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运动可使哮喘患者的白细胞失活。

Exercise deactivates leukocytes in asthma.

作者信息

Vieira R P, Silva R A, Oliveira-Junior M C, Greiffo F R, Ligeiro-Oliveira A P, Martins M A, Carvalho C R F

机构信息

Nove de Julho University, São Paulo, Brazil.

Physical Therapy (LIM 34), University of São Paulo, Brazil.

出版信息

Int J Sports Med. 2014 Jun;35(7):629-35. doi: 10.1055/s-0033-1358477. Epub 2013 Nov 20.

Abstract

Leukocytes play a central role in asthma physiopathology. Aerobic training (AT) reduces leukocytes recruitment to the airways, but the effects of AT on some aspects of leukocytes activation in asthma are unknown. Therefore, the effects of 4 weeks of AT on airway inflammation, pulmonary and systemic Th2 cytokines levels, leukocytes expression of pro and anti-inflammatory, pro-fibrotic, oxidants and anti-oxidants mediators in an experimental model of asthma was investigated. AT reduced the levels of IL-4, IL-5, IL-13 in bronchoalveolar lavage fluid (BALF) (p<0.001), serum levels of IL-5, while increased BALF and serum levels of IL-10 (p<0.001). In addition, AT reduced leukocytes activation, showed through decreased expression of Th2 cytokines (IL-4, IL-5, IL-13; p<0.001), chemokines (CCL5, CCL10; p<0.001), adhesion molecules (VCAM-1, ICAM-1; p<0.05), reactive oxygen and nitrogen species (GP91phox and 3-nitrotyrosine; p<0.001), inducible nitric oxide synthase (iNOS; p<0.001), nuclear factor kB (NF-kB; p<0.001) while increased the expression of anti-inflammatory cytokine (IL-10; p<0.001). AT also decreased the expression of growth factors (TGF-beta, IGF-1, VEGF and EGFr; p<0.001). We conclude that AT reduces the activation of peribronchial leukocytes in a mouse model of allergic asthma, resulting in decreased airway inflammation and Th2 response.

摘要

白细胞在哮喘病理生理学中起着核心作用。有氧训练(AT)可减少白细胞向气道的募集,但AT对哮喘中白细胞激活某些方面的影响尚不清楚。因此,研究了在哮喘实验模型中进行4周AT对气道炎症、肺和全身Th2细胞因子水平、白细胞促炎和抗炎、促纤维化、氧化剂和抗氧化剂介质表达的影响。AT降低了支气管肺泡灌洗液(BALF)中IL-4、IL-5、IL-13的水平(p<0.001),血清中IL-5的水平,同时增加了BALF和血清中IL-10的水平(p<0.001)。此外,AT通过降低Th2细胞因子(IL-4、IL-5、IL-13;p<0.001)、趋化因子(CCL5、CCL10;p<0.001)、黏附分子(VCAM-1、ICAM-1;p<0.05)、活性氧和氮物质(GP91phox和3-硝基酪氨酸;p<0.001)、诱导型一氧化氮合酶(iNOS;p<0.001)、核因子kB(NF-kB;p<0.001)的表达,降低了白细胞的激活,同时增加了抗炎细胞因子(IL-10;p<0.001)的表达。AT还降低了生长因子(TGF-β、IGF-1、VEGF和EGFr;p<0.001)的表达。我们得出结论,AT可降低过敏性哮喘小鼠模型中支气管周围白细胞的激活,从而减少气道炎症和Th2反应。

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