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运动训练改善高血压心肌的收缩功能。

Exercise training improves systolic function in hypertensive myocardium.

机构信息

Univ. of Pennsylvania School of Nursing, Biobehavioral and Health Sciences, Philadelphia, PA, USA.

出版信息

J Appl Physiol (1985). 2011 Dec;111(6):1637-43. doi: 10.1152/japplphysiol.00292.2011. Epub 2011 Sep 15.

DOI:10.1152/japplphysiol.00292.2011
PMID:21921241
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3233879/
Abstract

The general purpose of this study was to test the effect of exercise training on the left ventricular (LV) pressure-volume relationship (LV/PV) and apoptotic signaling markers in normotensive and hypertensive hearts. Four-month-old female normotensive Wistar-Kyoto rats (WKY; n = 37) and spontaneously hypertensive rats (SHR; n = 38) were assigned to a sedentary (WKY-SED, n = 21; SHR-SED, n = 19) or treadmill-trained (WKY-TRD, n = 16; SHR-TRD, n = 19) group (∼60% Vo(2 peak), 60 min/day, 5 days/wk, 12 wk). Ex vivo LV/PV were established in isovolumic Langendorff-perfused hearts, and LV levels of Akt, phosphorylated Akt (Akt(Pi)), Bad, phosphorylated Bad (Bad(Pi)) c-IAP, x-IAP, calcineurin, and caspases 3, 8, and 9 were measured. Heart-to-body weight ratio was increased in SHR vs. WKY (P < 0.05), concomitant with increased calcineurin mRNA (P < 0.05). There was a rightward shift in the LV/PV (P < 0.05) and a reduction in systolic elastance (E(s)) in SHR vs. WKY. Exercise training corrected E(s) in SHR (P < 0.05) but had no effect on the LV/PV in WKY. Caspase 3 was increased in SHR-SED relative to WKY-SED, while Bad(Pi,) c-IAP, and x-IAP were significantly lower in SHR relative to WKY (P < 0.05). Exercise training increased Bad(Pi) in both WKY and SHR but did not alter caspase 9 activity in either group. While caspase 3 activity was increased with training in WKY (P < 0.05), it was unchanged with training in SHR. We conclude that moderate levels of regular aerobic exercise attenuate systolic dysfunction early in the compensatory phase of hypertrophy, and that a differential phenotypical response to moderate-intensity exercise exists between WKY and SHR.

摘要

本研究的主要目的是检验运动训练对正常血压和高血压心脏的左心室(LV)压力-容积关系(LV/PV)和凋亡信号标志物的影响。将 4 月龄雌性正常血压 Wistar-Kyoto 大鼠(WKY;n=37)和自发性高血压大鼠(SHR;n=38)分为安静组(WKY-SED,n=21;SHR-SED,n=19)和跑台训练组(WKY-TRD,n=16;SHR-TRD,n=19)(约 60% Vo(2 peak),60 min/d,5 d/wk,12 wk)。通过在离体 Langendorff 灌注心脏中建立 LV/PV,测量 LV 中 Akt、磷酸化 Akt(Akt(Pi))、Bad、磷酸化 Bad(Bad(Pi))、c-IAP、x-IAP、钙调神经磷酸酶和半胱天冬酶 3、8 和 9 的水平。与 WKY 相比,SHR 的心脏/体重比增加(P<0.05),同时钙调神经磷酸酶 mRNA 增加(P<0.05)。与 WKY 相比,SHR 的 LV/PV 出现右移(P<0.05),收缩弹性(E(s))降低。运动训练校正了 SHR 的 E(s)(P<0.05),但对 WKY 的 LV/PV 没有影响。与 WKY-SED 相比,SHR-SED 中的半胱天冬酶 3 增加,而 Bad(Pi)、c-IAP 和 x-IAP 则明显低于 WKY(P<0.05)。运动训练增加了 WKY 和 SHR 中的 Bad(Pi),但两组的半胱天冬酶 9 活性都没有改变。虽然 WKY 中的半胱天冬酶 3 活性随训练而增加(P<0.05),但 SHR 中的半胱天冬酶 3 活性不变。我们的结论是,中等强度的规律有氧运动可减轻代偿性心肌肥厚早期的收缩功能障碍,WKY 和 SHR 对中等强度运动的表型反应存在差异。

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本文引用的文献

1
Left ventricular remodeling with exercise in hypertension.高血压患者运动时的左心室重塑
Am J Physiol Heart Circ Physiol. 2009 Oct;297(4):H1361-8. doi: 10.1152/ajpheart.01253.2008. Epub 2009 Aug 7.
2
Endurance training in the spontaneously hypertensive rat: conversion of pathological into physiological cardiac hypertrophy.自发性高血压大鼠的耐力训练:病理性心脏肥大向生理性心脏肥大的转变。
Hypertension. 2009 Apr;53(4):708-14. doi: 10.1161/HYPERTENSIONAHA.108.126805. Epub 2009 Feb 16.
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Low-intensity exercise training delays heart failure and improves survival in female hypertensive heart failure rats.低强度运动训练可延缓雌性高血压性心力衰竭大鼠的心力衰竭进程并提高其生存率。
Hypertension. 2008 Apr;51(4):1096-102. doi: 10.1161/HYPERTENSIONAHA.107.107078. Epub 2008 Feb 7.
4
Exercise induces a cardiac mitochondrial phenotype that resists apoptotic stimuli.运动可诱导出一种能抵抗凋亡刺激的心脏线粒体表型。
Am J Physiol Heart Circ Physiol. 2008 Feb;294(2):H928-35. doi: 10.1152/ajpheart.01231.2007. Epub 2007 Dec 14.
5
Effects of excessive long-term exercise on cardiac function and myocyte remodeling in hypertensive heart failure rats.长期过度运动对高血压性心力衰竭大鼠心脏功能和心肌细胞重塑的影响。
Hypertension. 2007 Aug;50(2):410-6. doi: 10.1161/HYPERTENSIONAHA.106.086371. Epub 2007 Jun 25.
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Relative systolic dysfunction in female spontaneously hypertensive rat myocardium.雌性自发性高血压大鼠心肌的相对性收缩功能障碍
J Appl Physiol (1985). 2007 Jul;103(1):353-8. doi: 10.1152/japplphysiol.01416.2006. Epub 2007 Apr 12.
7
Effects of forskolin on inotropic performance and phospholamban phosphorylation in exercise-trained hypertensive myocardium.福斯高林对运动训练的高血压心肌收缩性能和受磷蛋白磷酸化的影响。
J Appl Physiol (1985). 2007 Feb;102(2):628-33. doi: 10.1152/japplphysiol.00449.2006. Epub 2006 Nov 2.
8
Low-intensity exercise training improves survival in Dahl salt hypertension.低强度运动训练可提高 Dahl 盐敏感性高血压大鼠的生存率。
Med Sci Sports Exerc. 2006 May;38(5):856-8. doi: 10.1249/01.mss.0000218129.03008.ab.
9
Enhanced acidotic myocardial Ca2+ responsiveness with training in hypertension.高血压患者通过训练增强了酸中毒时心肌对钙离子的反应性。
Med Sci Sports Exerc. 2006 May;38(5):847-55. doi: 10.1249/01.mss.0000218133.89584.a6.
10
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Eur J Appl Physiol. 2006 May;97(2):216-24. doi: 10.1007/s00421-006-0161-5. Epub 2006 Apr 1.