Better oxygen delivery to restored muscle triggers signals that harm brain and lung circulation
Information and sensingIn an aged-animal graft model, improved muscle oxygen delivery at fixed work is proposed to increase sensory nerve output, reducing brain blood flow and raising lung filling pressure.
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After muscle restoration in an aged host, muscle sensory feedback acquires a reversed oxygenation-response sign: increasing graft oxygenation at fixed contraction and mechanical work increases, rather than suppresses, sympathetic output. The proposed substrate is altered stimulus-response coupling in graft-associated group III/IV sensory endings and their immediate reflex connections, not learned neural memory. This oxygenation-triggered reflex simultaneously constricts cerebral resistance vessels and recruits splanchnic venous volume, producing cerebral underperfusion and elevated pulmonary filling pressure despite improved muscle delivery. Local arterial dilation therefore aggravates both outcomes even without systemic hypotension. Increasing venous capacitance selectively relieves congestion but leaves the direct cerebral vasoconstrictor branch active. Interrupting the abnormal sensory input should protect both regions and stabilize SPV_6 without requiring additional organ replacement.
In an aged-animal graft model, independently increase graft oxygen delivery through regional perfusate oxygen content and through reduced arterial resistance while holding contraction, arterial CO2, systemic arterial oxygenation, and systemic pressure constant.
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Both interventions should increase recorded graft-afferent and splanchnic sympathetic activity before cerebral flow falls and filling pressure rises. The response should persist during a slow oxygenation ramp without sustained oscillations. Reversible graft-afferent interruption should abolish both adverse responses. Selective splanchnic capacitance enlargement should abolish the filling-pressure rise but preserve the cerebral-flow reduction. A normal inhibitory relationship between graft oxygenation and afferent output would falsify the defining mechanism, even if nonspecific afferent blockade improved outcomes.
Across small graded changes in graft resistance and independently controlled venous capacitance, a brief perturbation should show progressively slower decay and then persistent