Department of Physiology and Pathophysiology, Xi'an Jiaotong University School of Basic Medical Sciences, Shaanxi Engineering and Research Center of Vaccine, Key Laboratory of Environment and Genes Related to Diseases of Education Ministry of China , Xi'an China.
Department of Nephrology, The First Affiliated Hospital of Xi'an Medical University , Xi'an China.
Gut Microbes. 2021 Jan-Dec;13(1):1-24. doi: 10.1080/19490976.2020.1854642.
Exercise (Ex) has long been recognized to produce beneficial effects on hypertension (HTN). This coupled with evidence of gut dysbiosis and an impaired gut-brain axis led us to hypothesize that reshaping of gut microbiota and improvement in impaired gut-brain axis would, in part, be associated with beneficial influence of exercise. Male spontaneously hypertensive rats (SHR) and Wistar Kyoto (WKY) rats were randomized into sedentary, trained, and detrained groups. Trained rats underwent moderate-intensity exercise for 12 weeks, whereas, detrained groups underwent 8 weeks of moderate-intensity exercise followed by 4 weeks of detraining. Fecal microbiota, gut pathology, intestinal inflammation, and permeability, brain microglia and neuroinflammation were analyzed. We observed that exercise training resulted in a persistent decrease in systolic blood pressure in the SHR. This was associated with increase in microbial α diversity, altered β diversity, and enrichment of beneficial bacterial genera. Furthermore, decrease in the number of activated microglia, neuroinflammation in the hypothalamic paraventricular nucleus, improved gut pathology, inflammation, and permeability were also observed in the SHR following exercise. Interestingly, short-term detraining did not abolish these exercise-mediated improvements. Finally, fecal microbiota transplantation from exercised SHR into sedentary SHR resulted in attenuated SBP and an improved gut-brain axis. These observations support our concept that an impaired gut-brain axis is linked to HTN and exercise ameliorates this impairment to induce antihypertensive effects.
运动(Ex)长期以来一直被认为对高血压(HTN)有有益的影响。这加上肠道菌群失调和肠道-大脑轴受损的证据,使我们假设重塑肠道微生物群和改善受损的肠道-大脑轴将部分与运动的有益影响相关。雄性自发性高血压大鼠(SHR)和 Wistar Kyoto(WKY)大鼠被随机分为安静组、训练组和去训练组。训练组大鼠进行 12 周的中等强度运动,而去训练组大鼠则进行 8 周的中等强度运动,然后进行 4 周的去训练。分析粪便微生物群、肠道病理学、肠道炎症和通透性、大脑小胶质细胞和神经炎症。我们观察到,运动训练导致 SHR 的收缩压持续下降。这与微生物 α多样性增加、β多样性改变和有益细菌属的富集有关。此外,在 SHR 中,运动还可减少激活的小胶质细胞数量、下丘脑室旁核的神经炎症、改善肠道病理学、炎症和通透性。有趣的是,短期去训练并没有消除这些运动介导的改善。最后,将运动后的 SHR 的粪便微生物群移植到安静的 SHR 中,导致 SBP 降低和改善的肠道-大脑轴。这些观察结果支持我们的观点,即受损的肠道-大脑轴与 HTN 有关,运动改善这种损伤以产生降压作用。