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1.
Twenty-one days of bed rest alter motor unit properties and neuromuscular junction transmission in young adults
Fabio Sarto, Miloš Kalc, Evgeniia Motanova, Martino V. Franchi, Daniel W Stashuk, Nina Murks, Giacomo Valli, Samuele Negro, Tomaž Prašnikar, Mladen Gasparini, Giovanni Martino, Giuseppe De Vito, Aleš Holobar, Boštjan Šimunič, Rado Pišot, Marco Vincenzo Narici, 2025, izvirni znanstveni članek

Povzetek: Previous studies showed that properties of higher‐threshold motor units (MUs) and neuromuscular junction (NMJ) function are preserved during short‐term disuse. This study aimed to test how a longer disuse period affects MU properties, NMJ transmission, and NMJ morphology remodeling. Nine young healthy males (age: 18‐29 years) underwent 21 days of horizontal bed rest. Pre‐ (BR0) and post‐bed rest (BR21), quadriceps maximal voluntary contraction (MVC), and size were assessed. We combined intramuscular electromyography (iEMG) and high‐density surface electromyography (HDsEMG) recordings on the vastus lateralis to assess MU properties at 25% and 50% of MVC. Muscle biopsies and blood samples were also collected. Quadriceps MVC and size decreased at BR21. We found alterations in MU properties at both contraction intensities, including reduced discharge rate, MU potential area changes, and increased complexity. NMJ transmission was found to be reduced at BR21 at 25% MVC. This functional NMJ impairment was biochemically corroborated by an increase in serum C‐terminal agrin fragment concentration, a biomarker of NMJ instability. In addition, a direct assessment of NMJ morphology revealed the presence of some denervated NMJs exclusively at BR21. In conclusion, 21‐day bed rest altered MU properties across different contraction intensities and impaired NMJ transmission with initial signs of remodeling/denervation. Disuse duration appears to be a critical factor, as previous shorter studies failed to detect some of these changes. We believe these findings are clinically relevant for disuse after trauma, surgery, or illness, and may support the development of effective countermeasures.
Ključne besede: disuse, unloading, physical inactivity, electrophysiology, electromyography
Objavljeno v DiRROS: 13.05.2025; Ogledov: 590; Prenosov: 257
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2.
Mitochondrial sensitivity to submaximal [ADP] following bed rest : a novel two-phase approach associated with fibre types
Lucrezia Zuccarelli, Maria De Martino, Antonio Filippi, Alice E. Knapton, Benjamin D. Thackray, Giovanni Baldassarre, Boštjan Šimunič, Rado Pišot, Giuseppe Sirago, Elena Monti, Marco Vincenzo Narici, Miriam Isola, Andrew J. Murray, Giovanna Lippe, Bruno Grassi, 2025, izvirni znanstveni članek

Povzetek: Background: We recently demonstrated that following a 10-day exposure to inactivity/simulated microgravity impairments ofoxidative metabolism were located ‘upstream’ of mitochondrial function, as evaluated by maximal ADP-stimulated mitochon-drial respiration (JO 2max) determined ex vivo. The aim of this study was to evaluate mitochondrial sensitivity to submaximal[ADP] by an alternative approach aimed at identifying responses associated with fibre type composition.Methods: Isolated permeabilized vastus lateralis fibres were analysed by high-resolution respirometry in 9 young males beforeand after a 10-day horizontal bed rest. Eleven submaximal titrations of ADP (from 12.5 to 10 000 μM) were utilized to assess com-plex I + II-linked ADP sensitivity. We applied to JO 2 versus [ADP] data a traditional Michaelis–Menten kinetics equation, withthe calculation of the apparent K m and maximal respiration (Vmax), and two ‘sequential’ hyperbolic equations, yielding two K mand Vmax values. The two-hyperbolic equations were solved and the [ADP] value corresponding to 50% of JO 2max was calculated.Isoform expression of myosin heavy chains (MyHC) 1, 2A and 2X was also determined. Control experiments were also carriedout on rat skeletal muscle samples with different percentages of MyHC isoforms.Results: The two hyperbolic equations provided an alternative fitting of data and identified two distinct phases of the JO 2 versus[ADP] response: a first phase characterized by low Vmax (Vmax1 , 28 ± 10 pmol s−1 mg−1) and apparent K m (K m1 , 62 ± 54 μM) anda second phase characterized by higher Vmax (Vmax2 , 61 ± 16 pmol s−1 mg−1) and K m (K m2 , 1784 ± 833 μM). Data were confirmedin control experiments carried out in rat muscle samples with different percentages of MyHC isoforms. Correlation and receiveroperating characteristics analyses suggest that the two phases of the response were related to the % of MyHC isoforms.Conclusions: A novel mathematical approach (two sequential hyperbolic functions) for the fitting of JO 2 versus [ADP] data ob-tained by high-resolution respirometry on permeabilized skeletal muscle fibres, obtained in humans and rats, provided an alter-native fitting of the experimental data compared to the traditional Michaelis–Menten kinetics equation. This alternative modelallowed the identification of two distinct phases in the responses, which were related to fibre type composition. A first phase, characterized by low apparent K m and Vmax values, was correlated with the percentage of less oxidative (Type 2A + 2X) MyHCisoforms. A second phase, characterized by high apparent K m and Vmax , was related to more oxidative (Type 1) MyHC isoforms.
Ključne besede: ADP, bed rest, mitochondrial sensitivity, myosin heavy chains, skeletal muscle mitochondria
Objavljeno v DiRROS: 05.05.2025; Ogledov: 530; Prenosov: 297
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3.
Neuromuscular junction instability with inactivity : morphological and functional changes after 10 days of bed rest in older adults
Stefano Schiaffino, Evgeniia Motanova, Fabio Sarto, Samuele Negro, Marco Pirazzini, Ornella Rossetto, Michela Rigoni, Daniel W Stashuk, Mladen Gasparini, Boštjan Šimunič, Rado Pišot, Marco Vincenzo Narici, 2025, izvirni znanstveni članek

Povzetek: The neuromuscular junction (NMJ) plays a key role in modulating muscle contraction,but the impact of short-term disuse on NMJ structure and function, particularly in older humans,remains unclear. This study aimed to investigate NMJ alterations following 10 days of horizontalbed rest in 10 older males (68.5 ± 2.6 years). Before and after bed rest, vastus lateralis musclebiopsies were obtained to evaluate NMJ morphology, intramuscular EMG (iEMG) was recordedto assess NMJ function and blood samples were collected to determine circulating C-terminal agrinfragment (CAF) concentration, a biomarker of NMJ remodelling. In a sub-cohort of six participantswho had NMJs in both pre- and post-bed rest biopsies, we observed altered NMJ morphology,including reduced overlap between NMJ terminals, as well as increased endplate area and peri-meter. CAF concentration was elevated after bed rest, suggesting ongoing NMJ remodelling. iEMGanalysis showed increased motor unit potential complexity and reduced firing rate. In addition,we observed impaired NMJ transmission, inferred from increased near-fibre jiggle and segmentjitter. These findings suggest that older male individuals are susceptible to NMJ remodelling andimpaired transmission with short-term disuse, providing valuable insights into the morphologicaland functional consequences of inactivity in an ageing population. Our study highlights theimportance of developing interventions for mitigating the detrimental consequences of inactivityon neuromuscular health in older adults, which they frequently experience following injury, trauma,illness or surgery.
Ključne besede: ageing, C-terminal agrin, fragment disuse, electromyography, motor unit, NMJ unloading
Objavljeno v DiRROS: 19.03.2025; Ogledov: 697; Prenosov: 431
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4.
Spaceflight on the ISS changed the skeletal muscle proteome of two astronauts
Marta Murgia, Joern Rittweger, Carlo Reggiani, Roberto Bottinelli, Matthias Mann, Stefano Schiaffino, Marco Vincenzo Narici, 2024, izvirni znanstveni članek

Povzetek: Skeletal muscle undergoes atrophy and loss of force during long space missions, when astronauts are persistently exposed to altered gravity and increased ionizing radiation. We previously carried out mass spectrometry-based proteomics from skeletal muscle biopsies of two astronauts, taken before and after a mission on the International Space Station. The experiments were part of an effort to find similarities between spaceflight and bed rest, a ground-based model of unloading, focused on proteins located at the costameres. We here extend the data analysis of the astronaut dataset and show compartment-resolved changes in the mitochondrial proteome, remodeling of the extracellular matrix and of the antioxidant response. The astronauts differed in their level of onboard physical exercise, which correlated with their respective preservation of muscle mass and force at landing in previous analyses. We show that the mitochondrial proteome downregulation during spaceflight, particularly the inner membrane and matrix, was dramatic for both astronauts. The expression of autophagy regulators and reactive oxygen species scavengers, however, showed partially opposite expression trends in the two subjects, possibly correlating with their level of onboard exercise. As mitochondria are primarily affected in many different tissues during spaceflight, we hypothesize that reactive oxygen species (ROS) rather than mechanical unloading per se could be the primary cause of skeletal muscle mitochondrial damage in space. Onboard physical exercise might have a strong direct effect on the prevention of muscle atrophy through mechanotransduction and a subsidiary effect on mitochondrial quality control, possibly through upregulation of autophagy and anti-oxidant responses.
Ključne besede: skeletal muscles, microgravity, muscle atrophy, autophagy
Objavljeno v DiRROS: 12.11.2024; Ogledov: 722; Prenosov: 608
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Retinal venular vessel diameters are smaller during ten days of bed rest
Adam Salon, Göktuğ Mert Çiftci, Damir Zubac, Boštjan Šimunič, Rado Pišot, Marco Vincenzo Narici, Per Morten Fredriksen, Benedicta Ngwenchi Nkeh-Chungag, Harald Sourij, Nandu Goswami, 2023, izvirni znanstveni članek

Povzetek: Older individuals experience cardiovascular dysfunction during extended bedridden hospital or care home stays. Bed rest is also used as a model to simulate accelerated vascular deconditioning occurring during spacefight. This study investigates changes in retinal microcirculation during a tenday bed rest protocol. Ten healthy young males (22.9± 4.7 years; body mass index: 23.6± 2.5 kg·m–2) participated in a strictly controlled repeated-measures bed rest study lasting ten days. High-resolution images were obtained using a hand-held fundus camera at baseline, daily during the 10 days of bed rest, and 1 day after re-ambulation. Retinal vessel analysis was performed using a semi-automated software system to obtain metrics for retinal arteriolar and venular diameters, central retinal artery equivalent and central retinal vein equivalent, respectively. Data analysis employed a mixed linear model. At the end of the bed rest period, a signifcant decrease in retinal venular diameter was observed, indicated by a signifcantly lower central retinal vein equivalent (from 226.1 µm, CI 8.90, to 211.4 µm, CI 8.28, p= .026), while no signifcant changes in central retinal artery equivalent were noted. Prolonged bed rest confnement resulted in a signifcant (up to 6.5%) reduction in retinal venular diameter. These fndings suggest that the changes in retinal venular diameter during bedrest may be attributed to plasma volume losses and refect overall (cardio)-vascular deconditioning.
Ključne besede: eyes, retinal venular vessel, venske žile, bed rest, gibalna neaktivnost
Objavljeno v DiRROS: 23.11.2023; Ogledov: 1657; Prenosov: 705
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8.
Pathophysiological mechanisms of reduced physical activity : insights from the human step reduction model and animal analogues
Fabio Sarto, Roberto Bottinelli, Martino V. Franchi, Simone Porcelli, Boštjan Šimunič, Rado Pišot, Marco Vincenzo Narici, 2023, pregledni znanstveni članek

Povzetek: Physical inactivity represents a heavy burden for modern societies and is spreading worldwide, it is a recognised pandemic and is the fourth cause of global mortality. Not surprisingly, there is an increasing interest in longitudinal studies on the impact of reduced physical activity on different physiological systems. This narrative review focuses on the pathophysiological mechanisms of step reduction (SR), an experimental paradigm that involves a sudden decrease in participants’ habitual daily steps to a lower level, mimicking the effects of a sedentary lifestyle. Analogous animal models of reduced physical activity, namely the “wheel-lock” and the “cage reduction” models, which can provide the foundation for human studies, are also discussed. The empirical evidence obtained thus far shows that even brief periods of reduced physical activity can lead to substantial alterations in skeletal muscle health and metabolic function. In particular, decrements in lean/muscle mass, muscle function, muscle protein synthesis, cardiorespiratory fitness, endothelial function and insulin sensitivity, together with an increased fat mass and inflammation, have been observed. Exercise interventions seem particularly effective for counteracting these pathophysiological alterations induced by periods of reduced physical activity. A direct comparison of SR with other human models of unloading, such as bed rest and lower limb suspension/immobilisation, is presented. In addition, we propose a conceptual framework aiming to unravel the mechanisms of muscle atrophy and insulin resistance in the specific context of reduced ambulatory activity. Finally, methodological considerations, knowledge gaps and future directions for both animal and human models are also discussed in the review.
Ključne besede: physical inactivity, cage reduction, insulin sensitivity, muscle atrophy
Objavljeno v DiRROS: 29.06.2023; Ogledov: 1392; Prenosov: 893
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9.
Sarcopenia parameters in active older adults – an eight-year longitudinal study
Kaja Teraž, Uroš Marušič, Miloš Kalc, Boštjan Šimunič, Primož Pori, Bruno Grassi, Stefano Lazzer, Marco Vincenzo Narici, Mojca Gabrijelčič Blenkuš, Pietro Enrico Di Prampero, Carlo Reggiani, Angelina Passaro, Gianni Biolo, Mladen Gasparini, Rado Pišot, 2023, izvirni znanstveni članek

Povzetek: Background Sarcopenia is a common skeletal muscle syndrome that is common in older adults but can be mitigated by adequate and regular physical activity. The development and severity of sarcopenia is favored by several factors, the most influential of which are a sedentary lifestyle and physical inactivity. The aim of this observational longitudinal cohort study was to evaluate changes in sarcopenia parameters, based on the EWGSOP2 definition in a population of active older adults after eight years. It was hypothesized that selected active older adults would perform better on sarcopenia tests than the average population. Methods The 52 active older adults (22 men and 30 women, mean age: 68.4±5.6 years at the time of their first evaluation) participated in the study at two time points eight-years apart. Three sarcopenia parameters were assessed at both time points: Muscle strength (handgrip test), skeletal muscle mass index, and physical performance (gait speed), these parameters were used to diagnose sarcop0enia according to the EWGSOP2 definition. Additional motor tests were also performed at follow-up measurements to assess participants’ overall fitness. Participants self-reported physical activity and sedentary behavior using General Physical Activity Questionnaire at baseline and at follow-up measurements. Results In the first measurements we did not detect signs of sarcopenia in any individual, but after 8 years, we detected signs of sarcopenia in 7 participants. After eight years, we detected decline in ; muscle strength (-10.2%; p<.001), muscle mass index (-5.4%; p<.001), and physical performance measured with gait speed (-28.6%; p<.001). Similarly, self-reported physical activity and sedentary behavior declined, too (-25.0%; p=.030 and −48.5%; p<.001, respectively). Conclusions Despite expected lower scores on tests of sarcopenia parameters due to age-related decline, participants performed better on motor tests than reported in similar studies. Nevertheless, the prevalence of sarcopenia was consistent with most of the published literature. Trial registration The clinical trial protocol was registered on ClinicalTrials.gov, identifier: NCT04899531
Ključne besede: elderly, physical activities, sedentary behavior, skeletal muscle disorder, sarcopenia
Objavljeno v DiRROS: 29.05.2023; Ogledov: 1246; Prenosov: 708
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10.
Impact of 10-day bed rest on serum levels of irisin and markers of musculoskeletal metabolism
Angela Oranger, Giuseppina Storlino, Manuela Dicarlo, Roberta Zerlotin, Patrizia Pignataro, Lorenzo Sanesi, Marco Vincenzo Narici, Rado Pišot, Boštjan Šimunič, Graziana Colaianni, 2023, izvirni znanstveni članek

Povzetek: The bed rest (BR) is a ground-based model to simulate microgravity mimicking skeletal-muscle alterations as in spaceflight. Molecular coupling between bone and muscle might be involved in physiological and pathological conditions. Thus, the new myokine irisin and bone-muscle turnover markers have been studied during and after 10 days of BR. Ten young male individuals were subjected to 10 days of horizontal BR. Serum concentrations of irisin, myostatin, sclerostin, and haptoglobin were assessed, and muscle tissue gene expression on vastus lateralis biopsies was determined. During 10-days BR, we observed no significant fluctuation levels of irisin, myostatin, and sclerostin. Two days after BR (R+2), irisin serum levels significantly decreased while myostatin, sclerostin, and haptoglobin were significantly increased compared with BR0. Gene expression of myokines, inflammatory molecules, transcription factors, and markers of muscle atrophy and senescence on muscle biopsies were not altered, suggesting that muscle metabolism of young, healthy subjects is able to adapt to the hypomobility condition during 10-day BR. However, when subjects were divided according to irisin serum levels at BR9, muscle ring finger-1 mRNA expression was significantly lower in subjects with higher irisin serum levels, suggesting that this myokine may prevent the triggering of muscle atrophy. Moreover, the negative correlation between p21 mRNA and irisin at BR9 indicated a possible inhibitory effect of the myokine on the senescence marker. In conclusion, irisin could be a prognostic marker of hypomobility-induced muscle atrophy, and its serum levels could protect against muscle deterioration by preventing and/or delaying the expression of atrophy and senescence cellular markers.
Objavljeno v DiRROS: 13.12.2022; Ogledov: 1679; Prenosov: 997
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