Isometric Exercise Training and Arterial Hypertension: An Updated Review

Hypertension is recognised as a leading attributable risk factor for cardiovascular disease and premature mortality. Global initiatives towards the prevention and treatment of arterial hypertension are centred around non-pharmacological lifestyle modification. Exercise recommendations differ between professional and scientific organisations, but are generally unanimous on the primary role of traditional aerobic and dynamic resistance exercise. In recent years, isometric exercise training (IET) has emerged as an effective novel exercise intervention with consistent evidence of reductions in blood pressure (BP) superior to that reported from traditional guideline-recommended exercise modes. Despite a wealth of emerging new data and endorsement by select governing bodies, IET remains underutilised and is not widely prescribed in clinical practice. This expert-informed review critically examines the role of IET as a potential adjuvant tool in the future clinical management of BP. We explore the efficacy, prescription protocols, evidence quality and certainty, acute cardiovascular stimulus, and physiological mechanisms underpinning its anti-hypertensive effects. We end the review with take-home suggestions regarding the direction of future IET research

The mechanics of explosive seed dispersal in orange jewelweed (Impatiens capensis)

Explosive dehiscence ballistically disperses seeds in a number of plant species. During dehiscence, mechanical energy stored in specialized tissues is transferred to the seeds to increase their kinetic and potential energies. The resulting seed dispersal patterns have been investigated in some ballistic dispersers, but the mechanical performance of a launch mechanism of this type has not been measured. The properties of the energy storage tissue and the energy transfer efficiency of the launch mechanism were quantified in Impatiens capensis. In this species the valves forming the seed pod wall store mechanical energy. Their mass specific energy storage capacity (124 J kg−1) was comparable with that of elastin and spring steel. The energy storage capacity of the pod tissues was determined by their level of hydration, suggesting a role for turgor pressure in the energy storage mechanism. During dehiscence the valves coiled inwards, collapsing the pod and ejecting the seeds. Dehiscence took 4.2±0.4 ms (mean ±SEM, n=13). The estimated efficiency with which energy was transferred to the seeds was low (0.51±0.26%, mean ±SEM, n=13). The mean seed launch angle (17.4±5.2, mean ±SEM, n=45) fell within the range predicted by a ballistic model to maximize dispersal distance. Low ballistic dispersal efficiency or effectiveness may be characteristic of species that also utilize secondary seed dispersal mechanisms

Translation and validation of non-English versions of the Ankylosing Spondylitis Quality of Life (ASQOL) questionnaire

BACKGROUND: The Ankylosing Spondylitis Quality of Life (ASQOL) questionnaire is a unidimensional, disease-specific measure developed in the UK and the Netherlands. This study describes its adaptation into other languages. METHODS: The UK English ASQOL was translated into US English; Canadian French and English; French; German; Italian; Spanish; and Swedish (dual-panel methods). Cognitive debriefing interviews were conducted with AS patients. Psychometric/scaling properties were assessed using data from two Phase III studies of adalimumab. Baseline and Week-2 data were used to assess test-retest reliability. Validity was determined by correlation of ASQOL with SF-36 and BASFI and by discriminative ability of ASQOL based on disease severity. Item response theory (Rasch model) was used to test ASQOL's scaling properties. RESULTS: Cognitive debriefing showed the new ASQOL versions to be clear, relevant and comprehensive. Sample sizes varied, but were sufficient for: psychometric/scaling assessment for US English and Canadian English; psychometric but not scaling analyses for German; and preliminary evidence of these properties for the remaining languages. Test-retest reliability and Cronbach's alpha coefficients were high: US English (0.85, 0.85), Canadian English (0.87, 0.86), and German (0.77, 0.79). Correlations of ASQOL with SF-36 and BASFI for US English, Canadian English, and German measures were moderate, but ASQOL discriminated between patients based on perceived disease severities (p < 0.01). Results were comparable for the other languages. US English and Canadian English exhibited fit to the Rasch model (non-significant p-values: 0.54, 0.68), confirming unidimensionality. CONCLUSION: The ASQOL was successfully translated into all eight languages. Psychometric properties were excellent for US English, Canadian English, and German, and extremely promising for the other languages

Isometric handgrip as an adjunct for blood pressure control: a primer for clinicians

Considered a global health crisis by the World Health Organization, hypertension (HTN) is the leading risk factor for death and disability. The majority of treated patients do not attain evidence-based clinical targets, which increases the risk of potentially fatal complications. HTN is the most common chronic condition seen in primary care; thus, implementing therapies that lower and maintain BP to within-target ranges is of tremendous public health importance. Isometric handgrip (IHG) training is a simple intervention endorsed by the American Heart Association as a potential adjuvant BP-lowering treatment. With larger reductions noted in HTN patients, IHG training may be especially beneficial for those who (a) have difficulties continuing or increasing drug-based treatment; (b) are unable to attain BP control despite optimal treatment; (c) have pre-HTN or low-risk stage I mild HTN; and (d) wish to avoid medications or have less pill burden. IHG training is not routinely prescribed in clinical practice. To shift this paradigm, we focus on (1) the challenges of current HTN management strategies; (2) the effect of IHG training; (3) IHG prescription; (4) characterizing the population for whom it works best; (5) clinical relevance; and (6) important next steps to foster broader implementation by clinical practitioners

Consistent patterns of common species across tropical tree communities

D.L.M.C. was supported by the London Natural Environmental Research Council Doctoral Training Partnership grant (grant no. NE/L002485/1). This paper developed from analysing data from the African Tropical Rainforest Observatory Network (AfriTRON), curated at ForestPlots.net. AfriTRON has been supported by numerous people and grants since its inception. We sincerely thank the people of the many villages and local communities who welcomed our field teams and without whose support this work would not have been possible. Grants that have funded the AfriTRON network, including data in this paper, are a European Research Council Advanced Grant (T-FORCES; 291585; Tropical Forests in the Changing Earth System), a NERC standard grant (NER/A/S/2000/01002), a Royal Society University Research Fellowship to S.L.L., a NERC New Investigators Grant to S.L.L., a Philip Leverhulme Award to S.L.L., a European Union FP7 grant (GEOCARBON; 283080), Leverhulme Program grant (Valuing the Arc); a NERC Consortium Grant (TROBIT; NE/D005590/), NERC Large Grant (CongoPeat; NE/R016860/1) the Gordon and Betty Moore Foundation the David and Lucile Packard Foundation, the Centre for International Forestry Research (CIFOR), and Gabon’s National Parks Agency (ANPN). This paper was supported by ForestPlots.net approved Research Project 81, ‘Comparative Ecology of African Tropical Forests’. The development of ForestPlots.net and data curation has been funded by several grants, including NE/B503384/1, NE/N012542/1, ERC Advanced Grant 291585—‘T-FORCES’, NE/F005806/1, NERC New Investigators Awards, the Gordon and Betty Moore Foundation, a Royal Society University Research Fellowship and a Leverhulme Trust Research Fellowship. Fieldwork in the Democratic Republic of the Congo (Yangambi and Yoko sites) was funded by the Belgian Science Policy Office BELSPO (SD/AR/01A/COBIMFO, BR/132/A1/AFRIFORD, BR/143/A3/HERBAXYLAREDD, FED-tWIN2019-prf-075/CongoFORCE, EF/211/TREE4FLUX); by the Flemish Interuniversity Council VLIR-UOS (CD2018TEA459A103, FORMONCO II); by L’Académie de recherche et d’enseignement supérieur ARES (AFORCO project) and by the European Union through the FORETS project (Formation, Recherche, Environnement dans la TShopo) supported by the XIth European Development Fund. EMV was supported by fellowship from the CNPq (Grant 308543/2021-1). RAPELD plots in Brazil were supported by the Program for Biodiversity Research (PPBio) and the National Institute for Amazonian Biodiversity (INCT-CENBAM). BGL post-doc grant no. 2019/03379-4, São Paulo Research Foundation (FAPESP). D.A.C. was supported by the CCI Collaborative fund. Plots in Mato Grosso, Brazil, were supported by the National Council for Scientific and Technological Development (CNPq), PELD-TRAN 441244/2016-5 and 441572/2020-0, and Mato Grosso State Research Support Foundation (FAPEMAT)—0346321/2021. We thank E. Chezeaux, R. Condit, W. J. Eggeling, R. M. Ewers, O. J. Hardy, P. Jeanmart, K. L. Khoon, J. L. Lloyd, A. Marjokorpi, W. Marthy, H. Ntahobavuka, D. Paget, J. T. A. Proctor, R. P. Salomão, P. Saner, S. Tan, C. O. Webb, H. Woell and N. Zweifel for contributing forest inventory data. We thank numerous field assistants for their invaluable contributions to the collection of forest inventory data, including A. Nkwasibwe, ITFC field assistant.Peer reviewe

抗精神病薬によるジストニアの発現機序に関する実験的研究 σ (sigma) sites の関与について

Published ErratumBurkholderia pseudomallei (Bp) is the causative agent of the infectious disease melioidosis. To investigate population diversity, recombination, and horizontal gene transfer in closely related Bp isolates, we performed whole-genome sequencing (WGS) on 106 clinical, animal, and environmental strains from a restricted Asian locale. Whole-genome phylogenies resolved multiple genomic clades of Bp, largely congruent with multilocus sequence typing (MLST). We discovered widespread recombination in the Bp core genome, involving hundreds of regions associated with multiple haplotypes. Highly recombinant regions exhibited functional enrichments that may contribute to virulence. We observed clade-specific patterns of recombination and accessory gene exchange, and provide evidence that this is likely due to ongoing recombination between clade members. Reciprocally, interclade exchanges were rarely observed, suggesting mechanisms restricting gene flow between clades. Interrogation of accessory elements revealed that each clade harbored a distinct complement of restriction-modification (RM) systems, predicted to cause clade-specific patterns of DNA methylation. Using methylome sequencing, we confirmed that representative strains from separate clades indeed exhibit distinct methylation profiles. Finally, using an E. coli system, we demonstrate that Bp RM systems can inhibit uptake of non-self DNA. Our data suggest that RM systems borne on mobile elements, besides preventing foreign DNA invasion, may also contribute to limiting exchanges of genetic material between individuals of the same species. Genomic clades may thus represent functional units of genetic isolation in Bp, modulating intraspecies genetic diversity.Wellcome Trus

Long-term thermal sensitivity of Earth’s tropical forests

The sensitivity of tropical forest carbon to climate is a key uncertainty in predicting global climate change. Although short-term drying and warming are known to affect forests, it is unknown if such effects translate into long-term responses. Here, we analyze 590 permanent plots measured across the tropics to derive the equilibrium climate controls on forest carbon. Maximum temperature is the most important predictor of aboveground biomass (−9.1 megagrams of carbon per hectare per degree Celsius), primarily by reducing woody productivity, and has a greater impact per °C in the hottest forests (>32.2°C). Our results nevertheless reveal greater thermal resilience than observations of short-term variation imply. To realize the long-term climate adaptation potential of tropical forests requires both protecting them and stabilizing Earth’s climate