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运动训练可预防β-肾上腺素能亢进诱导的心肌肥大和病变。

Exercise training prevents beta-adrenergic hyperactivity-induced myocardial hypertrophy and lesions.

作者信息

Serra Andrey J, Higuchi Maria L, Ihara Silvia S M, Antônio Ednei L, Santos Marília H H, Bombig Maria T N M, Tucci Paulo J F

机构信息

Department of Medicine, Cardiology Division, Federal University of São Paulo, Brazil.

出版信息

Eur J Heart Fail. 2008 Jun;10(6):534-9. doi: 10.1016/j.ejheart.2008.03.016. Epub 2008 May 27.

Abstract

BACKGROUND

Sustained beta-adrenoreceptor activation promotes cardiac hypertrophy and cellular injury.

AIMS

To evaluate the cardioprotective effect of exercise on damage induced by beta-adrenergic hyperactivity.

METHODS

Male Wistar rats were randomised into four groups (n=8 per group): sedentary non-treated control (C), sedentary treated with isoproterenol 0.3 mg/kg/day administered subcutaneously for 8 days (I), exercised non-treated (E) and exercised plus isoproterenol administered during the last eight days of exercise (IE). Exercised animals ran on a treadmill for 1 h daily 6 times a week for 13 weeks.

RESULTS

Isoproterenol caused increases in left ventricle (LV) wet and dry weight/body weight ratio, LV water content and cardiomyocyte transverse diameter. Additionally, isoproterenol induced severe cellular lesions, necrosis, and apoptosis, increased collagen content and reduced capillary and fibre fractional areas. Notably, all of these abnormalities were completely prevented by exercise.

CONCLUSION

Our data have demonstrated that complete cardioprotection is possible through exercise training; by preventing beta-adrenergic hyperactivity-induced cardiac hypertrophy and structural injury.

摘要

背景

β-肾上腺素能受体持续激活会促进心脏肥大和细胞损伤。

目的

评估运动对β-肾上腺素能活性亢进所致损伤的心脏保护作用。

方法

将雄性Wistar大鼠随机分为四组(每组n = 8):久坐未处理对照组(C)、皮下注射0.3 mg/kg/天异丙肾上腺素8天的久坐处理组(I)、运动未处理组(E)以及在运动最后8天给予异丙肾上腺素的运动加药组(IE)。运动组动物每周6次、每天在跑步机上跑1小时,持续13周。

结果

异丙肾上腺素导致左心室(LV)湿重和干重/体重比、LV含水量以及心肌细胞横径增加。此外,异丙肾上腺素诱导严重的细胞病变、坏死和凋亡,增加胶原含量并减少毛细血管和纤维分数面积。值得注意的是,运动完全预防了所有这些异常情况。

结论

我们的数据表明,通过运动训练实现完全的心脏保护是可能的;通过预防β-肾上腺素能活性亢进诱导的心肥大和结构损伤。

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