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运动对舒张功能障碍小鼠被动心肌僵硬度的影响。

Effect of exercise on passive myocardial stiffness in mice with diastolic dysfunction.

机构信息

Department of Cellular and Molecular Medicine, University of Arizona, Tucson, AZ 85721, United States; Sarver Molecular Cardiovascular Research Program, University of Arizona, Tucson, AZ 85721, United States.

Department of Cellular and Molecular Medicine, University of Arizona, Tucson, AZ 85721, United States; Sarver Molecular Cardiovascular Research Program, University of Arizona, Tucson, AZ 85721, United States.

出版信息

J Mol Cell Cardiol. 2017 Jul;108:24-33. doi: 10.1016/j.yjmcc.2017.04.006. Epub 2017 May 3.

Abstract

Heart failure with preserved ejection fraction (HFpEF) is a complex syndrome, characterized by increased diastolic stiffness and a preserved ejection fraction, with no effective treatment options. Here we studied the therapeutic potential of exercise for improving diastolic function in a mouse model with HFpEF-like symptoms, the TtnΔIAjxn mouse model. TtnΔIAjxn mice have increased diastolic stiffness and reduced exercise tolerance, mimicking aspects of HFpEF observed in patients. We investigated the effect of free-wheel running exercise on diastolic function. Mechanical studies on cardiac muscle strips from the LV free wall revealed that both TtnΔIAjxn and wildtype (WT) exercised mice had a reduction in passive stiffness, relative to sedentary controls. In both genotypes, this reduction is due to an increase in the compliance of titin whereas ECM-based stiffness was unaffected. Phosphorylation of titin's PEVK and N2B spring elements were assayed with phospho-site specific antibodies. Exercised mice had decreased PEVK phosphorylation and increased N2B phosphorylation both of which are predicted to contribute to the increased compliance of titin. Since exercise lowers the heart rate we examined whether reduction in heart rate per se can improve passive stiffness by administering the heart-rate-lowering drug ivabradine. Ivabradine lowered heart rate in our study but it did not affect passive tension, in neither WT nor TtnΔIAjxn mice. We conclude that exercise is beneficial for decreasing passive stiffness and that it involves beneficial alterations in titin phosphorylation.

摘要

射血分数保留型心力衰竭(HFpEF)是一种复杂的综合征,其特征为舒张僵硬度增加和射血分数保留,但目前尚无有效的治疗方法。在这里,我们研究了运动对改善具有 HFpEF 样症状的 TtnΔIAjxn 小鼠模型的舒张功能的治疗潜力。TtnΔIAjxn 小鼠的舒张僵硬度增加,运动耐量降低,模拟了患者中观察到的 HFpEF 的某些方面。我们研究了自由轮跑运动对舒张功能的影响。来自 LV 游离壁的心肌条的力学研究表明,与久坐对照组相比,TtnΔIAjxn 和野生型(WT)运动小鼠的被动僵硬度降低。在两种基因型中,这种降低是由于肌联蛋白的顺应性增加所致,而 ECM 基础的僵硬度不受影响。使用磷酸化位点特异性抗体测定肌联蛋白的 PEVK 和 N2B 弹簧元件的磷酸化。运动小鼠的 PEVK 磷酸化减少,N2B 磷酸化增加,这两者都预测会导致肌联蛋白的顺应性增加。由于运动降低心率,我们研究了通过给予心率降低药物伊伐布雷定是否可以通过降低心率本身来改善被动张力。在我们的研究中,伊伐布雷定降低了心率,但无论是在 WT 还是 TtnΔIAjxn 小鼠中,都不会影响被动张力。我们得出的结论是,运动有益于降低被动僵硬度,并且涉及肌联蛋白磷酸化的有益改变。

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