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慢性铁过载限制了有氧运动对血管的益处。

Chronic Iron Overload Restrains the Benefits of Aerobic Exercise to the Vasculature.

机构信息

Department of Physiological Sciences, Federal University of Espirito Santo, Av. Marechal Campos, 1468, Vitoria, ES, 29040-091, Brazil.

Faculdades Integradas São Pedro (FAESA), Av. Vitória, 2220, Vitoria, ES, 29053-360, Brazil.

出版信息

Biol Trace Elem Res. 2020 Dec;198(2):521-534. doi: 10.1007/s12011-020-02078-y. Epub 2020 Mar 2.

Abstract

Physical exercise is a well-recognized effective non-pharmacological therapy for cardiovascular diseases. However, because iron is essential element in many physiological processes including hemoglobin and myoglobin synthesis, thereby playing a role on oxygen transport, many athletes use iron supplement to improve physical performance. Regarding this, iron overload is associated with oxidative stress and damage to various systems, including cardiovascular. Thus, we aimed to identify the vascular effects of aerobic exercise in a rat model of iron overload. Male Wistar rats were treated with 100 mg/kg/day iron-dextran, i.p., 5 days a week for 4 weeks, and then underwent aerobic exercise protocol on a treadmill at moderate intensity, 60 min/day, 5 days a week for 8 weeks. Exercise reduced vasoconstrictor response of isolated aortic rings by increasing participation of nitric oxide (NO) and reducing oxidative stress, but these benefits to the vasculature were not observed in rats previously subjected to iron overload. The reduced vasoconstriction in the exercised group was reversed by incubation with superoxide dismutase (SOD) inhibitor, suggesting that increased SOD activity by exercise was lost in iron overload rats. Iron overload groups increased serum levels of iron, transferrin saturation, and iron deposition in the liver, gastrocnemius muscle, and aorta, and the catalase was overexpressed in the aorta probably as a compensatory mechanism to the increased oxidative stress. In conclusion, despite the known beneficial effects of aerobic exercise on vasculature, our results indicate that previous iron overload impeded the anticontractile effect mediated by increased NO bioavailability and endogenous antioxidant response due to exercise protocol.

摘要

体育锻炼是一种公认的有效非药物治疗心血管疾病的方法。然而,由于铁是血红蛋白和肌红蛋白合成等许多生理过程的必需元素,从而在氧气运输中发挥作用,许多运动员使用铁补充剂来提高身体表现。关于这一点,铁过载与氧化应激和各种系统的损伤有关,包括心血管系统。因此,我们旨在确定铁过载大鼠模型中有氧运动对血管的影响。雄性 Wistar 大鼠每天腹腔注射 100mg/kg 铁右旋糖苷,每周 5 天,持续 4 周,然后在跑步机上进行中等强度的有氧运动方案,每天 60 分钟,每周 5 天,持续 8 周。运动通过增加一氧化氮(NO)的参与和减少氧化应激来降低离体主动脉环的血管收缩反应,但这些对血管的益处在先前经历过铁过载的大鼠中没有观察到。在铁过载大鼠中,运动增加超氧化物歧化酶(SOD)活性的益处被 SOD 抑制剂孵育所逆转,这表明铁过载大鼠中运动增加的 SOD 活性丧失。铁过载组血清铁、转铁蛋白饱和度和肝脏、比目鱼肌和主动脉中铁沉积水平升高,主动脉中过氧化氢酶过度表达,可能是对氧化应激增加的代偿机制。总之,尽管有氧运动对血管有已知的有益作用,但我们的结果表明,先前的铁过载阻碍了运动方案介导的增加的 NO 生物利用度和内源性抗氧化反应的抗收缩作用。

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