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高强度运动后高血压患者血管舒张功能增强。

Enhancement of vasorelaxation in hypertension following high-intensity exercise.

作者信息

Yang Ai-Lun, Lo Chia-Wen, Lee Jen-Ting, Su Chia-Ting

机构信息

Graduate Institute of Exercise Science, Taipei Physical Education College, Taipei, Taiwan, Republic of China.

出版信息

Chin J Physiol. 2011 Apr 30;54(2):87-95. doi: 10.4077/cjp.2011.amm011.

Abstract

Exercise can ameliorate vascular dysfunction in hypertension, but its underlying mechanism has not been explored thoroughly. We aimed to investigate whether the high-intensity exercise could enhance vasorelaxation mediated by insulin and insulin-like growth factor-1 (IGF-1) in hypertension. Sixteen-week-old spontaneously hypertensive rats were randomly divided into non-exercise sedentary (SHR) and high-intensity exercise (SHR+Ex) groups conducted by treadmill running at a speed of 30 m/ min until exhaustion. Age-matched Wistar-Kyoto rats (WKY) were used as the normotensive control group. Immediately after exercise, the agonist-induced vasorelaxation of aortas was evaluated in organ baths with or without endothelial denudation. Selective inhibitors were used to examine the roles of nitric oxide synthase (NOS) and phosphatidylinositol-3 kinase (PI3K) in the vasorelaxation. By adding superoxide dismutase (SOD), a superoxide scavenger, the role of superoxide production in the vasorelaxation was also clarified. We found that, the high-intensity exercise significantly (P < 0.05) induced higher vasorelaxant responses to insulin and IGF-1 in the SHR+Ex group than that in the SHR group; after endothelial denudation and pre-treatment of the PI3K inhibitor, NOS inhibitor, or SOD, vasorelaxant responses to insulin and IGF-1 became similar among three groups; the protein expression of insulin receptor, IGF-1 receptor, and endothelial NOS (eNOS) was significantly (P < 0.05) increased in the SHR+Ex group compared with the SHR group;] the relaxation to sodium nitroprusside, a NO donor, was not different among three groups. Our findings suggested that the high-intensity exercise ameliorated the insulin- and IGF-1-mediated vasorelaxation through the endothelium-dependent pathway, which was associated with the reduced level of superoxide production.

摘要

运动可改善高血压患者的血管功能障碍,但其潜在机制尚未得到充分探究。我们旨在研究高强度运动是否能增强高血压患者中由胰岛素和胰岛素样生长因子-1(IGF-1)介导的血管舒张作用。将16周龄的自发性高血压大鼠随机分为非运动久坐组(SHR)和高强度运动组(SHR+Ex),高强度运动组通过以30米/分钟的速度在跑步机上跑步直至疲惫来进行。将年龄匹配的Wistar-Kyoto大鼠(WKY)作为正常血压对照组。运动后立即在有或无内皮剥脱的器官浴中评估激动剂诱导的主动脉血管舒张情况。使用选择性抑制剂来研究一氧化氮合酶(NOS)和磷脂酰肌醇-3激酶(PI3K)在血管舒张中的作用。通过添加超氧化物清除剂超氧化物歧化酶(SOD),也阐明了超氧化物产生在血管舒张中的作用。我们发现,与SHR组相比,SHR+Ex组中高强度运动显著(P<0.05)诱导出对胰岛素和IGF-1更高的血管舒张反应;在内皮剥脱以及用PI3K抑制剂、NOS抑制剂或SOD预处理后,三组对胰岛素和IGF-1的血管舒张反应变得相似;与SHR组相比,SHR+Ex组中胰岛素受体、IGF-1受体和内皮型NOS(eNOS)的蛋白表达显著(P<0.05)增加;三组对NO供体硝普钠的舒张反应无差异。我们的研究结果表明,高强度运动通过内皮依赖性途径改善了胰岛素和IGF-1介导的血管舒张,这与超氧化物产生水平降低有关。

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