Search bioRxiv⌕ Search

Biology subjects

Drapeau, A.

Publications and source records attributed to Drapeau, A..

5 recordsLinked to original sources

The interplay between Mobilome and Resistome in Staphylococcus aureus

Antibiotic resistance genes (ARGs) in Staphylococcus aureus can disseminate vertically through successful clones, but also horizontally through the transfer of genes conveyed by mobile genetic elements (MGEs). The underexplored MGE/ARG associations in S. aureus favor the emergence of multidrug-resistant clones, posing a significant threat to human and animal health. This study investigated the interplay between the mobilome, encompassing MGEs, and the resistome, the collection of ARGs, in more than 10,000 S. aureus genomes from human and animal sources. The analysis revealed a remarkable diversity of MGEs and ARGs, with plasmids and transposons being the main carriers of resistance genes. Numerous MGE/ARG associations were identified, suggesting that MGEs play a critical role in the dissemination of resistance. A high degree of similaritywas observed in MGE/ARG associations between human and animal isolates, highlighting the potential for unrestricted spread of ARGs between hosts. While clonal expansion is a major driver of resistance dissemination in S. aureus, our results showed that MGEs and their associated ARGs can spread across different strain types (STs), favoring the evolution of these clones and their adaptation in selective environments. The high variability of MGE/ARG associations within individual STs and the ir spread across several STs highlight the crucial role of MGEs in shaping the S. aureus resistome. Overall, this study provides valuable insights into the complex interplay between MGEs and ARGs in S. aureus, emphasizing the need to elucidate the mechanisms governing the epidemic success of MGEs, particularly those implicated in ARG transfer. ImportanceThe research presented in this article highlights the crucial importance of understanding the interactions between mobile genetic elements (MGEs) and antibiotic resistance genes (ARGs) carried by Staphylococcus aureus, a versatile bacterium that can be both a harmless commensal and a dangerous pathogen for humans and animals. S. aureus strains represent a major threat due to their ability to rapidly acquire and disseminate ARGs. By analyzing a large dataset of S. aureus genomes, we highlighted the substantial role of MGEs, in particular plasmids and transposons, in the dissemination of ARGs within and between S. aureus populations, bypassing the host barrier. Given that multidrug-resistant S. aureus strains are classified as a high-prioritypathogenby global health organizations, this knowledge is crucial for understanding the complex dynamics of transmission of antibiotic resistance in this species.

microbiology↗

Multi-metrics assessment of dynamic cerebral autoregulation in middle and posterior cerebral arteries in young fit women

Individuals with low orthostatic tolerance show greater decrease in posterior cerebral artery mean blood velocity (PCAvmean). Since young fit women often experience presyncopal symptoms, their posterior cerebral circulation may be prone to greater decreases in PCAvmean, probably explained by an attenuated dynamic cerebral autoregulation (dCA). Regional differences in dCA have never been evaluated in young fit women. We compared dCA in the middle cerebral artery (MCA) and posterior cerebral artery (PCA) in 11 young fit women (25 {+/-} 4y; [Formula]) in response to a sit-to-stand (5 min sitting followed by 5 min standing) and repeated squat-stand maneuvers performed at 0.05 Hz and 0.10 Hz. The cerebral pressure-flow relationship was characterized using four metrics: 1) percent reduction in blood velocity (BV) per percent reduction in MAP (% BV/% MAP) during initial orthostatic stress (0-15 s after sit-to-stand); 2) onset of the regulatory response (i.e. time delay before an increase in conductance (BV/MAP); 3) rate of regulation (RoR), following sit-to-stand and; 4) transfer function analysis (TFA) of forced MAP oscillations induced by repeated squat-stands. Upon standing, the relative decline in MCAvmean and PCAvmean was similar (-25 {+/-} 9 vs. -30 {+/-} 13%; p=0.29). The onset of the regulatory response (p=0.665), %{Delta}BV/%{Delta}MAP (p=0.129) and RoR (p=0.067) were not different between MCA and PCA. In regard to TFA, there was an ANOVA artery effect for gain (p<0.001) and a frequency effect for phase (p<0.001). These findings indicate the absence of regional differences in dCA in young fit women. New findingsO_ST_ABSWhat is the central question of this study?C_ST_ABSAre there regional differences in the dynamic cerebral autoregulation in young fit women? What is the main finding and its importance?The key finding of this study is that there are no differences in dynamic cerebral autoregulation between both arteries. These results indicate that dynamic cerebral autoregulation does not seem to be responsible for making the posterior cerebral circulation more vulnerable to transient reduction in blood pressure in young fit women.

physiology↗

Dynamic cerebral autoregulation of endurance-trained men following 6 weeks of high-intensity interval training to exhaustion

Elevated cardiorespiratory fitness (CRF) is associated with reduced dynamic cerebral autoregulation (dCA), but the impact of exercise training per se on dCA remains equivocal. In addition, resting cerebral blood flow (CBF) and dCA after high-intensity interval training (HIIT) in individuals with already high CRF is unknown. We examined to what extent 6 weeks of HIIT affect resting CBF and dCA in cardiorespiratory fit men and explored if potential changes are intensity-dependent. Endurance-trained men were assigned to group HIIT85 (85% of maximal aerobic power, 1 to 7 min effort bouts, n = 8) and HIIT115 (115% of maximal aerobic power, 30 s to 1 min effort bouts, n = 9). Training sessions were completed until exhaustion 3 times/week over 6 weeks. Mean arterial pressure (MAP) and middle cerebral artery mean blood velocity (MCAvmean) were measured continuously at rest and during repeated squat-stands (0.05 and 0.10 Hz). Transfer function analysis (TFA) was used to characterize dCA on driven blood pressure oscillations during repeated squat-stands. Neither training nor intensity had an effect on resting MAP and MCAvmean (both P > 0.05). TFA phase during 0.10 Hz squat-stands decreased after HIIT irrespective of intensity (HIIT85: 0.77 {+/-} 0.22 vs. 0.67 {+/-} 0.18 radians; HIIT115: pre: 0.62 {+/-} 0.19 vs. post: 0.59 {+/-} 0.13 radians, time effect P = 0.048). These results suggest that HIIT over 6 weeks have no apparent benefits on resting CBF, but a subtle attenuation in dCA is seen posttraining irrespective of intensity training in endurance-trained men.\n\nNEW & NOTEWORTHYThe novel findings of this study are that 6 weeks of submaximal and supramaximal high-intensity interval exercise to exhaustion reduce dynamic cerebral autoregulation irrespective of training intensity in endurance-trained men. However, these HIIT protocols do not influence resting cerebral blood flow in these individuals. The results indicate the cerebrovasculature of endurance-trained men has an attenuated ability to react to large and rapid changes in blood pressure following HIIT.

physiology↗

Cardiac remodeling after six weeks of high-intensity interval training to exhaustion in endurance-trained males

High-intensity interval training (HIIT) improves physical performance of endurance athletes, although studies examining its cardiovascular effects are sparse. We evaluated the impact of HIIT on blood pressure, heart rate and cardiac cavities size and function in endurance-trained adults. Seventeen endurance-trained males underwent 24-hour ambulatory blood pressure monitoring (ABPM) and Doppler echocardiography at baseline and after 6 weeks of HIIT. Participants were divided in 2 groups (85% maximal aerobic power (MP); HIIT85, n=8 and 115% MP; HIIT115, n = 9) in order to compare the impact of different HIIT intensities. ABPM and cardiac chambers size and function were similar between groups at baseline. HIIT reduced heart rate (55 {+/-} 8 vs. 51 {+/-} 7 bpm; p= 0.003), systolic blood pressure (SBP; 121 {+/-} 11 vs 118 {+/-} 9 mmHg; p = 0.01), mean arterial pressure (MAP; 90 {+/-} 8 vs 89 {+/-} 6 mmHg; p = 0.03) and pulse pressure (52 {+/-} 6 vs 49 {+/-} 5 mmHg; p = 0.01), irrespective of training intensity. Left atrium (LA) volumes increased after HIIT (maximal: 50 {+/-} 14 vs 54 {+/-}14 ml; p= 0.02; minimal: 15 {+/-} 5 vs 20 {+/-} 8 ml; p = 0.01) in both groups. Right ventricle (RV) global longitudinal strain lowered after training in the HIIT85 group only (20 {+/-} 4 vs. 17 {+/-} 3%, p = 0.04). In endurance-trained males, six weeks of HIIT reduce SBP and MAP and increase LA volumes irrespective of training intensity, whereas submaximal HIIT deteriorates RV systolic function.\n\nKey pointsO_LIHigh-intensity interval training improves physical performance of endurance athletes, although studies examining its cardiovascular effects are sparse.\nC_LIO_LIWe evaluated the impact of submaximal (85% maximal aerobic power) and supramaximal (115% maximal aerobic power) high-intensity interval training on ambulatory blood pressure, heart rate and cardiac cavities size and function in endurance-trained adults.\nC_LIO_LIIrrespective of training intensity, six weeks of high-intensity interval training increase left atrial volumes in endurance-trained adults, whereas the submaximal training decreases right ventricular systolic function.\nC_LIO_LIThese results may help identify the exercise threshold for potential toxicity of intense exercise training for at-risk individuals and ideal exercise training regimens conferring optimal cardiovascular protection and adapted endurance training for athletes.\nC_LI

physiology↗

Functional implications of impaired dynamic cerebral autoregulation in young healthy women; a comparative investigation

Women exhibit higher prevalence of orthostatic hypotension with presyncopal symptoms compared to men. These symptoms could be influenced by an attenuated ability of the cerebrovasculature to respond to rapid changes in blood pressure (BP) [dynamic cerebral autoregulation (dCA)]. However, the influence of sex on dCA remains equivocal. We compared dCA in 11 women (25 {+/-} 2 y) and 11 age-matched men (24 {+/-} 1 y) using a multimodal approach including a sit-to-stand maneuver and forced oscillations (5 min of squat-stand performed at 0.05 and 0.10 Hz). The prevalence of initial orthostatic hypotension (IOH; decrease in systolic [&ge;] 40 mmHg and/or diastolic BP [&ge;] 20 mmHg) during the first 15 sec of sit-to-stand was determined as a functional outcome. In women, the decrease in mean middle cerebral artery blood velocity (MCAvmean) following the sit-to-stand was greater (-20 {+/-} 8 vs. -11 {+/-} 7 cm sec-1; p=0.018) and the onset of the regulatory change (time lapse between the beginning of the sit-to-stand and the increase in the conductance index (MCAvmean/mean arterial pressure(MAP)) was delayed (p=0.007). Transfer function analysis gain during 0.05 Hz squat-stand was [~]48% higher in women (6.4 {+/-} 1.3 vs. 3.8 {+/-} 2.3 sec; p=0.017). The prevalence of IOH was comparable between groups (4/9 vs. 5/9, p=0.637). These results indicate the cerebrovasculature of healthy women has an attenuated ability to react to large and rapid changes in BP in the face of preserved orthostasis, which could be related to a higher cerebrovascular reserve to face a rapid transient hypotension.\n\nNEWS & NOTEWORTHYThe novel findings of this study are that healthy women have impaired dynamic cerebral autoregulation, although the prevalence of orthostatic intolerance was similar in women and men. These results indicate the cerebrovasculature of healthy women has an attenuated ability to react to large and rapid changes in blood pressure in the face of preserved orthostasis, which could be related to a higher cerebrovascular reserve to face a rapid transient hypotension.

physiology↗