Postgraduate Program in Rehabilitation and Functional Performance, Ribeirão Preto Medical School, University of São Paulo (USP), Ribeirão Preto, São Paulo, Brazil.
Department of Physical Education, State University of São Paulo (UNESP), Presidente Prudente, São Paulo, Brazil.
J Cell Physiol. 2018 Nov;233(11):8850-8861. doi: 10.1002/jcp.26799. Epub 2018 May 24.
Chronic exercise induces cardiac remodeling that promotes left ventricular hypertrophy and cardiac functional improvement, which are mediated by the mammalian or the mechanistic target of rapamycin (mTOR) as well as by the androgen and glucocorticoid receptors (GRs). However, pathological conditions (i.e., chronic heart failure, hypertension, and aortic stenosis, etc.) also induce cardiac hypertrophy, but with detrimental function, high levels of proinflammatory cytokines and myostatin, elevated fibrosis, reduced adenosine monophosphate-activated protein kinase (AMPK) activation, and fetal gene reactivation. Furthermore, recent studies have evidenced that excessive training induced an inflammatory status in the serum, muscle, hypothalamus, and liver, suggesting a pathological condition that could also be detrimental to cardiac tissue. Here, we verified the effects of three running overtraining (OT) models on the molecular parameters related to physiological and pathological cardiac hypertrophy. C57BL/6 mice performed three different OT protocols and were evaluated for molecular parameters related to physiological and pathological cardiac hypertrophy, including immunoblotting, reverse transcription polymerase chain reaction, histology, and immunohistochemistry analyses. In summary, the three OT protocols induced left ventricle (LV) hypertrophy with signs of cardiac fibrosis and negative morphological adaptations. These maladaptations were accompanied by reductions in AMPKalpha (Thr172) phosphorylation, androgen receptor, and GR expressions, as well as by an increase in interleukin-6 expression. Specifically, the downhill running-based OT model reduced the content of some proteins related to the mTOR signaling pathway and upregulated the β-isoform of myosin heavy-chain gene expression, presenting signs of LV pathological hypertrophy development.
慢性运动诱导心脏重塑,促进左心室肥大和心脏功能改善,这是由哺乳动物雷帕霉素靶蛋白(mTOR)以及雄激素和糖皮质激素受体(GRs)介导的。然而,病理性条件(如慢性心力衰竭、高血压和主动脉狭窄等)也会引起心脏肥大,但功能不良,促炎细胞因子和肌肉生长抑制素水平升高,纤维化增加,腺苷单磷酸激活蛋白激酶(AMPK)激活减少,胎儿基因重新激活。此外,最近的研究表明,过度训练会引起血清、肌肉、下丘脑和肝脏的炎症状态,表明这是一种可能对心脏组织有害的病理性条件。在这里,我们验证了三种跑步过度训练(OT)模型对与生理和病理性心脏肥大相关的分子参数的影响。C57BL/6 小鼠进行了三种不同的 OT 方案,并对与生理和病理性心脏肥大相关的分子参数进行了评估,包括免疫印迹、逆转录聚合酶链反应、组织学和免疫组织化学分析。总之,三种 OT 方案诱导左心室(LV)肥大,伴有心脏纤维化和负性形态适应的迹象。这些适应不良伴随着 AMPKalpha(Thr172)磷酸化、雄激素受体和 GR 表达减少以及白细胞介素-6 表达增加。具体而言,基于下坡跑的 OT 模型降低了与 mTOR 信号通路相关的一些蛋白质的含量,并上调了肌球蛋白重链基因表达的β-同工型,表现出 LV 病理性肥大发展的迹象。