Submaximal Oxygen Uptake Kinetics, Functional Mobility, and Physical Activity in Older Adults with Heart Failure and Reduced Ejection Fraction

Background: Submaximal oxygen uptake measures are more feasible and may better predict clinical cardiac outcomes than maximal tests in older adults with heart failure (HF). We examined relationships between maximal oxygen uptake, submaximal oxygen kinetics, functional mobility, and physical activity in older adults with HF and reduced ejection fraction. Methods: Older adults with HF and reduced ejection fraction (n = 25, age 75 ± 7 years) were compared to 25 healthy age- and gender-matched controls. Assessments included a maximal treadmill test for peak oxygen uptake (VO2peak), oxygen uptake kinetics at onset of and on recovery from a submaximal treadmill test, functional mobility testing [Get Up and Go (GUG), Comfortable Gait Speed (CGS), Unipedal Stance (US)], and self-reported physical activity (PA). Results: Compared to controls, HF had worse performance on GUG, CGS, and US, greater delays in submaximal oxygen uptake kinetics, and lower PA. In controls, VO2peak was more strongly associated with functional mobility and PA than submaximal oxygen uptake kinetics. In HF patients, submaximal oxygen uptake kinetics were similarly associated with GUG and CGS as VO2peak, but weakly associated with PA. Conclusions: Based on their mobility performance, older HF patients with reduced ejection fraction are at risk for adverse functional outcomes. In this population, submaximal oxygen uptake measures may be equivalent to VO2 peak in predicting functional mobility, and in addition to being more feasible, may provide better insight into how aerobic function relates to mobility in older adults with HF

Theoretical models of DNA topology simplification by type IIA DNA topoisomerases

It was discovered 12 years ago that type IIA topoisomerases can simplify DNA topology—the steady-state fractions of knots and links created by the enzymes are many times lower than the corresponding equilibrium fractions. Though this property of the enzymes made clear biological sense, it was not clear how small enzymes could selectively change the topology of very large DNA molecules, since topology is a global property and cannot be determined by a local DNA–protein interaction. A few models, suggested to explain the phenomenon, are analyzed in this review. We also consider experimental data that both support and contravene these models

Slx8 removes Pli1-dependent protein-SUMO conjugates including SUMOylated Topoisomerase I to promote genome stability

Peer reviewedPublisher PD

Mercury trends in herring gull (Larus argentatus) eggs from Atlantic Canada, 1972-2008: Temporal change or dietary shift?

Mercury (Hg) is a pervasive contaminant that can adversely affect predatory wildlife. Bird eggs provide insights into breeding females' Hg burdens, and are easily collected and archived. We present data on Hg trends in herring gull (Larus argentatus) eggs from five sites in Atlantic Canada from 1972 to 2008. We found a significant decrease in Hg at Manawagonish Island, New Brunswick and Île du Corossol, Quebec, but after correcting Hg for dietary shifts using stable isotopes (δ15N), these trends disappeared. Decreasing temporal trends of stable isotopes in gull eggs were observed at four sites, suggesting shifts in gull diets. At Gull Island, Newfoundland, diet-adjusted Hg increased from 1977 to 1992, dropped sharply between 1992 and 1996, and rose again from 1996 to 2008. After adjusting Hg trends for dietary shifts of herring gulls, it appears that environmental Hg in coastal ecosystems has remained relatively constant at most sites in Atlantic Canada over the last 36 years