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.

Effects of nitrogen fertilization strategies on nitrogen use efficiency in physiology, recovery, and agronomy and redistribution of dry matter accumulation and nitrogen accumulation in two typical rice cultivars in Zhejiang, China

Field experiments were conducted in farmers’ rice fields in 2001 and 2002 to study the effects of nitrogen (N) man-agement strategies on N use efficiency in recovery (RE), agronomy (AE) and physiology (PE) and redistribution of dry matter accumulation (DMA) and nitrogen accumulation (NA) in two typical rice cultivars in Jinhua, Zhejiang Province. This study aimed mainly at identifying the possible causes of poor fertilizer N use efficiency (NUE) of rice in Zhejiang by comparing farmers’ fertilizer practice (FFP) with advanced site-specific nutrient management (SSNM) and real-time N management (RTNM). The results showed that compared to FFP, SSNM and RTNM reduced DMA and NA before panicle initiation and increased DMA and NA at post-flowering. There is no significant difference between SSNM and FFP in post-flowering dry matter redistribution (post-DMR) and post-flowering nitrogen redistribution (post-NR). These results suggest that high input rate of fertilizer N and improper fertilizer N timing are the main factors causing low NUE of irrigated rice in the farmer’s routine practice of Zhejiang. With SSNM, about 15% of the current total N input in direct-seeding early rice and 45% in single rice could be reduced without yield loss in Zhejiang, China.

Effects of Low Temperature and Low Light on Physiology of Tomato Seedlings

The physiological changes and the mechanism of stress tolerance in tomato were studied under low temperature and low light conditions. Two growth chamber experiments evaluated three temperatures regimes under standard and relatively low illumination levels with three tomato genotypes. Both experiments used a completely randomized split-plot design (CRD), with temperature regime as the main plot and tomato genotype as the split-plot. The three tomato varieties were “Fenyan No.1”, “SV0313TG”, and “Ousa”. In both experiments, activity of superoxide dismutase (SOD) and peroxidases (POD) in tomato seedlings decreased under low temperature regime and the combination of low temperature and low light. Decreasing temperature had the greatest effect on the increase in enzyme activity. Decrease in POD activity was the greatest under low light and low temperature. The concentration of malondialdehyde (MDA) in plant tissue also decreased under low temperature (20°C/10°C day/night) compared to the standard temperature control (25°C/16°C day/night), but increased at 15°C/5°C day/night temperatures in both experiments and was the greatest under the lowest light and temperature conditions. In both experiments, proline concentrations were the greatest under the standard light intensity (30,000 lux), and proline concentrations increased as temperature decreased. The content of soluble sugar decreased under only low temperature stress but increased under double stresses. The relative value of osmotic potential increased a little under low temperature stress but decreased under double stresses.

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.

RECENT ADVANCES IN THE PHYSIOLOGY OF FOREST INSECTS IN CHINA

In China the research in the phusiology of forest in inseets began in the 1970s,and in the 1980s a great deal of research works was done in this field,a lot of which were concen-trated on the isolation,identification and synthesis of sex pheromones on the injurious forest in-seets with in Lepidopteron and Coleopteron.In the field of tree resistance physiology,some ad-vanees were achieved in the resislance mechanism of poplar to Longicorn beetles and prominents.The research of the resistance of plne to Matsucoccusmalsumurae Kuwana is now also going on.In addition,the seductive function of plant sex seducements to the Longicorn bee-tle and its digestion physiology are also being studied.Many reports on the analysis of proteins,isoenzymes and amino acids applied to classification of Longicorn beetles,Pine moths and Aphids have been published.A relatively deep insight was gained in the physiological characters of overwintering larvae of Coleophoradahuriea Flkv.in the deep cold region of Hellongjiang

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.

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.).

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.

Exploring the Environmental Physiology of the Indo-Pacific Reef Coral <em>Seriatopora hystrix</em>with Differential Proteomics

Although reef-building corals are threatened by a number of anthropogenic impacts, certain scleractinian-dinoflagellate (genus Symbiodinium) endosymbioses have proven markedly resilient to environmental change. For instance, corals from upwelling habitats of Southern Taiwan withstand both short- and long-term increases in temperature, potentially due to their routine exposure to highly variable temperature regimes in situ. To gain a greater understanding of the proteomic basis for such acclimatization to unstable environmental conditions, specimens of the Indo-Pacific reef-building coral Seriatopora hystrix Dana 1846 were sampled during a period of stable temperature conditions from 1) a site characterized by frequent upwelling events in Southern Taiwan and 2) a nearby, non-upwelling control site in the Taiwan Strait. Two-dimensional gel electrophoresis followed by sequencing of differentially concentrated proteins with mass spectrometry unveiled significantly more proteins involved in the cellular stress response in coral hosts of the upwelling site. Although such stress protein signatures could be indicative of sub-lethal levels of cellular stress, especially given the relatively higher sediment loads characteristic of the upwelling site, these proteins may, in contrast, have been constitutively maintained at high levels in preparation for large fluctuations in temperature and other abiotic parameters (e.g., nutrient levels) brought upon by upwelling events.

Effects of an ectomycorrhizal fungus on the growth and physiology of Pinus sylvestris var. mongolica seedlings subjected to saline-alkali stress

This research investigates the mechanism of increased salinity tolerance of ectomycorrhizal fungiinoculated P. sylvestris var. mongolica to provide a theoretical basis for the application of the fungus in saline soils.Growth effects due to inoculation of seedlings with Suillus luteus(a symbiotic ectomycorrhizal fungus), were determined in four kinds of saline–alkali soils. Growth and physiological indicators, including photosynthetic characteristics, plant height, biomass, photosynthetic pigments,catalase(CAT) and superoxide dismutase(SOD) enzyme levels, and malondialdehyde(MDA), an organic marker for oxidative stress, and soluble protein levels were determined. Mycorrhizal colonization rate decreased with increasing saline–alkalinity and growth of inoculated seedlings was significantly enhanced. Biomass and chlorophyll contents also increased significantly. SOD and CAT activities were higher than in non-inoculated seedlings. However, MDA content decreased in inoculatedseedlings. Soluble protein content did not increase significantly. Inoculation with a symbiotic ectomycorrhizal fungus could enhance the saline–alkali tolerance of P. sylvestris var. mongolica. Growth and physiological performance of inoculated seedlings were significantly better than that of uninoculated seedlings. The results indicate that inoculated P. sylvestris var. mongolica seedlings may be useful in the improvement of saline–alkali lands.

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.

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.

Gut Microbiota: Physiology and Relationship with Inflammatory Bowel Disease

The intestinal microbiota, which evolved over tens of thousands of years along with their human hosts, constitutes a complex and diverse ecosystem whose composition differs from person to person. Accumulating evidence indicates that commensal bacteria exert numerous beneficial physiological effects for humans, including nutrition, protection, metabolism, organ development and immunomodulation. However, mucosal immune responses to intestinal microflora require precise control to allow appropriate defense against potential pathogens but restrict the immune response to beneficial resident bacteria. The task of intestinal homeostasis is accomplished by epithelium and specialized immune system in the gastrointestinal tract. Alternation in the composition of the bacterial community, consisting of increased representation of harmful species or under presence of protective species, or dysbiosis has been linked to various chronic and inflammatory disorders, such as inflammatory bowel disease. An improved understanding of the underlying molecular mechanisms of host-microorganism interactions could bring new insights into onset and pathogenesis of several autoimmune diseases. This review will discuss physiologic properties of commensal microbiota and how dysregulated immune responses to them contribute to chronic mucosal inflammation.

电场作用下人工湿地植物的生理生化响应(英文)

通过测定人工湿地植物叶片中叶绿素含量、MDA含量及SOD酶活性,研究不同通电强度下人工湿地植物生理特性变化,分析电场对植物生理特性的影响机理,为利用电场强化人工湿地去除污染物提供依据。研究结果表明,与对照植物相比,1和3V低强度电压对植物正常生理指标变化无明显影响,且生长趋势优于对照组;随着电压强度的升高,植物叶片中叶绿素含量、MDA含量以及SOD酶活性受到较大影响,表明植物体受到较强的氧化胁迫,生长受到危害。合适的电场能够强化人工湿地的污水处理效果。

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.

IN ASIVE CARDIOPHYSIOLOGY

The physiology could be conducted in the catheterization laboratory(CL)asthe development of Invasive Cardiology,which may emerge a newsubspecialty--Invasive CardiophysiologyMethods There are several modalities used in the CL to assess thefunctions of heart and coronary artery during interventional procedures.1.Coronary angiography:after interventions,the changes of the vesselprofile during cardiac cycle could be evaluated,and the recanalizedblood flow could be classified as TIMIⅠ～Ⅲ.2.Ventriculography:the cavity profile and the cardiac function(EF%)could be detected,and the regional motion of the wall could beclassified as normal,hypokinesis,hyperkinesis,akinesis and dyskinesis.3.Intracoronary ultrasound(ICUS) and Doppler ICUS could image the-changes of vessel lumen,wall and plaque before,during and afterinterventional procedures.IntracoronaW Doppler could monitor theblood flow improvement.4.Angioscopy:the surface of the plaque or lumen could be see inangioscope.5.Intracardiac electrophysiology:the functions of sinus node,A-V nodeand His bundles could be evaluated and the anti-arrhythmic drugs couldbe screened.6.Testing:the following drugs is used to test the endothelial function ofcoronary artery:acetylcholine,ergonovine,adenosine,papaverine,ornitroglycerine under the angiography and/or ICUS or Dopplerimagings.7.Intracardiac pacing:to test the reserve of the ischemic burden.Conclusion The development of Invasive Cardiophysiology in the CLmay conquer the thinking of the physicians from the"clinic-pathology"to"clinic-phystology"correlation,which might attract more attention to theresumption of physiological condition rather than anatomic correction.

TO STUDY PHYSIOLOGY IN THE CARDIOLOGYTHE EMERGING OF CLINICAL CARDIOPHYSIOLOGY

Definition A new subspecialty to study the physiological function of heartdisease in the course of etiology,development,treatment and rehabilitationhas emerged as Clinical Cardiophvsiology.Scope and aims To assess the functional changes(such as pumpfunction,electrophysiology and endocrinology)of heart disease in order tounmask the clinical enigma.Methods1.Examinations:(a)Invasive:coronary angiography,ventriculography,intravascular ultrasound(IVUS)and Doppler,angioscopy,intracardiacelectrophysiology,etc.;(b)Non-invasive:ECG,echocardiography,nuclear cardiology,MRI,PET,etc..2.Testings:treadmill or bicycle stress testing,and the following drugscould be used:acetylcholine,ergonovine,adenosine,papaverine,ornitroglycerine under the angiography and/or ICUS or Doppler imagingsor ECG or echocardiography monitoring.3.Treatments:(a)drug therapy:lowering serum lipid drugs,anti-hypertensive drugs(B-blocker,calcium ion antagonists,ACEinhibitors),anti-arrhythmic drugs,anticoagulation agents,thrombolyticagents,etc.;(b)non-drug therapy:interventional procedures(PTCA,stenting,rotablator,etc.),radiofrequency ablation,pacemakerimplantation,maze procedure,CABG,etc..4.Rehabilitations:scheduled recovery procedures,such as nutrients,nursing,exercises,and risk factors modification.Conclusion The advent of Clinical Cardiophysiology may make itpossible that the thinking of doctors changes from the"clinic-patholy"to"clinic-physiology"correlation in the clinical practice.

Physiology and defense responses of wheat to the infestation of different cereal aphids

Cereal aphids are major insect pests of wheat,which cause significant damages to wheat production.Previous studies mainly focused on the resista nee of differe nt wheat varieties to one specific aphid species.However,reports on the physiology and defense responses of wheat to different cereal aphids are basically lacking.In this work,we studied the feeding behavior of three cereal aphids:the grain aphid,Sitobion avenae(Fabricius),the greenbugs,Schizaphis graminum(Ron dani),and the bird cherry-oat aphid,Rhopalosiphum padi(Linn aeus)on win ter wheat,and the physiology and defense responses of wheat to the infestation of these cereal aphids with focus on how these cereal aphids utilize divergent strategies to optimize their nutrition requirement from wheat leaves.Our results indicated that S.graminum and R.padi were better adapted to penetrating phloem tissue and to collect more nutrition than S.avenae.The harm on wheat physiology committed by S.graminum and R.padi was severer than that by S.avenae,through reducing chlorophyll concentration and interfering metabolism genes.Furthermore,cereal aphids manipulated the plant nutrition metabolism by increasing the relative concentration of major amino acids and percentage of essential amino acids.In addition,different cereal aphids triggered specific defense response in wheat.All of these results suggested that different cereal aphids utilize diverge nt strategies to cha nge the physiological and defe nse resp on ses of their host plants in order to optimize their nutriti on absorption and requireme nt.These fin dings not only exte nd our current knowledge on the insect-pla nt in teractions but also provide useful clues to develop no vel biotech no logical strategies for enhancing the resistance and toleranee of crop plants against phloem-feeding insects.

Role of coronary physiology in the contemporary management of coronary artery disease

Coronary artery disease(CAD) remains the leading cause of death worldwide with approximately 1 in 30 patients with stable CAD experiencing death or acute myocardial infarction each year. The presence and extent of resultant myocardial ischaemia has been shown to confer an increased risk of adverse outcomes. Whilst, optimal medical therapy(OMT) forms the cornerstone of the management of patients with stable CAD, a significant number of patients present with ischaemia refractory to OMT. Historically coronary angiography alone has been used to determine coronary lesion severity in both stable and acute settings. It is increasingly clear that this approach fails to accurately identify the haemodynamic significance of lesions; especially those that are visually "intermediate" in severity. Revascularisation based upon angiographic appearances alone may not reduce coronary events above OMT. Technological advances have enabled the measurement of physiological indices including the fractional flow reserve, the index of microcirculatory resistance and the coronary flow reserve. The integration of these parameters into the routine management of patients presenting to the cardiac catheterization laboratory with CAD represents a critical adjunctive tool in the optimal management of these patients by identifying patients that would most benefit from revascularisation and importantly also highlighting patients that would not gain benefit and therefore reducing the likelihood of adverse outcomes associated with coronary revascularisation. Furthermore, these techniques are applicable to a broad range of patients including those with left main stem disease, proximal coronary disease, diabetes mellitus, previous percutaneous coronary intervention and with previous coronary artery bypass grafting. This review will discuss current concepts relevant to coronary physiology assessment, its role in the management of both stable and acute patients and future applications.