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Biomedical subjects

P Cerretelli

Publications and source records attributed to P Cerretelli.

At least 73 records · Page 4Linked to original sources

Gas exchange kinetics in heart transplant recipients.

Submaximal and/or peak levels of oxygen consumption (VO2), pulmonary ventilation (VE), heart rate (HR), stroke volume of heart (SV), cardiac output (Q), muscle blood flow (qm), as well as the kinetics of readjustment of gas exchange, Q and qm (t1/2 VO2on-, t1/2 Qon-, t1/2 qmon-) were determined in 44 heart transplant recipients (HTRs) and in a group of age-, sex-, and physical activity-matched control subjects (CTL) when carrying out rectangular loads (25 to 125 W) on a bicycle ergometer. The increase of SV occurring at work onset appears to compensate in HTRs for the sluggish readjustment of HR so that the rate of readjustment of Q is kept within normal limits. As a consequence, qm, t1/2 q mon-, and t1/2 VO2on- appear to be similar or only moderately delayed in HTRs compared with CTLs. It is concluded that in HTRs, because of constrained maximum HR, only work loads up to 60% of the VO2max of CTLs may be attained; also, owing to the fast readjustment of Q, up to work loads of 75 to 100 W, the rest to work transition phase is not impaired.

Electrocardiography↗

Neurotransmitter amino acid variations in striatum of rats exposed to 50 Hz electric fields.

Concentration of neurotransmitter amino acids (Tau, Gly, Asp, Glu, Gln, Ala, GABA) were measured in rat striatum following varying exposure (320 to 1408 h) to high intensity (50 Hz) electric fields. Tissue extracts in methanol, after drying, were derivatized with dansyl chloride and the amino acids quantitated by high-pressure liquid chromatography with ultraviolet detection. Short exposures (320 h) to 100 kV/m field induced a decrease in almost all tested amino acids. Longer exposure times (640 h) to 25 and 100 kV/m were only associated with a decrease in Tau. A further increase of the exposure time (1240 and 1408 h) both at 25 and 180 kV/m were mainly associated with a reduction of the amino acid levels. It is concluded that electric fields in the range 20-180 kV/m generate bimodal variations in neurotransmitter amino acids with troughs at very short and longer exposure times, independent from the field strength.

Amino Acids↗

Peak anaerobic power in master athletes.

The age-related decline in maximal physical performance of healthy subjects may be attributed both to the aging process per se and/or to a progressive reduction in physical activity. In two groups of master athletes, power (P) or endurance (E) trained (n = 115; aged 40-78 years), the degree and rate of the age-related deterioration of the maximal instantaneous muscle power (peak power, Wpeak), and the relative contribution of quantitative (muscle mass) and qualitative factors possibly underlying such deterioration were determined. Two groups of young athletes (n = 20; 17-26 years) and healthy untrained subjects (U, n = 37; 22-67 years) were also tested for comparison. The following two variables were assessed, firstly the lower limb muscle plus bone volume (LMV) by anthropometry, and secondly Wpeak, by means of a standardized vertical jump off both feet, performed on a force platform. The results obtained were that LMV of E and P, as well as of U, was about the same between age 20 and 45 years, whereas at older ages a progressive reduction was observed; the LMV values were higher in P than in E and U.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗

Energetics of locomotion in African pygmies.

The energy cost of walking (Cw) and running (Cr), and the maximal O2 consumption (VO2max) were determined in a field study on 17 Pygmies (age 24 years, SD 6; height 160 cm, SD 5; body mass 57.2 kg, SD 4.8) living in the region of Bipindi, Cameroon. The Cw varied from 112 ml.kg-1.km-1, SD 25 [velocity (v), 4 km.h-1] to 143 ml.kg-1.km-1, SD 16 (v, 7 km.h-1). Optimal walking v was 5 km.h-1. The Cr was 156 ml.kg-1.km-1, SD 14 (v, 10 km.h-1) and was constant in the 8-11 km.h-1 speed range. The VO2max was 33.7 ml.kg-1.min-1, i.e. lower than in other African populations of the same age. The Cr and Cw were lower than in taller Caucasian endurance runners. These findings, which challenge the theory of physical similarity as applied to animal locomotion, may depend either on the mechanics of locomotion which in Pygmies may be different from that observed in Caucasians, or on a greater mechanical efficiency in Pygmies than in Caucasians. The low Cr values observed enable Pygmies to reach higher running speeds than would be expected on the basis of their VO2max.

Africa↗

Alveolar gas composition and exchange during deep breath-hold diving and dry breath holds in elite divers.

End tidal O2 and CO2 (PETCO2) pressures, expired volume, blood lactate concentration ([Lab]), and arterial blood O2 saturation [dry breath holds (BHs) only] were assessed in three elite breath-hold divers (ED) before and after deep dives and BH and in nine control subjects (C; BH only). After the dives (depth 40-70 m, duration 88-151 s), end-tidal O2 pressure decreased from approximately 140 Torr to a minimum of 30.6 Torr, PETCO2 increased from approximately 25 Torr to a maximum of 47.0 Torr, and expired volume (BTPS) ranged from 1.32 to 2.86 liters. Pulmonary O2 exchange was 455-1,006 ml. CO2 output approached zero. [Lab] increased from approximately 1.2 mM to at most 6.46 mM. Estimated power output during dives was 513-929 ml O2/min, i.e. approximately 20-30% of maximal O2 consumption. During BH, alveolar PO2 decreased from approximately 130 to less than 30 Torr in ED and from 125 to 45 Torr in C. PETCO2 increased from approximately 30 to approximately 50 Torr in both ED and C. Contrary to C, pulmonary O2 exchange in ED was less than resting O2 consumption, whereas CO2 output approached zero in both groups. [Lab] was unchanged. Arterial blood O2 saturation decreased more in ED than in C. ED are characterized by increased anaerobic metabolism likely due to the existence of a diving reflex.

Adult↗

Muscle structure and performance capacity of Himalayan Sherpas.

The ultrastructure of the vastus lateralis muscle of Sherpas from Nepal [5 males; age 28 +/- 2.8 (SD) yr, indirect maximal O2 consumption 48.5 +/- 5.4 ml.kg(-1).min(-1)] was assessed and compared with those of sedentary lowlanders and of Caucasian climbers before and after high-altitude exposure. The mean cross-sectional area of the fibers was 3,186 +/- 521 microns2, i.e., similar to those of Caucasian elite high-altitude climbers (3,108 +/- 303 microns2) and a group of climbers after a 6- to 8-wk sojourn at 5,000-8,600 m (3,360 +/- 580 microns2) but significantly (P less than 0.05) smaller than that of unacclimatized climbers (4,170 +/- 710 microns2) and slightly, although not significantly, lower than that of sedentary lowlanders (3,640 +/- 260 microns2). The number of capillaries per square millimeter of muscle cross section was 467 +/- 22, not significantly smaller than those of climbers on return from a Himalayan expedition (538 +/- 89) and elite high-altitude climbers (542 +/- 127) but significantly (P less than 0.05) greater than that of sedentary lowlanders (387 +/- 25). The volume density of mitochondria was 3.96 +/- 0.54%, significantly (P less than 0.05) less than the values found for any other investigated group, including sedentary subjects at sea level (4.74 +/- 0.30%). It is concluded that Sherpas, like acclimatized Caucasian climbers, are characterized by 1) facilitated convective and diffusive muscle O2 flow conditions and 2) a higher maximal O2 consumption-to-mitochondrial volume ratio than lowlanders despite a reduced mitochondrial volume density.

Acclimatization↗

Effect of aging on human adductor pollicis muscle function.

The effect of aging on the voluntary and electrically evoked contractile properties of the human adductor pollicis muscle was investigated in 70 healthy male subjects aged 20-91 yr, 10 subjects for each decade. Maximum isometric voluntary force declined significantly (range of P values less than 0.001-0.05) after the age of 59 yr, dropping by the eighth decade to 57.6% of the level recorded in the second decade. A significant shift (P range less than 0.001-0.05) to the left of the frequency-force curve after ulnar nerve supramaximal stimulation at 1, 10, 20, 30, and 50 Hz was observed in the most elderly group (greater than 80 yr) compared with the youngest group (20-29 yr). Maximum relaxation rate dropped by 48.7% from the second to the eighth decade. The decrease became significant (P range less than 0.05-0.001) with the sixth decade. Isometric endurance, evaluated during 30 s of stimulation at 30 Hz, showed a linear (P less than 0.001) increase with age. Aged muscle is thus weaker, slower, and tetanized at lower fusion frequencies but, paradoxically, more resistant to static fatigue.

Adult↗

Muscle 31P-NMR in humans: estimate of bias and qualitative assessment of ATPase activity.

A mathematical model is developed whereby the longitudinal magnetization of phosphocreatine (PC), ATP, Pi, and total phosphate (PT) can be calculated on the basis of assumed chemical rate constants (kappa i) and spin lattice relaxation times of the muscle PC in equilibrium ATP in equilibrium Pi exchange system. By means of this model, some unexplained 31P nuclear magnetic resonance (NMR) spectroscopy results from the literature (e.g., a decrease of PT in a closed system) could be explained simply on the basis of the physiological variability of kappa i. Moreover, appropriate model simulations indicate that 1) 31P-NMR spectra obtained with short relaxation delays may be influenced to various extents by the metabolic and physicochemical status of the muscle; 2) the assessment of kappa i by standard NMR spectroscopy techniques may be extremely critical; 3) delta PC/delta Pi, as obtained from conventional 31P-NMR spectra, may represent a sensible index of kappa 2 (the pseudo first-order chemical exchange rate constant of the adenosinetriphosphatase reaction); 4) delta PC/delta Pi changes as detected from sequential (short relaxation delays) 31P-NMR spectra obtained in humans during metabolic transients (e.g., during transition from rest to work and vice versa) may represent an index of transient changes of kappa 2.

Adenosine Triphosphatases↗

Electrocardiogram during deep breath-hold dives by elite divers.

A portable ECG recorder was used during breath-hold dives at sea by 3 elite divers to 65 and 45 m. ECG was also recorded during nonimmersed maximal breath holds in the divers and 8 control subjects. Heart rate in the dives decreased rapidly to 20-24 beats.min(-1). During the surface experiments in the divers, bradycardia was much slower in onset, reaching 28-36 beats.min(-1) at the end of the breath holds. The divers showed a more consistent bradycardial response than the controls. The difference in temporal pattern of bradycardia, in the dives and in the breath holds by the divers, may have been due to face immersion in cold water, chest compression, and/or redistribution of blood into the chest with concomitant stimulation of cardiac and other mechanoreceptors. Arrhythmias, mostly supraventricular and ventricular premature complexes, were observed coincidently with the lowest heart rates, presumably reflecting a high vagal tone. In addition, cardiac distention at depth might have made the heart more prone to arrhythmias, while in the surface breath holds hypoxia might have accounted for a similar effect.

Adult↗

Human muscle structure after exposure to extreme altitude.

Muscle structural changes during typical mountaineering expeditions to the Himalayas were assessed on muscle biopsies. A significant reduction in muscle fiber size (-20%) and a loss of muscle oxidative capacity (-25%) were observed. The capillary network was not affected by catabolism. It is concluded that the oxygen supply to muscle mitochondria after high altitude exposure is thus improved.

Altitude↗

Muscle lipofuscin content and satellite cell volume is increased after high altitude exposure in humans.

Muscle ultrastructural changes during a typical expedition to the Himalayas were analyzed by taking muscle biopsies from seven climbers before and after their sojourn at high altitude (over 5000 m for 8 weeks). M. vastus lateralis samples were analyzed morphometrically from electron micrographs. A quantitative evaluation was made of lipofuscin, satellite cells and myonuclei. Significant increases of the volume densities of lipofuscin (+ 235%) and satellite cells (+ 215%) were observed.

Altitude↗

A case of mitochondrial myopathy, lactic acidosis and complex I deficiency.

A 34-year-old man affected by exercise intolerance, mild proximal weakness and severe lactic acidosis is described. Muscle biopsy revealed mitochondrial abnormalities and an increase of cytochrome c oxidase histochemical reaction. Biochemical investigations on isolated muscle mitochondria as well as polarographic studies revealed a mitochondrial NADH-CoQ reductase (complex I) deficiency. Mitochondrial dysfunction was confirmed by 31P nuclear magnetic resonance spectroscopy. Immunological investigation showed a generalized reduction of all complex I polypeptides. Genetic analysis did not reveal mitochondrial DNA deletions. The biochemical defect was not present in the patient's muscle tissue culture. Metabolic measurements and functional evaluation showed a reduced mechanical efficiency during exercise.

Acidosis, Lactic↗

Physiological responses during prolonged exercise at the power output corresponding to the blood lactate threshold.

Heart rate (HR) and oxygen uptake (VO2) at the mechanical power (W) corresponding to the capillary blood lactate ([la]cap) of 4 mmol.l-1 (Wlt) were measured in 34 healthy male subjects during incremental exercise (Winc). On the basis of these measurements, the subjects were asked to cycle at Wlt for 60 min (steady-state exercise, Wss). Twenty subjects could not reach the target time (mean exhaustion time, te, 38.2 min, SD 5.3), while 6 of the 14 remaining subjects declared themselves exhausted at the end of exercise. The final [la]cap if the two groups of exhausted subjects were 5.3 mmol.l-1, SD 2.3 and 4.3 mmol.l-1, SD 1.1, respectively. At the end of Wss, [la]cap and HR were significantly lower in the 8 unexhausted subjects than in the other subjects. This group also had a lower HR at Wlt during Winc. The HR and VO2 appeared to be higher during Wss than during Winc. When all subjects were ranked according to their te during Wss, Wlt (expressed per kilogram of body mass) was found to be negatively related to te. In conclusion, during Winc, measurements of physiological variables at fixed [la]cap give a poor prediction of their trends during Wss and of the relative te; at the same work load [la]cap can be quite different in the two experimental conditions. Furthermore, resistance to exercise fatigue at Wlt seems lower in the fitter subjects.

Adult↗

Energetics of resting anaerobic frog gastrocnemius at different temperatures by 31P-NMR.

The net rate of phosphocreatine hydrolysis [PCr] [symbol; see text], and tissue pH were determined in anaerobic resting frog (Rana Ridibunda Ridibunda) gastrocnemii by 31-P-NMR in the temperature (T) range from 5 to 30 degrees C. Absolute [PCr] [symbol; see text] values from 0.36 to 10.07 mM/h were estimated assuming a resting [PCr] of 26 mM at 20 degrees C. The corresponding Q10 values ranged from 2.1 (30 degrees C) to 17.5 (5 degrees C). Muscle pH was found to be T-dependent with a 10 degrees C drop in T resulting in an increase of 0.1 pH units. At any given T, pH was found to be constant over a period of at least one hour (30 degrees C) from the onset of anaerobiosis. Based on simultaneous [PCr] [symbol; see text] and pH estimates, the contribution of anaerobic glycolysis ([ATPLA]) to the overall rate of ATP resynthesis ([ATPTot]) was estimated assuming a approximately P/La ratio of 1.2. [ATPTot] was then calculated for each investigated T value as the sum of [PCr] and [ATPLa]. [ATPTot] was found to vary between 5 and 30 degrees C from 0.79 mM/h to 22.15 mM/h. The present study, besides proposing a methodology for the assessment of high energy phosphates hydrolysis by 31P-NMR spectroscopy at changing T, provides a comprehensive analysis of the T-dependence of anaerobic metabolism of the resting anaerobic frog gastrocnemius which may be extrapolated to other tissues.

Adenosine Triphosphate↗

L-carnitine supplementation in humans. The effects on physical performance.

The use of supplementary L-carnitine by athletes has become rather widespread over the recent years even in the absence of unequivocal results from human experimental studies that might support this practice. To justify the above procedure, the most commonly purported reasons are that L-carnitine administration could hypothetically: 1. increase lipid turnover in working muscles leading to glycogen saving and, as a consequence, allow longer performances for given heavy work loads; 2. contribute to the homeostasis of free and esterified L-carnitine in plasma and muscle, the allegation being that the levels of one or more of these compounds may decrease in the course of heavy repetitive exercise. A critical survey of the literature on carnitine metabolism in healthy humans at exercise does not appear to be available. The authors are of the opinion that this paper, besides shedding light into some relevant aspects of energy turnover in muscle, could also be of practical use not only for the physiologists but particularly for the Sport Medicine practitioners.

Adolescent↗

A multidisciplinary approach to the study of the effects of altitude on muscle structure and function.

The aim of the papers included in the present series as well as the characteristics of the subjects participating in the study (16 mountaineers) are presented. The following studies deal with the effects of chronic hypoxia on muscle ultrastructure, enzymes, and energetics, as well as on oxygen transport and delivery during exercise. Most of the results appearing in the forthcoming papers were collected before and after two Himalaya expeditions (Lhotse Shar, 1981, and Everest, 1986) whose characteristics and duration are described.

Acclimatization↗

Morphological adaptations of human skeletal muscle to chronic hypoxia.

Muscle structural changes during typical mountaineering expeditions to the Himalayas were assessed by taking muscle biopsies from 14 mountaineers before and after their sojourn at high altitude (greater than 5000 m for over 8 weeks). M. vastus lateralis samples were analyzed morphometrically from electron micrographs. A significant reduction (-10%) of muscle cross-sectional area was found on CT scans of the thigh. Morphologically this loss in muscle mass appeared as a decrease in muscle fiber size mainly due to a loss of myofibrillar proteins. A loss of muscle oxidative capacity was also evident, as indicated by a decrease in the volume of muscle mitochondria (-25%). In contrast, the capillary network was mostly spared from catabolism. It is therefore concluded that oxygen availability to muscle mitochondria after prolonged high-altitude exposure in humans is improved due to an unchanged capillary network, supplying a reduced muscle oxidative capacity.

Acclimatization↗