Department of Clinical Medicine (LIM 20), School of Medicine, University of Sao Paulo, Sao Paulo, Brazil; Institute of Medical Assistance to the State Public Servant (IAMSPE), Sao Paulo, Brazil; University City of Sao Paulo (UNICID), Sao Paulo, Brazil; Department of Bioscience, Universidade Federal de São Paulo, São Paulo, 11015-020, Brazil.
Institute of Medical Assistance to the State Public Servant (IAMSPE), Sao Paulo, Brazil.
Environ Res. 2022 Jan;203:111768. doi: 10.1016/j.envres.2021.111768. Epub 2021 Jul 31.
Air pollution has been identified as one of the main environmental risks to health. Since exercise training seems to act as an anti-inflammatory modulator, our hypothesis is that exercise training prevents damage to respiratory and cardiovascular function caused by diesel exhaust particle (DEP) exposure. This study aimed to evaluate whether aerobic exercise training prior to DEP exposure prevents inflammatory processes in the pulmonary and cardiovascular systems. Therefore, BALB/C male mice were or were not submitted to a 10-week exercise training protocol (5×/week, 1 h/d), and after four weeks, they were exposed to DEP in a chamber with 24 μg/m PM2.5 or filtered air. Heart rate variability, lung mechanics and bronchoalveolar lavage fluid, cytokines and polymorphonuclear cells in the lung parenchyma were evaluated. Exposure to DEPs reduced heart rate variability and the elastance of the respiratory system and increased the number of cells in bronchoalveolar lavage fluid, as well as macrophages, neutrophils and lymphocytes, the density of polymorphonuclear cells and the proportion of collagen fibres in the lung parenchyma. Additionally, DEP-exposed animals showed increased expression of IL-23 and IL-12p40 (proinflammatory cytokines) and inducible nitric oxide synthase. Exercise training avoided the increases in all these inflammatory parameters, except the elastance of the respiratory system, the amount of collagen fibres and the expression of inducible nitric oxide synthase. Additionally, trained animals showed increased expression of the anti-inflammatory cytokine IL-1ra. Although our data showed a reduction in proinflammatory markers and an increase in markers of the anti-inflammatory pathway, these changes were not sufficient to prevent damage to the lung and cardiovascular function induced by DEPs. Based on these data, we propose that aerobic exercise training prevents the lung inflammatory process induced by DEPs, although it was not sufficient to avoid chronic damage, such as a loss of lung function or cardiovascular events.
空气污染已被确定为主要的环境健康风险因素之一。由于运动训练似乎是一种抗炎调节剂,我们的假设是,运动训练可以防止柴油废气颗粒(DEP)暴露引起的呼吸和心血管功能损害。本研究旨在评估有氧运动训练是否可以预防 DEP 暴露引起的肺部和心血管系统的炎症过程。因此,将 BALB/C 雄性小鼠进行或不进行为期 10 周的运动训练方案(每周 5 次,每次 1 小时),四周后,它们在一个 24μg/m PM2.5 的 chambers 中暴露于 DEP 或经过过滤的空气中。评估心率变异性、肺力学和支气管肺泡灌洗液、细胞因子和肺实质中的多形核细胞。暴露于 DEP 降低了心率变异性和呼吸系统的弹性,并增加了支气管肺泡灌洗液中的细胞数,以及巨噬细胞、中性粒细胞和淋巴细胞、多形核细胞的密度以及肺实质中的胶原纤维比例。此外,DEP 暴露的动物表现出 IL-23 和 IL-12p40(促炎细胞因子)和诱导型一氧化氮合酶的表达增加。运动训练避免了所有这些炎症参数的增加,除了呼吸系统的弹性、胶原纤维的量和诱导型一氧化氮合酶的表达。此外,训练动物表现出抗炎细胞因子 IL-1ra 的表达增加。尽管我们的数据显示促炎标志物减少和抗炎途径标志物增加,但这些变化不足以防止 DEP 引起的肺和心血管功能损害。基于这些数据,我们提出有氧运动训练可以预防 DEP 引起的肺部炎症过程,尽管不足以避免肺功能丧失或心血管事件等慢性损害。