Transcutaneous Electrical Acustimulation Ameliorates Motion Sickness Induced by Rotary Chair in Healthy Subjects: A Prospective Randomized Crossover Study.

OBJECTIVES: Motion sickness (MS) is a common physiological response to real or virtual motion. The purpose of this study was to investigate the effects of transcutaneous electrical acustimulation (TEA) on MS and the underlying mechanisms in healthy subjects. MATERIALS AND METHODS: A total of 50 healthy participants were recruited and randomly assigned into two groups to complete two separate sessions in a crossover study. A Coriolis rotary chair was used as a model to provoke severe MS. The total tolerable rotation time and Graybiel scoring scale were recorded. Gastric slow waves were detected by electrogastrogram. The autonomic nervous function, including the vagal activity, was evaluated by the analysis of heart rate variability derived from the electrocardiogram recording. The serum levels of arginine vasopressin (AVP) and norepinephrine (NE) were examined. RESULTS: Of note, 22 participants in TEA and only 11 participants in the sham-TEA session completed the entire five-rotation MS stimuli (p = 0.019). TEA significantly prolonged the total tolerable rotation time of MS stimuli (220.4 ± 11.59 vs 173.6 ± 12.3 seconds, p < 0.001) and lowered MS symptom scores (12.56 ± 2.03 vs 22.06 ± 3.0, p < 0.001). TEA improved the percentage of normal gastric slow waves, compared with sham-TEA (56.0 ± 2.1% vs 51.6 ± 2.0%, p = 0.033). TEA also significantly enhanced vagal activity compared with sham-TEA (0.41 ± 0.02 vs 0.31 ± 0.02, p < 0.001). In addition, the increased serum levels of AVP and NE on MS stimulation were markedly suppressed by TEA treatment, compared with sham-TEA (AVP, 56.791 ± 4.057 vs 79.312 ± 10.036 ng/mL, p = 0.033; NE, 0.388 ± 0.037 vs 0.501 ± 0.055 ng/mL, p = 0.021). CONCLUSIONS: Needleless TEA is a potent therapeutic approach for severe MS, as it increases participants' tolerance and ameliorates MS symptoms, which may be attributed to the integrative effects of TEA on autonomic functions and neuroendocrine balance.

Characterization of CD103+ CD8+ tissue-resident T cells in esophageal squamous cell carcinoma: may be tumor reactive and resurrected by anti-PD-1 blockade.

Though therapy that promotes anti-tumor response about CD8+ tumor-infiltrating lymphocytes (TILs) has shown great potential, clinical responses to CD8+ TILs immunotherapy vary considerably, largely because of different subpopulation of CD8+ TILs exhibiting different biological characters. To define the relationship between subpopulation of CD8+ TILs and the outcome of antitumor reaction, the phenotype and function of CD103+ CD8+ TILs in esophageal squamous cell carcinoma (ESCC) were investigated. CD103+ CD8+ TILs were presented in ESCC, which displayed phenotype of tissue-resident memory T cells and exhibited high expression of immune checkpoints (PD-1, TIM-3). CD103+ CD8+ TILs were positively associated with the overall survivals of ESCC patients. This population of cells elicited potent proliferation and cytotoxic cytokine secretion potential. In addition, CD103+ CD8+ TILs were elicited potent anti-tumor immunity after anti-PD-1 blockade and were not affected by chemotherapy. This study emphasized the feature of CD103+ CD8+ TILs in immune response and identified potentially new targets in ESCC patients.

Artificial gravity with ergometric exercise can prevent enhancement of popliteal vein compliance due to 4-day head-down bed rest.

Changes of venous compliance may contribute in part to postflight orthostatic intolerance. The purpose of the present study was to determine whether intermittent artificial gravity exposure with ergometric exercise could prevent venous compliance changes in the lower limbs due to simulated weightlessness. Twelve healthy male volunteers were exposed to simulated microgravity for 4 days of head-down bed rest (HDBR). Six subjects were randomly loaded 1.0-2.0 Gz intermittent artificial gravity (at foot level) with 40 W of ergometric workload every day (countermeasure group, CM). The six others served as the control (CON group). Venous compliance was estimated by measuring the corresponding change of cross-sectional area (CSA) of popliteal vein at each minute of various venous occlusion pressure stages. Basal CSA was significantly lower after bed rest in the control group, and preserved in the countermeasure group. The percent increase in the CSA of CON group was significantly greater almost at each minute of various venous cuff pressures after bed rest than before. Compliance of popliteal vein of CON group was significant greater when 40, 60 and 80 mmHg cuff pressure applied after bed rest than before of CON group. In conclusions, a 4-day simulated weightlessness leads to increase of popliteal venous compliance; centrifuge-induced artificial gravity with ergometric exercise can prevent enhancement of popliteal venous compliance due to 4-day head-down tilt bed rest, the effect of the countermeasure on compliance might involve changes in venous filling and changes in venous structure.

Combined short-arm centrifuge and aerobic exercise training improves cardiovascular function and physical working capacity in humans.

BACKGROUND: Musculoskeletal and cardiovascular deconditioning occurring in long-term spaceflight gives rise to the needs to develop new strategies to counteract these adverse effects. Short-arm centrifuge combined with ergometer has been proposed as a strategy to counteract adverse effects of microgravity. This study sought to investigate whether the combination of short-arm centrifuge and aerobic exercise training have advantages over short-arm centrifuge or aerobic exercise training alone. MATERIAL/METHODS: One week training was conducted by 24 healthy men. They were randomly divided into 3 groups: (1) short-arm centrifuge training, (2) aerobic exercise training, 40 W, and (3) combined short-arm centrifuge and aerobic exercise training. Before and after training, the cardiac pump function represented by stroke volume, cardiac output, left ventricular ejection time, and total peripheral resistance was evaluated. Variability of heart rate and systolic blood pressure were determined by spectral analysis. Physical working capacity was surveyed by near maximal physical working capacity test. RESULTS: The 1-week combined short-arm centrifuge and aerobic exercise training remarkably ameliorated the cardiac pump function and enhanced vasomotor sympathetic nerve modulation and improved physical working capacity by 10.9% (P<.05, n=8). In contrast, neither the short-arm centrifuge nor the aerobic exercise group showed improvements in these functions. CONCLUSIONS: These results demonstrate that combined short-arm centrifuge and aerobic exercise training has advantages over short-arm centrifuge or aerobic exercise training alone in influencing several physiologically important cardiovascular functions in humans. The combination of short-arm centrifuge and aerobic exercise offers a promising countermeasure to microgravity.

Heart rate and respiration responses to real traffic pattern flight.

The purpose of this study was to observe heart rate and respiration responses to real traffic pattern flight. Nine experienced and nine less-experienced military pilots on active flying status participated in four uninterrupted traffic patterns flight missions with F-7 jet trainer. The heart rates and respiration waves were continuously recorded using a small recording device strapped around the chest. As compared with baseline values, significant increases in heart rates of the two groups (for experienced pilots group, F (11, 88) = 4.636, p = 0.000; for less-experienced, F (11, 88) = 4.437, p = 0.000) and mean respiration rates of less-experienced group (F (11, 88) = 4.488, p = 0.000) were obtained during the phases of take-off, final approach and landing. Heart rates of less-experienced pilots were significant higher than those of experienced pilots during the take-off phase (p < 0.05). There were no significant differences in respiration rates between the two groups at each phase of the whole flight. The results show that take-off, final approach and landing are the most mental workload phases in-flight, and less-experienced pilots show more mental workload than experienced pilots in take-off phase in-flight.

Effect of thigh cuffs on haemodynamic changes of the middle cerebral artery and on orthostatic intolerance induced by 10 days head-down bed rest.

Thigh cuffs are used by cosmonauts to limit fluid shift during space flight, but the appropriate level of cuff pressure and the duration of application to optimize their beneficial effects require further detailed investigations. In the present study, 10 days head-down tilt (HDT) bed rest was performed to assess the effects of thigh cuffs (40 mmHg, 10 h/day) on haemodynamic changes of the middle cerebral artery (MCA) and on orthostatic tolerance in six healthy male volunteers. Another six healthy male volunteers without thigh cuffs served as the control group. Haemodynamic parameters of the MCA were measured using transcranial Doppler. Orthostatic tolerance was assessed before and after HDT. After HDT, the mean upright time in the control and thigh cuff groups was 14.0 +/- 4.1 and 19.2 +/- 0.7 min, respectively. Compared with values before HDT, the percentage increase in heart rate from baseline in the upright position after HDT was significantly higher in the control group and the percentage change from baseline of mean diastolic arterial blood decreased more after HDT in this group. In the control group, systolic blood velocity (Vs) and mean blood velocity (Vm) of the right MCA decreased significantly during HDT. In the thigh cuffs group, the Vs of the right MCA decreased significantly on Days 3 and 7 of HDT and the Vm of the right MCA decreased significantly on Day 7 of HDT. The results indicate that daily use of thigh cuffs during 10 days of HDT does not completely prevent the decrease in haemodynamics of the right MCA, but is effective in preventing orthostatic intolerance.

Compliance changes in femoral veins of rabbits after 21 days of simulated weightlessness.

Increased venous compliance in lower limbs may be contributed to postflight orthostatic intolerance; however, direct animal studies to address the changes of venous compliance to microgravity have been rare. The purpose of this study was to determine compliance changes in femoral veins of rabbits after 21 days of head-down rest. Head-down rest -20 dgrees rabbit model was used to simulate weightlessness. 24 healthy male New Zealand Rabbits were randomly divided into 21 days of head-down rest group (HDR), horizontal immobilization group (HIG) and Ctrl group (Ctrl), with 8 in each. We constructed pressure-volume relationships from femoral veins in vivo for all groups after simulation by changing the venous internal volume and measuring the corresponding pressure. Microstructure of femoral vein wall in 3 groups was observed. Compared among the groups, the corresponding intravenous pressure of Ctrl was the highest when intravenous volume was expanded and HDR was the lowest. The parameter 3 , and P 2 in quadratic equations of femoral venous P-V relationship of HDR group were significantly higher than these values of HIG group and Ctrl group. The structure of femoral vein wall of HDR rabbits changed significantly, outlines of some endothelium cells (EC) became short and columnar or cubic, some of EC fell off and smooth muscle layer became thinner. These results indicate that, the femoral venous compliance increased after weightlessness simulation. This may partially underlie the mechanism of orthostatic hypotension seen in astronauts during an orthostatic stress after exposure to microgravity.

Effect of lower-body negative pressure on cerebral blood flow velocity during 21 days head-down tilt bed rest.

BACKGROUND: The purpose of this study was to investigate cerebral blood flow (CBF) velocity in humans during 21 days of head-down tilt (HDT) bed rest with and without lower-body negative pressure (LBNP). MATERIAL/METHODS: Twelve healthy male volunteers were exposed to -6 degrees HDT bed rest for 21 days. Six subjects received -30 mmHg LBNP sessions for 1 h per day from the 1st to the 7th day and from the 15th to the 21st day of HDT, and six others served as controls. CBF velocity was measured by use of the transcranial Doppler technique in the right middle cerebral artery before and during HDT. RESULTS: In the control group, mean and systolic CBF velocities decreased on day 1 of HDT compared with the pre-HDT value, and dropped further on day 3 of HDT, then remained significantly below the pre-HDT baseline on days 7 and 10 of HDT, and reached a minimum value on day 21 of HDT. In the LBNP group, mean and systolic CBF velocities decreased significantly on day 1 of HDT compared with the pre-HDT value, and remained lowered throughout HDT. Diastolic CBF showed no significant change throughout HDT in both groups. There were no significant differences in these parameters between the two groups. CONCLUSIONS: The results of this study suggest that CBF velocity is reduced during 21 days of HDT, and brief daily LBNP sessions used in the first and last weeks of 21-day HDT bed rest does not improve CBF velocity.

[Effects of repeated lower g exposures on high-G induced memory and balance changes in rats].

OBJECTIVE: To study the protective effects of repeated +4 Gz/3 min exposures on memory and balance changes induced by +10 Gz/5 min exposure in rats. METHOD: 32 male SD rats were randomly divided into 4 groups: control group (C) ; +10 Gz/5 min group (10 Gz); 3 d training group (3 d) ; 5 d training (5 d) group (exposed to +4 Gz/3 min per day for 3 or 5 days before +10 Gz/5 min exposure). Changes of memory and balance in rats of all the 4 groups were observed after +10 Gz/5 min exposure. RESULT: In +10 Gz group, the percentage of correct reaction (CR) decreased significantly at all times after +10 Gz exposure (P<0.01), and the reaction time (RT) lengthened significantly at all times after +10 Gz exposure (P<0.01); as compared with control group. In 3 d training group, CR decreased significantly at 1 d, 2 d and 6 d after +10 Gz exposure (P<0.05), RT lengthened significantly at all times after +10 Gz exposure (P<0.05); as compared with control group. CR increased significantly at 2 d, 4 d and 6 d after +10 Gz exposure (P<0.01), RT shortened significantly at 1 d, 2 d, 4 d and 6 d after +10 Gz exposure (P<0.01) as compared with +10 Gz group. In 5 d training group, there were no apparent changes compared to control group; but CR increased significantly and RT shortened significantly at the time of 1 d, 2 d, 4 d and 6 d after +10 Gz exposure (P<0.01) as compared with +10 Gz group. Balancing function (BF) of +10 Gz group decreased significantly immediately and 2 d after +10 Gz exposure (P<0.01) as compared with control group. BF in 3 d and 5 d training group improved significantly immediately and 2 d after +10 Gz exposure as compared with +10 Gz group (P<0.01). CONCLUSION: It is suggested that repeated low +Gz exposures could provide protective effect on memory and balance changes induced by high +Gz exposure in rats.

Counteracting effect of head-up tilt on increased femoral venous compliance after simulated weightlessness in rabbits.

BACKGROUND: The increased femoral venous compliance is one of the factors of orthostatic intolerance after space flight. The purpose of this study was to observe the effect of daily head-up tilt (HUT) on stress-strain relationship of femoral vein during simulated weightlessness in rabbits. METHODS: Head-down tilt (HDT) 20 degrees rabbit model was used to simulate weightlessness. Twenty-four healthy male New-Zealand rabbits were randomly divided into three groups: simultaneous control, 21 d HDT, and 21 d HDT plus daily 2 h HUT 45 degrees, with 8 in each. Twenty-one days later, stress-strain relationship of femoral vein was examined. RESULTS: Under the same stress, the circumferential strain both in the 21 d HDT group and the 21 d HDT plus daily 2 h HUT group increased significantly than those in the control group. There were no significant differences between these two groups. There were no significant changes in the longitudinal strain among three groups under the same stress. CONCLUSIONS: The femoral venous compliance of rabbits increase significantly after 21 days simulated weightlessness. Daily 2 h HUT 45 degrees could not prevent increase of femoral venous compliance in rabbits induced by 21 days simulated weightlessness.

[Effects of self-generated LBNP training on cardiovascular function and lower body negative pressure (LBNP) tolerance].

OBJECTIVE: To explore the changes of cardiac function and lower body negative pressure tolerance after self-generated Lower Body Negative Pressure device training and provide experimental evidences for its appliance. METHOD: Twelve healthy male subjects were randomly divided into two groups, and received training on two conditions for entirely closing the valve or opening to -30 mmHg of peak LBNP separately. The group A was trained for five days and three minutes per day. Heartfunction, HUT and tolerance of LBNP were measured in pre-training, 3 d and post-training. The group B was trained for ten days and five minutes each day. All the measurements that was the same as in group A were made. RESULT: Heart function of group A decreased and tolerance of LBNP increased significantly (P<0.05). In group B, heart function increased significantly after 8 days training, so did tolerance of LBNP. CONCLUSION: It suggested that lower body negative pressure tolerance could be improved by self-generated Lower Body Negative Pressure device training. The changes of cardiac function, however, were based on the project of training.

[Development of self-generating lower body negative pressure device].

OBJECTIVE: To develop a kind of self-generating lower body negative pressure device. METHOD: The device consists of a flexible bellows, reinforced by several steel rings and sealed by gasproof adhesive plaster. An adjustable valve, a one-way flap valve, shoulder straps and handles are incorporated on the top of the bellows. The user's lower body was contained in the bellows. As the user's legs were extended, the bellows was elongated and the air pressure in it decreased. RESULT: Negative pressures of -58, -46, -38 and -26 mm-Hg respectively was created with the adjustable inlet valve completely closed, one-quarter open, half open, or fully open. CONCLUSION: This self-generating lower body negative pressure device combines exercise and LBNP into one thing and is safe and easy to use. It might be used in preventing cardiovascular deconditioning during spaceflight or for anti-G training of pilots.

[Weightlessness or weightlessness simulation and vascular remodeling].

Weightlessness is inavoidable during spaceflight. It brings profound physiological effects on human body. Vascular remodeling is one of the important changes of cardiovascular system caused by weightlessness or simulated weightlessness. The paper summarized the studies on the effects of weightlessness or weightlessness simulation on vascular remodeling in recent years. The emergence and development of the concept of vascular remodeling were briefly reviewed. The advances of study on vascular remodeling in recent years was briefly discussed with the points focused on the effects of weightlessness or weightlessness simulation on cardiovascular remodeling and its mechanism. It is proposed that cardiovascular remodeling might be important in studying the causes of orthostatic intolerance after spaceflight.

[Development and application of self-powered short arm human centrifuge].

OBJECTIVE: To present the development and application of a self-powered short arm human centrifuge. METHOD: Self-powered short arm human centrifuge consisted of human power, adjustable resistance trig, short arm and supporting construction parts. It was driven by human power. The short arm turned around the supporting part so artificial gravity is produced. The physical load can be adjusted by the adjustable resistance part. G-level depends on the rotative velocity of the central shaft. Nine healthy male volunteers received self-powered short arm human centrifuge training for 5 min per day with rotative velocity of 30-34 r min-1 for 7 d. Cardiac pumping function was measured before and after training. RESULT: Heart rate (HR) decreased significantly while left ventricular ejection time (LVET) increased significantly after 3 d training, and HR and LVET changed further after 7 d training. Stroke volume increased significantly only after 7 d training. CONCLUSION: Self-powered short arm human centrifuge combines artificial gravity and exercise and included other advantages of safety and economy of construction. Cardiac pumping function could be improved by 7 d training. It may be used for anti-G physiological training or as a countermeasure to counteract the effect of microgravity.

[Effects of +Gz exposure time on memory and behavior in rats].

OBJECTIVE: To explore the effect of +Gz exposure time on memory and behavior in rats. METHOD: Twenty-four male SD rats were randomly divided into control group (A), +10 Gz/3 min group (B) and +10 Gz/5 min group (C). Rats in group A and B were exposed to +10 Gz for 3 min or 5 min respectively. Changes of memory and behavior in rats were observed after +Gz exposure. RESULT: As compared with control, percentage of right reflex decreased significantly and reaction time lengthened significantly immediately, 1 d, 2 d, 4 d and 6 d after +10 Gz/5 min exposure (P<0.01); reaction time lengthened significantly immediately and 2 d after +10 Gz/3 min exposure (P< 0.01). As compared with +10 Gz/3 min, percentage of right reflex decreased significantly and reaction time lengthened significantly at 1 d, 2 d, 4 d and 6 d after +10 Gz/5 min exposure (P<0.01). As compared with control and +10 Gz/3 min, time stayed in center grille lengthened significantly immediately after +10 Gz/5 min exposure (P<0.01); balancing function decreased significantly immediately and 2 d after +10 Gz/5 min exposure (P< 0.01). CONCLUSION: It is suggested that +10 Gz/ 3 min exposure may induce a provisional disturbance in memory function and a change in behavior in rats, and +10 Gz/5 min exposure may induce a sustained disturbance in memory function and an obvious change in behavior in rats.

Effect of lower body negative pressure on orthostatic tolerance and cardiac function during 21 days head-down tilt bed rest.

The purpose of the present study was to investigate the changes of orthostatic tolerance and cardiac function during 21 d head-down tilt (HDT) bed rest and effect of lower body negative pressure in the first and the last week in humans. Twelve healthy male volunteers were exposed to -6 degrees HDT bed rest for 21 d. Six subjects received -30 mmHg LBNP sessions for 1 h per day from the 1st to the 7th day and from the 15th to the 21st day of the HDT, and six others served as control. Orthostatic tolerance was assessed by means of standard tilt test. Stroke volume (SV), cardiac output (CO), preejection period (PEP) and left ventricular ejection time (LVET) were measured before and during HDT. Before HDT, all the subjects in the two groups completed the tilt tests. After 10 d and 21 d of HDT, all the subjects of the control group and one subject of the LBNP group could not complete the tilt test due to presyncopal or syncopal symptoms. The mean upright time in the control group (15.0 +/- 3.2 min) was significantly shorter than those in the LBNP group (19.7 +/- 0.9 min). SV and CO decreased significantly in the control group on days 3 and 10 of HDT, but remained unchanged throughout HDT in the LBNP group. A significant increase in PEP/LVET was observed on days 3 and 14 of HDT in both groups. The PEP/LVET in the LBNP group was significantly lower on day 3 of HDT, while LVET in the LBNP group was significantly higher on days 3, 7 and 14 of HDT than those in the control group. The results of this study suggest that brief daily LBNP sessions used in the first and the last weeks of 21 d HDT bed rest were effective in diminished the effect of head-down tilt on orthostatic tolerance, and LBNP might partially improve cardiac pumping function and cardiac systole function.

[Effects of simulated microgravity on cardiovascular function and counter effect of lower body negative pressure].

Studies on effect of simulated microgravity on cardiovascular function and counter effect of lower body negative pressure (LBNP) in recent years were summarized. The mechanism of simulated microgravity induced orthostatic intolerance may involve the reduction of cardiovascular function and cerebral blood flow, and endocrine changes. The significance of mathematical model in the study of mechanism of microgravity induced orthostatic intolerance was also discussed. The counter effect of LBNP was emphasized.

[Changes of serum alkaline phosphatase and electrolytes during 21 d head down bed-rest].

Objective. To investigate the effect of simulated weightlessness on serum alkaline phosphatase (ALP), calcium, magnesium, chlorine and phosphorus. Method. 6 healthy males, aged 24.8 +/- 6.1, were exposed to -6 degrees HDT bed rest for 21 d. Activity of serum alkaline phosphatase, serum contents of calcium (Ca), magnesium (Mg), chlorine (Cl) and phosphorus (P) ions were assayed before HDT (d-3), on the 3rd, 10th and 21st day during HDT and after HDT (d+2). Ca was measured by methyl thymol blue method, P was determined with ultraviolet spectrophotography, determination of Mg and Cl were made with enzyme method, ALP was examined with 4-nitrobenzene phosphate method. Result. Serum Ca2+ levels were significantly higher at d10, d2l and d+2 than the value of d-3 (P<0.01). P3+ levels declined significantly on d2l as compared with d-3 (P<0.01). During the HDT and after HDT, Mg2+ declined to a level below that before HDT (P<0.05 or P<0.01). Cl- were significantly higher at d2l and d+2 than the value of d-3 (P<0.01). ALP level was higher on d2l than on d-3 (P<0.01). Conclusion. 21 d HDT induced increase of Ca, Cl, ALP, and decline of Mg and P. The changes may reflect the imbalance of metabolism.

[Upright tilt table testing and syncope evaluation].

Syncope is a state of unconsciousness, the process of syncope is sudden and transient. Transient and widespread cerebral ischemia/hypoxia are the reasons of syncope. Sixty percent to seventy percent of the patients suffering from syncope have no categorical reasoning, although lots of assisted examinations had been carried out. Those syncope are called unexplained syncope or unknown origin syncope. Basic upright tilt table test, as well as isoproterenol tilt table test, is a quite effective diagnostic technique for unexplained syncope. This paper reviewed the value of upright tilt [correction of tile] table test in diagnosing unexplained syncope. The method of experiment, information of it's clinical application and points for attention with test were also introduced.