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Lim ZX, Gyanwali B, Soh J, Koh AS, Goh J. The potential benefits of assessing post-cardiopulmonary exercise testing (CPET) in aging: a narrative review. BMC Sports Sci Med Rehabil 2023; 15:68. [PMID: 37127789 PMCID: PMC10150471 DOI: 10.1186/s13102-023-00671-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2022] [Accepted: 04/03/2023] [Indexed: 05/03/2023]
Abstract
Cardiopulmonary exercise testing (CPET) is an important tool to measure the cardiopulmonary fitness of an individual and has been widely used in athletic, clinical and research settings. Most CPET focus on analyzing physiological responses during exercise. We contend that the post-CPET recovery physiological responses offer further diagnostic and prognostic information about the health of the cardiopulmonary and metabolic systems, especially when testing apparently healthy middle-aged and older adults. However, there are limited studies that investigate physiological responses during the post-CPET recovery, and even less so in middle-aged and older adults. Therefore, this current review is aimed at discussing the contribution of post-CPET recovery parameters to cardiopulmonary health and their potential applications in aging populations. In addition to the existing methods, we propose to examine the aerobic and anaerobic recovery threshold post-CPET as novel potential diagnostic and/or prognostic tools.
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Affiliation(s)
- Zi Xiang Lim
- Healthy Longevity Translational Research Program, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Queenstown, Singapore
- Centre for Healthy Longevity, National University Health System, Singapore, Singapore
- Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Queenstown, Singapore
| | - Bibek Gyanwali
- Healthy Longevity Translational Research Program, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Queenstown, Singapore
- Centre for Healthy Longevity, National University Health System, Singapore, Singapore
- Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Queenstown, Singapore
| | - Janjira Soh
- Healthy Longevity Translational Research Program, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Queenstown, Singapore
- Centre for Healthy Longevity, National University Health System, Singapore, Singapore
- Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Queenstown, Singapore
| | - Angela S Koh
- National Heart Centre Singapore, Singapore, Singapore
- Duke-NUS Medical School, Singapore, Singapore
| | - Jorming Goh
- Healthy Longevity Translational Research Program, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Queenstown, Singapore.
- Centre for Healthy Longevity, National University Health System, Singapore, Singapore.
- Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore (NUS), Queenstown, Singapore.
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Bueschke N, Amaral-Silva L, Hu M, Santin JM. Lactate ions induce synaptic plasticity to enhance output from the central respiratory network. J Physiol 2021; 599:5485-5504. [PMID: 34761806 DOI: 10.1113/jp282062] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Accepted: 10/29/2021] [Indexed: 12/16/2022] Open
Abstract
Lactate ion sensing has emerged as a process that regulates ventilation during metabolic challenges. Most work has focused on peripheral sensing of lactate for the control of breathing. However, lactate also rises in the central nervous system (CNS) during disturbances to blood gas homeostasis and exercise. Using an amphibian model, we recently showed that lactate ions, independently of pH and pyruvate metabolism, act directly in the brainstem to increase respiratory-related motor outflow. This response had a long washout time and corresponded with potentiated excitatory synaptic strength of respiratory motoneurons. Thus, we tested the hypothesis that lactate ions enhance respiratory output using cellular mechanisms associated with long-term synaptic plasticity within motoneurons. In this study, we confirm that 2 mM sodium lactate, but not sodium pyruvate, increases respiratory motor output in brainstem-spinal cord preparations, persisting for 2 h upon the removal of lactate. Lactate also led to prolonged increases in the amplitude of AMPA-glutamate receptor (AMPAR) currents in individual motoneurons from brainstem slices. Both motor facilitation and AMPAR potentiation by lactate required classic effectors of synaptic plasticity, L-type Ca2+ channels and NMDA receptors, as part of the transduction process but did not correspond with increased expression of immediate-early genes often associated with activity-dependent neuronal plasticity. Altogether these results show that lactate ions enhance respiratory motor output by inducing conserved mechanisms of synaptic plasticity and suggest a new mechanism that may contribute to coupling ventilation to metabolic demands in vertebrates. KEY POINTS: Lactate ions, independently of pH and metabolism, induce long-term increases in respiratory-related motor outflow in American bullfrogs. Lactate triggers a persistent increase in strength of AMPA-glutamatergic synapses onto respiratory motor neurons. Long-term plasticity of motor output and synaptic strength by lactate involves L-type Ca2+ channels and NMDA-receptors as part of the transduction process. Enhanced AMPA receptor function in response to lactate in the intact network is causal for motor plasticity. In sum, well-conserved synaptic plasticity mechanisms couple the brainstem lactate ion concentration to respiratory motor drive in vertebrates.
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Affiliation(s)
- Nikolaus Bueschke
- Department of Biology, The University of North Carolina, Greensboro, NC, USA
| | - Lara Amaral-Silva
- Department of Biology, The University of North Carolina, Greensboro, NC, USA
| | - Min Hu
- Department of Biology, The University of North Carolina, Greensboro, NC, USA
| | - Joseph M Santin
- Department of Biology, The University of North Carolina, Greensboro, NC, USA
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CAMACHO A, VANDENBROOKS JM, RILEY A, TELEMECO RS, ANGILLETTA MJ. Oxygen supply did not affect how lizards responded to thermal stress. Integr Zool 2018; 13:428-436. [DOI: 10.1111/1749-4877.12310] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Agustín CAMACHO
- Department of Physiology, Institute of Biosciences; University of São Paulo; Brazil
| | | | - Angela RILEY
- School of Life Sciences; Arizona State University; Tempe Arizona USA
| | - Rory S. TELEMECO
- Department of Biology; California State University; Fresno California USA
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Zhou S, Zheng Q, Huang X, Wang Y, Luo S, Jiang R, Wang L, Ye W, Tian H. Isolation and identification ofl/d-lactate-conjugated bufadienolides from toad eggs revealing lactate racemization in amphibians. Org Biomol Chem 2017. [DOI: 10.1039/c7ob01055a] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Three pairs of bufadienolidel/d-lactate epimers (1–6) were isolated from the eggs of the toadBufo bufo gargarizans.
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Affiliation(s)
- Shiwen Zhou
- Institute of Traditional Chinese Medicine and Natural Products
- College of Pharmacy
- Jinan University
- Guangzhou 510632
- China
| | - Qingfei Zheng
- State Key Laboratory of Bioorganic and Natural Products Chemistry
- Shanghai Institute of Organic Chemistry
- Chinese Academy of Sciences
- Shanghai 200032
- China
| | - Xiuyong Huang
- Institute of Traditional Chinese Medicine and Natural Products
- College of Pharmacy
- Jinan University
- Guangzhou 510632
- China
| | - Yong Wang
- School of Stomatology and Medicine
- Foshan University
- Foshan 528000
- China
| | - Sifan Luo
- Institute of Traditional Chinese Medicine and Natural Products
- College of Pharmacy
- Jinan University
- Guangzhou 510632
- China
| | - Renwang Jiang
- Institute of Traditional Chinese Medicine and Natural Products
- College of Pharmacy
- Jinan University
- Guangzhou 510632
- China
| | - Lei Wang
- Institute of Traditional Chinese Medicine and Natural Products
- College of Pharmacy
- Jinan University
- Guangzhou 510632
- China
| | - Wencai Ye
- Institute of Traditional Chinese Medicine and Natural Products
- College of Pharmacy
- Jinan University
- Guangzhou 510632
- China
| | - Haiyan Tian
- Institute of Traditional Chinese Medicine and Natural Products
- College of Pharmacy
- Jinan University
- Guangzhou 510632
- China
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Li AJ, Leung PT, Bao VW, Lui GC, Leung KM. Temperature-dependent physiological and biochemical responses of the marine medaka Oryzias melastigma with consideration of both low and high thermal extremes. J Therm Biol 2015; 54:98-105. [DOI: 10.1016/j.jtherbio.2014.09.011] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2014] [Revised: 09/29/2014] [Accepted: 09/29/2014] [Indexed: 11/25/2022]
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Pörtner HO. Oxygen- and capacity-limitation of thermal tolerance: a matrix for integrating climate-related stressor effects in marine ecosystems. J Exp Biol 2010; 213:881-93. [PMID: 20190113 DOI: 10.1242/jeb.037523] [Citation(s) in RCA: 687] [Impact Index Per Article: 45.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
SUMMARY
The concept of oxygen- and capacity-dependent thermal tolerance in aquatic ectotherms has successfully explained climate-induced effects of rising temperatures on species abundance in the field. Oxygen supply to tissues and the resulting aerobic performance characters thus form a primary link between organismal fitness and its role and functioning at the ecosystem level. The thermal window of performance in water breathers matches their window of aerobic scope. Loss of performance reflects the earliest level of thermal stress, caused by hypoxaemia and the progressive mismatch of oxygen supply and demand at the borders of the thermal envelope. Oxygen deficiency elicits the transition to passive tolerance and associated systemic and cellular stress signals like hormonal responses or oxidative stress as well as the use of protection mechanisms like heat shock proteins at thermal extremes. Thermal acclimatization between seasons or adaptation to a climate regime involves shifting thermal windows and adjusting window widths. The need to specialize on a limited temperature range results from temperature-dependent trade-offs at several hierarchical levels, from molecular structure to whole-organism functioning, and may also support maximized energy efficiency. Various environmental factors like CO2 (ocean acidification) and hypoxia interact with these principal relationships. Existing knowledge suggests that these factors elicit metabolic depression supporting passive tolerance to thermal extremes. However, they also exacerbate hypoxaemia, causing a narrowing of thermal performance windows and prematurely leading the organism to the limits of its thermal acclimation capacity. The conceptual analysis suggests that the relationships between energy turnover, the capacities of activity and other functions and the width of thermal windows may lead to an integrative understanding of specialization on climate and, as a thermal matrix, of sensitivity to climate change and the factors involved. Such functional relationships might also relate to climate-induced changes in species interactions and, thus, community responses at the ecosystem level.
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Affiliation(s)
- H.-O. Pörtner
- Integrative Ecophysiology, Alfred-Wegener-Institute, Am Handelshafen 12, 27570 Bremerhaven, Germany
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Hancock T, Gleeson T. Contributions to Elevated Metabolism during Recovery: Dissecting the Excess Postexercise Oxygen Consumption (EPOC) in the Desert Iguana (Dipsosaurus dorsalis). Physiol Biochem Zool 2008; 81:1-13. [DOI: 10.1086/523857] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/07/2007] [Indexed: 11/03/2022]
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Duerr JM, Tucker K. Pyruvate transport in isolated cardiac mitochondria from two species of amphibian exhibiting dissimilar aerobic scope: Bufo marinus and Rana catesbeiana. ACTA ACUST UNITED AC 2007; 307:425-38. [PMID: 17583564 DOI: 10.1002/jez.396] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Cardiac mitochondria were isolated from Bufo marinus and Rana catesbeiana, two species of amphibian whose cardiovascular systems are adapted to either predominantly aerobic or glycolytic modes of locomotion. Mitochondrial oxidative capacity was compared using VO2 max and respiratory control ratios in the presence of a variety of substrates including pyruvate, lactate, oxaloacetate, beta-hydroxybutyrate, and octanoyl-carnitine. B. marinus cardiac mitochondria exhibited VO2 max values twice that of R. catesbeiana cardiac mitochondria when oxidizing carbohydrate substrates. Pyruvate transport was measured via a radiolabeled-tracer assay in isolated B. marinus and R. catesbeiana cardiac mitochondria. Time-course experiments described both alpha-cyano-4-hydroxycinnamate-sensitive (MCT-like) and phenylsuccinate-sensitive pyruvate uptake mechanisms in both species. Pyruvate uptake by the MCT-like transporter was enhanced in the presence of a pH gradient, whereas the phenylsuccinate-sensitive transporter was inhibited. Notably, anuran cardiac mitochondria exhibited activities of lactate dehydrogenase and pyruvate carboxylase. The presence of both transporters on the inner mitochondrial membrane affords the net uptake of monocarboxylates including pyruvate, beta-hydroxybutyrate, and lactate; the latter potentially indicating the presence of a lactate/pyruvate shuttle allowing oxidation of extramitochondrial NADH. Intramitochondrial lactate dehydrogenase and pyruvate carboxylase enables lactate to be oxidized to pyruvate or converted to anaplerotic oxaloacetate. Kinetics of the MCT-like transporter differed significantly between the two species, suggesting differences in aerobic scope may be in part attributable to differences in mitochondrial carbohydrate utilization.
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Affiliation(s)
- Jeffrey M Duerr
- Department of Biology and Chemistry, George Fox University, Newberg, Oregon 97132, USA.
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Sylvestre EL, Lapointe D, Dutil JD, Guderley H. Thermal sensitivity of metabolic rates and swimming performance in two latitudinally separated populations of cod, Gadus morhua L. J Comp Physiol B 2007; 177:447-60. [PMID: 17279388 DOI: 10.1007/s00360-007-0143-x] [Citation(s) in RCA: 43] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2006] [Revised: 12/29/2006] [Accepted: 01/03/2007] [Indexed: 10/23/2022]
Abstract
Atlantic cod populations live in a wide thermal range and can differ genetically and physiologically. Thermal sensitivity of metabolic capacity and swimming performance may vary along a latitudinal gradient, to facilitate performance in distinct thermal environments. To evaluate this hypothesis, we compared the thermal sensitivity of performance in two cod stocks from the Northwest Atlantic that differ in their thermal experience: Gulf of St Lawrence (GSL) and Bay of Fundy (BF). We first compared the metabolic, physiological and swimming performance after short-term thermal change to that at the acclimation temperature (7 degrees C) for one stock (GSL), before comparing the performance of the two stocks after short-term thermal change. For cod from GSL, standard metabolism (SMR) increased with temperature, while active metabolism (AMR, measured in the critical swimming tests), EMR (metabolic rate after an exhaustive chase protocol), aerobic scope (AS) and critical swimming speeds (U (crit) and U (b-c)) were lower at 3 degrees C than 7 or 11 degrees C. In contrast, anaerobic swimming (sprint and burst-coasts in U (crit) test) was lower at 11 than 7 or 3 degrees C. Factorial AS (AMR SMR(-1)) decreased as temperature rose. Time to exhaustion (chase protocol) was not influenced by temperature. The two stocks differed little in the thermal sensitivities of metabolism or swimming. GSL cod had a higher SMR than BF cod despite similar AMR and AS. This led factorial AS to be significantly higher for the southern stock. Despite these metabolic differences, cod from the two stocks did not differ in their U (crit) speeds. BF cod were better sprinters at both temperatures. Cod from GSL had a lower aerobic cost of swimming at intermediate speeds than those from BF, particularly at low temperature. Only the activity of cytochrome C oxidase (CCO) in white muscle differed between stocks. No enzymatic correlates were found for swimming capacities, but oxygen consumption was best correlated with CCO activity in the ventricle for both stocks. Overall, the stocks differed in their cost of maintenance, cost of transport and sprint capacity, while maintaining comparable thermal sensitivities.
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Krogh A, Weis-Fogh T. INSECT FLIGHT TAKES OFF. J Exp Biol 2004; 207:3251-2. [PMID: 15326201 DOI: 10.1242/jeb.01190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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12
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Langenbuch M, Pörtner HO. Energy budget of hepatocytes from Antarctic fish (Pachycara brachycephalumandLepidonotothen kempi) as a function of ambient CO2: pH-dependent limitations of cellular protein biosynthesis? J Exp Biol 2003; 206:3895-903. [PMID: 14555731 DOI: 10.1242/jeb.00620] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
SUMMARYScenarios of rising CO2 concentration in surface waters due to atmospheric accumulation of anthropogenic CO2, or in the deep sea due to anticipated industrial dumping of CO2, suggest that hypercapnia (elevated partial pressure of CO2) will become a general stress factor in aquatic environments, with largely unknown effects on species survival and well being, especially in cold and deep waters. For an analysis of CO2 effects at the cellular level, isolated hepatocytes were prepared from two representatives of the Antarctic fish fauna, Pachycara brachycephalum and Lepidonotothen kempi. Correlated changes in energy and protein metabolism were investigated by determining the rates of oxygen consumption at various levels of PCO2, of intra- and extracellular pH, and after inhibition of protein synthesis by cycloheximide. A decrease in extracellular pH (pHe) from control levels (pHe 7.90) to pHe 6.50 caused a reduction in aerobic metabolic rate of 34-37% under both normocapnic and hypercapnic conditions. Concomitantly, protein biosynthesis was inhibited by about 80%under conditions of severe acidosis in hepatocytes from both species. A parallel drop in intracellular pH probably mediates this effect. In conclusion, the present data indicate that elevated PCO2 may limit the functional integrity of the liver due to a pronounced depression in protein anabolism. This process may contribute to the limits of whole-animal tolerance to raised CO2levels.
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Affiliation(s)
- M Langenbuch
- Alfred-Wegener-Institut für Polar- und Meeresforschung, Okophysiologie und Okotoxikologie, Postfach 120161, D-27515 Bremerhaven, Germany
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