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Influence of caffeine intake on intravenous adenosine-induced fractional flow reserve.
Kasumi, I, Fujii, K, Satoru, O, Shin, T, Katsuyuki, H, Hiroto, T, Rui, I, Shingo, Y, Sho, N, Wataru, Y, et al
Journal of cardiology. 2020;(5):472-478
Abstract
BACKGROUND This study evaluated whether caffeine abstention is required before fractional flow reserve (FFR) measurement by intravenous adenosine triphosphate (ATP) administration in Japanese patients. METHODS This study was a subanalysis of a previously published study and a total of 208 intermediate lesions that underwent FFR measurements were enrolled for this analysis. Hyperemia was induced by continuous intravenous ATP infusion at 150 μg/kg/min (IVATP150) and 210 μg/kg/min (IVATP210), and by intracoronary administration of nicorandil 2 mg (ICNIC2mg) as a reference standard. RESULTS The degree of change in the FFR value after ICNIC2mg and IVATP210 was similar between the caffeine and non-caffeine groups (0.00 ± 0.02 vs. 0.01 ± 0.02). In patients who consumed caffeine before the FFR measurement, the degree of FFR change was independent of the time interval (<12 h, 12-24 h, and 24-48 h) between caffeine intake and catheterization both after IVATP150 and ICNIC2mg and after IVATP210 and ICNIC2mg. CONCLUSION When compared with the FFR value after ICNIC2mg, the degree of change in the FFR value after IVATP210 were similar regardless of caffeine intake. Strict caffeine abstention before intravenous ATP-induced FFR measurement may not be required in clinical practice.
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Effect of 6 wk of high-intensity one-legged cycling on functional sympatholysis and ATP signaling in patients with heart failure.
Munch, GW, Iepsen, UW, Ryrsø, CK, Rosenmeier, JB, Pedersen, BK, Mortensen, SP
American journal of physiology. Heart and circulatory physiology. 2018;(3):H616-H626
Abstract
Breathlessness during daily activities is the primary symptom in patients with heart failure (HF). Poor correlation between the hemodynamic parameters of left ventricular performance and perceived symptoms suggests that other factors, such as skeletal muscle function, play a role in determining exercise capacity. We investigated the effect of 6 wk of high-intensity, one-legged cycling (HIC; 8 × 4 at 90% one-legged cycling max) on 1) the ability to override sympathetic vasoconstriction (arterial infusion of tyramine) during one-legged knee-extensor exercise (KEE), 2) vascular function (arterial infusion of ACh, sodium nitroprusside, tyramine, and ATP), and 3) exercise capacity in HF patients with reduced ejection fraction ( n = 8) compared with healthy individuals ( n = 6). Arterial tyramine infusion lowered leg blood flow and leg vascular conductance at rest and during KEE before the training intervention in both groups ( P < 0.05) but not during KEE after the training intervention. There was no difference between groups. The peak vasodilatory response to ATP was blunted in HF patients ( P < 0.05), whereas there was no difference in ACh- and sodium nitroprusside-induced vasodilation between HF patients and healthy individuals. ACh-induced vasodilation increased in HF patients after the training intervention ( P < 0.05). HIC improved aerobic capacity in both groups ( P < 0.05), whereas only HF patients made improvements in the 6-min walking distance ( P < 0.05). These results suggest that exercise hyperemia and functional sympatholysis are not altered in HF patients and that functional sympatholysis is improved with HIC in both HF patients and healthy individuals. Moreover, these results suggest that the peak vasodilatory response to ATP is blunted in HF. NEW & NOTEWORTHY The ability to override sympathetic vasoconstrictor activity (by arterial tyramine infusion) during exercise is not different between heart failure patients and healthy individuals and is improved by high-intensity, one-legged cycling training. The peak vasodilatory response to ATP is reduced in heart failure patients.
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EVALUATION OF ANTIVIRAL THERAPY TREATMENT FOR LIVER CIRRHOSIS CAUSED BY CHRONIC HEPATITIS C AND HEPATITIS C BY 31P-MRS, BASED ON METABOLITE DETECTION.
Gu, JS, Sun, RR, Shen, S, Yu, ZJ
Journal of biological regulators and homeostatic agents. 2015;(2):443-50
Abstract
This study discusses the application of magnetic resonance spectrum (MRS) to evaluate the efficacy of antiviral therapy in the treatment of liver cirrhosis caused by chronic hepatitis C and hepatitis C, based on metabolite detection. A total of 54 patients with liver cirrhosis caused by chronic hepatitis C and hepatitis C were selected and divided into treatment group and control group. 31P-MRS imaging was carried out on patients in the two groups both before receiving antiviral treatment and 6 months after treatment to compare the change of metabolite ratio (PE+PC)/(GPE+GPC). It was revealed that no statistically significant difference was found in the comparison of (PC+PE)/(GPC+GPE) ratio in the two groups before treatment, but the difference was found 6 months after treatment; ratio of (PC+PE)/ (GPC+GPE) in the treatment group distinctly decreased 6 months after treatment compared to before treatment, with a statistically significant difference, while the control group had no remarkable change or statistical significance. Moreover, 32 patients were found with sustained virus response to antiviral therapy. Of these, 25 patients possessed a decreased ratio of (PC+PE)/ (GPC+GPE), 4 remained without change and 3 had a slightly increased ratio after antiviral treatment. Of 12 patients with no response, 1 had a decreased ratio of (PC+PE)/ (GPC+GPE), 2 remained without change and 9 had a slightly increased ratio. The differences were all statistically significant in comparison of the two groups. 31P-MRS is thought to be effective for evaluating the efficacy of antiviral therapy through non-invasive detection of liver energy metabolism.
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Creatine supplementation enhances anaerobic ATP synthesis during a single 10 sec maximal handgrip exercise.
Kurosawa, Y, Hamaoka, T, Katsumura, T, Kuwamori, M, Kimura, N, Sako, T, Chance, B
Molecular and cellular biochemistry. 2003;(1-2):105-12
Abstract
Forearm muscles of twelve healthy male subjects (age = 22.3 +/- 1.1 years (mean +/- S.E.)) were examined during a 10 sec maximal dynamic handgrip exercise (Ex10) using 31-phosphorus magnetic resonance spectroscopy before and after ingestion with 30 g creatine (Cr) monohydrate or placebo per day for 14 days. Cr supplementation produced a 11.5 +/- 4.6% increase in the resting muscle phosphocreatine (PCr) concentration and a 65.0 +/- 4.2% increase in the PCr degradation during Ex10. ATP synthesis rate through PCr hydrolysis and total anaerobic ATP synthesis rate during Ex10 increased from 0.64 +/- 0.08 (pre-value) to 0.86 +/- 0.14 mmol/kg ww/sec (post-value, p < 0.05) and from 0.97 +/- 0.16 (pre-value) to 1.33 +/- 0.27 mmol/kg ww/sec (post-value, p < 0.05), respectively. An increase in total anaerobic ATP synthesis during Ex10 after Cr supplementation positively correlated with the increase in ATP synthesis through PCr hydrolysis. Cr supplementation produced a 15.1 +/- 3.8% increase in the mean power output during Ex10. There was no significant difference in the mean power output per unit of total anaerobic ATP synthesis during Ex10 between before and after Cr supplementation. ATP synthesis rate through PCr hydrolysis positively correlated with mean power output during Ex10 in all twelve subjects after treatment (r = 0.58, p < 0.05). The results suggest that Cr supplementation enhanced PCr degradation during Ex10. It is strongly indicated that an improvement in performance during Ex10 was associated with the increased PCr availability for the synthesis of ATP.
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5.
Creatine supplementation results in elevated phosphocreatine/adenosine triphosphate (ATP) ratios in the calf muscle of athletes but not in patients with myopathies.
Zange, J, Kornblum, C, Müller, K, Kurtscheid, S, Heck, H, Schröder, R, Grehl, T, Vorgerd, M
Annals of neurology. 2002;(1):126; author reply 126-7
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6.
[The concentration of adenine nucleotides in platelets of patients with primary chronic glomerulonephritis].
Lizakowski, S, Zdrojewski, Z, Jagodziński, P, Słomińska, E, Rutkowski, B
Polskie Archiwum Medycyny Wewnetrznej. 2000;(2):467-73
Abstract
UNLABELLED Nephrotic syndrome (n.s.) is associated with numerous blood coagulation abnormalities and a marked predisposition to thromboembolism. Increased aggregation and activation of platelets in patients with glomerulonephritis (g.l.n. p.t.s.) may partly explain this status. The aim of this study was to measure the platelets adenine nucleotides concentration. The study was performed in 57 patients with a renal biopsy confirmed primary glomerulonephritis and 24 sex and age matched healthy volunteers which served as a control group. The patients were divided into two subgroups: subgroup I/A--36 patients with the symptoms of the nephrotic syndrome and subgroup I/B--21 patients with chronic glomerulonephritis and proteinuria but without the symptoms of nephrotic syndrome. Concentration of adenine nucleotides in platelets was measured using HPLC. In the subgroup I/A significantly lower levels of ATP, ADP and AMP concentrations in platelets were observed comparing to control subjects. Simultaneously significant correlation between both ATP and ADP concentration and plasma levels of albumin, total cholesterol, LDL-cholesterol, triglycerides and fibrinogen were found in g.l.n. p.t.s. SUMMARY AND CONCLUSIONS 1. Significantly lower concentrations of adenine nucleotides in platelets of gln pts with the nephrotic syndrome may result from their activation. 2. Protein and lipid metabolism as well as fibrinogen seem to influence ATP and ADP concentrations in platelets of g.l.n. p.t.s.