Boxing Practitioners Physiology Review: 3. Dietary Supplementation, Weight Control, Recovery and Altitude

The preceding parts of the review concerned kinanthropometric parameters, skeletal muscle recruitment, ergometry, systemic responses and adaptations. Main teachings of this third part of the whole review follow. At the 1996 Atlanta Olympic Game, most vitamin users (91 percent) were boxers. After 18 days of endurance training at the altitude of 1800 m, in boxers, 1) erythropoietin and reticulocytes values increased, 2) remained unchanged parameters of iron metabolism and maximal oxygen uptake values, 3) iron supplementation decreased total body hemoglobin values. Zinc supplementation and/or regularity while boxing influenced plasma levels of calcium, copper, iron, magnesium, phosphorus and zinc in boxers. Sodium bicarbonate ingestion increased punches frequency and time to fatigue in boxers. Boxing-induced thermal dehydration yielded 1) body and muscle masses decrease compensated by increased neural input to muscle, to maintain muscle strength, but 2) a 26.8 percent performance fall. In boxers, fluid and food intake restriction 1) changed neither blood vitamin status nor plasma glutathione levels, 2) yielded a) a negative mood profile and a performance decrease, when resulted in body mass fall by 5.16 percent but b) no performance decrease when fall was by three percent. Diet protein or protein and caloric components decrease increased, in boxers, protein catabolism and, for the same submaximal workload, heart rate and oxygen intake. In food-restricted boxers, myoprotein catabolism increased with decreasing meal intake frequency. Competition and no-competition boxers utilize massage. Massage increased perceptions of recovery after a whole boxing performance. High level of cardiorespiratory fitness accelerates recovery process between boxing rounds.

Corrigendum:Disentangling brain PrPC proteoforms and their roles in physiology and disease

In the article titled“Disentangling brain PrPC proteoforms and their roles in physiology and disease”,published on pages 963-965,Issue 5,Volume 19 of Neural Regeneration Research(Vanni and Romolo,2024;doi:10.4103/1673-5374.385302),the name of the second author appears incorrectly.The correct name is Romolo Nonno.

Physiology of medicinal and aromatic plants under drought stress

Drought poses a significant challenge,restricting the productivity of medicinal and aromatic plants.The strain induced by drought can impede vital processes like respiration and photosynthesis,affecting various aspects of plants’growth and metabolism.In response to this adversity,medicinal plants employ mechanisms such as morphological and structural adjustments,modulation of drought-resistant genes,and augmented synthesis of secondary metabolites and osmotic regulatory substances to alleviate the stress.Extreme water scarcity can lead to leaf wilting and may ultimately result in plant death.The cultivation and management of medicinal plants under stress conditions often differ from those of other crops.This is because the main goal with medicinal plants is not only to increase the yield of the above-ground parts but also to enhance the production of active ingredients such as essential oils.To elucidate these mechanisms of drought resistance in medicinal and aromatic plants,the current review provides a summary of recent literature encompassing studies on the morphology,physiology,and biochemistry of medicinal and aromatic plants under drought conditions.

Effects of Inoculation with Phosphate Solubilizing Bacteria on the Physiology,Biochemistry,and Expression of Genes Related to the Protective Enzyme System of Fritillaria taipaiensis P.Y.Li

Fritillaria taipaiensis P.Y.Li is a widely used medicinal herb in treating pulmonary diseases.In recent years,its wild resources have become scarce,and the demand for efficient artificial cultivation has significantly increased.This article is the first to apply phosphate solubilizing bacteria isolated from the rhizosphere soil of F.taipaiensis P.Y.Li to the cultivation process of F.taipaiensis P.Y.Li.The aim is to identify suitable reference strains for the artificial cultivation and industrial development of F.taipaiensis P.Y.Li by examining the effects of various phosphate solubilizing bacteria and their combinations on photosynthesis,physiological and biochemical properties,and gene expression related to the protective enzyme system in F.taipaiensis P.Y.Li.The experiment,conducted in pots at room temperature,included a control group(CK)and groups inoculated with inorganic phosphorussolubilizing bacteria:W1(Bacillus cereus),W2(Serratia plymuthica),W12(Bacillus cereus and Serratia plymuthica),and groups inoculated with organophosphorus-solubilizing bacteria:Y1(Bacillus cereus),Y2(Bacillus cereus),Y12(Bacillus cereus and Bacillus cereus),totaling seven groups.Compared to CK,most growth indices in the bacterial addition groups showed significant differences,with W12 achieving the highest values in all indices except the leaf area index.The content of photosynthetic pigments,photosynthetic parameters,and osmoregulatory substances increased variably in each bacterial treatment group.W12 exhibited the highest content of chlorophyll a and soluble protein,while W1 had the highest free proline content.The activities of peroxidase(POD),superoxide dismutase(SOD),and catalase(CAT)in all inoculated groups were higher than in CK,with significant changes in SOD and CAT activities.The malondialdehyde(MDA)content in all inoculated groups was lower than in CK,with Y12 being the lowest,at approximately 30%of CK.Gene expression corresponding to these three enzymes also increased variably,with POD expression in Y2 being the highest at 2.73 times that of CK.SOD and CAT expression in Y12 were the highest,at 1.84 and 4.39 times that of CK,respectively.These results indicate that inoculating phosphate solubilizing bacteria can enhance the growth of F.taipaiensis P.Y.Li,with the mixed inoculation groups W12 and Y12 demonstrating superior effects.This lays a theoretical foundation for selecting bacterial fertilizers in the cultivation process of F.taipaiensis P.Y.Li.

Boxing Practitioners Physiology Review: 2. Systemic Responses and Adaptations

The present journal paper is the second of the three parts of a whole boxing practitioners physiology review. It is related to the boxing practice-derived systemic responses and adaptations. The first part of the review has dealt with kinanthropometric parameters, skeletal muscle recruitment and ergometry. The following and third part of the review is going to deal with dietary supplementation, weight control, recovery, altitude, faith, life expectancy, gender and childhood. Search engines and printed documents have helped gather the information that have been commented in the present and second part: responses and/or adaptations relating to 1) metabolism, 2) skeleton, 3) nervous system, 4) endocrine system, 5) cardiovascular system, 6) urinary tract and 7) pulmonary system. Detailed titles and subtitles of this part of the review are found at the end of the journal paper introduction. The main teachings from the present journal paper may be acquired through the consultation of the tables and figures that are positioned in the text, not forgetting the reminders and advice(s) that appear at the end of each of the seven parts of the journal paper (2.1.6., 2.2.2., 2.3.2., 2.4.2., 2.5.4, 2.6.4. and 2.7.3.).

Differing responses of root morphology and physiology to nitrogen application rates and their relationships with grain yield in rice

Root morphology and physiology influence aboveground growth and yield formation in rice.However,root morphological and physiological differences among rice varieties with differing nitrogen(N)sensitivities and their relationship with grain yield are still unclear.In this study,rice varieties differing in N sensitivity over many years of experiments were used.A field experiment with multiple N rates(0,90,180,270,and 360 kg ha^(-1))was conducted to elucidate the effects of N application on root morphology,root physiology,and grain yield.A pot experiment with root excision and exogenous application of 6-benzyladenine(6-BA)at heading stage was used to further verify the above effects.The findings revealed that(1)under the same N application rate,N-insensitive varieties(NIV)had relatively large root biomass(root dry weight,length,and number).Grain yield was associated with root biomass in NIV.The oxidation activity and zeatin(Z)+zeatin riboside(ZR)contents in roots obviously and positively correlated with grain yield in N-sensitive varieties(NSV),and accounted for its higher grain yield than that of NIV at lower N application rates(90 and 180 kg ha^(-1)).(2)The root dry weight required for equal grain yield of NIV was greater than that of NSV.Excision of 1/10 and 1/8 of roots at heading stage had no discernible effect on the yield of Liangyoupeijiu(NIV),and it significantly reduced yield by 11.5%and 21.3%in Tianyouhuazhan(NSV),respectively,compared to the treatment without root excision.The decrease of filled kernels and grain weight after root excision was the primary cause for the yield reduction.Root excision and exogenous 6-BA application after root excision had little influence on the root activity of NIV.The oxidation activity and Z+ZR contents in roots of NSV decreased under root excision,and the increase in the proportion of excised roots aggravated these effects.The application of exogenous 6-BA increased the root activity of NSV and increased filled kernels and grain weight,thereby reducing yield loss after root excision.Thus,the root biomass of NIV was large,and there may be a phenomenon of"root growth redundancy."Vigorous root activity was an essential feature of NSV.Selecting rice varieties with high root activity or increasing root activity by cultivation measures could lead to higher grain yield under lower N application rates.

Effects of substrate on burrowing behavior,feeding physiology,and energy budget of undulated surf clam Paphia undulata

Substrate is an important abiotic factor for burrowing shellfish,as it not only provides them with shelter,but also impose significant effect on their physiological metabolism.However,the physiological responses of burrowing clams within various substrates get less attention due to difficulty in carrying out physiological tests in buried conditions.Consequently,this study investigated the burrowing behavior,feeding physiology and energy budget of Paphia undulata,which is an important aquaculture bivalve species in south China.The clams were exposed to mud and sand substrates with variable physical properties in the laboratory,to determine the suitable substrate conditions for this species.The results showed that the percentage of burrowing clams,digging index,burrowing time,burrowing depth and scope for growth(SFG)were higher in mud substrates with≥40%water content.Likewise,burrowing percentage,digging index,and burrowing depths were higher in substrates with≤40%sand content.Moreover,the burrowing depth had significant effect on the feeding physiology and SFG of P.undulata as clams burrowed at 6.3±1.8 cm had higher clearance rates and SFG as compared to other buried depths.This study further revealed that low water content in the sediment inhibited physiological performances of P.undulata by impairing feeding or absorption,hence reducing the SFG.In conclusion,mud substrate with≥40%water content or with≤40%sand content is suitable for proper burrowing and growth of P.undulata.Our findings therefore provide fundamental knowledge that will be applicable in the improvement of bottom aquaculture and conservation of P.undulata.

Comparative Analysis of Various Strains of Plant Growth Promoting Rhizobacteria on the Physiology of Garlic (Allium sativum)

Garlic is a most important medicinal herb belonging to the family Liliaceae. Both its leaves and bulb are edible. The current study was based on evaluating the growth promoting potential of plant growth promoting rhizobacteria (PGPR) on garlic (Allium sativum L.) growth and biochemical contents. Garlic cloves were inoculated with 3 kinds of PGPRs, Pseudomonas putida (KX574857), Pseudomonas stutzeri (Kx574858) and Bacillus cereus (ATCC14579) at 108 cells/mL prior to sowing. Under natural conditions, plants were grown in the net house. The PGPR significantly enhanced % germination, leaf and root growth and their biomass also increased the diameter of bulb and fresh and dry weight. The flavonoids, phenolics, chlorophyll, protein and sugar content were also significantly increased due to PGPR inoculation. The Pseudomonas stutzeri was found most effective for producing longer leaves with moderate sugar, high flavonoids (129%) and phenolics (263%) in bulb over control (Tap). The Pseudomonas putida exhibited a maximum increase in bulb diameter and bulb biomass with maximum phenolics and flavonoid contents.

Coronary Physiology in the Management of CAD Patients: Position Paper Regarding the Current Scenario in India

Fractional flow reserve (FFR), a physiology-based diagnostic method, has emerged as an important decision-making tool in determining the borderline or intermediate coronary lesions requiring revascularization. As per the guidelines recommended by European and American cardiology associations, functional assessment of indeterminate lesions is to be considered strongly prior to PCI. However, in India, FFR continues to be a much-underutilized tool due to limited facilities, and many times, physicians are reluctant to advise FFR because of its time-consuming nature with additional cost implications of simple diagnostic tests. Notably, for stenoses ranging between 50% - 70% where the choice between revascularization and medication becomes ambiguous, FFR provides invaluable insight. Without such guidance, there is a risk of improper decisions and strategies while planning revascularization procedures, which might adversely influence clinical outcomes, escalation of the cost due to unnecessary procedures, and prolonged hospitalization as a result of simple vs complex procedures. Landmark studies have validated the efficacy of FFR in enhancing outcomes in coronary artery disease (CAD) patients, especially when paired with a coronary angiogram. This combination provides robust evidence of the functional significance of stenosis in stable CAD. Additionally, non-hyperemic pressure ratio indices correlate well with conventional FFR. Hence, adopting FFR-guided management can have transformative effects on the clinical and economic facets of treating severe CAD with intermediary lesions in Indian settings.

Effects of Different Arbuscular Mycorrhizal Fungi on Physiology of Viola prionantha under Salt Stress

Arbuscular mycorrhizal(AM)fungi distribute widely in natural habits and play a variety of ecological functions.In order to test the physiological response to salt stress mediated by different AM fungi,Viola prionantha was selected as the host,the dominant AM fungus in the rhizosphere of V.philippica growing in Songnen saline-alkali grassland,Rhizophagus irregularis,and their mixtures were used as inoculants,and NaCl stress was applied after the roots were colonized.The results showed that V.philippica could be colonized by AM fungi in the field and the colonization rate ranged from 73.33%to 96.67%,and Claroideoglomus etunicatum was identified as the dominant AM fungi species in the rhizosphere of V.philippica by morphology combined with sequencing for AM fungal AML1/AML2 target.Inoculation with both the species resulted in the formation of mycorrhizal symbiosis(the colonization rate was more than 70%)and AM fungi significantly enhanced plants’tolerance to salt stress of varying magnitude.Higher activity of antioxidant enzymes and augmented levels of proline and other osmoregulators were observed in AM plants.The content of MDA in CK was higher than that in the inoculations with the stress of 100,200,and 250 mM.All indices except soluble protein content and MDA content were significantly correlated with AM fungal colonization indices.The analysis for different AM fungal effects showed that the mixtures and R.irregularis worked even better than C.etunicatum.These results will provide theoretical support for the exploration and screening of salt-tolerant AM fungi species and also for the application of AM-ornamental plants in saline-alkali urban greening.

Effects of Flooding Stress on Growth and Root Physiology and Biochemistry of Grafted Red-seed Watermelon Seedlings

[Objectives]This study was conducted to explore how to improve the waterlogging tolerance of red-seed watermelon through grafting,to provide a theoretical basis for its cultivation in rainy season.[Methods]The effects of flooding stress on the growth and root physiological and biochemical characteristics of grafted and own-rooted red-seed watermelon seedlings were studied using Luffa as rootstocks and"Zhongxin 1"red-seed watermelon as scions.[Results]After flooding stress,the biomass and root activity of grafted seedlings of red-seed watermelon were significantly higher than those of own-rooted seedlings.With the prolongation of flooding stress time,the soluble sugar and proline content showed a trend of first increasing and then decreasing,and the grafted seedlings had a larger increase and a smaller decrease,and were always significantly higher than own-rooted seedlings in the same period.The content of malondialdehyde in the root system of grafted seedlings increased first and then decreased,while it continued to increase in own-rooted seedlings,and the increase in own-rooted seedlings was significantly greater than that in grafted seedlings during the same period.[Conclusions]Grafting on Luffa rootstocks could improve waterlogging tolerance of red-seed watermelon.

Physiology and Ultrastructure of Azolla imbricata as Affected by Hg 2+ and Cd 2+ Toxicity

The toxic effects of different gradient concentrations of Hg2+ and Cd2+ on chlorophyll content, chlorophyll a/b value, photosynthetic O-2 evolution, respiration rate, anti-oxidase system (superoxide dismulase (SOD), catalase (CAT), peroxidase (POD)) and ultrastructure of the cells of Azolla imbricata (Roxb.) Nakai were studied. The results showed that with Hg2+ and Cd2+ increase, chlorophyll content and chlorophyll a/b value, photosynthetic O-2 evolution decreased drastically; respiration rate peaked at 2 mg/L pollutant and declined afterwards. The activities of SOD, CAT and POD increased first and decreased afterwards except the activity of POD, which decreased with the increasing of Cd2+ concentration. Ultrastructural observation showed that the extent of ultrastructural damage was much more serious with higher pollutant concentration and longer time of stress. This resulted in swelling of chloroplast, disruption and disappearance of chloroplast membrane and disintegration of chloroplasts; swelling of cristae of mitochondria, deformation and vacuolization of mitochondria; condensation of chromatin in nucleus, dispersion of nucleolus and disruption of nuclear membrane. The experimental results showed: (1) Hg2+ and Cd2+ pollution not only destroyed physiological activities, but also caused irreversible damage to its ultrastructure, thus leading the cells to death; (2) With increase in the stress of Hg2+ and Cd2+, ultrastructural damage was related to the changes of plant physiology; (3) The toxic symptoms of plant showed an evident correlation between dose and effect; (4) The toxicity of Cd2+ on A. imbricata is heavier than that of Hg2+ under the same treatment time and concentration. The lethal concentration of Hg2+ to A. imbricata ranged from 3.5 to 4 mg/L, and that of Cd2+ ranged from 3 to 3.5 mg/L. The damage of cell ultrastructure on Anabaena azollae Strasburger was observed. The results indicated that tolerance of Azolla imbricata for Hg2+ and Cd2+ was higher than that of A. imbricata.

Effects of Heavy Metals and Saline-alkali on Growth,Physiology and Biochemistry of Orychophragmus violaceus

[Objective] The aim was to study on effects of heavy metals and saline-alkali on growth, physiology and biochemistry of Orychophragmus violaceus. [Method] Taken Orychophragmus violaceus as materials, growth, physiology and biochemistry were explored under stress of saline-alkali and heavy metals (light, moderate and severe saline-alkali, Pb, Pb + Cd, light saline-alkali + Pb, moderate saline-alkali + Pb, severe saline-alkali + Pb, light saline-alkali + Pb + Cd, moderate saline-alkali + Pb + Cd and severe saline-alkali + Pb + Cd) with control group set. [Result] Light stress of saline-alkali had little effect on membrane permeability, as follows: MDA contents in leaves and root systems declined by 25.6% and 9.0% compared with control group; Pb (500 mg/L) stress promoted synthetization of photosynthetic pigments, as follows: chlorophyll a and b and carotenoid increased by 0.86%, 0.69% and 6.25% than those of control group; combined stresses of Pb and Cd destroyed synthetization of photosynthetic pigments, among which carotenoid was more sensitive; under combined stresses of saline-alkali, Pb and Cd, POD and SOD activities, soluble saccharides and Pro content all increased and activities of POD and SOD in root system were both higher than those in leaves. [Conclusion] Orychophragmus violaceus is with resistance against light combined stresses of saline-alkali and Pb (500 mg/L).

Studies on Endogenous Hormones and Nutritional Physiology Related to the Premature Senescence of Super-hybrid Rice Liangyoupeijiu and Its Parents at Late Growth Stage

The amount of root bleeding sap, contents of chlorophyl , nutrients and hormones in flag leaves of a super-hybrid rice cultivar Liangyoupeijiu （LYPJ） and its parents 9311 and Pei’ai 64S after heading were measured in this study. The re-sults revealed that compared with 9311, the chlorophyl content of LYPJ reduced more quickly after heading, and then kept at a lower level, which was an obvious characteristic of premature senescence. The other physiological indices of LYPJ af-ter heading except abscisic acid （ABA） content in leaf and root also maintained at a lower level than 9311, while al the physiological indices of the sterile line Pei＇ai 64S were lower than LYPJ. So it was speculated that the early-aging characteristic of LYPJ may be inherited from Pei’ai 64S. Al the leaf and root early-aging traits reduced for LYPJ and its parent lines after heading, their leaf and root aged grad-ual y, which indicated that the above-ground （leaf） and under-ground （root） parts cor-related to each other closely, but there was not absolute correlations between them judged from the data.

从Ousiology到Physiology——古代晚期基督教哲学论Being、Physis和Koinonia的关系

本文论述了古代晚期基督教哲学建立的Being语义学新典范,分析了古代西方本体论(Ontology)从Ousiology到Physiology的转变。据此,本文阐释了基督教哲学家在Being、Physis和Koinonia之间确立的新关系,以及从不同方面(主体性、历史性、关系性和动力学)所赋予Being的新意义。

Left atrial physiology and pathophysiology:Role of deformation imaging

The left atrium(LA) acts as a modulator of left ventricular(LV) filling. Although there is considerable evidence to support the use of LA maximum and minimum volumes for disease prediction,theoretical considerations and a growing body of literature suggest to focus on the quantification of the three basic LA functions:(1) Reservoir function:collection of pulmonary venous return during LV systole;(2) Conduit function:passage of blood to the left ventricle during early LV diastole; and(3) Contractile booster pump function(augmentation of ventricular filling during late LV diastole. Tremendous advances in our ability to non-invasively characterize all three elements of atrial function include speckle tracking echocardiography(STE),and more recently cardiovascular magnetic resonance myocardial feature tracking(CMR-FT). Corresponding imaging biomarkers are increasingly recognized to have incremental roles in determining prognosis and risk stratification in cardiac dysfunction of different origins. The current editorial introduces the role of STE and CMR-FT for the functional assessment of LA deformation as determined by strain and strain rate imaging and provides an outlook of how this exciting field may develop in the future.

Effects of Controlled Atmospheres with High_O_2 or High_CO_2 Concentrations on Postharvest Physiology and Storability of "Napoleon" Sweet Cherry

Sweet cherries ( Prunus avium L. cv. Napoleon) were stored in controlled atmospheres (CA) of high O(2) (70% O(2) + 0% CO(2)) or high CO(2) (5% O(2) + 10% CO(2)), in modified atmosphere package (MAP, (13% - 18%) O(2) + (2% -4%) CO(2)) and in air (control) at 1 degreesC to investigate the effects of different O(2) and CO(2) concentrations on physiological properties, quality and storability of the fruits during storage. The results indicated that compared with other treatments, CA with high O(2) concentration decreased fruit decay and ethanol content, but increased the accumulation of malondialdehyde (MDA) and stimulated browning. CA with high CO(2) concentration inhibited polyphenol oxidase (PPO) activity, reduced MDA content, maintained vitamin C content and firmness, decreased fruit decay and browning. Soluble solids contents (SSC) were not significantly affected by different atmosphere treatments. 'Napoleon' fruits stored in 5% O(2) + 10% CO(2) for as long as 80 d were of good quality, but only 40, 20 and 30 d stored in MAP, 70% O(2) + 0% CO(2) and air, re-spectively.

Differing coping mechanisms, stress level and anorectal physiology in patients with functional constipation

AIM: To investigate coping mechanisms, constipation symptoms and anorectal physiology in 80 constipated subjects and 18 controls.METHODS: Constipation was diagnosed by Rome Ⅱ criteria.Coping ability and anxiety/depression were assessed by validated questionnaires. Transit time and balloon distension test were performed.RESULTS: 34.5% patients were classified as slow transit type of constipation. The total colonic transit time (56 h vs 10 h, P＜0.0001) and rectal sensation including urge sensation (79 mL vs 63 mL, P = 0.019) and maximum tolerable volume (110 mL vs95 mL, P = 0.03) differed in patients and controls. Constipated subjects had significantly higher anxiety and depression scores and lower SF-36 scores in all categories. They also demonstrated higher scores of'monitoring' coping strategy (14+6 vs9+3, P = 0.001),which correlated with the rectal distension sensation (P = 0.005), urge sensation (P=0.002), and maximum tolerable volume (P = 0.035). The less use of blunting strategy predicted slow transit constipation in both univariate (P = 0.01) and multivariate analysis (P = 0.03).CONCLUSION: Defective or ineffective use of coping strategies may be an important etiology in functional constipation and subsequently reflected in abnormal anorectal physiology.

Root Morphology and Physiology in Relation to the Yield Formation of Rice

Root system is a vital part of plant and regulates many aspects of shoot growth and development. This paper reviews how some traits of root morphology and physiology are related to the formation of grain yield in rice （Oryza sativa L.）. Higher root biomass, root oxidation activity, and cytokinin contents in roots are required for achieving more panicle number, more spikelets per panicle, greater grain-filling percentage, and higher grain yield. However, these root traits are not linearly correlated with yield components. When these traits reach very high levels, grain filling and grain yield are not necessarily enhanced. High numbers of mitochondria, Golgi bodies, and amyloplasts in root tip cells benefit root and shoot growth and yield formation. Proper crop management, such as an alternate wetting and moderate soil drying irrigation, can significantly improve ultra-structure of root tip cells, increase root length density and concentration of cytokinins in root bleedings, and consequently, increase grain-filling percentage, grain yield, and water use efficiency. Further studies are needed to investigate the mechanism underlying root-shoot and root-soil interactions for high grain yield, the roles of root-sourced hormones in regulating crop growth and development and the effects of soil moisture and nutrient management on the root architecture and physiology.

Liver physiology and liver diseases in the elderly

The liver experiences various changes with aging that could affect clinical characteristics and outcomes in patients with liver diseases.Both liver volume and blood flow decrease significantly with age.These changes and decreased cytochrome P450 activity can affect drug metabolism,increasing susceptibility to drug-induced liver injury.Immune responses against pathogens or neoplastic cells are lower in the elderly,although these individuals may be predisposed to autoimmunity through impairment of dendritic cell maturation and reduction of regulatory T cells.These changes in immune functions could alter the pathogenesis of viral hepatitis and autoimmune liver diseases,as well as the development of hepatocellular carcinoma.Moreover,elderly patients have significantly decreased reserve functions of various organs,reducing their tolerability to treatments for liver diseases.Collectively,aged patients show various changes of the liver and other organs that could affect the clinical characteristics and management of liver diseases in these patients.