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运动预处理对阿霉素诱导大鼠心脏毒性的保护作用。

Cardioprotective Effects of the 4-Week Aerobic Running Exercises Before Treatment with Doxorubicin in Rats.

机构信息

Experimental Medicine Laboratory, Department of Medicine, Universidade Federal de Uberlândia-UFU, Uberlândia, MG, Brazil.

, Uberlândia, Brazil.

出版信息

Cardiovasc Toxicol. 2023 Aug;23(7-8):265-277. doi: 10.1007/s12012-023-09798-2. Epub 2023 Jul 4.

DOI:10.1007/s12012-023-09798-2
PMID:37402033
Abstract

Doxorubicin is associated with cardiotoxicity, and physical exercise seeks to minimize the toxic effects of doxorubicin through physiological cardiac remodeling, as well as the reduction of oxidative stress, evidenced by previous studies. This study aimed to analyze whether running training before treatment with doxorubicin influences tolerance to physical exertion and cardiotoxicity. Thirty-nine male Wistar rats, aged 90 days and weighing between 250 and 300 g, were divided into 4 groups: Control (C), Doxorubicin (D), Trained (T), and Trained + Doxorubicin (TD). Animals in groups T and DT were submitted to treadmill running for 3 weeks, 5 times a week at 18 m/min for 20-30 min before treatment with doxorubicin. Animals in groups D and DT received intraperitoneal injections of doxorubicin hydrochloride three times a week for two weeks, reaching a total cumulative dose of 7.50 mg/kg. Our results show an increase in total collagen fibers in the D group (p = 0.01), but no increase in the TD group, in addition to the attenuation of the number of cardiac mast cells in the animals in the TD group (p = 0.05). The animals in the TD group showed maintenance of tolerance to exertion compared to group D. Therefore, running training attenuated the cardiac damage caused by the treatment with doxorubicin, in addition to maintaining the tolerance to exertion in the rats.

摘要

多柔比星与心脏毒性有关,而体育锻炼旨在通过生理心脏重塑以及降低氧化应激来最小化多柔比星的毒性作用,这已被先前的研究证实。本研究旨在分析在多柔比星治疗前进行跑步训练是否会影响对体力活动和心脏毒性的耐受性。39 只雄性 Wistar 大鼠,90 天大,体重在 250 到 300 克之间,分为 4 组:对照组(C)、多柔比星组(D)、训练组(T)和训练+多柔比星组(TD)。T 组和 DT 组的动物在接受多柔比星治疗前,每周 5 次,以 18m/min 的速度在跑步机上进行 3 周的跑步训练,每次 20-30 分钟。D 组和 DT 组的动物每周接受三次腹腔内注射盐酸多柔比星,连续两周,总累积剂量为 7.50mg/kg。我们的结果显示,D 组的总胶原纤维增加(p=0.01),但 TD 组没有增加,此外,TD 组动物的心肌肥大细胞数量减少(p=0.05)。与 D 组相比,TD 组的动物保持了对体力活动的耐受性。因此,跑步训练减轻了多柔比星治疗引起的心脏损伤,同时维持了大鼠的体力活动耐受力。

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