Department of Physiology, Faculty of Science, Mahidol University, 272 Rama 6 Road, Bangkok 10400, Thailand.
Department of Physiology, Faculty of Veterinary Science, Chulalongkorn University, Henri-Dunant Road., Pathumwan, Bangkok 10330, Thailand.
Life Sci. 2019 Feb 15;219:209-218. doi: 10.1016/j.lfs.2019.01.018. Epub 2019 Jan 15.
Regular exercise is recommended in postmenopausal women to prevent the development of heart disease, but mechanism underlying the protection is not completely understood. Many studies have suggested that exercise training notably mediated whole body immune and inflammatory functions. Whether exercise training prevents cardiac dysfunction after deprivation of female sex hormones by inhibiting cardiac immune activation is therefore interesting.
Nine-week treadmill running program was introduced in sham-operated and ovariectomized rats. In addition, chronic angiotensin II infusion was further challenged to activate pathological cardiac remodeling. Cardiac remodeling in associated with the density and degranulation of cardiac mast cells was then evaluated.
With exogenous angiotensin II-induced hypertension, cardiac hypertrophy with myocardial fibrosis was shown similarly in both sham-operated controls and ovariectomized rats. Although exercise training did not prevent cardiac hypertrophy, myocardial fibrosis was abolished by exercise. While ovariectomy increased both cardiac mast cell density and degranulation percentage, angiotensin II infusion only enhanced mast cell density. Exercise training could not decrease the density of mast cells, but it did normalize the percentage of degranulation in all groups. Correlation analysis suggested that cardiac mast cell activation is inversely associated with cardiomyocyte hypertrophy due to exercise training but is directly correlated to cardiac hypertrophy by angiotensin II infusion.
Exercise training could attenuate cardiac mast cell hyperactivation induced by either deprivation of female sex hormones or excessive angiotensin II. Additionally, cardiac mast cells could be a solution in the distinction between physiological and pathological hypertrophic development.
建议绝经后女性进行规律运动,以预防心脏病的发生,但保护机制尚未完全阐明。许多研究表明,运动训练可显著调节全身免疫和炎症功能。因此,运动训练是否通过抑制心脏免疫激活来预防雌性激素剥夺后心脏功能障碍是很有趣的。
在假手术和去卵巢大鼠中引入 9 周的跑步机跑步方案。此外,进一步进行慢性血管紧张素 II 输注以激活病理性心脏重构。然后评估与心脏肥大相关的心脏肥大与心脏肥大细胞密度和脱颗粒的关系。
在外源性血管紧张素 II 诱导的高血压中,假手术对照组和去卵巢大鼠均显示出相似的心脏肥大伴心肌纤维化。尽管运动训练不能预防心脏肥大,但运动可以消除心肌纤维化。虽然去卵巢增加了心脏肥大细胞的密度和脱颗粒的百分比,但血管紧张素 II 输注仅增加了肥大细胞的密度。运动训练不能降低肥大细胞的密度,但可以使所有组的脱颗粒百分比正常化。相关性分析表明,心脏肥大细胞的激活与运动训练引起的心肌细胞肥大呈负相关,但与血管紧张素 II 输注引起的心脏肥大呈正相关。
运动训练可以减轻由雌性激素剥夺或血管紧张素 II 过度引起的心脏肥大细胞过度激活。此外,心脏肥大细胞可能是区分生理性和病理性肥大发展的关键。