tolerance testing
Recently Published Documents


TOTAL DOCUMENTS

318
(FIVE YEARS 65)

H-INDEX

29
(FIVE YEARS 3)

2022 ◽  
Author(s):  
Armin Ahmadi ◽  
M. Nazmul Huda ◽  
Brian Bennett ◽  
Jorge Gamboa ◽  
Leila R. Zelnick ◽  
...  

Chronic kidney disease (CKD), a major public health problem, is associated with decreased anabolic response to insulin contributing to protein-energy wasting. Targeted metabolic profiling of the response to oral glucose tolerance testing (OGTT) may help identify metabolic pathways contributing to disruptions to insulin response in CKD. Using targeted metabolic profiling, we examined plasma metabolome in 41 moderate-to-severe non-diabetic CKD patients with estimated glomerular filtration rate (eGFR)<60ml/min per 1.73m2 (38.9+-12.7) and 20 healthy controls with normal eGFR (87.2+-17.7) before and after 2h of 75g oral glucose load. Compared to controls, CKD participants had higher lactate: pyruvate (L:P) ratio both at fasting and after oral glucose challenge. Total energy production estimated through GTP:GDP ratio was impaired during OGTT despite similar fasting GTP:GDP ratio. CKD group had sustained elevation of vitamin B family members, TCA cycle metabolites, and purine nucleotides in response to glucose challenge. Metabolic profiling in response to OGTT suggests a broad disruption of mitochondrial energy metabolism in CKD patients. These findings motivate further investigation into insulin sensitizers in patients with non-diabetic CKD and their impact on energy metabolism.


2022 ◽  
Vol 23 (1) ◽  
pp. 577
Author(s):  
Ying-Hsien Huang ◽  
Feng-Sheng Wang ◽  
Pei-Wen Wang ◽  
Hung-Yu Lin ◽  
Sheng-Dean Luo ◽  
...  

Non-alcoholic fatty liver disease (NAFLD), the most common cause of chronic liver disease, consists of fat deposited (steatosis) in the liver due to causes besides excessive alcohol use. The folding activity of heat shock protein 60 (HSP60) has been shown to protect mitochondria from proteotoxicity under various types of stress. In this study, we investigated whether HSP60 could ameliorate experimental high-fat diet (HFD)-induced obesity and hepatitis and explored the potential mechanism in mice. The results uncovered that HSP60 gain not only alleviated HFD-induced body weight gain, fat accumulation, and hepatocellular steatosis, but also glucose tolerance and insulin resistance according to intraperitoneal glucose tolerance testing and insulin tolerance testing in HSP60 transgenic (HSP60Tg) compared to wild-type (WT) mice by HFD. Furthermore, overexpression of HSP60 in the HFD group resulted in inhibited release of mitochondrial dsRNA (mt-dsRNA) compared to WT mice. In addition, overexpression of HSP60 also inhibited the activation of toll-like receptor 3 (TLR3), melanoma differentiation-associated gene 5 (MDA5), and phosphorylated-interferon regulatory factor 3 (p-IRF3), as well as inflammatory biomarkers such as mRNA of il-1β and il-6 expression in the liver in response to HFD. The in vitro study also confirmed that the addition of HSP-60 mimics in HepG2 cells led to upregulated expression level of HSP60 and restricted release of mt-dsRNA, as well as downregulated expression levels of TLR3, MDA5, and pIRF3. This study provides novel insight into a hepatoprotective effect, whereby HSP60 inhibits the release of dsRNA to repress the TLR3/MDA5/pIRF3 pathway in the context of NAFLD or hepatic inflammation. Therefore, HSP60 may serve as a possible therapeutic target for improving NAFLD.


Author(s):  
Cody R. Butler ◽  
Erin Dierickx ◽  
Michelle Bruneau ◽  
Rebecca Stearns ◽  
Douglas J. Casa

ABSTRACT Heat tolerance testing (HTT) has been developed to assess readiness for work or exercise in the heat based on thermoregulation during exertion. Although the Israeli Defense Force protocol has been the most widely utilized and referenced, other protocols and variables considered in the interpretation of the test are emerging. Therefore, the purpose of this “Current Clinical Concepts” manuscript is to summarize the role of HTT following an exertional heat stroke (EHS), assess the validity of HTT, and to provide a review of best practice recommendations to guide clinicians, coaches and researchers in the performance, interpretation, and future direction of HTT. Furthermore, we will provide the strength of evidence for these recommendations using the Strength of Recommendation Taxonomy system.


Author(s):  
Mansoor H. Alshehri ◽  
Sayed Saber ◽  
Faisal Z. Duraihem

Abstract This paper proposes a fractional-order model of glucose–insulin interaction. In Caputo’s meaning, the fractional derivative is defined. This model arises in Bergman’s minimal model, used to describe blood glucose and insulin metabolism, after intravenous tolerance testing. We showed that the established model has existence, uniqueness, non-negativity, and boundedness of fractional-order model solutions. The model’s local and global stability was investigated. The parametric conditions under which a Hopf bifurcation occurs in the positive steady state for a proposed model are studied. Moreover, we present a numerical treatment for solving the proposed fractional model using the generalized Euler method (GEM). The model’s local stability and Hopf bifurcation of the proposed model in sense of the GEM are presented. Finally, numerical simulations of the model using the Adam–Bashforth–Moulton predictor corrector scheme and the GEM have been presented to support our analytical results.


Author(s):  
Smruti K. Patel ◽  
Jorge Zamorano-Fernández ◽  
Carlie McCoy ◽  
Jesse Skoch

OBJECTIVE External magnetic forces can have an impact on programmable valve mechanisms and potentially alter the opening pressure. As wearable technology has begun to permeate mainstream living, there is a clear need to provide information regarding safety of these devices for use near a programmable valve (PV). The aim of this study was to evaluate the magnetic fields of reference devices using smartphone-integrated magnetometers and compare the results with published shunt tolerances. METHODS Five smartphones from different manufacturers were used to evaluate the magnetic properties of various commonly used (n = 6) and newer-generation (n = 10) devices using measurements generated from the internal smartphone magnetometers. PV tolerance testing using calibrated magnets of varying field strengths was also performed by smartphone magnetometers. RESULTS All tested smartphone-integrated magnetometers had a factory sensor saturation point at around 5000 µT or 50 Gauss (G). This is well below the threshold at which a magnet can potentially deprogram a shunt, based on manufacturer reports as well as the authors’ experimental data with a threshold of more than 300 G. While many of the devices did saturate the smartphone sensors at the source, the magnetic flux density of the objects decreases significantly at 2 inches. CONCLUSIONS The existence of an upper limit on the magnetometers of all the smartphones used, although well below the published deprogramming threshold for modern programmable valves, does not allow us to give precise recommendations on those devices that saturate the sensor. Based on the authors’ experimental data using smartphone-integrated magnetometers, they concluded that devices that measure < 40 G can be used safely close to a PV.


Sign in / Sign up

Export Citation Format

Share Document