Mortality, metabolic rate, and oviposition of Gryllus (Gryllus) assimilis (Fabricius, 1775) (Orthoptera: Gryllidae) females under constant and fluctuating warm temperatures

The global average temperature will increase by up to 5.7 °C, under high greenhouse gas emissions, consequently increasing the frequency of heatwaves, according to recent IPCC forecasts. These especially impacts ectotherms, such as insects, which are the most susceptible animals to changes in environmental temperature, affecting their physiology and reproduction. Thus, we investigated the effects of a 96-h exposure to constant temperatures (CT: 27, 30.5, 34, 39, 41, or 43 °C) and fluctuating temperatures (FT: 27/34 °C, 12/12 h) on the survival, metabolic rate, and oviposition of the female cricket Gryllus (Gryllus) assimilis (Orthoptera: Gryllidae). Mortality, body mass and water content of females and males were quantified and compared. It was found that CT₂₇, CT₃₄ and FT_27/34 do not cause mortality in females of G. (G.) assimilis. CT_30.5 (average temperature between 27 and 34), despite causing mortality of 5.0 ± 3.5%, do not differ from CT₂₇, CT₃₄ or FT_27/34. CT₃₉ causes a mortality of 8.3 ± 5.5%. Estimated lethal temperature for 50% of the population of females (LT_50Temp) is 40 °C, and 43 °C promotes 100% mortality in 96 h. Comparing mortality between sexes, females present higher LT_50Temp and thermotolerance than males. In addition, FT_27/34 and CT₃₄ do not differ in the metabolic rate, but both have higher values than CT₂₇. CT₃₄ strongly reduces oviposition in females, however FT_27/34 does not. We suggest that CT₃₄ reduces oviposition in females in two ways: by affecting the endocrine system related to egg production, or by causing behavioral egg retention, as a strategy to survive thermal stress. Moreover, females had a higher wet body mass and present a lower average weight loss than males. In conclusion, despite females present a higher mortality at temperatures above 39 °C, they are more thermotolerant than males. Furthermore, CT₃₄ is detrimental to the oviposition of G. (G.) assimilis.

The physiology and pathophysiology of exercise hyperpnea

In health, the near-eucapnic, highly efficient hyperpnea during mild-to-moderate intensity exercise is driven by three obligatory contributions, namely, feedforward central command from supra-medullary locomotor centers, feedback from limb muscle afferents, and respiratory CO₂ exchange (V̇CO₂). Inhibiting each of these stimuli during exercise elicits a reduction in hyperpnea even in the continuing presence of the other major stimuli. However, the relative contribution of each stimulus to the hyperpnea remains unknown as does the means by which V̇CO2 is sensed. Mediation of the hyperventilatory response to exercise in health is attributed to the multiple feedback and feedforward stimuli resulting from muscle fatigue. In patients with COPD, diaphragm EMG amplitude and its relation to ventilatory output are used to decipher mechanisms underlying the patients' abnormal ventilatory responses, dynamic lung hyperinflation and dyspnea during exercise. Key contributions to these exercise-limiting responses across the spectrum of COPD severity include high dead space ventilation, an excessive neural drive to breathe and highly fatigable limb muscles, together with mechanical constraints on ventilation. Major controversies concerning control of exercise hyperpnea are discussed along with the need for innovative research to uncover the link of metabolism to breathing in health and disease.

In vitro validation of indirect calorimetry device developed for the ICALIC project against mass spectrometry

RATIONALE

Accurate evaluation of the energy needs is required to optimize nutrition support of critically ill patients. Recent evaluations of indirect calorimeters revealed significant differences among the devices available on the market. A new indirect calorimeter (Q-NRG^®, Cosmed, Roma, Italy) has been developed by a group of investigators supporting the international calorimetry study initiative (ICALIC) to achieve ultimate accuracy for measuring energy expenditure while being easy to use, and affordable. This study aims to validate the precision and the accuracy of the Q-NRG^® in the in-vitro setting, within the clinically relevant range for adults on mechanical ventilation in the ICU. Mass spectrometry is the reference method for the gas composition analysis to evaluate the analytic performances of the Q-NRG^®.

METHODS

The accuracy and precision of the O₂ and CO₂ measurements by the Q-NRG were evaluated by comparing the measurements of known O₂ and CO₂ gas mixtures with the measurements by the mass spectrometer (Extrel, USA). The accuracy and precision of the Q-NRG^® for measurements of VO₂ (oxygen consumption) and VCO₂ (CO₂ production) at clinically relevant ranges (150, 250 and 400 ml/min STPD) were evaluated by measuring simulated gas exchange under mechanically ventilated setting at different FiO₂ settings (21-80%), in comparison to the reference measurements by the mass spectrometer-based mixing chamber system.

RESULTS

The measurements of gas mixtures of predefined O₂ and CO₂ concentrations by the Q-NRG^® were within 2% accuracy versus the mass spectrometer measurements in Passing Bablok regression analysis. In a mechanically ventilated setting of FiO₂ from 21 up to 70%, the Q-NRG^® measurements of simulated VO₂ and VCO₂ were within 5% difference of the reference mass spectrometer measurements.

CONCLUSION

In vitro evaluation confirms that the accuracy of the Q-NRG^® indirect calorimeter is within 5% at oxygen enrichment to 70%; i.e. maximum expected for clinical use. Further recommendations for the clinical use of the Q-NRG^® by will be released once the ongoing multi-center study is completed.

Validation of ventilator-derived VCO2 measurements to determine energy expenditure in ventilated critically ill children

BACKGROUND & AIMS

Indirect calorimetry (IC) is considered the gold standard to determine resting energy expenditure (REE) but its availability in PICUs worldwide is limited. Ventilator-derived VCO₂ could potentially improve the possibility of performing REE measurements. We investigated whether ventilator-derived VCO₂ values are comparable to IC-derived VCO₂ values and can clinically be used in clinical practice to determine REE.

METHODS

VCO₂-values were simultaneously collected in mechanically ventilated children from IC (Deltatrac^®) and Servo-I^® ventilator on a minute base over at least 10 min period of steady state. REE was calculated using the modified Weir formula (for IC) or REE = 5.5*VCO₂ (L/min)*1440 (for the Servo-I values) and compared with frequently used predictive equations by Schofield and the WHO to calculate REE.

RESULTS

Measurements were performed in 41 children; median age 2 years. The mean relative difference between VCO₂ measured by IC and Servo-I^® was 15.6% (p = 0.002), and limits of agreement in the Bland-Altman analysis were wide. Comparable measurements, defined as a difference ≤10% between IC and Servo-I^® VCO₂ values, were seen in 18 (44%) children, but this proportion was 70% in children ≥15 kg. In this group, REE could be accurately predicted using Servo-I^® derived VCO₂ values and this method was superior to the use of predictive equations. The Servo-I^® derived VCO₂ values were not sufficiently accurate for the large proportion of children weighing <15 kg.

CONCLUSIONS

In children ≥15 kg, VCO₂ measurements of the Servo-I^® seem sufficiently accurate for use in clinical practice and may be used to determine energy expenditure in the future.

Accuracy of a simplified equation for energy expenditure based on bedside volumetric carbon dioxide elimination measurement--a two-center study

BACKGROUND & AIMS

Accurate assessment of resting energy expenditure (REE) and metabolic state is essential to optimize nutrient intake in critically ill patients. We aimed to examine the accuracy of a simplified equation for predicting REE using carbon dioxide elimination (VCO2) values.

METHODS

We conducted a two-center study of metabolic data from mechanically ventilated children less than 18 years of age. Mean respiratory quotient (RQ) from the derivation set (n = 72 subjects) was used to modify the Weir equation to obtain a simplified equation based on VCO2 measurements alone. This equation was then applied to subjects at the second institution (validation dataset, n = 94) to predict resting energy expenditure. Bland-Altman analysis was used to assess the agreement between measured REE values, and REE estimated by the new equation as well as the Schofield equation. We also examined the accuracy of the new equation in classifying patients according to their metabolic state.

RESULTS

Mean respiratory quotient (± SD) of 0.89 ± 0.09 in the derivation set was used to obtain a simplified equation, REE (kcal/day) = 5.534*VCO2 (L/min)*1440. In relation to the measured REE in the validation set, the mean bias (limits of agreement) for the REE predicted by this equation was -0.65% (-14.4-13.1%); and the overall diagnostic accuracy for classifying subjects as hypometabolic or hypermetabolic was 84%. Mean bias (limits) of agreement between measured and Schofield equation estimated REE was -0.1% (-40.5-40.7%).

CONCLUSIONS

A simplified metabolic equation using VCO2 values was superior to the standard equation in estimating REE, and provided a reasonably accurate metabolic classification in mechanically ventilated children. In the absence of indirect calorimetry, bedside VCO2 monitoring could provide valuable continuous metabolic information to guide optimal nutrient intake.

Peri-conceptional obesogenic exposure induces sex-specific programming of disease susceptibilities in adult mouse offspring

Vulnerability of the fetus upon maternal obesity can potentially occur during all developmental phases. We aimed at elaborating longer-term health outcomes of fetal overnutrition during the earliest stages of development. We utilized Naval Medical Research Institute (NMRI) mice to induce pre-conceptional and gestational obesity and followed offspring outcomes in the absence of any postnatal obesogenic influences. Male adult offspring developed overweight, insulin resistance, hyperleptinemia, hyperuricemia and hepatic steatosis; all these features were not observed in females. Instead, they showed impaired fasting glucose and a reduced fat mass and adipocyte size. Influences of the interaction of maternal diet∗sex concerned offspring genes involved in fatty liver disease, lipid droplet size regulation and fat mass expansion. These data suggest that a peri-conceptional obesogenic exposure is sufficient to shape offspring gene expression patterns and health outcomes in a sex- and organ-specific manner, indicating varying developmental vulnerabilities between sexes towards metabolic disease in response to maternal overnutrition.

Peri-conceptional obesogenic exposure induces sex-specific programming of disease susceptibilities in adult mouse offspring

Vulnerability of the fetus upon maternal obesity can potentially occur during all developmental phases. We aimed at elaborating longer-term health outcomes of fetal overnutrition during the earliest stages of development. We utilized Naval Medical Research Institute (NMRI) mice to induce pre-conceptional and gestational obesity and followed offspring outcomes in the absence of any postnatal obesogenic influences. Male adult offspring developed overweight, insulin resistance, hyperleptinemia, hyperuricemia and hepatic steatosis; all these features were not observed in females. Instead, they showed impaired fasting glucose and a reduced fat mass and adipocyte size. Influences of the interaction of maternal diet∗sex concerned offspring genes involved in fatty liver disease, lipid droplet size regulation and fat mass expansion. These data suggest that a peri-conceptional obesogenic exposure is sufficient to shape offspring gene expression patterns and health outcomes in a sex- and organ-specific manner, indicating varying developmental vulnerabilities between sexes towards metabolic disease in response to maternal overnutrition.

Evaluation of cardiorespiratory fitness and respiratory muscle function in the obese population. Prog Cardiovasc Dis. 2014;56:457-464. [PMID: 24438738 DOI: 10.1016/j.pcad.2013.08.001]

Cardiorespiratory fitness (CRF) is one of the most important health metrics in apparently healthy individuals, those at increased risk for cardiovascular (CV) disease and virtually all patient populations. In addition to CRF, a host of other variables obtained from aerobic exercise testing provides clinically valuable information. Individuals classified as obese (i.e. a body mass index ≥30 kg/m(2)) have varying degrees of CV, pulmonary and skeletal muscle dysfunction that impact CRF and other key aerobic exercise testing variables. Moreover, there is now evidence indicating inspiratory and expiratory respiratory muscle function, even in the absence of interstitial lung disease, is potentially compromised as a result of obesity. When obesity-induced respiratory muscle dysfunction is present, it has the potential to contribute to the limitations in CRF. The current review will discuss aerobic exercise testing and the assessment of respiratory muscle function in the obese population.

Irisin levels correlate with energy expenditure in a subgroup of humans with energy expenditure greater than predicted by fat free mass

OBJECTIVE

Obesity is a result of chronic overconsumption of calories relative to the amount of energy expended. While fat free mass can account for ~80% of the variance in energy expenditure, there is still considerable variability in energy requirements between individuals that cannot be explained. We hypothesized that responsiveness to the recently discovered myokine, irisin, which has been touted to increase energy expenditure via activation of brown adipocytes in rodents and possibly humans, may explain some of the variability in energy expenditure.

MATERIALS/METHODS

Post-menopausal women (n=17) spent 24-h in a whole room indirect calorimeter. During the study day, subjects remained sedentary and consumed meals tailored to their energy requirements. Plasma irisin, leptin and adiponectin were measured in samples taken from each subject.

RESULTS

Our results suggest that in general, irisin levels do not correlate with 24-h energy expenditure, however, for a subpopulation irisin levels and energy expenditure are highly correlative.

CONCLUSION

Irisin may help explain some of the observed variability in individual energy requirements that cannot be accounted for by fat free mass. Therefore, interventions designed to increase irisin action may prove to be promising avenues for the treatment of obesity.

Cardiovascular abnormalities in Klinefelter syndrome

BACKGROUND

Several epidemiological studies have demonstrated an increased mortality from cardiovascular causes in patients with Klinefelter Syndrome (KS). Little information is available about the nature of the underlying cardiovascular abnormalities. Aim of the study was to investigate exercise performance, left ventricular architecture and function, vascular reactivity, and carotid intima-media thickness in a group of patients with KS.

MATERIALS AND METHODS

Sixty-nine patients with KS and 48 age-matched controls participated in our population-controlled study. Forty-eight Klinefelter subjects were on testosterone treatment at the time of the investigation while 21 were naive and underwent a complete Doppler echocardiographic examination, a cardiopulmonary exercise test as well as a vascular study including measures of carotid intima-media thickness and endothelial function with flow-mediated dilation of the brachial artery. Patients with KS on testosterone therapy (n=48) were also matched against a population of men with treated secondary hypogonadism (n=21).

RESULTS

Patients with KS exhibited a wide array of cardiovascular abnormalities including left ventricular diastolic dysfunction, reduced maximal oxygen consumption (p<0.01), increased intima-media thickness (p<0.05) (-34% and +42% vs. controls, respectively) and a high prevalence of chronotropic incompetence (55% of patients, p<0.01). No significant difference was found between treated and untreated KS in variance with men treated for secondary hypogonadism.

CONCLUSION

Left ventricular diastolic dysfunction, impaired cardiopulmonary performance, chronotropic incompetence, and increased intima-media thickness suggest that cardiovascular abnormalities are a common finding in KS that is not reversed by testosterone replacement therapy and may represent the pathophysiological underpinnings of the increased risk of dying from heart disease.