Heart Institute InCor, University of Sa˜o Paulo Medical School, Sa˜o Paulo, Brazil.
Hypertension. 2010 Oct;56(4):629-35. doi: 10.1161/HYPERTENSIONAHA.110.156141. Epub 2010 Jul 19.
Previous studies show that exercise training and caloric restriction improve cardiac function in obesity. However, the molecular mechanisms underlying this effect on cardiac function remain unknown. Thus, we studied the effect of exercise training and/or caloric restriction on cardiac function and Ca(2+) handling protein expression in obese rats. To accomplish this goal, male rats fed with a high-fat and sucrose diet for 25 weeks were randomly assigned into 4 groups: high-fat and sucrose diet, high-fat and sucrose diet and exercise training, caloric restriction, and exercise training and caloric restriction. An additional lean group was studied. The study was conducted for 10 weeks. Cardiac function was evaluated by echocardiography and Ca(2+) handling protein expression by Western blotting. Our results showed that visceral fat mass, circulating leptin, epinephrine, and norepinephrine levels were higher in rats on the high-fat and sucrose diet compared with the lean rats. Cardiac nitrate levels, reduced/oxidized glutathione, left ventricular fractional shortening, and protein expression of phosphorylated Ser(2808)-ryanodine receptor and Thr(17)-phospholamban were lower in rats on the high-fat and sucrose diet compared with lean rats. Exercise training and/or caloric restriction prevented increases in visceral fat mass, circulating leptin, epinephrine, and norepinephrine levels and prevented reduction in cardiac nitrate levels and reduced:oxidized glutathione ratio. Exercise training and/or caloric restriction prevented reduction in left ventricular fractional shortening and in phosphorylation of the Ser(2808)-ryanodine receptor and Thr(17)-phospholamban. These findings show that exercise training and/or caloric restriction prevent cardiac dysfunction in high-fat and sucrose diet rats, which seems to be attributed to decreased circulating neurohormone levels. In addition, this nonpharmacological paradigm prevents a reduction in the Ser(2808)-ryanodine receptor and Thr(17)-phospholamban phosphorylation and redox status.
先前的研究表明,运动训练和热量限制可改善肥胖患者的心脏功能。然而,这种改善心脏功能的机制仍不清楚。因此,我们研究了运动训练和/或热量限制对肥胖大鼠心脏功能和钙处理蛋白表达的影响。为了达到这个目的,雄性大鼠喂食高脂肪和高蔗糖饮食 25 周后,被随机分为 4 组:高脂肪和高蔗糖饮食组、高脂肪和高蔗糖饮食+运动训练组、热量限制组、运动训练+热量限制组。另外还设立了 lean 组。研究进行了 10 周。通过超声心动图评估心脏功能,通过 Western blot 检测钙处理蛋白表达。我们的结果显示,与 lean 组大鼠相比,高脂肪和高蔗糖饮食组大鼠的内脏脂肪质量、循环瘦素、肾上腺素和去甲肾上腺素水平更高。与 lean 组大鼠相比,高脂肪和高蔗糖饮食组大鼠的心脏硝酸盐水平、还原型/氧化型谷胱甘肽、左心室短轴缩短率以及磷酸化 Ser(2808)-ryanodine 受体和 Thr(17)-磷酸化肌球蛋白结合蛋白的蛋白表达水平更低。运动训练和/或热量限制可防止内脏脂肪质量、循环瘦素、肾上腺素和去甲肾上腺素水平的增加,防止心脏硝酸盐水平的降低和氧化还原比的降低。运动训练和/或热量限制可防止左心室短轴缩短率和 Ser(2808)-ryanodine 受体和 Thr(17)-磷酸化肌球蛋白结合蛋白的磷酸化减少。这些发现表明,运动训练和/或热量限制可预防高脂肪和高蔗糖饮食大鼠的心脏功能障碍,这似乎归因于循环神经激素水平的降低。此外,这种非药物治疗方案可防止 Ser(2808)-ryanodine 受体和 Thr(17)-磷酸化肌球蛋白结合蛋白的磷酸化和氧化还原状态的降低。