Institute of Clinical and Translational Research, Biomedical Research Center, Slovak Academy of Sciences, Bratislava, Slovakia.
Faculty of Medicine, Slovak Medical University in Bratislava, Bratislava, Slovakia.
Endocr Regul. 2024 Jun 11;58(1):115-128. doi: 10.2478/enr-2024-0013. Print 2024 Jan 1.
Sedentary lifestyle increasingly observed in the population contributes to the incremental incidence of obesity, cardiovascular diseases, mental disorders, type 2 diabetes, hyper-tension, dyslipidemia, and others. Physical inactivity together with an imbalance in caloric intake and expenditure leads to a loss of muscle mass, reduced insulin sensitivity, and accumulation of the visceral fat. Organokines (adipokines, myokines, hepatokines, etc.) serve in the organism for inter-organ communication. However, human studies focused on the exercise-related changes in plasma levels of certain myokines have produced contradictory results. In the present study, we verified a hypothesis that myokine irisin, which is expected to increase in response to physical activity, induces brain-derived neurotrophic factor (BDNF) production and by this way mediates the beneficial effect of exercise on several brain functions. Women (n=27) and men (n=10) aged 44.5±12.0 years, who were sedentary and overweight/obese (men ≥25%, women ≥28% body fat), participated in the study. The effect of an 8-week intensive lifestyle intervention (150 minutes of moderate physical activity per week, diet modification, and reduction of caloric intake) on the selected organokines (irisin, BDNF) in the context of an expected improvement in cardiometabolic status was examined. The 8-week lifestyle intervention resulted in a significant (p<0.05) reduction in body mass index, body fat, blood pressure, insulin resistance, lipid and liver parameters, and irisin levels (p<0.001). However, BDNF increase in the whole group did not reach statistical significance. After the improvement of cardiometabolic parameters, a significant decrease in irisin and increase in BDNF levels were also observed in the subgroup with unsatisfactory (≤5%) body weight reduction. Neither relationship between irisin and BDNF levels, nor effect of age or sex on their levels was observed. We cannot confirm the hypothesis that exercise-induced irisin may increase the BDNF levels, whereas, the organokine levels in the periphery may not completely reflect the processes in the brain compartments. The observed decrease in irisin levels after 8-week intensive lifestyle intervention program, which was in contrary to its supposed mechanisms of action and dynamics, suggests the presence of several yet undiscovered impacts on the secretion of irisin.
越来越多的人群中久坐不动的生活方式导致肥胖、心血管疾病、精神障碍、2 型糖尿病、高血压、血脂异常等疾病发病率不断上升。身体活动不足加上热量摄入和消耗的不平衡,会导致肌肉质量减少、胰岛素敏感性降低和内脏脂肪堆积。器官因子(脂肪因子、肌因子、肝因子等)在体内起到器官间通讯的作用。然而,针对运动相关的特定肌因子血浆水平变化的人体研究得出了相互矛盾的结果。在本研究中,我们验证了一个假设,即预期因身体活动而增加的肌因子鸢尾素会诱导脑源性神经营养因子(BDNF)的产生,并以此方式介导运动对多种大脑功能的有益影响。
年龄为 44.5±12.0 岁的久坐不动且超重/肥胖(男性体脂率≥25%,女性体脂率≥28%)的 27 名女性和 10 名男性参加了这项研究。研究了 8 周强化生活方式干预(每周进行 150 分钟的适度身体活动、饮食调整和减少热量摄入)对选定的器官因子(鸢尾素、BDNF)的影响,以及预期改善心血管代谢状态。
8 周的生活方式干预显著(p<0.05)降低了体重指数、体脂、血压、胰岛素抵抗、血脂和肝功能参数以及鸢尾素水平(p<0.001)。然而,整个组的 BDNF 增加并未达到统计学意义。在心血管代谢参数改善后,体重减轻不达标(≤5%)的亚组也观察到鸢尾素水平显著降低和 BDNF 水平升高。没有观察到鸢尾素和 BDNF 水平之间的关系,也没有观察到年龄或性别对它们水平的影响。
我们不能证实运动诱导的鸢尾素可能会增加 BDNF 水平的假设,而外周器官因子的水平可能不能完全反映大脑隔室的过程。在 8 周强化生活方式干预后,观察到鸢尾素水平下降,这与它的预期作用机制和动态相反,这表明存在一些尚未发现的对鸢尾素分泌的影响。