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The Journal of Physiology

Wiley

Preprints posted in the last 90 days, ranked by how well they match The Journal of Physiology's content profile, based on 134 papers previously published here. The average preprint has a 0.06% match score for this journal, so anything above that is already an above-average fit.

1
Reduction in Ia afferent input via ischaemia alters motor unit discharge characteristics and estimates of persistent inward currents

Bonett, N.; Valencic, T.; Connelly, C. D.; Thomason, H.; Pearcey, G. E.; Piasecki, M.; Skarabot, J.

2026-05-05 neuroscience 10.64898/2026.05.01.722246 medRxiv
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Persistent inward currents (PICs) govern motoneuron output and are influenced by diffuse neuromodulation and local inhibition. When large diameter afferent feedback is lost, as in some neurological conditions, PICs might additionally amplify and prolong synaptic inputs. Here, we examined whether reducing Ia afferent transmission via ischaemic nerve block alters PIC contribution to tibialis anterior (TA) motor unit (MU) discharge. Across two experiments 12 adults (5 female) performed triangular-shaped isometric dorsiflexion to 30% (Experiments 1 and 2) and 50% (Experiment 2) maximum voluntary force (MVF) at baseline, after a 20-minute rest (control), and during occlusion after inducing an ischaemic nerve block, confirmed by abolition of the soleus H-reflex. TA myoelectrical activity measured during contractions was decomposed into MU spike trains, and from smoothed MU discharges, discharge rate hysteresis ({Delta}F) and ascending non-linearity (brace height) were quantified. Results from Experiment 1 involving contractions matched to absolute force levels revealed increased peak discharge rate, {Delta}F, and brace height post-occlusion. However, {Delta}F normalised to maximal theoretical hysteresis did not change across time points. In Experiment 2, where MVF was reassessed at each timepoint and contractions were matched to relative force, peak discharge rate, normalised {Delta}F and brace height increased post-occlusion compared to pre-, across both contraction intensities. {Delta}F only increased post-occlusion at 50% MVF, with no changes at 30% MVF. These results show that ischaemic block of large-diameter axons, likely reducing reciprocal inhibition, increases PIC contribution to discharge rate modulation, highlighting the role of Ia afferent input in shaping motoneuron output in humans.

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Developmental mechanisms contributing to non-linear firing dynamics in spinal motoneurons of the postnatal mouse

Sharples, S. A.; Miles, G. B.

2026-03-15 neuroscience 10.64898/2026.03.12.711366 medRxiv
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The intrinsic properties of spinal motoneurons support flexible movement, including the maintenance of postural tone. Motoneurons can produce sustained action potential output that outlasts synaptic input, a phenomenon traditionally attributed to persistent inward currents (PICs) mediated by sodium and calcium channels. Using whole-cell patch clamp electrophysiology, we examined how specific ion channels contribute to PIC maturation and non-linear firing dynamics that allow motoneurons to sustain their output in fast and slow lumbar motoneurons across postnatal development in mice. PIC amplitude and non-linear firing dynamics increased after weight bearing in fast but not slow motoneurons. Blocking Nav1.6 channels reduced PIC amplitude at both pre- and post-weight-bearing stages, whereas L-type calcium channel blockade only reduced PICs after weight bearing emerged. However, reducing PIC amplitude--either individually or in combination--did not abolish sustained firing hysteresis. Unexpectedly, activation of muscarinic receptors increased PIC amplitude while promoting adaptive firing dynamics, suggesting that PICs alone do not drive this behavior. Instead, pharmacological manipulation of potassium currents mediated by KCNQ and Kv1.2 channels, which oppose PICs, produced substantial changes in firing dynamics. Strikingly, blocking HCN channels promoted sustained firing dynamics and led to the emergence of self-sustained firing in fast motoneurons. These results indicate that while PICs and non-linear firing dynamics mature together, sustained firing relies on mechanisms beyond PICs, with potassium and HCN channels playing key modulatory roles. Key PointsO_LIPersistent inward currents (PICs) and recruitment-derecruitment hysteresis increase in parallel in fast, but not slow, motoneurons following the onset of hindlimb weight bearing. C_LIO_LIIncreased expression or function of L-type calcium channels may contribute to enhanced PICs in fast motoneurons after weight bearing emerges. C_LIO_LINeither Nav1.6 nor L-type calcium channels are required for sustained firing hysteresis in fast motoneurons. C_LIO_LIKCNQ channels attenuate PICs and, together with Kv1.2 channels, shape recruitment-derecruitment asymmetry, thereby modulating firing hysteresis in fast motoneurons. C_LIO_LIHCN channels generate a resting H-current that delays recruitment, modulates firing hysteresis, and prevents the emergence of self-sustained firing in fast motoneurons. C_LI

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HCN channels modulate the medium afterhyperpolarization and adjust the firing gain of fast alpha motoneurons in mice

Sharples, S. A.; Miles, G. B.

2026-05-21 neuroscience 10.64898/2026.05.19.726318 medRxiv
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Motoneuron subtypes exhibit distinct firing properties that are critical for the graded control of muscle force. A key determinant of these differences is the medium afterhyperpolarization (mAHP), which shapes discharge rate and firing gain. While subtype-specific variation in mAHP properties has traditionally been attributed to differences in small-conductance calcium-activated potassium (SK) channel expression, emerging evidence suggests that additional conductances may contribute. Here, we investigated the role of hyperpolarization-activated cyclic nucleotide-gated (HCN) channels in regulating the mAHP and excitability of mouse spinal motoneurons during postnatal development. Using whole-cell patch-clamp recordings, we show that, by the onset of the third postnatal week, an h current (Ih) is active at resting potential in fast motoneurons and is correlated with the amplitude of the mAHP. Pharmacological blockade of HCN channels with ZD7288 increased mAHP amplitude in fast but not slow motoneurons, without affecting mAHP duration, indicating a subtype-specific contribution to mAHP amplitude. In line with the mAHP regulating firing gain, ZD7288 also reduced firing gain in fast but not slow motoneurons. These findings support a contribution of HCN channel activity to the regulation of mAHP amplitude and firing gain in fast motoneurons, highlighting a potential interaction between Ih and SK channel-dependent mechanisms in shaping motoneuron excitability. Key PointsO_LIThe amplitude of the medium afterhyperpolarization (mAHP) is negatively correlated with h-current (Ih) amplitude measured near resting potential in mouse lumbar motoneurons. C_LIO_LIPharmacological blockade of HCN channels selectively increases mAHP amplitude in fast, delayed firing alpha motoneurons, with no effect observed in slow, immediate firing alpha motoneurons. C_LIO_LIInhibition of HCN channels reduces firing gain in fast motoneurons, while slow motoneurons remain unaffected. C_LIO_LIHCN channels regulate firing gain in fast motoneurons, at least in part, through modulation of mAHP amplitude. C_LI

4
State- and Identity-Dependent Motor Neuron Excitability Shapes Cutaneous Long-Latency Reflexes

Finck, Y.; Soteropoulos, D. S.; Del Vecchio, A.

2026-03-27 neuroscience 10.64898/2026.03.25.714138 medRxiv
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Neuromuscular reflexes elicited by sensory nerve stimulation provide valuable insights into neural motor control pathways. Analysis at the level of individual motor units (MUs) is feasible via electromyographic decomposition, but the factors shaping MU-specific reflex responses remain poorly understood. We investigated long-latency responses to cutaneous electrical stimulation in a large population of tibialis anterior MUs from nine healthy subjects during isometric ankle dorsiflexion at 10-30% of maximum voluntary contraction. Individual MU reflex responses differed markedly. Using 1000 stimulation pulses per trial, substantially more than the 150-300 typically reported in previous studies, provided more reliable estimates of cutaneous reflex characteristics. Across the motor pool, reflex magnitude increased with force level (p < 0.001) while excitation probability correlated significantly with MU recruitment threshold in 78% of subjects (p = 0.012). Furthermore, excitation probability increased systematically with contraction intensity (p < 0.001) for individually tracked MUs. Post-excitatory depression (PED) magnitude correlated significantly with excitation probability (r = 0.50, p < 0.001) of individual MUs. A targeted reflex-removal analysis, validated by MU simulations incorporating realistic excitation probabilities into ordinary firing patterns, reduced the PED by 84.2% in simulated data but only by 34.7% in recorded units. These findings suggest that the PED is a complex, hybrid phenomenon, resulting from synchronization-induced discharge resetting and additional independent inhibitory components. These findings demonstrate that MU-level reflex excitability to somatosensory input is influenced by state- and identity-dependent motor neuron characteristics, underscoring the importance of using sufficient stimulation pulses for reliable reflex measures and MU population analysis.

5
Inertial effects on work production in sub-maximally activated skeletal muscle

Goodman, C. M.; Reder, B.; Brooks, L.; Wakeling, J.; Biewener, A.; Konow, N.

2026-05-06 physiology 10.64898/2026.05.01.722026 medRxiv
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Mass is a fundamental aspect of muscle contractile function, yet the inertial effects of inactive muscle mass is generally neglected in modeling and not quantified in studies on small muscles or isolated fibers. However, during submaximal contractions, inactive muscle tissue may take longer to be accelerated by active fibers, and may be subject to prolonged deceleration, both of which may potentially reduce force development and work output. We sought to test if inactive tissue mass imposes an inertial penalty on muscle performance, using in situ sinusoidal work-loop experiments on rat plantaris muscles. Regional fascicle dynamics, measured across supramaximal and submaximal levels of activation, showed that decreasing activation significantly reduced fascicle strain and increased both shortening and lengthening latency. Contrary to our predictions, however, reductions in work, beyond those explained by decreased fascicle strain, were negligible. Normalized work did not decline disproportionately relative to force, suggesting no clear inertial penalty on work at this muscle size. Our findings suggest that while inactive muscle mass influences the dynamics of submaximal contractions, its impact on work during submaximal contractions at small muscle sizes is limited.

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Stretch versus shortening contractions subsequently decrease versus increase neural drive to the human tibialis anterior

Raiteri, B. J.; Bosse, K. F.; Boccardo, M.; Vandal, A. C.; Hahn, D.

2026-03-16 physiology 10.64898/2026.03.13.710530 medRxiv
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EMG-based muscle force predictions are often inaccurate following active muscle stretch or shortening because of residual force enhancement (rFE) or depression (rFD), respectively, which can alter the neural drive to a muscle. However, the extent of neural drive modulation due to rFE or rFD remains unknown, making it difficult to correct EMG-based force predictions. Therefore, seventeen participants performed dorsiflexion contractions at 20 and 40% of maximum voluntary torque (MVT) in three conditions: stretch-hold, shortening-hold, and fixed-end reference (REF) conditions. The ankle dorsiflexion torques and angles were matched using dynamometry to the REF condition over a 10-s steady state following a 1-s 25{degrees} stretch or shortening, during which we recorded and decomposed tibialis anterior individual motor unit action potentials from high-density surface EMG recordings to gain insights into neural drive. Normalized EMG amplitudes were 2% lower following stretch and 1 or 3% higher following shortening relative to REF at 20 versus 40% MVT (p[&le;].008), respectively. Discharge rates (DRs) from 19 matched motor units per person on average obtained via DEMUSE and MUedit were similar (p=.871). Following stretch and shortening, DRs were [~]1 Hz lower (p[&le;].004) and 0 (p=.966) to 1 Hz higher relative to REF (p=.003), respectively. More unique motor units were also detected following shortening versus REF and in REF versus following stretch. These findings indicate that to account for rFE or rFD, neural drive is respectively decreased or increased via reduced or additional motor unit recruitment and DR modulation, with a contraction-intensity specific discharge rate modulation following active shortening.

7
Normobaric hypoxia alters the transcriptional response of healthy human skeletal muscles to a single session of high-intensity interval exercise

Li, J.; Taylor, D. F.; Kuang, J.; Wang, Z.; Zare, N.; Atakan, M. M.; Cui, K.; Ouzhu, N.; Bianba, B.; Garnham, A.; Lin, W.; Peng, L.; Girard, O.; Bishop, D. J.; Li, Y.; Yan, X.

2026-04-24 physiology 10.64898/2026.04.22.720051 medRxiv
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Given its well-documented effects on human physiology, hypoxia has garnered increasing interest for its potential to enhance specific adaptations to exercise. However, the molecular response of skeletal muscle to exercise under normobaric hypoxia remains poorly understood. To address this gap in knowledge, ten healthy young males completed a crossover study in which exercise in hypoxia was compared to exercise in normoxia matched by either absolute or relative intensity. This design allowed us to identify shared transcriptomic responses across all three conditions, as well as changes that were specific to exercise intensity or hypoxic exposure. Skeletal muscle biopsies were collected before, immediately after, and at 3 and 24 hours following each exercise session, with RNA sequencing performed to assess changes in gene expression. Following exercise, a greater number of differentially expressed genes were observed in hypoxia compared to normoxia at 24 h post-exercise. This hypoxia-specific response involved the downregulation of multiple mitochondrial pathways and appears to be regulated by a transcriptional network comprising both positive and negative regulators of HIF-1 activity. These findings highlight the ability of normobaric hypoxia to influence exercise-induced gene expression and suggests that it may promote distinct molecular adaptations in skeletal muscle following longer-term training.

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Chronic cold exposure induces plasticity of mitochondrial calcium uptake in beige and brown fat of UCP1-deficient mice.

Chamorro, C. G.; Pathuri, S.; Acin-Perez, R.; Chhan, M.; Milner, M. G.; Ermolova, N.; Jones, A. E.; Divakaruni, A. S.; Stiles, L.; Hevener, A. L. S.; Zhou, Z.; Shirihai, O. S.; Kirichok, Y.; Bertholet, A. M.

2026-03-18 physiology 10.64898/2026.03.16.712209 medRxiv
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Brown adipose tissue (BAT) is a unique tissue with mitochondria specialized for thermogenesis via the BAT-specific uncoupling protein 1 (UCP1). Ucp1-/- mice cannot tolerate acute exposure to cold, illustrating the necessity of UCP1 for efficient mitochondrial thermogenesis. However, these mice adapt to low temperatures through a gradual acclimation process, suggesting a high degree of mitochondrial plasticity in brown and beige fat cells. This phenomenon, which remains to be fully elucidated, indicates the potential for these mitochondria to implement effective thermogenic mechanisms in the absence of uncoupling protein 1 (UCP1). Here, we investigated mitochondrial remodeling in beige and brown fat of Ucp1-/- mice to determine how they fulfill their thermogenic role. Upon gradual acclimation to a cold environment, Ucp1-/- mice exhibited body metabolic parameters and temperatures in the interscapular region similar to those of wild-type mice of BAT, highlighting effective thermogenesis. Interestingly, mitochondrial patch-clamp analysis and a mitochondrial Ca2+ swelling assay revealed a dramatic increase in Ca2+ uptake depending on the mitochondrial calcium uniporter (MCU) in BAT mitochondria from Ucp1-/- mice when robust thermogenesis was required. Mitochondrial remodeling was accompanied by markedly increased tethering between mitochondria and the endoplasmic reticulum (ER) in Ucp1-/- mice, confirming a significant restructuring of the contact sites between the ER and mitochondria, likely to adapt to a new Ca2+ homeostasis. Respiratory complexes also underwent significant reorganization, which partly led to a reduction in their assembly. Levels of ATP synthase and its F1 subcomplex increased, suggesting a major source of ATP consumption and energy expenditure. We propose a new role for MCU as a key regulator of mitochondrial plasticity, enabling efficient thermogenesis in beige and brown adipose tissues in the absence of UCP1.

9
Cardiac-cerebrovascular crosstalk: Cardiac rhythms reveal maladaptive cerebral blood flow velocity and constrained ventilatory status

Candia-Rivera, D.; Pouget, P.; Chavez, M.

2026-04-01 neuroscience 10.1101/2025.10.21.683641 medRxiv
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In brain-heart interactions, several pathways have been proposed to mediate feedback loops between systems. Among these, cerebrovascular dynamics operate at their interface. However, how cardiovascular control, ventilation mechanisms, and cerebral autoregulation interact is not well characterized, especially in ageing and post-stroke conditions, where perfusion can be compromised. In a cohort of 57 elderly participants, including 30 stroke survivors, we investigated the relationship between cardiac sympathetic activity and both, cerebral blood flow regulation and ventilatory status. Sympathetic reflexes, assessed via cardiac sympathetic index (CSI) during sit-to-stand transitions, were preserved across all participants, with marginal group differences between stroke and non-stroke populations. However, among individuals with constrained ventilation, indexed by reduced end-tidal CO2 at baseline, we identified a more elevated CSI following postural change, scaling with the degree of CO2 dysregulation. Furthermore, transcranial Doppler measurements revealed exaggerated changes in mean flow velocity (MFV) within the right middle cerebral artery in most participants. These MFV shifts significantly correlated with the magnitude of cardiac sympathetic change under orthostatic stress, suggesting that CSI can capture maladaptive cerebrovascular responses. Together, these findings highlight a distinct cardiac-cerebrovascular crosstalk in elderly individuals, revealing patterns consistent with compensatory or maladaptive sympathetic overactivation under conditions of impaired cerebrovascular control.

10
Probabilistic spike propagation shapes sympathetic output in mouse preganglionic neurons

Halder, M.; Sokoloff, A. J.; Li, Y.; Sawchuk, M.; Ward, B. M.; Hochman, S.

2026-05-22 neuroscience 10.64898/2026.05.20.726575 medRxiv
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Sympathetic preganglionic neurons (SPNs) provide the final pathway through which the central nervous system regulates autonomic function. SPN axons projecting to paravertebral sympathetic chain ganglia branch extensively and diverge across multiple segments, enabling amplification of central sympathetic commands through extensive postganglionic neuronal populations. Spike propagation along these projections has generally been assumed to occur reliably. However, most SPN axons are extremely small unmyelinated fibers, a structural feature predicted to reduce the safety factor for spike propagation. Using an isolated mouse thoracic sympathetic chain preparation, we combined anatomical tracing with multi-site compound action potential recordings to assess conduction across SPN axons. Neurobiotin labeling revealed widespread rostrocaudal divergence through interganglionic nerves, while axon measurements confirmed that most SPN axons are small unmyelinated fibers. Across preparations, supramaximal recruitment of SPNs revealed substantial intertrial variability in compound responses, indicating frequent conduction failures. Failures were most prominent in slow-conducting axons and occurred in both branching interganglionic pathways and the unbranching axons within the splanchnic nerve. During repetitive activation, frequency dependent depression was observed at 1, 5 and 10Hz, but only slow-conducting branching axons exhibited pronounced depression. Overall, these findings indicate that spike propagation in SPN axons may operate probabilistically rather than deterministically, with reliability strongly dependent on axonal subtype and recent activity history. We conclude that axonal conduction variability constitutes an intrinsic and dynamically regulated mechanism that shapes sympathetic output. By varying the recruitment of postganglionic populations, unreliable spike propagation in SPN axons introduces a previously unrecognized presynaptic gain-control mechanism, operating independently of central spike generation to modulate sympathetic output. SIGNIFICANCESympathetic preganglionic neurons provide the final pathway through which the central nervous system controls end-organs. These neurons project through the sympathetic chain where their axons branch extensively to recruit more numerous paravertebral postganglionic neurons. Spike propagation along these projections has generally been assumed to occur reliably. Here we show that this assumption is incorrect. Using anatomical tracing and electrophysiological recordings in mouse sympathetic chain preparations, we demonstrate that spike conduction in sympathetic preganglionic axons is frequently variable and prone to failure, particularly in the slowest-conducting unmyelinated fibers. Conduction variability was preferentially enhanced in branching axonal pathways during repetitive activation. These findings reveal that axonal conduction reliability represents an important presynaptic mechanism regulating the magnitude and variability of sympathetic output.

11
Athletes exposed to uncommon vestibular stimulation strengthen their tactile-neural pathway

Demaria, R.; Moinon, A.; Negrel, T.; Sutter, C.; Blouin, J.; Simoneau, M.; Mouchnino, L.

2026-05-08 neuroscience 10.64898/2026.05.05.722959 medRxiv
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Strikingly, highly trained athletes engaged in vertiginous activities (e.g., dance and slacklining) and patients with bilateral vestibular loss show a similar pattern of neural plasticity, likely resulting from reduced vestibular sensory processes. However, unlike patients, these athletes show no balance impairments, quite the opposite. This suggests that the attenuation of vestibular processing represents an adaptive recalibration to excessive vestibular stimulation rather than a sign of dysfunction. Concurrently, tactile processing increases as vestibular processing attenuates. Our findings indicate that effective adaptation extends beyond simple tactile compensation: it involves a strengthened tactile-brain pathway. Indeed, following unexpected base-of-support translations, the coupling between plantar shear forces (i.e., a proxy of plantar sole tactile afferents) and cortical responses over the somatosensory areas was markedly enhanced in Athletes. Cross-correlation analysis revealed stronger (r = 0.71) and faster (36 ms) tactile-brain coupling in Athletes (n = 25) compared with age- and gender-matched Controls (n = 18). This enhancement occurred within the first 180 ms following translation, that is, during the critical early phase of skin-surface interaction. Notably, artistic swimmers, who undergo intense vestibular stimulation in a weightless underwater environment without balance equilibrium constraints, also exhibit enhanced tactile-brain coupling. This suggests that strengthening the tactile-brain coupling is not merely a byproduct of balance expertise, but rather a broader adaptive response to sustained vestibular stimulation. Multimodal neurons integrating vestibular and somatosensory inputs, such as those in the somatosensory cortex and thalamus, may increase their responsiveness to foot tactile afferents when vestibular inputs become excessive. In such contexts, the somatosensory system may assume a dominant role in providing gravity-related information for balance control.

12
Inborn cardiorespiratory fitness and exercise training modulate brown adipose tissue function and plasticity in early life

Kingren, M. S.; Sadler, D. G.; Barre, M. C.; Treas, L. D.; Sikes, J. D.; Britton, S. L.; Koch, L.; Borsheim, E.; Porter, C.

2026-04-04 physiology 10.64898/2026.04.01.715665 medRxiv
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This study aimed to determine the impact of inborn metabolic fitness and early life exercise training on whole body and brown adipose tissue (BAT) energetics. We carried out comprehensive metabolic phenotyping on 4-week old rats bred for high (high-capacity runner, HCR) and low (low-capacity runner, LCR) running capacity following randomization to voluntary wheel running (VWR) or control (CRTL) for 6-weeks. High-resolution respirometry and untargeted proteomics were then employed to determine the impact of inborn fitness and early life exercise on BAT function. When accounting for differences in body mass, early life exercise (VWR) resulted in greater basal and total energy expenditure, irrespective of strain (P < 0.0001 for both). Both leak and uncoupling protein 1 (UCP1) dependent respiratory capacities in isolated BAT mitochondria were greater in rats randomized to VWR compared to CTRL in both HCR (P < 0.01) and LCR (P < 0.05) strains. Similarly, mitochondrial sensitivity to the UCP1 inhibitor GDP was greater in both HCR (P < 0.01) and LCR (P < 0.05) rats randomized to VWR versus control. The BAT proteome differed in CTRL HCR and LCR rats, were there was enrichment in proteins related to branched chain oxidation and mitochondrial fatty acid oxidation in HCR rats. VWR remodeled the BAT proteome, where 151 proteins were differentially expressed in LCR BAT and 209 differentially expressed in LCR BAT following VWR. In both stains, there was an enrichment in proteins related to metabolism mitochondrial function in response to VWR. However, when comparing strains, 39 proteins were differentially expressed in BAT in HCR rats compared to LCR rats in response to VWR. These proteins were related to carboxylic acid and amino acid metabolism. Collectively, inborn fitness impacts body mass and composition, exercise behaviors, and the BAT proteome in early life. Early life exercise alters whole body and BAT energetics irrespective of inborn fitness, augmenting basal and total energy expenditure and BAT thermogenic capacity and function.

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Increased calcium spark frequency and variability of action potential duration precede early after depolarisations in isolated ventricular myocytes

Briston, S. J.; Eisner, D. A.; Dibb, K. M.; Venetucci, L. A.; Trafford, A. W.

2026-05-10 physiology 10.64898/2026.05.09.723211 medRxiv
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Drug-induced inhibition of the delayed rectifier potassium (IKr) current predisposes to early afterdepolarisations (EADs) and cardiac arrhythmias. Here, we sought to determine the contribution of action potential duration (APD), APD variability and spontaneous calcium release from the sarcoplasmic reticulum (SR) in the formation of EADs. In isolated sheep ventricular myocytes, EADs were induced by combined inhibition of IKr with dofetilide and {beta}-adrenergic stimulation. The onset of EADs was preceded by increased beat-to-beat variability of APD. To isolate the role of APD in EAD initiation, the sarcoplasmic reticulum (SR) was depleted of calcium with caffeine. The first beat post-caffeine was associated with prolonged APD but not an EAD. During {beta}-AR stimulation, increasing ryanodine receptor open probability had no effect on APD but increased APD variability and induced both EADs and delayed afterdepolarisations (DADs). Targeting RyR open probability with K201 reversibly abolished afterdepolarisations. APD variability was a better predictor of EADs than APD alone. During an EAD, changes in [Ca2+]i preceded those of membrane depolarisation and the changes in [Ca2+]i were in the form of calcium sparks. In silico modelling demonstrated that membrane time constant effects account for the delay between changes in [Ca2+]i and membrane potential. In summary, using a drug-induced model of action potential prolongation with {beta}-AR stimulation, EADs are preceded by increased APD variability and an increase in Ca2+ sparks. Targeting SR function abolishes EADs. These results suggest a key role for SR Ca2+ overload in the formation of EADs and indicate that EADs and DADs share common mechanisms. Key PointsO_LIDrugs that prolong the cardiac action potential and ECG QT interval are a major cause of early afterdepolarisations and dangerous ventricular arrhythmias initiated by early afterdepolarisations. C_LIO_LIProlongation of the action potential is widely assumed to be the primary driver of these events. C_LIO_LIWe show that early afterdepolarisations are instead preceded by increased beat-to-beat variability of action potential duration and that this variability has better sensitivity and specificity for early afterdepolarisations than action potential duration. C_LIO_LISmall, spontaneous calcium release events known as calcium sparks occur before membrane depolarisation driving early afterdepolarisations. C_LIO_LISuppressing calcium release from the sarcoplasmic reticulum abolishes early afterdepolarisations, identifying calcium handling instability as potentially a key mechanism of drug-induced arrhythmia. C_LI

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Five days of heat acclimation improves cardiovascular and thermoregulatory responses without altering renal stress biomarkers in endurance athletes

Snape, D.; Wainwright, B.; Parsons, I. T.; Stacey, M. J.; Woods, D. R.; OHara, J.

2026-03-09 physiology 10.64898/2026.03.06.710014 medRxiv
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Short-term heat acclimation (HA) induces cardiovascular and fluid-regulatory adaptations, but its impact on markers of renal tubular injury and acute kidney injury risk (AKI) during exercise-heat stress remains unclear. Fourteen healthy endurance athletes were randomised to five days of isothermic HA (HOT; n = 7; 32 {degrees}C, 70% relative humidity; target core temperature [&ge;]38.5 {degrees}C), or matched exercise in thermoneutral conditions (TEMP, n = 7). Heat stress tests (HST; 45 min cycling at 32 {degrees}C, 70% RH) were performed pre- and post-intervention. Blood biomarkers of kidney tubular stress (NGAL, KIM-1), fluid-regulation (copeptin, serum osmolality) and sympathetic activity (plasma normetanephrine) were measured at rest and immediately post-HST. HA reduced resting heart rate (-8 {+/-} 5 bpm, p = 0.007, d = 1.0), increased plasma volume (+7.3 {+/-} 5.1%, p = 0.022) and sweat loss (+500 {+/-} 539 mL, p = 0.018, d = 1.1). Copeptin rose during the pre-intervention HST in both groups (HOT: +11 {+/-} 6; TEMP: +12 {+/-} 13 pmol{middle dot}L-1, p < 0.05), but not post-intervention. NGAL increased only in TEMP during HST1 (+45 {+/-} 29 g{middle dot}L-1, p = 0.030), while KIM-1 remained unchanged. No group x time interactions were observed for any biomarkers (p > 0.05). Five days of HA improved cardiovascular and thermoregulatory responses but did not alter renal stress markers or fluid-regulatory responses during exercise in the heat. These findings suggest short-term HA enhances heat tolerance without reducing acute renal biomarker responses under hot, humid conditions. New & NoteworthyFive days of isothermic heat acclimation improved cardiovascular and thermoregulatory responses, related to a lower resting heart rate, plasma volume expansion, and greater sweat loss. However, these benefits did not reduce renal tubular stress markers (NGAL, KIM-1), fluid-regulatory strain (copeptin), or sympathetic activity (normetanephrine) during exercise in the heat. Short-term heat acclimation lowers cardiovascular strain but does not mitigate renal biomarker responses, suggesting kidney stress risk remains unchanged in hot, humid conditions.

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Satellite Glial Cells Drive Homeostatic Synaptic Structural Plasticity in Sympathetic Neurons

Harrison, J.; Greene, E.; Yang, A.; Gong, R.; Chen, L.; Liu, X.; Birren, S.

2026-05-13 neuroscience 10.64898/2026.05.10.723591 medRxiv
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Sympathetic neuronal (SN) activity critically regulates the development and function of peripheral organs and tissues. Activity-dependent plasticity has been shown to modulate SN output, suggesting that compensatory forms of plasticity could contribute to maintaining stability of sympathetic circuits. Early SN hyperactivity drives the development of hypertension in humans and in the spontaneously hypertensive rat (SHR). In this study we used chemogenetic and pharmacological approaches, and took advantage of the enhanced activity of SHR SNs, to examine how long-term changes in activity impact synaptic properties in neonatal SN cultures. We showed that bidirectional changes in SN activity result in compensatory shifts in synaptic density that counteract long-term activity manipulations. These changes were mediated by satellite glial cells (SGCs), a non-neuronal cell in the sympathetic ganglia that has been shown to influence cholinergic synaptic sites during development. In the absence of SGCs there was no induction of homeostatic plasticity. Further, direct chemogenetic activation of SGCs was sufficient to drive compensatory plasticity, while glial inhibition blocked SN plasticity. We found that SGCs respond to cholinergic signaling by downregulating the expression of the synaptic regulators NGF and TNF, suggesting that neurons and glia interact to stabilize sympathetic output during long-term changes in circuit activity. Finally, we investigated whether these plasticity mechanisms are present in neonatal SHR SNs. We demonstrated that SHR SNs have an attenuated response to glia, both during synapse formation and activity-dependent plasticity. Taken together, this work outlines a novel homeostatic activity-dependent plasticity mechanism in the peripheral nervous system.

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Adrβ2 in skeletal muscle cells is required for exercise-induced Pgc1α but not for metabolic benefits of exercise on diet-induced obesity

Galvan, M.; Fujitani, M.; Dushime, J.; Baset, S.; Chen, B.; Thomas, S.; Castorena, C. M.; Elmquist, J. K.; Fujikawa, T.

2026-03-31 physiology 10.64898/2026.03.27.714812 medRxiv
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{beta}2-Adrenergic receptor (Adr{beta}2) is the most abundant form of adrenergic receptors in skeletal muscle. Our previous studies have shown that the ventromedial hypothalamic nucleus (VMH) regulates metabolic benefits of exercise, potentially by skeletal muscle Adr{beta}2. Although a large body of literature has shown the importance of Adr{beta}2 on skeletal muscle physiology, it remains unexplored whether skeletal muscle Adr{beta}2 contributes to metabolic benefits of exercise, such as prevention of diet-induced obesity (DIO). Here, we generated mice lacking Adr{beta}2 in skeletal muscle cells (SKMAdr{beta}2) and tested whether SKMAdr{beta}2 is required for metabolic benefits of exercise on DIO. Deletion of SKMAdr{beta}2 completely abolished the induction of peroxisome proliferator-activated receptor gamma coactivator 1-alpha (Pgc-1) in skeletal muscle by {beta}2-agonist, which is a potent activator of Pgc-1. Exercise upregulates Pgc-1, which regulates a broad range of skeletal muscle physiology, including hypertrophy and mitochondrial function. Deletion of SKMAdr{beta}2 hampers augmented Pgc-1 in skeletal muscle by a single bout of exercise. Intriguingly, we found that deletion of SKMAdr{beta}2 increased endurance capacity. Further, our data showed that body weight in DIO mice lacking SKMAdr{beta}2 is comparable to that of control DIO mice during exercise training, suggesting that deletion of SKMAdr{beta}2 did not affect the metabolic benefits of exercise in DIO. Collectively, our data indicate that SKMAdr{beta}2 contributes to exercise-induced transcriptional changes and endurance capacity, however, it is not required for exercise benefits on bodyweight in DIO mice.

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Speed-driven transitions between discrete and rhythmic dynamics in walking revealed by kinematic smoothness and muscle synergies

Panconi, G.; Minciacchi, D.; Bravi, R.; Dominici, N.

2026-04-13 neuroscience 10.64898/2026.04.09.717373 medRxiv
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Humans control movement through motor primitives that generate discrete and rhythmic actions. We investigated whether and how speed may drive a transition between discrete and rhythmic organization in walking, and whether muscle synergy changes are associated with kinematic shifts. Eighteen healthy adults walked on a treadmill during incremental and decremental trials (0.5-5 km/h in 0.5 km/h steps). Kinematics and bilateral lower-limb EMG were recorded. Smoothness was quantified using log dimensionless jerk (LDJ) and spectral arc length (SPARC). Both metrics indicated lower smoothness at low speeds and progressively stabilized as speed increased, with a transition region around 3-3.5 km/h showing inter-individual variability. In parallel, EMG synergies showed speed-dependent increases in dimensionality (2[-&gt;]3[-&gt;]4), consistent with module merging at slower speeds. Overall, these findings reveal coordinated kinematic and neuromuscular shifts with speed, indicating a transition from a discrete-dominated regime at low speeds toward a more stable rhythmic pattern at higher speeds.

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Channelrhodopsin Ion Selectivity Determines Mechanisms and Efficacy of Optogenetic Defibrillation in Human Atria and Ventricles

Ohnemus, S.; Dasi, A.; Greiner, J.; Wülfers, E. M.; Tillert, L.; Vierock, J.; Quinn, T. A.; Kohl, P.; Boyle, P. M.; Timmermann, V.; Schneider-Warme, F.

2026-05-13 physiology 10.64898/2026.05.11.724228 medRxiv
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Optogenetic defibrillation uses light-gated ion channels to terminate cardiac arrhythmias through targeted illumination. Previous studies assessed the feasibility of using either cation (e.g. ChR2) or anion (e.g. GtACR1) non-selective channels, both of which depolarise resting cardiomyocytes upon photoactivation. In contrast, recently identified light-gated K+-channels (e.g. WiChR) suppress cardiomyocyte activity while maintaining the membrane potential near its resting state. Here, we use biophysically detailed simulations to compare the defibrillation potential of ChR2, GtACR1, and WiChR. Single-cell simulations show that activation of ChR2 and GtACR1 markedly increase diastolic intracellular Ca2+ concentration (by 42.6% and 52.6%, respectively), whereas WiChR induces only minimal changes (4.0% increase), suggesting a lower pro-arrhythmogenic risk. WiChR activation, however, slightly increases intracellular Na+ levels (by 15.1% compared to 0.1% and 3.4% for ChR2 and GtACR), consistent with the residual Na+ permeability of all currently available K+-selective channelrhodopsins. Simulations of human ventricles and atria demonstrate that GtACR1 most effectively terminates re-entrant arrhythmias at low light intensities, while WiChR achieves comparable efficacy at light levels [&ge;]5 mW/mm2. Complementary tissue-scale simulations reveal that defibrillation is either based on depolarisation within the excitable gap, followed by fast Na+ channel inactivation (depolarising variants ChR2 and GtACR1), or based on a reduction in membrane resistance supporting arrhythmia termination at sufficiently high light levels (large-conductance ion channels GtACR1 and WiChR). Overall, our findings identify channelrhodopsin ion selectivity as a key determinant of both arrhythmia termination success and mechanisms underlying defibrillation. Key points summaryO_LIWe use computational simulations to compare non-selective cation (ChR2), anion (GtACR1), and K+-selective channelrhodopsins (WiChR) for optogenetic termination of re-entrant arrhythmia. C_LIO_LISingle-cardiomyocyte simulations suggest that ChR2 and GtACR1 activation can cause progressive accumulation of intracellular Ca2+, which is minimised when using WiChR. C_LIO_LISimulations of human left ventricles and atria indicate that GtACR1 is most effective in terminating re-entrant arrhythmia at low light intensities, while WiChR becomes similarly effective at higher intensities. C_LIO_LITissue-scale simulations indicate distinct defibrillation mechanisms: Excitable gap extinction by de-novo action potential initiation followed by inactivation of fast Na+ channels for depolarising channelrhodopsins (ChR2, GtACR1), and reduction in membrane resistance for the large-conductance channels (GtACR1, WiChR), effectively clamping the membrane potential at each channels reversal potential at high light levels. C_LI

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Temperature and frequency dependence of conduction along sympathetic preganglionic axons

Halder, M.; Hochman, S.

2026-05-22 neuroscience 10.64898/2026.05.20.726598 medRxiv
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Sympathetic preganglionic neurons (SPNs) distribute signals widely across paravertebral ganglia, yet the reliability of spike propagation along their predominantly unmyelinated axons remains poorly defined. We examined temperature- and activity-dependent modulation of SPN axonal conduction using an ex vivo adult mouse thoracic sympathetic chain preparation. Population compound action potentials (CAPs) were evoked by supramaximal stimulation of T10 ventral roots and recorded from branching axons in interganglionic compared to unbranching axons in the splanchnic nerve. At physiological temperature (36{degrees}C), scaled CAP magnitude was reduced by [~]50% relative to 22{degrees}C, with preferential loss of slower-conducting axonal components. These reductions are consistent with substantial temperature-dependent decreases in effective axonal recruitment, likely reflecting conduction failure in a large fraction of SPNs. Losses were more pronounced in interganglionic pathways, suggesting increased vulnerability in branching projections. To assess activity-dependent effects, stimuli were delivered at 1, 5, and 20 Hz with focus on 5 and 20 Hz stimulus trains (20s duration). The overall time-course of train-evoked depression was similar across temperatures; however, the underlying axonal populations differed. At 22{degrees}C, slower-conducting axons exhibited marked frequency-dependent depression, whereas at 36{degrees}C the remaining faster-conducting axons displayed facilitation, particularly at 20 Hz. Slower-conducting responses also showed post-train potentiation at physiological temperature. These findings indicate that SPN axonal conduction is not uniformly reliable and is strongly modulated by temperature and activation history. Preferential vulnerability of slow-conducting, likely small-diameter and branching axons identifies axonal conduction as a physiologically regulated site of gain control in sympathetic output.

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Descending Brainstem Systems Contribute to Ankle Clonus in Humans with Spinal Cord Injury

Curuk, E.; Chen, B.; Benedetto, A.; Farley, M.; Sangari, S.; De Santis, D.; Rymer, W. Z.; Hultborn, H.; Pearcey, G. E. P.; Tyselling, V. M.; Heckman, C. J.; Perez, M. A.

2026-05-22 neurology 10.64898/2026.05.21.26353256 medRxiv
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Ankle clonus is a sustained, involuntary, rhythmic muscle contraction frequently observed in humans with spinal cord injury (SCI). Although its pathophysiology remains incompletely understood, converging evidence suggests a role for brainstem systems in its generation. Following SCI, brainstem neuromodulatory inputs partially compensate for the loss of descending motor pathways by regulating motoneuron excitability during involuntary contractions, suggesting their involvement in the generation of clonus. To test this hypothesis, motoneuron excitability in response to Ia synaptic input was quantified using the soleus H reflex and maximal motor response (H/M ratio), and brainstem involvement was probed using the long lasting component of the cutaneous reflex (LLR) in the tibialis anterior and soleus muscles, as well as the StartReact response-an involuntary release of a movement triggered by a startling stimulus thought to engage the reticulospinal tract. We studied individuals with chronic SCI, both with and without ankle clonus, using standardized clinical tests across two days. Participants with clonus showed elevated H/M ratios, indicating increased motoneuron excitability, whereas those without clonus exhibited lower values than controls. Additionally, individuals with clonus exhibited longer LLR duration and greater LLR magnitude in both muscles, along with shorter reaction times to startle stimuli, consistent with enhanced monoaminergic and reticulospinal contributions. Notably, LLR duration was positively correlated with both StartReact response and H/M ratio. Together, these findings support a role for descending brainstem systems-particularly monoaminergic and reticulospinal pathways-in the maintenance of clonus in chronic SCI.