Autonomic Cardiac Regulation in Experimental Comorbidity of Chronic Obstructive Pulmonary Disease and Acute Cerebral Ischemia

2019 ◽  
Vol 166 (6) ◽  
pp. 726-730
Author(s):  
V. N. Kotel’nikov ◽  
B. I. Gel’tser ◽  
Yu. V. Zayats ◽  
I. O. Osipov ◽  
O. V. Topil’skaya
2018 ◽  
Author(s):  
Natalia G. Plekhova ◽  
Boris I. Geltser ◽  
Sergey V. Zinoviev ◽  
Yulia V. Zayats

AbstractCognitive impairment is one of the most common features in patients with COPD, and is associated with COPD severity and comorbidities. Development of relevant models of respiratory-cerebrovascular comorbidity in human diseases is an important task of experimental medicine. The purpose of the research consisted in determination of the morphological criteria brain condition and their correlation with behavioral phenotype of animals in the experimental comorbidity of the chronic obstructive pulmonary disease (COPD) and acute cerebral ischemia (ACI). Modeling of COPD on the basis of the combination of inducers, reproducing a proteoclastic degradation of lung tissue and systemic inflammation, and modeling of ACI by the suture middle cerebral artery occlusion with to mimic ischemia condition were used. Comparative histological study of the brain, neurological and behavioral phenotype of animals was conducted. It has been shown that in case of COPD and ACI comorbidity, formation of neurogliovascular microstructural complexes in brain is more pronounced than at animals with isolated form of disease, which was indicative of active adaptive transformation of neocortex. Significant disturbance of neurological and behavioral status of animals under the conditions of COPD and ACI comorbidity was correlated with the structural changes in the microvascular layer and neurons of brain. This study provides new insights about formation of neurogliovascular complexes with altered quantitative ratio in the vessels that was indicative of the presence of pericellular and perivascular edemas of the brain, and correlating of the these changes with the behavior of animals.


2020 ◽  
Vol 29 (2) ◽  
pp. 864-872
Author(s):  
Fernanda Borowsky da Rosa ◽  
Adriane Schmidt Pasqualoto ◽  
Catriona M. Steele ◽  
Renata Mancopes

Introduction The oral cavity and pharynx have a rich sensory system composed of specialized receptors. The integrity of oropharyngeal sensation is thought to be fundamental for safe and efficient swallowing. Chronic obstructive pulmonary disease (COPD) patients are at risk for oropharyngeal sensory impairment due to frequent use of inhaled medications and comorbidities including gastroesophageal reflux disease. Objective This study aimed to describe and compare oral and oropharyngeal sensory function measured using noninstrumental clinical methods in adults with COPD and healthy controls. Method Participants included 27 adults (18 men, nine women) with a diagnosis of COPD and a mean age of 66.56 years ( SD = 8.68). The control group comprised 11 healthy adults (five men, six women) with a mean age of 60.09 years ( SD = 11.57). Spirometry measures confirmed reduced functional expiratory volumes (% predicted) in the COPD patients compared to the control participants. All participants completed a case history interview and underwent clinical evaluation of oral and oropharyngeal sensation by a speech-language pathologist. The sensory evaluation explored the detection of tactile and temperature stimuli delivered by cotton swab to six locations in the oral cavity and two in the oropharynx as well as identification of the taste of stimuli administered in 5-ml boluses to the mouth. Analyses explored the frequencies of accurate responses regarding stimulus location, temperature and taste between groups, and between age groups (“≤ 65 years” and “> 65 years”) within the COPD cohort. Results We found significantly higher frequencies of reported use of inhaled medications ( p < .001) and xerostomia ( p = .003) in the COPD cohort. Oral cavity thermal sensation ( p = .009) was reduced in the COPD participants, and a significant age-related decline in gustatory sensation was found in the COPD group ( p = .018). Conclusion This study found that most of the measures of oral and oropharyngeal sensation remained intact in the COPD group. Oral thermal sensation was impaired in individuals with COPD, and reduced gustatory sensation was observed in the older COPD participants. Possible links between these results and the use of inhaled medication by individuals with COPD are discussed.


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