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      A Neuroinflammatory Model for Acute Fatigue During Exercise

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      Sports Medicine
      Springer Science and Business Media LLC

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          Abstract

          A common emotional human anomaly is the manifestation of fatigue which is felt as an overall symptom in times of sickness and disease, but also during and after exercise as a specific or general symptom of exhaustion and over exertion. The main culprit of fatigue during illness is thought to be the immune/inflammatory response that occurs as the body attempts to fight off the invading virus or bacteria. Numerous models of fatigue have been developed to help us understand its mechanisms in both disease and exercise, but none so far have specifically discussed the interactions between cytokine release during exercise and its effects on afferent feedback and processing of signals in the brain that might lead to sensations and feelings of fatigue. Therefore, this article examines the literature in a range of disciplines spanning exercise, disease, immunology, and neurology, in order to develop a neuroinflammatory model for acute fatigue during exercise, similar to that which we often feel during illness.

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          Most cited references70

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            Research on the neural systems underlying emotion in animal models over the past two decades has implicated the amygdala in fear and other emotional processes. This work stimulated interest in pursuing the brain mechanisms of emotion in humans. Here, we review research on the role of the amygdala in emotional processes in both animal models and humans. The review is not exhaustive, but it highlights five major research topics that illustrate parallel roles for the amygdala in humans and other animals, including implicit emotional learning and memory, emotional modulation of memory, emotional influences on attention and perception, emotion and social behavior, and emotion inhibition and regulation.
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              Skeletal muscle fatigue: cellular mechanisms.

              Repeated, intense use of muscles leads to a decline in performance known as muscle fatigue. Many muscle properties change during fatigue including the action potential, extracellular and intracellular ions, and many intracellular metabolites. A range of mechanisms have been identified that contribute to the decline of performance. The traditional explanation, accumulation of intracellular lactate and hydrogen ions causing impaired function of the contractile proteins, is probably of limited importance in mammals. Alternative explanations that will be considered are the effects of ionic changes on the action potential, failure of SR Ca2+ release by various mechanisms, and the effects of reactive oxygen species. Many different activities lead to fatigue, and an important challenge is to identify the various mechanisms that contribute under different circumstances. Most of the mechanistic studies of fatigue are on isolated animal tissues, and another major challenge is to use the knowledge generated in these studies to identify the mechanisms of fatigue in intact animals and particularly in human diseases.
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                Author and article information

                Journal
                Sports Medicine
                Sports Med
                Springer Science and Business Media LLC
                0112-1642
                1179-2035
                November 2014
                August 28 2014
                November 2014
                : 44
                : 11
                : 1479-1487
                Article
                10.1007/s40279-014-0232-4
                25164464
                b91c84b8-106d-4f59-85f7-0f1c86875a41
                © 2014

                http://www.springer.com/tdm

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