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地塞米松诱导的动脉僵硬通过训练得到缓解,这是由于主动脉胶原和平滑肌弹性蛋白水平之间的更好平衡。

Dexamethasone-Induced Arterial Stiffening Is Attenuated by Training due to a Better Balance Between Aortic Collagen and Elastin Levels.

机构信息

Joint Graduate Program in Physiological Sciences, PIPGCF UFSCar/UNESP, Rodovia Washington Luiz, km 235, São Carlos, SP, 13565-905, Brazil.

Department of Physical Education, São Paulo State University (UNESP), School of Sciences, Av. Eng. Luiz Edmundo Carrijo Coube, 14-01, Bauru, SP, 17033-360, Brazil.

出版信息

Cardiovasc Drugs Ther. 2024 Aug;38(4):693-703. doi: 10.1007/s10557-023-07438-z. Epub 2023 Feb 16.

Abstract

PURPOSE

Although the cardioprotective benefits of exercise training are well known, the effects of training on dexamethasone (DEX)-induced arterial stiffness are still unclear. This study was aimed at investigating the mechanisms induced by training to prevent DEX-induced arterial stiffness.

METHODS

Wistar rats were allocated into 4 groups and submitted to combined training (aerobic and resistance exercises, on alternate days, 60% of maximal capacity, for 74 d) or were kept sedentary: sedentary control rats (SC), DEX-treated sedentary rats (DS), combined training control (CT), and DEX-treated trained rats (DT). During the last 14 d, rats were treated with DEX (50 μg/kg per body weight, per day, s.c.) or saline.

RESULTS

DEX increased PWV (+44% vs +5% m/s, for DS vs SC, p<0.001) and increased aortic COL 3 protein level (+75%) in DS. In addition, PWV was correlated with COL3 levels (r=0.682, p<0.0001). Aortic elastin and COL1 protein levels remained unchanged. On the other hand, the trained and treated groups showed lower PWV values (-27% m/s, p<0.001) vs DS and lower values of aortic and femoral COL3 compared with DS.

CONCLUSION

As DEX is widely used in several situations, the clinical relevance of this study is that the maintenance of good physical capacity throughout life can be crucial to alleviate some of its side effects, such as arterial stiffness.

摘要

目的

尽管运动训练对心脏有保护作用已广为人知,但训练对地塞米松(DEX)诱导的动脉僵硬的影响仍不清楚。本研究旨在探讨训练诱导的机制,以预防DEX 诱导的动脉僵硬。

方法

Wistar 大鼠被分为 4 组,进行联合训练(有氧运动和抗阻运动,隔天进行,最大能力的 60%,持续 74 天)或保持久坐不动:久坐不动对照组(SC)、DEX 处理的久坐不动大鼠(DS)、联合训练对照组(CT)和 DEX 处理的训练大鼠(DT)。在最后 14 天,大鼠每天接受 DEX(50μg/kg 体重,皮下注射)或生理盐水处理。

结果

DEX 增加了 PWV(DS 组增加 44%,而 SC 组增加 5%,p<0.001)并增加了 DS 组主动脉 COL3 蛋白水平(增加 75%)。此外,PWV 与 COL3 水平呈正相关(r=0.682,p<0.0001)。主动脉弹性蛋白和 COL1 蛋白水平保持不变。另一方面,训练和处理组的 PWV 值较低(-27%,p<0.001),与 DS 相比,主动脉和股动脉 COL3 值也较低。

结论

由于 DEX 在多种情况下广泛使用,本研究的临床相关性在于,终生保持良好的身体能力对于缓解其一些副作用(如动脉僵硬)至关重要。

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