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有氧运动可预防随着衰老而出现的软脑膜侧支稀疏和中风严重程度增加。

Aerobic exercise prevents rarefaction of pial collaterals and increased stroke severity that occur with aging.

作者信息

Rzechorzek Wojciech, Zhang Hua, Buckley Brian K, Hua Kunjie, Pomp Daniel, Faber James E

机构信息

1 Departments of Cell Biology and Physiology, University of North Carolina at Chapel Hill, NC, USA.

2 Department of Genetics, University of North Carolina at Chapel Hill, NC, USA.

出版信息

J Cereb Blood Flow Metab. 2017 Nov;37(11):3544-3555. doi: 10.1177/0271678X17718966. Epub 2017 Jul 7.

Abstract

Variation in extent of the brain's collateral circulation is an important determinant of variation in the severity of stroke and efficacy of revascularization therapies. However, the number and diameter of pial collateral "arterioles" decrease with aging in associated with reduced eNOS and increased oxidative stress. We tested whether exercise reduces this aging-induced rarefaction. Twelve-month-old mice were randomized to sedentary or voluntary wheel-running. At 26 months' age, permanent MCA occlusion was followed 72 h later by determination of infarct volume and vascular casting after maximal dilation. The decline in collateral number and diameter and 2.4-fold increase in infarct volume evident in 26-versus 3-month-old sedentary mice were prevented by exercise-training. In contrast, number and diameter of the posterior communicating collateral "arteries" were unaffected by aging or exercise. Interestingly, diameter of the primary intracranial arteries increased with aging. Mechanistically, genetic overexpression of eNOS inhibited age-induced collateral rarefaction, and exercise increased eNOS and SOD2 and decreased the inflammatory marker NFkB assessed in hindlimb arteries. In conclusion, exercise prevented age-induced rarefaction of pial collaterals and reduced infarct volume. Aging also promoted outward remodeling of intracranial arteries. These effects were associated with increased eNOS and reduced markers of inflammation and aging in the vascular wall.

摘要

脑侧支循环范围的变化是中风严重程度和血管再通治疗效果变化的重要决定因素。然而,软脑膜侧支“小动脉”的数量和直径会随着年龄增长而减少,同时伴有内皮型一氧化氮合酶(eNOS)减少和氧化应激增加。我们测试了运动是否能减少这种衰老引起的侧支血管稀疏。将12月龄小鼠随机分为久坐组或自愿轮跑组。在26月龄时,永久性大脑中动脉闭塞,72小时后测定梗死体积,并在最大扩张后进行血管铸型。运动训练可防止26月龄久坐小鼠与3月龄久坐小鼠相比明显出现的侧支数量和直径下降以及梗死体积增加2.4倍的情况。相比之下,后交通侧支“动脉”的数量和直径不受衰老或运动的影响。有趣的是,颅内主要动脉的直径会随着年龄增长而增加。从机制上讲,eNOS的基因过表达可抑制衰老引起的侧支血管稀疏,运动可增加eNOS和超氧化物歧化酶2(SOD2),并降低后肢动脉中评估的炎症标志物核因子κB(NFkB)。总之,运动可防止衰老引起的软脑膜侧支血管稀疏并减少梗死体积。衰老还促进了颅内动脉的向外重塑。这些作用与血管壁中eNOS增加以及炎症和衰老标志物减少有关。

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