiration by single-chamberplethysmography, and for blood pressure and heart period by usingradiotelemetry. After administration of 0.2, 0.5, or 1 mg/kg sc ofprotoveratrines, cardiopulmonary changes lasting at least 6 h wereobserved in all three behavioral states [heart period increasedup to 23% in wakefulness, 21% in non-rapid-eye-movement (non-REM)sleep, and 20% in REM sleep; P < 0.005 for each]. At the same time, there was a substantial increase in the number of spontaneous (375% increase;P = 0.04) and postsigh (268%increase, P = 0.0002) apneas. Minuteventilation decreased by up to 24% in wakefulness, 25% in non-REM,and 35% in REM sleep (P < 0.05 foreach). We conclude that pharmacological stimulation of baroreflexespromotes apnea expression in the sleeping rat.

     

Intratracheal instillation of a novel NO/nucleophile adduct selectively reduces pulmonary hypertension

Brilli, Richard J., Brian Krafte-Jacobs, Daniel J. Smith,Dominick Roselle, Daniel Passerini, Amos Vromen, Lori Moore, CsabaSzabó, and Andrew L. Salzman. Intratracheal instillation ofa novel NO/nucleophile adduct selectively reduces pulmonary hypertension. J. Appl. Physiol. 83(6):1968-1975, 1997.We examined the pulmonary and systemichemodynamic effects of administering soluble nitric oxide (NO) donorcompounds (NO/nucleophile adducts, i.e., NONOates) directly into thetrachea of animals with experimentally induced pulmonary hypertension.Steady-state pulmonary hypertension was created by using thethromboxane agonist U-46619. Yorkshire pigs were randomly assigned toone of four groups: group 1,intratracheal saline (control; n = 8);group 2, intratracheal sodiumnitroprusside (n = 6);group 3, intratracheal ethylputreanineNONOate (n = 6); andgroup 4, intratracheal2-(dimethylamino)-ethylputreanine NONOate (DMAEP/NO;n = 6). Pulmonary and systemichemodynamics were monitored after drug instillation.Group 4 had significant reductions in pulmonary vascular resistance index (PVRI) at all time points comparedwith steady state and compared with group1 (P < 0.05), whereas systemic vascular resistance index did not change. The meanchange in mean pulmonary arterial pressure in group4 was 33.1 ± 1.2% compared with +6.4 ± 1.3% in group 1 (P < 0.001), and the mean change inmean arterial pressure was 9.3 ± 0.7% compared with acontrol value of 0.9 ± 0.5%(P < 0.05). Groups 2 and 3 hadsignificant decreases in both PVRI and systemic vascular resistanceindex compared with steady state and with group1. In conclusion, intratracheal instillation of apolar-charged tertiary amine NONOate DMAEP/NO results in the selectivereduction of PVRI. Intermittent intratracheal instillation of selectiveNONOates may be an alternative to continuously inhaled NO in thetreatment of pulmonary hypertension.

     

Muscle protein metabolism in female swimmers after a combination of resistance and endurance exercise

Tipton, Kevin D., Arny A. Ferrando, Bradley D. Williams, andRobert R. Wolfe. Muscle protein metabolism in female swimmers after a combination of resistance and endurance exercise.J. Appl. Physiol. 81(5):2034-2038, 1996.There is little known about the responses ofmuscle protein metabolism in women to exercise. Furthermore, the effectof adding resistance training to an endurance training regimen on netprotein anabolism has not been established in either men or women. Thepurpose of this study was to quantify the acute effects of combinedswimming and resistance training on protein metabolism in femaleswimmers by the direct measurement of muscle protein synthesis andwhole body protein degradation. Seven collegiate female swimmers wereeach studied on four separate occasions with a primed constant infusionofring-[¹³C₆]phenylalanine(Phe) to measure the fractional synthetic rate (FSR) of the posteriordeltoid and whole body protein breakdown. Measurements were made over a5-h period at rest and after each of three randomly ordered workouts:1) 4,600 m of intense interval swimming (SW); 2) a whole bodyresistance-training workout with no swimming on that day (RW); and3) swimming and resistance training combined (SR). Whole body protein breakdown was similar for all treatments (0.75 ± 0.04, 0.69 ± 0.03, 0.69 ± 0.02, and 0.71 ± 0.04 µmol ^· min^{1 ·} kg¹for rest, RW, SW, and SR, respectively). The FSR of the posterior deltoid was significantly greater (P < 0.05) after SR (0.082 ± 0.015%/h) than at rest (0.045 ± 0.006%/h). There was no significant difference in the FSR after RW(0.048 ± 0.004%/h) or SW (0.064 ± 0.008%/h) from rest or fromSR. These data indicate that the combination of swimming and resistanceexercise stimulates net muscle protein synthesis above resting levelsin female swimmers.

     

Aerosolized manganese SOD decreases hyperoxic pulmonary injury in primates. I.Physiology and biochemistry

Simonson, Steven G., Karen E. Welty-Wolf, Yuh-Chin T. Huang,David E. Taylor, Stephen P. Kantrow, Martha S. Carraway, James D. Crapo, and Claude A. Piantadosi. Aerosolizedmanganese SOD decreases hyperoxic pulmonary injury in primates. I. Physiology and biochemistry. J. Appl.Physiol. 83(2): 550-558, 1997.Prolonged hyperoxia causes lung injury andrespiratory failure secondary to oxidative tissue damage mediated, inpart, by the superoxide anion. We hypothesized that aerosol treatmentwith recombinant human manganese superoxide dismutase (rhMnSOD) wouldattenuate hyperoxic lung damage in primates. Adult baboons wereanesthetized and ventilated with 100% oxygen for 96 h or until death.Six animals were treated with aerosolized rhMnSOD (3 mg · kg¹ · day¹in divided doses), and six control animals did not receive enzyme therapy. Physiological variables were recorded every 12 h, and ventilation-perfusion ratio relationships were evaluated by using themultiple inert-gas elimination technique. After the experiments, surfactant composition and lung edema were measured. We found thatrhMnSOD significantly decreased pulmonary shunt fraction (P < 0.01) and preserved arterialoxygenation (P < 0.01) during hyperoxia. The rhMnSOD increased lung phospholipids,phosphatidylcholine and disaturated phosphatidylcholine, and decreasedlung edema in this model. Testing of higher and lower doses of MnSOD (1 and 10 mg · kg¹ · day¹)in two other groups of baboons produced variable physiological protection, suggesting a "window" of effective dosage. Weconclude that aerosolized MnSOD (3 mg · kg¹ · day¹)affords significant preservation of pulmonary gas exchange during hyperoxic lung injury.