Postural stability during static strain before and after a submaximal aerobic bicycle test in athletes

Control of static balance was studied in wrestlers (n = 31) in the normal state and against the background of physical fatigue, i.e., before and after a bicycle PWC ₁₇₀ test, respectively. The static balance was evaluated using a Ritm force platform (Russia) during normal basic stance (BS) and static strain (half-squatting position (HS) with the eyes open). Before physical exercise, i.e., during BS, the differences in postural control of the center of pressure (CP) between athletes and control subjects (n = 40) were nonsignificant. In the HS position, both linear and angular sway velocities of CP (LSV and ASV, respectively) were significantly lower in wrestlers (p < 0.001), and these parameters were negatively correlated with the PWC ₁₇₀ index (r = −0.454 and r = −455, p < 0.001 for LSV and ASV, respectively), which suggests that up to 20% of the sway velocity variance during static strain is dependent on the working capacity of the subjects. After the PWC ₁₇₀ test, the sway velocities of CP increased in both groups during BS (p < 0.01) and HS (p < 0.001), which testifies to the important role of muscular fatigue in the decrease in postural stability in both groups. During BS, an increase in LSV and ASV was about the same in both groups; however, during HS, an increase in the sway velocities of CP after PWC ₁₇₀ was lower in wrestlers (the intergroup differences at p = 0.037 and p = 0.008 for LSV and ASV, respectively); this parameter was negatively correlated with the recovery of the heart rate (HR) after the bicycle test (r = −0.378, p < 0.001 and r = −0.265, p < 0.05 for LSV and ASV, respectively), which suggests that rapid recovery contributes to a certain extent (about 6.5–14.2%) to the postural stability during static strain of wrestlers against the background of their physical fatigue.     

Integration of Functional,Psychophysiological, and Biochemical Processes in Athletes after Audiovisual Stimulation

We studied intra- and inter-system structural interactions between functional, psychophysiological, and biochemical processes in athletes after audiovisual stimulation (AVS). We used multiple linear regression and correlation analysis after AVS to investigate the formation of new relations between the nervous, hormonal, cardiorespiratory, and metabolic systems. AVS training leads to an increase in physical working capacity (PWC₁₇₀) and in the number of its correlations, e.g., with the amplitude of alpha-rhythm, resting heart rate (HR), concentrations of thyroxine, phosphorus, glucose, bilirubin, and triglycerides, antioxidant status, and the level of life satisfaction, which indicates the elevation in inter-system integration processes at different functional levels. An increase in the number and effects of factors contributing to PWC₁₇₀ (chronoinotropic reserve, lung capacity, reaction of individual α-rate power depth, reaction to the moving object, and the concentrations of glucose, creatinine, bilirubin, and thyroxine) eventually resulted in higher PWC₁₇₀. This indicates that the rate of synchronization between the studied parameters increases under the influence of sensory impact, which results in the improvement of adaptive capacity and provides a lower cost of adaptation to physical loads at the competitive stage of sports training.     

Mitochondrial and cell-surface F<Subscript>0</Subscript>F<Subscript>1</Subscript>ATPsynthase in innate and acquired cardioprotection

Mitochondria are central to heart function and dysfunction, and the pathways activated by different cardioprotective interventions mostly converge on mitochondria. In a context of perspectives in innate and acquired cardioprotection, we review some recent advances in F₀F₁ATPsynthase structure/function and regulation in cardiac cells. We focus on three topics regarding the mitochondrial F₀F₁ATPsynthase and the plasma membrane enzyme, i.e.: i) the crucial role of cardiac mitochondrial F₀F₁ATPsynthase regulation by the inhibitory protein IF₁ in heart preconditioning strategies; ii) the structure and function of mitochondrial F₀F₁ATPsynthase oligomers in mammalian myocardium as possible endogenous factors of mitochondria resistance to ischemic insult; iii) the external location and characterization of plasma membrane F₀F₁ ATP synthase in search for possible actors of its regulation, such as IF₁ and calmodulin, at cell surface.     

Time-of-Day Effect on Cardiac Responses to Progressive Exercise

This study was designed to examine time-of-day effects on markers of cardiac functional capacity during a standard progressive cycle exercise test. Fourteen healthy, untrained young males (mean?±?SD: 17.9?±?0.7 yrs of age) performed identical maximal cycle tests in the morning (08:00–11:00?h) and late afternoon (16:00–19:00?h) in random order. Cardiac variables were measured at rest, submaximal exercise, and maximal exercise by standard echocardiographic techniques. No differences in morning and afternoon testing values at rest or during exercise were observed for oxygen uptake, heart rate, cardiac output, or markers of systolic and diastolic myocardial function. Values at peak exercise for Vo₂ at morning and afternoon testing were 3.20?±?0.49 and 3.24?±?0.55?L min^?1, respectively, for heart rate 190?±?11 and 188?±?15?bpm, and for cardiac output 19.5?±?2.8 and 19.8?±?3.5?L min^?1. Coefficients of variation for morning and afternoon values for these variables were similar to those previously published for test-retest reproducibility. This study failed to demonstrate evidence for significant time-of-day variation in Vo₂max or cardiac function during standard progressive exercise testing in adolescent males. (Author correspondence: thomas.rowland@bhs.org)     

A Fitness Performance Test for School Children and its Correlation with Physical Working Capacity and Maximal Oxygen Uptake

The Canadian Association for Health, Physical Education and Recreation fitness test (CAHPER test) composed of six items was compared to two laboratory tests of endurance fitness, physical working capacity at a minute pulse rate of 170 (PWC₁₇₀) and maximum oxygen uptake (Vo₂ max.) in over 500 Winnipeg school children of both sexes aged 6 to 17 years. CAHPER test results were similar to the national average published by CAHPER in a test booklet. Correlation coefficients (r) of Vo₂ max. for boys with the CAHPER tests were: sit-ups .42, broad jump .69, shuttle run .50, arm hang .43, 50-yard dash .60, 300-yard run .65; for girls the r values were about half the values for the boys. Much of the correlation between CAHPER tests and Vo₂ max. or PWC₁₇₀ depended on the association of each test with body size. When multiple correlations were obtained including surface area as the first variable, the only significant factor correlating with the endurance tests was the arm hang; none of the other tests showed a significant correlation. “Physical fitness” is task-specific, so that a subject''s position in the scoring scale of a fitness test depends entirely upon the test. The CAHPER test for physical fitness shows little or no correlation with standard laboratory measures of endurance in average children.     

Blood Rheology, Sex Hormones, and Cortisol in Athletes

The interrelations of blood rheology, plasma proteins and lipids, and steroid hormones (total testosterone, estradiol, and cortisol) were studied in athletes (N = 14). Blood (BV), plasma (PV), and erythrocyte suspension (ESV) viscosities; fibrinogen; total cholesterol (Ch); low density lipoprotein (LDL) Ch; and plasminogen activity were lower in the athletes than in control subjects (N = 10). The specific peripheral vascular resistance (SPVR) to BV ratio and PWC₁₇₀ were lower in the athletes. All these parameters correlated with decreased estradiol. Discriminant analysis indicated PWC₁₇₀, estradiol, and ESV to be the main parameters discriminating the groups. Decreased estradiol seemed to be associated with an increased physical activity in the athletes, as evident from its correlation with PWC₁₇₀ and differences in the body composition (a correlation with the body mass index). No significant difference was found in total Ch and cortisol. However, in the combined sample, decreased testosterone was associated with decreased BV, which was explained by direct correlations of the hormone with hematocrit (Ht) and PV through relationships with Ch and triglycerides (TG). Increased cortisol correlated with the higher plasma fluidity in the athletes as a result of inverse correlations of the hormone with TG and the increased suspension stability of the blood. Training-induced changes in hormonal and metabolic parameters were assumed to play an important role in the regulation of blood fluidity in athletes.     

The effect of lower body positive pressure on the cardiovascular response to exercise in sedentary and endurance-trained persons with paraplegia

Exercise intolerance in persons with paraplegia (PARAS) is thought to be secondary to insufficient venous return and a subnormal cardiac output at a given oxygen uptake. However, these issues have not been resolved fully. This study utilized lower-body positive pressure (LBPP) as an intervention during arm crank exercise in PARAS in order to examine this issue. Endurance-trained (TP, n= 7) and untrained PARAS (UP, n= 10) with complete lesions between T6 and T12, and a control group consisting of sedentary able-bodied subjects (SAB, n= 10) were tested. UP and TP subjects demonstrated a diminished cardiac output (via CO₂ rebreathing) during exercise compared to SAB subjects. Peak oxygen uptake (V˙O_2peak) remained unchanged for all groups following LBPP. LBPP resulted in a significant decrease in heart rate (HR) in UP and TP (P≤0.05), but not SAB subjects. LBPP produced an insignificant increase in cardiac output (Q˙) and stroke volume (SV). The significant decrease in HR in both PARA groups may indicate a modest hemodynamic benefit of LBPP at higher work rates where circulatory sufficiency may be most compromised. We conclude that PARAS possess a diminished cardiac output during exercise compared to the able-bodied, and LBPP fails to ameliorate significantly their exercise response irrespective of the conditioning level. These results support previous observations of a lower cardiac output during exercise in PARAS, but indicate that lower-limb blood pooling may not be a primary limitation to arm exercise in paraplegia. Accepted: 11 December 1997     

Adaptation of Cardiac Performance to Physical Exercise of Increasing Power in Adolescents

Cardiac performance during bicycle ergometer tests with increasing loads was examined in 12- and 14-year-old boys at different stages of puberty, professionally trained in basketball and swimming, as well as in boys of the same age without regular athletic training. In all these boys, the cardiac chronotropic response grew in intensity with the power and duration of exercise, being maximal in 14-year-old adolescents untrained athletically. During exercise at 0.5 W/kg, the cardiac chronotropic function stabilized within the first ten seconds; at 1.0 and 1.5 W/kg, the heart rate increased more or less monotonically throughout the entire test period. In 12- and 14-year-old swimmers and in untrained boys, the threshold value for an adequate hemodynamic response was found at 0.5 W/kg. The patterns of stroke volume adaptation to increasing loads were shown to be dependent on athletic specialization and independent of age. During the first 30 s of exercise at 0.5 W/kg, cardiac output increased significantly over its basal level. Subsequent load increases to 1.0 and 1.5 W/kg were accompanied by progressive growth of this parameter during the whole period of exercise. Upon transition to a different workload, the increment of cardiac output decreased.     

Immersion in CO<Subscript>2</Subscript>-rich water containing NaCl diminishes blood pressure fluctuation in anesthetized rats

Remarkably, bathing in hot springs containing high concentrations of carbon dioxide (CO₂) influences cardiovascular function more than bathing in fresh water. The CO₂-enriched water in hot springs generally contains many salts, whose interactions remain unknown. We separately evaluated the actions of individual factors in CO₂-enriched water and confirmed that CO₂ and NaCl have combined effects on blood pressure fluctuations in anesthetized rats. Animals equipped with sensor probes to monitor body temperature, skin blood flow and arterial blood pressure were immersed in bathwater (35°C) containing CO₂ with NaCl, KCl or sucrose. The effects of these factors on cardiovascular function were evaluated using power-spectral analysis of fluctuations in blood pressure and heart rate. Compared with immersion in tap water, heart rate and skin vascular resistance were reduced during immersion in CO₂-enriched water irrespective of the presence of other components. In terms of the very low frequency range (0.02–0.195 Hz), the power of blood pressure fluctuation during immersion was significantly reduced when the CO₂-enriched water contained more than 1.5% NaCl but was not influenced by other components of similar osmotic pressure and the same specific gravity. The results indicated that the coexistence of CO₂ and sodium ions in bathwater reduce blood pressure fluctuations, and suggested that this combination effect of CO₂ and salt contributes to the sedative effect on human cardiovascular functions while bathing in CO₂-hot springs.     

K<Subscript>ATP</Subscript> channel polymorphism is associated with left ventricular size in hypertensive individuals: a large-scale community-based study

ATP-sensitive K⁺ (K_ATP) channel mutations have been identified in individuals with dilated cardiomyopathy and overt heart failure. Here, a common E23K functional polymorphism in the Kir6.2 channel pore versus cardiac phenotype was studied in a cross-sectional community-based cohort (n = 2,031). The KK genotype was associated with greater left ventricular size among subjects with increased stress load due to hypertension. These findings implicate Kir6.2 K23 as a risk factor for adverse subclinical myocardial remodeling, and underscore the significance of cardiac K_ATP channels within the population.     

K<Subscript>ATP</Subscript> channel Kir6.2 E23K variant overrepresented in human heart failure is associated with impaired exercise stress response

ATP-sensitive K⁺ (K_ATP) channels maintain cardiac homeostasis under stress, as revealed by murine gene knockout models of the KCNJ11-encoded Kir6.2 pore. However, the translational significance of K_ATP channels in human cardiac physiology remains largely unknown. Here, the frequency of the minor K23 allele of the common functional Kir6.2 E23K polymorphism was found overrepresented in 115 subjects with congestive heart failure compared to 2,031 community-based controls (69 vs. 56%, P < 0.001). Moreover, the KK genotype, present in 18% of heart failure patients, was associated with abnormal cardiopulmonary exercise stress testing. In spite of similar baseline heart rates at rest among genotypic subgroups (EE: 72.2 ± 2.3, EK: 75.0 ± 1.8 and KK: 77.1 ± 3.0 bpm), subjects with the KK genotype had a significantly reduced heart rate increase at matched workload (EE: 32.8 ± 2.7%, EK: 28.8 ± 2.1%, KK: 21.7 ± 2.6%, P < 0.05), at 75% of maximum oxygen consumption (EE: 53.9 ± 3.9%, EK: 49.9 ± 3.1%, KK: 36.8 ± 5.3%, P < 0.05), and at peak VO₂ (EE: 82.8 ± 6.0%, EK: 80.5 ± 4.7%, KK: 59.7 ± 8.1%, P < 0.05). Molecular modeling of the tetrameric Kir6.2 pore structure revealed the E23 residue within the functionally relevant intracellular slide helix region. Substitution of the wild-type E residue with an oppositely charged, bulkier K residue would potentially result in a significant structural rearrangement and disrupted interactions with neighboring Kir6.2 subunits, providing a basis for altered high-fidelity K_ATP channel gating, particularly in the homozygous state. Blunted heart rate response during exercise is a risk factor for mortality in patients with heart failure, establishing the clinical relevance of Kir6.2 E23K as a biomarker for impaired stress performance and underscoring the essential role of K_ATP channels in human cardiac physiology.     

Effects of the Oral Administration of K<Subscript>2</Subscript>Cr<Subscript>2</Subscript>O<Subscript>7</Subscript> and Na<Subscript>2</Subscript>SeO<Subscript>3</Subscript> on Ca,Mg, Mn,Fe, Cu,and Zn Contents in the Heart,Liver, Spleen,and Kidney of Chickens

This study aimed to investigate the effects of selenium on the ion profiles in the heart, liver, spleen, and kidney through the oral administration of hexavalent chromium. Approximately 22.14 mg/kg b.w. K₂Cr₂O₇ was added to water to establish a chronic poisoning model. Different selenium levels (0.00, 0.31, 0.63, 1.25, 2.50, and 5.00 mg Na₂SeO₃/kg b.w.) around the safe dose were administered to the experimental group model. Ca, Mg, Mn, Fe, Cu, and Zn were detected in the organs through flame atomic absorption spectrometry after these organs were exposed to K₂Cr₂O₇ and Na₂SeO₃ for 14, 28, and 42 days. Results showed that these elements exhibited various changes. Ca contents declined in the heart, liver, and spleen. Ca contents also decreased on the 28th day and increased on the 42nd day in the kidney. Mn contents declined in the heart and spleen but increased in the kidney. Mn contents also decreased on the 28th day and increased on the 42nd day in the liver. Cu contents declined in the heart and spleen. Cu contents increased on the 28th day and decreased on the 42nd day in the liver and kidney. Zn contents declined in the heart and spleen. Zn contents increased on the 28th day and decreased on the 42nd day in the liver and kidney. Fe contents decreased in the heart and liver. Fe contents increased on the 28th day and decreased on the 42nd day in the spleen and kidney. Mg contents did not significantly change in these organs. Appropriate selenium contents enhanced Mn and Zn contents, which were declined by chromium. Conversely, appropriate selenium contents reduced Ca, Fe, and Cu contents, which were increased by chromium. In conclusion, the exposure of chickens to K₂Cr₂O₇ induced changes in different trace elements, and Na₂SeO₃ supplementation could alleviate this condition.     

MitoK<Subscript>ATP</Subscript> activity in healthy and ischemic hearts

In addition to their role in energy transduction, mitochondria play important non-canonical roles in cell pathophysiology, several of which utilize the mitochondrial ATP-sensitive K⁺ channel (mitoK_ATP). In the normal heart, mitoK_ATP regulates energy transfer through its regulation of intermembrane space volume and is accordingly essential for the inotropic response during periods of high workload. In the ischemic heart, mitoK_ATP is the point of convergence of protective signaling pathways and mediates inhibition of the mitochondrial permeability transition, and thus necrosis. In this review, we outline the experimental evidence that support these roles for mitoK_ATP in health and disease, as well as our hypothesis for the mechanism by which complex cardioprotective signals that originate at plasma membrane receptors traverse the cytosol to reach mitochondria and activate mitoK_ATP.     

Long chain fatty acyl-CoA modulation of H<Subscript>2</Subscript>O<Subscript>2</Subscript> release at mitochondrial complex I

Complex I is responsible for most of the mitochondrial H₂O₂ release, low during the oxidation of the NAD linked substrates and high during succinate oxidation, via reverse electron flow. This H₂O₂ production appear physiological since it occurs at submillimolar concentrations of succinate also in the presence of NAD substrates in heart (present work) and rat brain mitochondria (Zoccarato et al., Biochem J, 406:125–129, 2007). Long chain fatty acyl-CoAs, but not fatty acids, act as strong inhibitors of succinate dependent H₂O₂ release. The inhibitory effect of acyl-CoAs is independent of their oxidation, being relieved by carnitine and unaffected or potentiated by malonyl-CoA. The inhibition appears to depend on the unbound form since the acyl-CoA effect decreases at BSA concentrations higher than 2 mg/ml; it is not dependent on ΔpH or Δp and could depend on the inhibition of reverse electron transfer at complex I, since palmitoyl-CoA inhibits the succinate dependent NAD(P) or acetoacetate reduction.     

Cardiorespiratory power across adolescence in male soccer players

Despite the recognition of the beneficial role of cardiorespiratory power (CRP) for health and sport performance, the development of this physical fitness parameter in adolescent soccer players was not well studied. Aim of this cross-sectional study was to investigate the effect of age on CRP of adolescent soccer players, the influence of anthropometric characteristics and body composition on it, and to establish normative data. Male adolescent (N = 274; aged 12.07–20.98 y), classified in nine one-year age-groups, child (N = 12, aged 7.71–11.8 y) and adult players (N = 22; aged 21.12–31.59 y), all members of competitive soccer clubs, were examined for anthropometric characteristics and body composition and they performed Physical Working Capacity in heart rate 170 test (PWC₁₇₀) on cycle ergometer. Analysis of variance revealed significant difference between age groups with respect to PWC170 in absolute (F _10,.297 = 29.58, P < 0.001, η² = 0.5), relative to body mass (F _10,.297 = 5.28, P < 0.001, η² = 0.15) and relative to fat free mass values (F _10.297 = 4.98, P < 0.001, η²= 0.14). In addition, age was in positive association with these parameters (r = 0.6, P < 0.001, r = 0.24, P < 0.001 and r = 0.23, P < 0.001, correspondingly). The main finding of this study was that CRP increased during developmental period in soccer players, even when it was adjusted to body mass or FFM, which increased during development. This documentation of the development of CRP provided useful tool for coaches and fitness trainers in order to apply optimal exercise interventions for health and performance.     

Changes in caridac output and hemolymph flow during hypoxic exposure in the gravid grass shrimp, <Emphasis Type="Italic">Palaemonetes pugio</Emphasis>

The cardiovascular response of decapod crustaceans to hypoxic exposure is well documented; however, information is limited concerning the influence of reproductive state on cardiovascular demands during hypoxic exposure. Given the additional metabolic demand of reproduction, we investigated the cardiovascular adjustments employed by gravid grass shrimp Palaemonetes pugio to maintain oxygen delivery during hypoxic stress. Cardiac output values were elevated in gravid compared to nongravid grass shrimp. Gravid grass shrimp were exposed to hypoxia and the stroke volume, heart rate, cardiac output and hemolymph flow were determined using video-microscopy and dimensional analysis. Oxygen consumption rates were determined using respirometry. There where no changes in the cardiac output values of gravid females until reaching 6.8 kPa O₂, with a significant redistribution of hemolymph flow at 13.7 kPa O₂. Flow was significantly decreased to the anterior lateral arteries that supply the ovaries and hepatopancreas, the anterior aorta and the posterior aorta. The redistribution of hemolymph flow away from these vessels results in an enhanced hemolymph flow to the sternal artery that supplies the ventral segmental system, the gills, the buccal apparatus and the ventral nerve cord. The data suggest that during hypoxic stress, gravid females place a priority on survival.     

Serial determination of cardiac output during prolonged work by a CO2-rebreathing technique.

Cardiac outputs were calculated on eight male college students while walking on a treadmill at controlled heart rate levels. The heart rate levels were maintained through the use of a heart rate controller (Quinton Model AI-607), standard deviations for heart rate in beats/min ranged from +/-2.1 at the heart rate level 110 to +/-3.2 at 170. Test-retest correlations of the cardiac output values at the various heart rate levels were: at heart rate 110, 0.66 after 7 min and 0.85 at 30 min; at heart rate 150, 0.92 after 7 min and 0.68 at 30 min; at heart rate 130, 0.97 after 7 min, and at heart rate 170, 0.85 after 7 min. The calculated cardiac output values when plotted against oxygen uptake compare favorably with published reports. The data collected demonstrate that the CO2-rebreathing method used in the present investigation provides a reliable bloodless technique for determining multiple cardiac output during prolonged work of varied intensities.     

Passive Leg Raising Correlates with Future Exercise Capacity after Coronary Revascularization

Hemodynamic properties affected by the passive leg raise test (PLRT) reflect cardiac pumping efficiency. In the present study, we aimed to further explore whether PLRT predicts exercise intolerance/capacity following coronary revascularization. Following coronary bypass/percutaneous coronary intervention, 120 inpatients underwent a PLRT and a cardiopulmonary exercise test (CPET) 2–12 days during post-surgery hospitalization and 3–5 weeks after hospital discharge. The PLRT included head-up, leg raise, and supine rest postures. The end point of the first CPET during admission was the supra-ventilatory anaerobic threshold, whereas that during the second CPET in the outpatient stage was maximal performance. Bio-reactance-based non-invasive cardiac output monitoring was employed during PLRT to measure real-time stroke volume and cardiac output. A correlation matrix showed that stroke volume during leg raise (SV_LR) during the first PLRT was positively correlated (R = 0.653) with the anaerobic threshold during the first CPET. When exercise intolerance was defined as an anaerobic threshold < 3 metabolic equivalents, SV_LR / body weight had an area under curve value of 0.822, with sensitivity of 0.954, specificity of 0.593, and cut-off value of 1504·10^-3mL/kg (positive predictive value 0.72; negative predictive value 0.92). Additionally, cardiac output during leg raise (CO_LR) during the first PLRT was related to peak oxygen consumption during the second CPET (R = 0.678). When poor aerobic fitness was defined as peak oxygen consumption < 5 metabolic equivalents, CO_LR / body weight had an area under curve value of 0.814, with sensitivity of 0.781, specificity of 0.773, and a cut-off value of 68.3 mL/min/kg (positive predictive value 0.83; negative predictive value 0.71). Therefore, we conclude that PLRT during hospitalization has a good screening and predictive power for exercise intolerance/capacity in inpatients and early outpatients following coronary revascularization, which has clinical significance.     

Time-of-day effect on cardiac responses to progressive exercise

This study was designed to examine time-of-day effects on markers of cardiac functional capacity during a standard progressive cycle exercise test. Fourteen healthy, untrained young males (mean?±?SD: 17.9?±?0.7 yrs of age) performed identical maximal cycle tests in the morning (08:00-11:00?h) and late afternoon (16:00-19:00?h) in random order. Cardiac variables were measured at rest, submaximal exercise, and maximal exercise by standard echocardiographic techniques. No differences in morning and afternoon testing values at rest or during exercise were observed for oxygen uptake, heart rate, cardiac output, or markers of systolic and diastolic myocardial function. Values at peak exercise for Vo(2) at morning and afternoon testing were 3.20?±?0.49 and 3.24?±?0.55?L min(-1), respectively, for heart rate 190?±?11 and 188?±?15?bpm, and for cardiac output 19.5?±?2.8 and 19.8?±?3.5?L min(-1). Coefficients of variation for morning and afternoon values for these variables were similar to those previously published for test-retest reproducibility. This study failed to demonstrate evidence for significant time-of-day variation in Vo(2)max or cardiac function during standard progressive exercise testing in adolescent males.     

Long noncoding NONRATT021972 siRNA normalized abnormal sympathetic activity mediated by the upregulation of P2X<Subscript>7</Subscript> receptor in superior cervical ganglia after myocardial ischemia

Previous studies showed that the upregulation of the P2X₇ receptor in cervical sympathetic ganglia was involved in myocardial ischemic (MI) injury. The dysregulated expression of long noncoding RNAs (lncRNAs) participates in the onset and progression of many pathological conditions. The aim of this study was to investigate the effects of a small interfering RNA (siRNA) against the NONRATT021972 lncRNA on the abnormal changes of cardiac function mediated by the up-regulation of the P2X₇ receptor in the superior cervical ganglia (SCG) after myocardial ischemia. When the MI rats were treated with NONRATT021972 siRNA, their increased systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), low-frequency (LF) power, and LF/HF ratio were reduced to normal levels. However, the decreased high-frequency (HF) power was increased. GAP43 and tyrosine hydroxylase (TH) are markers of nerve sprouting and sympathetic nerve fibers, respectively. We found that the TH/GAP43 value was significantly increased in the MI group. However, it was reduced after the MI rats were treated with NONRATT021972 siRNA. The serum norepinephrine (NE) and epinephrine (EPI) concentrations were decreased in the MI rats that were treated with NONRATT021972 siRNA. Meanwhile, the increased P2X₇ mRNA and protein levels and the increased p-ERK1/2 expression in the SCG were also reduced. NONRATT021972 siRNA treatment inhibited the P2X₇ agonist BzATP-activated currents in HEK293 cells transfected with pEGFP-P2X₇. Our findings suggest that NONRATT021972 siRNA could decrease the upregulation of the P2X₇ receptor and improve the abnormal changes in cardiac function after myocardial ischemia.