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有氧运动可减少氧化应激,改善高血压中小肠和冠状动脉的血管变化。

Aerobic exercise reduces oxidative stress and improves vascular changes of small mesenteric and coronary arteries in hypertension.

机构信息

Departamento de Farmacología, Facultad de Medicina, Universidad Autónoma de Madrid, Instituto de Investigación Hospital Universitario La Paz (IdiPAZ), Madrid, España.

出版信息

Br J Pharmacol. 2013 Feb;168(3):686-703. doi: 10.1111/j.1476-5381.2012.02224.x.

Abstract

BACKGROUND AND PURPOSE

Regular physical activity is an effective non-pharmacological therapy for prevention and control of hypertension. We investigated the effects of aerobic exercise training in vascular remodelling and in the mechanical and functional alterations of coronary and small mesenteric arteries from spontaneously hypertensive rats (SHR).

EXPERIMENTAL APPROACH

Normotensive Wistar Kyoto (WKY), SHR and SHR trained on a treadmill for 12 weeks were used to evaluate vascular structural, mechanical and functional properties.

KEY RESULTS

Exercise did not affect lumen diameter, wall thickness and wall/lumen ratio but reduced vascular stiffness of coronary and mesenteric arteries from SHR. Exercise also reduced collagen deposition and normalized altered internal elastic lamina organization and expression of MMP-9 in mesenteric arteries from SHR. Exercise did not affect contractile responses of coronary arteries but improved the endothelium-dependent relaxation in SHR. In mesenteric arteries, training normalized the increased contractile responses induced by U46619 and by high concentrations of acetylcholine. In vessels from SHR, exercise normalized the effects of the NADPH oxidase inhibitor apocynin and the NOS inhibitor l-NAME in vasodilator or vasoconstrictor responses, normalized the increased O(2) (-) production and the reduced Cu/Zn superoxide dismutase expression and increased NO production.

CONCLUSIONS AND IMPLICATIONS

Exercise training of SHR improves endothelial function and vascular stiffness in coronary and small mesenteric arteries. This might be related to the concomitant decrease of oxidative stress and increase of NO bioavailability. Such effects demonstrate the beneficial effects of exercise on the vascular system and could contribute to a reduction in blood pressure.

摘要

背景与目的

规律的身体活动是预防和控制高血压的一种有效非药物治疗方法。我们研究了有氧运动训练对自发性高血压大鼠(SHR)血管重构以及冠状动脉和小肠系膜动脉的机械和功能改变的影响。

实验方法

使用正常血压的 Wistar Kyoto(WKY)大鼠、SHR 和在跑步机上训练 12 周的 SHR 来评估血管结构、力学和功能特性。

主要结果

运动没有影响冠状动脉和肠系膜动脉的管腔直径、壁厚度和壁腔比,但降低了 SHR 血管的僵硬程度。运动还减少了胶原沉积,并使 SHR 肠系膜动脉中改变的内弹力层组织和 MMP-9 的表达正常化。运动不影响冠状动脉的收缩反应,但改善了 SHR 的内皮依赖性舒张。在肠系膜动脉中,训练使 U46619 和高浓度乙酰胆碱诱导的收缩反应正常化。在 SHR 的血管中,运动使 NADPH 氧化酶抑制剂 apocynin 和 NOS 抑制剂 l-NAME 在血管舒张或收缩反应中的作用正常化,使 O2(-)产生增加和 Cu/Zn 超氧化物歧化酶表达减少以及 NO 产生增加正常化。

结论和意义

SHR 的运动训练改善了冠状动脉和小肠系膜动脉的内皮功能和血管僵硬。这可能与氧化应激的同时降低和 NO 生物利用度的增加有关。这些影响表明运动对血管系统有有益的影响,并可能有助于降低血压。

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