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Published in: Respiratory Research 1/2014

Open Access 01-12-2014 | Research

Effects of exercise training on pulmonary vessel muscularization and right ventricular function in an animal model of COPD

Authors: Erlend Hassel, Anne Marie Berre, Anne Jarstein Skjulsvik, Sigurd Steinshamn

Published in: Respiratory Research | Issue 1/2014

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Abstract

Background

Right ventricular dysfunction in COPD is common, even in the absence of pulmonary hypertension. The aim of the present study was to examine the effects of high intensity interval training (HIIT) on right ventricular (RV) function, as well as pulmonary blood vessel remodeling in a mouse model of COPD.

Methods

42 female A/JOlaHsd mice were randomized to exposure to either cigarette smoke or air for 6 hours/day, 5 days/week for 14 weeks. Mice from both groups were further randomized to sedentariness or HIIT for 4 weeks. Cardiac function was evaluated by echocardiography and muscularization of pulmonary vessel walls by immunohistochemistry.

Results

Smoke exposure induced RV systolic dysfunction demonstrated by reduced tricuspid annular plane systolic excursion. HIIT in smoke-exposed mice reversed RV dysfunction. There were no significant effects on the left ventricle of neither smoke exposure nor HIIT. Muscularization of the pulmonary vessels was reduced after exercise intervention, but no significant effects on muscularization were observed from smoke exposure.

Conclusions

RV function was reduced in mice exposed to cigarette smoke. No Increase in pulmonary vessel muscularization was observed in these mice, implying that other mechanisms caused the RV dysfunction. HIIT attenuated the RV dysfunction in the smoke exposed mice. Reduced muscularization of the pulmonary vessels due to HIIT suggests that exercise training not only affects the heart muscle, but also has important effects on the pulmonary vasculature.
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Literature
2.
go back to reference Incalzi RA, Fuso L, de Rosa M, Di Napoli A, Basso S, Pagliari G, Pistelli R: Electrocardiographic signs of chronic cor pulmonale: a negative prognostic finding in chronic obstructive pulmonary disease. Circulation. 1999, 99 (12): 1600-1605. 10.1161/01.CIR.99.12.1600.PubMedCrossRef Incalzi RA, Fuso L, de Rosa M, Di Napoli A, Basso S, Pagliari G, Pistelli R: Electrocardiographic signs of chronic cor pulmonale: a negative prognostic finding in chronic obstructive pulmonary disease. Circulation. 1999, 99 (12): 1600-1605. 10.1161/01.CIR.99.12.1600.PubMedCrossRef
3.
go back to reference Marti S, Munoz X, Rios J, Morell F, Ferrer J: Body weight and comorbidity predict mortality in COPD patients treated with oxygen therapy. Eur Respir J. 2006, 27 (4): 689-696. 10.1183/09031936.06.00076405.PubMedCrossRef Marti S, Munoz X, Rios J, Morell F, Ferrer J: Body weight and comorbidity predict mortality in COPD patients treated with oxygen therapy. Eur Respir J. 2006, 27 (4): 689-696. 10.1183/09031936.06.00076405.PubMedCrossRef
4.
go back to reference Thabut G, Dauriat G, Stern JB, Logeart D, Levy A, Marrash-Chahla R, Mal H: Pulmonary hemodynamics in advanced COPD candidates for lung volume reduction surgery or lung transplantation. Chest. 2005, 127 (5): 1531-1536. 10.1378/chest.127.5.1531.PubMedCrossRef Thabut G, Dauriat G, Stern JB, Logeart D, Levy A, Marrash-Chahla R, Mal H: Pulmonary hemodynamics in advanced COPD candidates for lung volume reduction surgery or lung transplantation. Chest. 2005, 127 (5): 1531-1536. 10.1378/chest.127.5.1531.PubMedCrossRef
5.
go back to reference Hilde JM, Skjorten I, Grotta OJ, Hansteen V, Melsom MN, Hisdal J, Humerfelt S, Steine K: Right ventricular dysfunction and remodeling in chronic obstructive pulmonary disease without pulmonary hypertension. J Am Coll Cardiol. 2013, 62 (12): 1103-1111. 10.1016/j.jacc.2013.04.091.PubMedCrossRef Hilde JM, Skjorten I, Grotta OJ, Hansteen V, Melsom MN, Hisdal J, Humerfelt S, Steine K: Right ventricular dysfunction and remodeling in chronic obstructive pulmonary disease without pulmonary hypertension. J Am Coll Cardiol. 2013, 62 (12): 1103-1111. 10.1016/j.jacc.2013.04.091.PubMedCrossRef
6.
go back to reference Nici L, Donner C, Wouters E, Zuwallack R, Ambrosino N, Bourbeau J, Carone M, Celli B, Engelen M, Fahy B, Garvey C, Goldstein R, Gosselink R, Lareau S, MacIntyre N, Maltais F, Morgan M, O'Donnell D, Prefault C, Reardon J, Rochester C, Schols A, Singh S, Troosters T: American thoracic society/european respiratory society statement on pulmonary rehabilitation. Am J Respir Crit Care Med. 2006, 173 (12): 1390-1413. 10.1164/rccm.200508-1211ST.PubMedCrossRef Nici L, Donner C, Wouters E, Zuwallack R, Ambrosino N, Bourbeau J, Carone M, Celli B, Engelen M, Fahy B, Garvey C, Goldstein R, Gosselink R, Lareau S, MacIntyre N, Maltais F, Morgan M, O'Donnell D, Prefault C, Reardon J, Rochester C, Schols A, Singh S, Troosters T: American thoracic society/european respiratory society statement on pulmonary rehabilitation. Am J Respir Crit Care Med. 2006, 173 (12): 1390-1413. 10.1164/rccm.200508-1211ST.PubMedCrossRef
7.
go back to reference Franssen FM, Broekhuizen R, Janssen PP, Wouters EF, Schols AM: Effects of whole-body exercise training on body composition and functional capacity in normal-weight patients with COPD. Chest. 2004, 125 (6): 2021-2028. 10.1378/chest.125.6.2021.PubMedCrossRef Franssen FM, Broekhuizen R, Janssen PP, Wouters EF, Schols AM: Effects of whole-body exercise training on body composition and functional capacity in normal-weight patients with COPD. Chest. 2004, 125 (6): 2021-2028. 10.1378/chest.125.6.2021.PubMedCrossRef
8.
go back to reference Porszasz J, Emtner M, Goto S, Somfay A, Whipp BJ, Casaburi R: Exercise training decreases ventilatory requirements and exercise-induced hyperinflation at submaximal intensities in patients with COPD. Chest. 2005, 128 (4): 2025-2034. 10.1378/chest.128.4.2025.PubMedCrossRef Porszasz J, Emtner M, Goto S, Somfay A, Whipp BJ, Casaburi R: Exercise training decreases ventilatory requirements and exercise-induced hyperinflation at submaximal intensities in patients with COPD. Chest. 2005, 128 (4): 2025-2034. 10.1378/chest.128.4.2025.PubMedCrossRef
9.
go back to reference Vivodtzev I, Minet C, Wuyam B, Borel JC, Vottero G, Monneret D, Baguet JP, Levy P, Pepin JL: Significant improvement in arterial stiffness after endurance training in patients with COPD. Chest. 2010, 137 (3): 585-592. 10.1378/chest.09-1437.PubMedCrossRef Vivodtzev I, Minet C, Wuyam B, Borel JC, Vottero G, Monneret D, Baguet JP, Levy P, Pepin JL: Significant improvement in arterial stiffness after endurance training in patients with COPD. Chest. 2010, 137 (3): 585-592. 10.1378/chest.09-1437.PubMedCrossRef
10.
go back to reference Bronstad E, Tjonna AE, Rognmo O, Dalen H, Heggli AM, Wisloff U, Ingul CB, Steinshamn S: Aerobic Exercise Training Improves Right- and Left Ventricular Systolic Function in Patients with COPD. COPD. 2012, 10: 300-306. 10.3109/15412555.2012.745843.PubMedCrossRef Bronstad E, Tjonna AE, Rognmo O, Dalen H, Heggli AM, Wisloff U, Ingul CB, Steinshamn S: Aerobic Exercise Training Improves Right- and Left Ventricular Systolic Function in Patients with COPD. COPD. 2012, 10: 300-306. 10.3109/15412555.2012.745843.PubMedCrossRef
11.
go back to reference Loennechen JP, Beisvag V, Arbo I, Waldum HL, Sandvik AK, Knardahl S, Ellingsen O: Chronic carbon monoxide exposure in vivo induces myocardial endothelin-1 expression and hypertrophy in rat. Pharmacol Toxicol. 1999, 85 (4): 192-197. 10.1111/j.1600-0773.1999.tb00091.x.PubMedCrossRef Loennechen JP, Beisvag V, Arbo I, Waldum HL, Sandvik AK, Knardahl S, Ellingsen O: Chronic carbon monoxide exposure in vivo induces myocardial endothelin-1 expression and hypertrophy in rat. Pharmacol Toxicol. 1999, 85 (4): 192-197. 10.1111/j.1600-0773.1999.tb00091.x.PubMedCrossRef
12.
go back to reference Nilsson K, Henriksson R, Cai YQ, Hellstrom S, Hornqvist Bylunds S, Bjermer L: Effects of tobacco-smoke on radiation-induced pneumonitis in rats. Int J Radiat Biol. 1992, 62 (6): 719-727. 10.1080/09553009214552671.PubMedCrossRef Nilsson K, Henriksson R, Cai YQ, Hellstrom S, Hornqvist Bylunds S, Bjermer L: Effects of tobacco-smoke on radiation-induced pneumonitis in rats. Int J Radiat Biol. 1992, 62 (6): 719-727. 10.1080/09553009214552671.PubMedCrossRef
13.
go back to reference Kemi OJ, Loennechen JP, Wisloff U, Ellingsen O: Intensity-controlled treadmill running in mice: cardiac and skeletal muscle hypertrophy. J Appl Physiol. 2002, 93 (4): 1301-1309.PubMedCrossRef Kemi OJ, Loennechen JP, Wisloff U, Ellingsen O: Intensity-controlled treadmill running in mice: cardiac and skeletal muscle hypertrophy. J Appl Physiol. 2002, 93 (4): 1301-1309.PubMedCrossRef
14.
go back to reference Thurlbeck WM: Measurement of pulmonary emphysema. Am Rev Respir Dis. 1967, 95 (5): 752-764.PubMed Thurlbeck WM: Measurement of pulmonary emphysema. Am Rev Respir Dis. 1967, 95 (5): 752-764.PubMed
15.
go back to reference Nadziejko C, Fang K, Bravo A, Gordon T: Susceptibility to pulmonary hypertension in inbred strains of mice exposed to cigarette smoke. J Appl Physiol. 2007, 102: 1780-1785. 10.1152/japplphysiol.01076.2005.PubMedCrossRef Nadziejko C, Fang K, Bravo A, Gordon T: Susceptibility to pulmonary hypertension in inbred strains of mice exposed to cigarette smoke. J Appl Physiol. 2007, 102: 1780-1785. 10.1152/japplphysiol.01076.2005.PubMedCrossRef
16.
go back to reference March TH, Wilder JA, Esparza DC, Cossey PY, Blair LF, Herrera LK, McDonald JD, Campen MJ, Mauderly JL, Seagrave J: Modulators of cigarette smoke-induced pulmonary emphysema in A/J mice. Toxicol Sci. 2006, 92 (2): 545-559. 10.1093/toxsci/kfl016.PubMedCrossRef March TH, Wilder JA, Esparza DC, Cossey PY, Blair LF, Herrera LK, McDonald JD, Campen MJ, Mauderly JL, Seagrave J: Modulators of cigarette smoke-induced pulmonary emphysema in A/J mice. Toxicol Sci. 2006, 92 (2): 545-559. 10.1093/toxsci/kfl016.PubMedCrossRef
17.
go back to reference Rudski LG, Lai WW, Afilalo J, Hua L, Handschumacher MD, Chandrasekaran K, Solomon SD, Louie EK, Schiller NB: Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2010, 23 (7): 685-713. 10.1016/j.echo.2010.05.010. quiz 786-8PubMedCrossRef Rudski LG, Lai WW, Afilalo J, Hua L, Handschumacher MD, Chandrasekaran K, Solomon SD, Louie EK, Schiller NB: Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2010, 23 (7): 685-713. 10.1016/j.echo.2010.05.010. quiz 786-8PubMedCrossRef
18.
go back to reference Hardziyenka M, Campian ME, de Bruin-Bon HA, Michel MC, Tan HL: Sequence of echocardiographic changes during development of right ventricular failure in rat. J Am Soc Echocardiogr. 2006, 19 (10): 1272-1279. 10.1016/j.echo.2006.04.036.PubMedCrossRef Hardziyenka M, Campian ME, de Bruin-Bon HA, Michel MC, Tan HL: Sequence of echocardiographic changes during development of right ventricular failure in rat. J Am Soc Echocardiogr. 2006, 19 (10): 1272-1279. 10.1016/j.echo.2006.04.036.PubMedCrossRef
19.
go back to reference Mouchaers KT, Schalij I, de Boer MA, Postmus PE, van Hinsbergh VW, van Nieuw Amerongen GP, Vonk Noordegraaf A, van der Laarse WJ: Fasudil reduces monocrotaline-induced pulmonary arterial hypertension: comparison with bosentan and sildenafil. Eur Respir J. 2010, 36 (4): 800-807. 10.1183/09031936.00130209.PubMedCrossRef Mouchaers KT, Schalij I, de Boer MA, Postmus PE, van Hinsbergh VW, van Nieuw Amerongen GP, Vonk Noordegraaf A, van der Laarse WJ: Fasudil reduces monocrotaline-induced pulmonary arterial hypertension: comparison with bosentan and sildenafil. Eur Respir J. 2010, 36 (4): 800-807. 10.1183/09031936.00130209.PubMedCrossRef
20.
go back to reference Abbate A, Van Tassell BW, Seropian IM, Toldo S, Robati R, Varma A, Salloum FN, Smithson L, Dinarello CA: Interleukin-1beta modulation using a genetically engineered antibody prevents adverse cardiac remodelling following acute myocardial infarction in the mouse. Eur J Heart Fail. 2010, 12 (4): 319-322. 10.1093/eurjhf/hfq017.PubMedCrossRef Abbate A, Van Tassell BW, Seropian IM, Toldo S, Robati R, Varma A, Salloum FN, Smithson L, Dinarello CA: Interleukin-1beta modulation using a genetically engineered antibody prevents adverse cardiac remodelling following acute myocardial infarction in the mouse. Eur J Heart Fail. 2010, 12 (4): 319-322. 10.1093/eurjhf/hfq017.PubMedCrossRef
21.
go back to reference Toldo S, Bogaard HJ, Van Tassell BW, Mezzaroma E, Seropian IM, Robati R, Salloum FN, Voelkel NF, Abbate A: Right ventricular dysfunction following acute myocardial infarction in the absence of pulmonary hypertension in the mouse. PLoS One. 2011, 6 (3): e18102-10.1371/journal.pone.0018102.PubMedPubMedCentralCrossRef Toldo S, Bogaard HJ, Van Tassell BW, Mezzaroma E, Seropian IM, Robati R, Salloum FN, Voelkel NF, Abbate A: Right ventricular dysfunction following acute myocardial infarction in the absence of pulmonary hypertension in the mouse. PLoS One. 2011, 6 (3): e18102-10.1371/journal.pone.0018102.PubMedPubMedCentralCrossRef
22.
go back to reference Fahmy Elnoamany M, Abdelraouf Dawood A: Right ventricular myocardial isovolumic relaxation time as novel method for evaluation of pulmonary hypertension: correlation with endothelin-1 levels. J Am Soc Echocardiogr. 2007, 20 (5): 462-469. 10.1016/j.echo.2006.10.003.PubMedCrossRef Fahmy Elnoamany M, Abdelraouf Dawood A: Right ventricular myocardial isovolumic relaxation time as novel method for evaluation of pulmonary hypertension: correlation with endothelin-1 levels. J Am Soc Echocardiogr. 2007, 20 (5): 462-469. 10.1016/j.echo.2006.10.003.PubMedCrossRef
23.
go back to reference Weissmann N, Peters DM, Klopping C, Kruger K, Pilat C, Katta S, Seimetz M, Ghofrani HA, Schermuly RT, Witzenrath M, Seeger W, Grimminger F, Mooren FC: Structural and functional prevention of hypoxia-induced pulmonary hypertension by individualized exercise training in mice. Am J Physiol Lung Cell Mol Physiol. 2014, 306 (11): L986-L995. 10.1152/ajplung.00275.2013.PubMedCrossRef Weissmann N, Peters DM, Klopping C, Kruger K, Pilat C, Katta S, Seimetz M, Ghofrani HA, Schermuly RT, Witzenrath M, Seeger W, Grimminger F, Mooren FC: Structural and functional prevention of hypoxia-induced pulmonary hypertension by individualized exercise training in mice. Am J Physiol Lung Cell Mol Physiol. 2014, 306 (11): L986-L995. 10.1152/ajplung.00275.2013.PubMedCrossRef
24.
go back to reference Seimetz M, Parajuli N, Pichl A, Veit F, Kwapiszewska G, Weisel FC, Milger K, Egemnazarov B, Turowska A, Fuchs B, Nikam S, Roth M, Sydykov A, Medebach T, Klepetko W, Jaksch P, Dumitrascu R, Garn H, Voswinckel R, Kostin S, Seeger W, Schermuly RT, Grimminger F, Ghofrani HA, Weissmann N: Inducible NOS inhibition reverses tobacco-smoke-induced emphysema and pulmonary hypertension in mice. Cell. 2011, 147 (2): 293-305. 10.1016/j.cell.2011.08.035.PubMedCrossRef Seimetz M, Parajuli N, Pichl A, Veit F, Kwapiszewska G, Weisel FC, Milger K, Egemnazarov B, Turowska A, Fuchs B, Nikam S, Roth M, Sydykov A, Medebach T, Klepetko W, Jaksch P, Dumitrascu R, Garn H, Voswinckel R, Kostin S, Seeger W, Schermuly RT, Grimminger F, Ghofrani HA, Weissmann N: Inducible NOS inhibition reverses tobacco-smoke-induced emphysema and pulmonary hypertension in mice. Cell. 2011, 147 (2): 293-305. 10.1016/j.cell.2011.08.035.PubMedCrossRef
25.
go back to reference Weissmann N, Lobo B, Pichl A, Parajuli N, Seimetz M, Puig-Pey R, Ferrer E, Peinado VI, Dominguez-Fandos D, Fysikopoulos A, Stasch JP, Ghofrani HA, Coll-Bonfill N, Frey R, Schermuly RT, Garcia-Lucio J, Blanco I, Bednorz M, Tura-Ceide O, Tadele E, Brandes RP, Grimminger J, Klepetko W, Jaksch P, Rodriguez-Roisin R, Seeger W, Grimminger F, Barbera JA: Stimulation of soluble guanylate cyclase prevents cigarette smoke-induced pulmonary hypertension and emphysema. Am J Respir Crit Care Med. 2014, 189 (11): 1359-1373. 10.1164/rccm.201311-2037OC.PubMedCrossRef Weissmann N, Lobo B, Pichl A, Parajuli N, Seimetz M, Puig-Pey R, Ferrer E, Peinado VI, Dominguez-Fandos D, Fysikopoulos A, Stasch JP, Ghofrani HA, Coll-Bonfill N, Frey R, Schermuly RT, Garcia-Lucio J, Blanco I, Bednorz M, Tura-Ceide O, Tadele E, Brandes RP, Grimminger J, Klepetko W, Jaksch P, Rodriguez-Roisin R, Seeger W, Grimminger F, Barbera JA: Stimulation of soluble guanylate cyclase prevents cigarette smoke-induced pulmonary hypertension and emphysema. Am J Respir Crit Care Med. 2014, 189 (11): 1359-1373. 10.1164/rccm.201311-2037OC.PubMedCrossRef
26.
go back to reference Zuckerbraun BS, Chin BY, Wegiel B, Billiar TR, Czsimadia E, Rao J, Shimoda L, Ifedigbo E, Kanno S, Otterbein LE: Carbon monoxide reverses established pulmonary hypertension. J Exp Med. 2006, 203 (9): 2109-2119. 10.1084/jem.20052267.PubMedPubMedCentralCrossRef Zuckerbraun BS, Chin BY, Wegiel B, Billiar TR, Czsimadia E, Rao J, Shimoda L, Ifedigbo E, Kanno S, Otterbein LE: Carbon monoxide reverses established pulmonary hypertension. J Exp Med. 2006, 203 (9): 2109-2119. 10.1084/jem.20052267.PubMedPubMedCentralCrossRef
27.
go back to reference Menegali BT, Nesi RT, Souza PS, Silva LA, Silveira PC, Valenca SS, Pinho RA: The effects of physical exercise on the cigarette smoke-induced pulmonary oxidative response. Pulm Pharmacol Ther. 2009, 22 (6): 567-573. 10.1016/j.pupt.2009.08.003.PubMedCrossRef Menegali BT, Nesi RT, Souza PS, Silva LA, Silveira PC, Valenca SS, Pinho RA: The effects of physical exercise on the cigarette smoke-induced pulmonary oxidative response. Pulm Pharmacol Ther. 2009, 22 (6): 567-573. 10.1016/j.pupt.2009.08.003.PubMedCrossRef
28.
go back to reference Toledo AC, Magalhaes RM, Hizume DC, Vieira RP, Biselli PJ, Moriya HT, Mauad T, Lopes FD, Martins MA: Aerobic exercise attenuates pulmonary injury induced by exposure to cigarette smoke. Eur Respir J. 2012, 39 (2): 254-264. 10.1183/09031936.00003411.PubMedCrossRef Toledo AC, Magalhaes RM, Hizume DC, Vieira RP, Biselli PJ, Moriya HT, Mauad T, Lopes FD, Martins MA: Aerobic exercise attenuates pulmonary injury induced by exposure to cigarette smoke. Eur Respir J. 2012, 39 (2): 254-264. 10.1183/09031936.00003411.PubMedCrossRef
29.
go back to reference Sorhaug S, Steinshamn S, Nilsen OG, Waldum HL: Chronic inhalation of carbon monoxide: effects on the respiratory and cardiovascular system at doses corresponding to tobacco smoking. Toxicology. 2006, 228 (2-3): 280-290. 10.1016/j.tox.2006.09.008.PubMedCrossRef Sorhaug S, Steinshamn S, Nilsen OG, Waldum HL: Chronic inhalation of carbon monoxide: effects on the respiratory and cardiovascular system at doses corresponding to tobacco smoking. Toxicology. 2006, 228 (2-3): 280-290. 10.1016/j.tox.2006.09.008.PubMedCrossRef
30.
go back to reference Motterlini R, Otterbein LE: The therapeutic potential of carbon monoxide. Nat Rev Drug Discov. 2010, 9 (9): 728-743. 10.1038/nrd3228.PubMedCrossRef Motterlini R, Otterbein LE: The therapeutic potential of carbon monoxide. Nat Rev Drug Discov. 2010, 9 (9): 728-743. 10.1038/nrd3228.PubMedCrossRef
31.
go back to reference Van Putten LM: The life span of red cells in the rat and the mouse as determined by labeling with DFP32 in vivo. Blood. 1958, 13 (8): 789-794.PubMed Van Putten LM: The life span of red cells in the rat and the mouse as determined by labeling with DFP32 in vivo. Blood. 1958, 13 (8): 789-794.PubMed
32.
go back to reference Lairez O, Lonjaret L, Ruiz S, Marchal P, Franchitto N, Calise D, Fourcade O, Mialet-Perez J, Parini A, Minville V: Anesthetic regimen for cardiac function evaluation by echocardiography in mice: comparison between ketamine, etomidate and isoflurane versus conscious state. Lab Anim. 2013, 47 (4): 284-290. 10.1177/0023677213496236.PubMedCrossRef Lairez O, Lonjaret L, Ruiz S, Marchal P, Franchitto N, Calise D, Fourcade O, Mialet-Perez J, Parini A, Minville V: Anesthetic regimen for cardiac function evaluation by echocardiography in mice: comparison between ketamine, etomidate and isoflurane versus conscious state. Lab Anim. 2013, 47 (4): 284-290. 10.1177/0023677213496236.PubMedCrossRef
Metadata
Title
Effects of exercise training on pulmonary vessel muscularization and right ventricular function in an animal model of COPD
Authors
Erlend Hassel
Anne Marie Berre
Anne Jarstein Skjulsvik
Sigurd Steinshamn
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Respiratory Research / Issue 1/2014
Electronic ISSN: 1465-993X
DOI
https://doi.org/10.1186/s12931-014-0117-y

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